Maltese Breed Guide UK: dental disease, kidney, liver shunt & Full Care

Dogs6 March 20265 min read
🐾 Veterinary Disclaimer: This article is for educational purposes only and does not replace professional veterinary advice. All medical content is reviewed by Dr. Sarah Mitchell, BVSc MRCVS. Always consult your registered veterinary surgeon if your pet shows signs of illness.
🔄Last Updated: 10 March 2026Originally published: 6 March 2026

The Maltese is one of the oldest and most distinguished toy breeds in the world — records of small white companion dogs from Malta extend back over 2,000 years. Romans, Greeks, and Renaissance nobles prized them; they appear in Renaissance paintings and historical records throughout European aristocracy. Today they are cherished UK companions, prized for their elegant flowing coats, affectionate personalities, and suitability for various living situations. Understanding their health profile ensures owners can give them the best possible care.

Quick Facts

Characteristic Detail
Size Toy (under 3.5 kg; 20–25 cm at shoulder)
Coat Long, silky, pure white single coat — low shedding but daily grooming required
Exercise 20–30 minutes per day
Lifespan 12–15 years
Good for? Individuals, couples, elderly owners, flats — not suited to rough play with young toddlers
Good for first-time owners? Yes — trainable and manageable; the grooming commitment is the main challenge
Puppy cost (UK 2026) £700–£2,000
KC group Toy

Health Conditions

White Shaker Syndrome (Idiopathic Steroid-Responsive Tremor Syndrome)

White Shaker Syndrome (WSS) is a neurological condition causing full-body tremors that disproportionately affects small white dog breeds — Maltese, Bichon Frisé, West Highland White Terriers, and Poodles. Key facts:

  • Onset: Typically sudden onset between 6 months and 3 years of age
  • Appearance: Fine, generalised whole-body tremors — which worsen during stress or excitement and may decrease at rest or during sleep
  • Cause: Unknown — thought to be immune-mediated (similar mechanism to autoimmune encephalitis in humans)
  • Diagnosis: By ruling out other causes (head trauma, toxin, metabolic disease) — an MRI and CSF (cerebrospinal fluid) analysis may be performed to confirm an inflammatory process
  • Treatment: Corticosteroids (usually prednisolone) typically produce dramatic improvement within 1–2 weeks. Most dogs go into remission; some require low-dose maintenance medication long-term
  • Prognosis: Generally good with appropriate treatment — most Maltese manage the condition well

Dental Disease — The Number One Ongoing Health Issue

Dental disease is the most common health issue in Maltese throughout their life. Their small mouths lead to overcrowded, rotated teeth, which accumulate tartar faster than larger breeds. Without management:

  • Severe gingivitis and periodontitis lead to pain, infection, and tooth loss
  • Bacteria from dental disease can enter the bloodstream and contribute to heart and kidney problems

Dental management protocol for Maltese:

  1. Teeth brushing daily — start from 8 weeks to habituate the puppy. Use a dog-specific enzymatic toothpaste and small finger brush or toothbrush
  2. Dental chews approved by VOHC (Veterinary Oral Health Council) — daily
  3. Annual or bi-annual professional dental scale-and-polish under anaesthesia
  4. Monitor for loose teeth, red gums, bad breath — these require vet assessment

Luxating Patella

Luxating patella (kneecap dislocation) is common in toy breeds; Maltese are affected at moderate rates. Grade 1–2 manifests as occasional skipping lameness that self-resolves. Grade 3–4 requires surgical correction. Reputable breeders have parent dogs examined for patella status.

Liver Shunt

Portosystemic shunt (PSS) — abnormal blood vessel that bypasses the liver — appears in Maltese at higher rates than many other breeds. Signs in puppies/young adults: poor growth, disorientation after eating, head pressing, seizures. This is typically a congenital defect (present from birth) and is manageable surgically or medically depending on severity and type.

Grooming — The Full Reality

Option Daily home work Professional cost
Full long coat 15–30 minutes daily brushing; topknot maintenance Monthly grooming: £45–£65
Puppy cut / short clip 5–10 minutes daily brushing to prevent undercoat mats Every 6–8 weeks: £40–£60

Tear staining: The white face fur around the eyes stains reddish-brown from tear overflow (epiphora). Management: daily wipe around the eyes with damp cotton wool; keep facial hair trimmed or tied up to prevent it rubbing the eye. If staining is sudden and heavy, have the vet check for blocked tear ducts or eye irritation.

Warning — Never shave a Maltese double-coat to the skin: This can permanently damage the coat growth cycle. A puppy cut maintains 2–5 cm of coat, which is sufficient for summer comfort without skin damage.

Temperament

  • Affectionate and devoted — Maltese form close bonds and enjoy being with their person almost constantly
  • Intelligent and trainable — they respond enthusiastically to positive reinforcement; they enjoy learning tricks and basic obedience
  • Alert watchdogs — vocal; will bark at visitors and unusual sounds. Nuisance barking must be managed from puppyhood
  • Children: Generally okay with older, gentle children; too fragile and potentially snappy with rough-handling toddlers

FAQs

Are Maltese high-maintenance dogs?

The grooming is high-maintenance if the full coat is maintained. Owners who keep their Maltese in a short clip significantly reduce this burden. Otherwise, their exercise, training, and care needs are relatively modest — making them genuinely manageable dogs for most owners who commit to their dental and grooming requirements.

⚕️ Veterinary Disclaimer: This breed guide is for informational purposes only and does not replace professional veterinary advice. Health conditions described here are breed predispositions, not certainties. Always consult your vet for advice specific to your individual dog. For breed-specific health testing, visit the Kennel Club Health page.

SM

Dr. Sarah Mitchell

BVSc MRCVS

Dr. Mitchell is a practising veterinary surgeon with 12 years of clinical experience at a mixed-practice surgery in the West Midlands. She qualified from the Royal Veterinary College in 2014 and holds a certificate in small animal medicine. Sarah reviews all our health, nutrition, and breed-specific medical content.

📋 Veterinary Reviewer 🎯 Small Animal Medicine