Acquired dental disease represents the most common oral disorder of guinea pigs. Most patients are presented with nonspecific clinical signs and symptoms, such as weight loss, reduced food intake, difficulty chewing and/or swallowing. The physical examination must be followed by standard radiography and/or computed tomography, and thorough inspection under general anesthesia. Several complications may follow, including periodontal disease, subluxation of the temporomandibular joint, periapical infection, and abscessation. The dental treatment is aimed to restore the proper length and shape of both the incisor and cheek teeth, associated with medical and supportive treatment. Abscesses should be surgically addressed by complete excision.