Question:
I enjoy your column very much and hope you can help me. My mixed-breed terrier is 15 years old. Although he doesn't hear or see well anymore, he still eats and enjoys his family. He was a neglected and abused pup when I adopted him as a 1-year-old. His teeth have never been very good, and he has had several removed. Because he has a worsening heart murmur, my vet has advised against teeth cleaning for the past several years.Some of his remaining teeth are rotting, his gums are inflamed and his breath is fowl. Is there anything I can do? Should he be on a low-dose antibiotic? I am not ready to put my beloved dog down yet. Thank you very much.
R.M., Vienna, Va Apr 27, 2008
Answer:
Your veterinarian is playing it safe with your dog, but perhaps too safe. Your dog has had a long and presumably good life, but must now be suffering with a mouthful of rotten teeth. The risk of anesthesia could be worth it, giving him a new lease on life. Rotting teeth mean bacterial infection, which could enter his bloodstream and infect his heart and kidneys. I would pre-medicate with antibiotics and analgesic and have him sedated under light anesthesia. You should also seek a second opinion for your own peace of mind.
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