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Braki
Aug 9, 2006

Happy birthday!
I mean... you already know what the answer is. Brushing her teeth is something that's worth looking into, but shouldn't be done until her teeth are professionally cleaned. Right now she has a lot of dental disease and inflammation, and if you try brushing her teeth, it will hurt and make her averse to it.

Many dogs live with extremely terrible dental disease. She will have to be one of those dogs until you save up enough for her dental. Regarding her heart murmur, you have 2 options: 1) get a referral to a cardiologist who can perform an echocardiogram to evaluate the severity of her heart disease and determine her risks for general anesthesia (a specialist will however cost $$, and one may not be nearby depending on where you live), 2) have chest x-rays performed with your vet to look for evidence of significant heart disease and determine if they're comfortable putting her under general anesthesia for her dental.

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