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When I decided to have his teeth cleaned, he was really pawing at his mouth and it turns out his lower canine tooth was infected...and abscessed under the gumline. I felt horrible and was glad I did the dental. About 2 years later, he did come down with a form of heart disease and putting him under would have been terribly risky. I absolutely hate them having surgery (I was an absolute nervous wreck when Lila was spayed) but I force myself to do something to pass the time when they're at the clinic, and eagerly wait for that phone call update that says they did well and are awake and can come home in another hour or so.