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Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!I am sorry to hear your dog has such a fear of veterinarians. With what breeds she has in her and her age I would be concerned she has periodental disease that is going to require anesthesia, a cleaning, a good probability that she will have extractions. Unfortunately dental disease is accumulation of bacteria which forms tartar and has been linked to progressive heart disease and kidney issues as well as gi changes as the tartar breaks off and is metabolized into the systemI would investigate a mobile veterinarian who maybe able to do a more thorough oral exam on her but it may require her to be seen by a veterinarian who can do the sedation/ anesthesia and oral assessment all at once with a cleaning. I have occasionally had patients that fit this scenario and we send home something to reduce anxiety prior to the procedure (such as trazadone) and that relaxes them enough that an iv catheter can be placed and anesthesia can be performedUnfortunately you are correct that this can be expensive if there is severe dental disease. Depending on the area you live in this can range from $350-1000 (highest in the bigger cities) but you should be able to get a baseline estimate for your area with your regular vet.I know this is a challenging position to be in, wanting to do the best for her but having her so frightened that it makes the visit quite a challenge. It might be a matter of an oral sedative at home so that she can be evaluated under anesthesia at the same time as her cleaning and move forward based on what is found but I do think with the odor, discoloration (including black color), and her breeds I would begin saving to have further workup done on her mouth...Please let me know how else I can assist you both today
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Please let me know if I can be of any further assistance to you both today. I am in surgery this morning but will respond as soon as I am able...
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