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Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!I do understand your concerns with her history but unfortunately since we don't truly understand the cause of Steroid Responsive Meningitis we cannot definitively answer what my cause a relapse. There are certain things that should be avoided that we know are immune stimulators such as penicillins and some nonsteroidals as well as stressors but if there is dental disease this in and of itself can weaken the immune system and increase risks of infection.If it has been 8 years since the last bout of SRM then I think you do need to take the risk if your veterinarian advises a dental. I too had a dog with immune mediated disease that she was diagnosed with at 6 years old. I did dental cleanings on her annually thereafter because of her dental status and had no return bouts until she was 12 years old. I do not feel like the annual cleanings but her at higher risk but always took precautions with avoiding penicillins and rimadyl for example.I hope this helps guide your decision. I do feel dental disease treatment is critical for overall health and well being so it should be considered for your TerrierPlease let me know how else I can assist you both today
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