A. It is tricky and you have to weigh up the importance of the problems. If it is just to brush teeth then I wouldn't worry about brushing them. There are plenty of other ways to try and keep teeth clean such as special dental diets, dental chews and things you can add to drinking water that act a bit like a mouth wash. If the teeth are very bad and the dog is unable to eat due to the severity of the problem then you may have to have the general anaesthetic. It needs to be discussed with your vet as to the risks involved with each option.
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