Hi Sharon,

You are not alone in having this dilemma.  First off, it sounds as though your veterinarian has done a great job so far in determining some of your cat’s medical problems and helping to manage them as is needed.  As I can’t see your cat’s teeth and do a complete physical exam, it will be up to your veterinarian to ascertain how necessary the dental cleaning and risk of anaesthetic are.

Some things to consider are how well controlled are your cat’s kidney and thyroid conditions?  Is there oral pain, inflamed gums, or broken teeth?  How is the rest of your cat’s overall health?  Is your veterinarian set up for the best anaesthetic monitoring and drug protocols?  And ultimately, does the potential benefit outweigh the risk?  These are some starting points to talk with your veterinarian about your concerns.   It definitely should be a decision made as a team.  If you decide not to go forward with an anaesthetic and cleaning and if the dental disease is mild enough, there may be less risky options such as dental diets.

I wish you luck in your decisions.

Dr. Ryan Llera