Well, as I posted, we have had to take Arwen in for teeth cleaning every six mos. The this year she was in Feb, then in JULY had to have 3 teeth pulled. I noticed red gums while brushing and thought I had damaged but it was getting worse.
So took her to vet today, back bottom tooth on BOTH sides need pulling, infection, and her liver enzymes up. I know enough about blood work to know the infection can elevate liver enzymes, but this isn't my usual vet and she INSISTED it could be hep or anything and we MUST treat now. I let her bully me but the more I think about it the madder I am.
The logical thing would be antibiotics, pull the teeth in 2 wks, then test blood w/n 30 to 45 days to see if liver enzymes up.. THEN treat or test more. But I am going to give the anti-inflammatory med and doggie Sam-e for 30 days since I already paid a bloody fortune for them, but then going to stop them completely and wait a month to retest. I adore my other vet, but this one less all the time. If it is a med I can get at the drugstore, the other vet writes me Rx because she said they don't get the big discounts pharmacies do so always much cheaper than they can sell them. $63 bucks for 30 days worth of sam-e for a 27 pound dog? HOLY COW.
Anyway, the only good news is she said the other teeth look great (it's only been 4 mos! so this is 3rd visit for teeth in 9 mos!) and she thinks I can keep the others good with brushing, these were just too close into gums and back of mouth.