Since the problem is so bad, not much is going to do a good enough job. She can chew on certain things but that really isn't going to clean under her gums. Having them cleaned by someone who doesn't use anesthesia is more of a cosmetic procedure than one for her health. There are kibbles out there designed to scrape tartar off but the ingredients are gross and I'm not sure that it would do a good enough job. Because excess tartar can lead to heart, kidney, liver and lung problems, I would get them cleaned. Did she lose all of her baby teeth?
It is important to brush regularly but if you can't, you can't. Have you tried dental rinse?
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