How much I/D does she get a day? That needs to be cut back. Also, very few fruits are ok for pancreas compromised dogs. I'd drop those altogether. They aren't very low in calories and overall probably aren't the best choice for her. Lean chicken is fine if she does well on it, but it is added calories. I'd do non-starchy veggies only until weight is where it should be.
You don't have to do a dental just because mouth work is being done. I wonder if the reasoning is that since the cleaning would be done first, that bacteria would be out of the way for the extraction which would make sense. Thinking about it that way and the fact that she does have tartar on her back teeth would make me say yes, she should have the cleaning (no reason to leave the tartar there if they are going to be in there anyway). But if you can't, you can't. Go for the immediate need if that is all you can afford (as long as you realize it is going to cost you more this way - she will have to have that dental shortly and you will be redoing bloods, induction meds, IV, etc., so it would be cheaper to do it all at once).
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