Just speaking on my experience with my previous dog who lived to 19 - she was on heart medication for 5+ years due to a heart murmur and heart issues. So, we didn't put her under for teeth cleaning for the last 5+ years of her life, as suggested from our vet. I wouldn't have been able to live with myself if because of the teeth cleaning, she wouldn't wake up. It'd be much too horrible!
However, it was important to me that her health was maintained by keeping her teeth clean, so I brushed her teeth frequently and took the risk to remove plaque myself with dental tools at home. I also took her to get her teeth cleaned, anesthesia-free, which seems to be more popular these days.
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