Hi, I am new here. I live in the USA, close to the best Universities, for animals, the University of Penn. I have a 17 year old Maltese/Lhasa Apsa, known as a Lhatese. He has had 3 Dentals in his lifetime. At his last dental, he had 22 teeth pulled, and did fine. Recovered very well, he was 14 years old. Now at 17.3 years old, he has only 4 molars in the back, and 2 Canines, and a few teeth in the front and bottom. A total of about 16 teeth left, mostly small teeth. He has 1 small tooth behind the canine tooth that is loose on the right side, and a little red on the gum. And his one Cannine on the right needs to come out... tarted on top of tooth. He is prone to tarter or staining on the teeth. He was fiesty and did not want anyone brushing his teeth, but now he is a bit better about brushing, doesn't fight me as much. I found a Dental specialist, that is educated from the Univ of Penn. Many people praise him, however he wants $4,000 for the dental of a dog with 16 teeth left, and if he stayed overnight, another $2,000. Post Op is important on an older dog because they need to be hydrated due to kidneys and blood pressure. I am a nervous wreck about his age. He still goes on walks, eats moderately well, but has slowed down a tad. His blood work did come out great, with very slight Kidney elevation at 41. He keeps sneezing and coughing and his trachea is a little thin toward the top, plus he has separation anxiety. I have to pay pet sitters to stay with him when I go to work. Would love to hear what people think or would do. A cosmetic dentistry will only help a few teeth in the front ... because back molars may have to come out, even though he chews with no pain.