My girl needs a dental. We're in the process of getting her hyperthyroidism back under control and monitoring her kidney levels as a couple of her kidney results were very slightly elevated last time. In getting her hyperthyroidism levels back under control it may unmask CKD which the vet would need to know before operating. She been back for bloods and the vet picked up she has a heart murmur. This sometimes comes hand in hand with hyperthyroidism but given no one has picked it up during six visits since being diagnosed, vet wonders if it's down to general deterioration due to old age and has pointed out there would be risks involved in operating. I just wondered if anyone has any thoughts on whether these are significant risk? I don't want her in pain. We talked about hyperthyroidism, CKD, medication while we were away and the dental, so only now wondering what to do.