Q. My Maltese had many teeth that needs extraction. Meanwhile how to clean his mouth with less pain
A. Until he gets his teeth cleaned and extractions performed by a veterinarian, he's going to have mouth pain. Your dog needs to have an exam with your vet and bloodwork to determine his ability to handle anesthesia. If his bloodwork is good, he should have a dental cleaning as soon as possible. Leaving his teeth as they are means that the inflammation and infection will continue, and the bacteria in his mouth has a direct route to infect his heart valves, a condition called vegetative endocarditis. Most dogs recover quickly and do great after a dental and extractions and live longer, healthier lives as a result.