Hi, Thank you very much for the response! Your explanation makes sense, especially since she is getting older. My Bella and I have been together 8 of her 10-11 (estimated) years and I can hardly bear to see her in pain. She is still quite swollen on one side, and seems miserable. Hopefully, she will bounce back quickly! Thanks again, B & BIf the teeth were causing problems, it's better that they're all pulled at once, rather than making the dog go under anesthesia multiple times. It's not unusual for quite a few to have to be pulled, especially if there's something like gum disease going on or it's a breed prone to tooth problems. The swelling I'm not sure about, and it's a good idea to call your vet and check with them if it's normal!