Tisoy, our 9-year old spitz has an issue with oral health. He has gingivitis, a disease of the gums, which gives bad odor. When Tisoy is near me, I could smell a rotten odor coming from his mouth. The vet had recommended cleaning of the teeth that would help cure the problem but I don't want our dog to be sedated. What if he wouldn't wake up? There are cases like that where the sedated dog did not wake up anymore. I don't want that to happen to Tisoy. For now, we clean Tisoy's gums with cotton swab that is dipped in iodine. And then we also use the spray breath freshener to at least deaden the smell. The vet said that regular cleaning of the gums can help it heal faster.