there are so many other things to use now, to help keep their teeth cleaned. ( that we can do ) instead of the cleaning from the vet. it is too rough on the older ones. With some cases them not waking up at all. we use that Ora vet weekly on ours. it really helps and yes it might not be as good as a cleaning but at least they are still with me. My Jericho looks just like your suzy only hes all white, hes 11 yrs old and has a hard time getting up too.