Back in December Disney jumped out of my Jeep and landed on her face on the concrete garage floor. She broke the tip off her top left K9 tooth and loosened another beside it. The vet recommended doing dental surgery and cleaning to see how bad the tooth was. They didn't give me any options, they just pulled both teeth and they warned me before hand that they might break her jaw trying to pull the K9, luckily they did not. She's doing fine without the teeth but she's always had bad teeth and has had a couple others extracted in the past while having her cleanings.

Good luck with your decision.