In mid-October, the vet performed a dental - there were slight spurs on one side of her molars, which he didn't think were a problem but it was worth a try. However, nothing changed. So we agreed to X-ray to see what was going on. Yesterday she was back at the surgery, and we went to discuss the findings later in the afternoon.
Sadly it is not good news. Mabel has infection in her tooth roots, mostly along the lower left jaw, but also signs of it on the right side. This is very difficult to treat in rabbits. Tooth extraction is very risky, and of course leaves the problem of not being able to eat hay. Once again, as in August with the bloat, we were advised that PTS might be the kindest option - it's just a matter of when.
She is home and on a twice daily dose of Meloxicam to control the pain. We do not intend to let her suffer. Rabbits, as prey animals, hide their pain extremely well, so we've been watching her very carefully. However, at the moment, she does not look like a rabbit who is in agony. She is perhaps more subdued at times, but this morning has enjoyed being out on the patio (she asked to come out - see first photo!), and later exploring the usually-out-of-bounds areas of the house.