our prevous bunny Missy, had real bad dental problems, we first found out that her teeth were not aligned properly, so they were not being ground down when she ate, so she had to keep having them reduced at the vets, she ate well after each surgery, but it was distressing for her to go in.
After quite a few trips for surgery out vet suggested removing the front incisors, and at first i rejected the idea, i thought she wouldn't be able to eat or live a normal life, but our vet told us that she would cope fine without the front teeth and the only adjustment would be that we needed to cut food up for her. she had stopped eating as much hay by this time anyway.
We agreed because we felt that in the end it would be less stressful, than returning to the vets every couple of months to have them ground down. After surgery they kept her in for a while and when she came home she was fine i just had to cut her carrots and things up into smaller chunks, but that was it, she was still a greedy piggy! So in my experience it can be better in the long run for the bun.
BUT i would talk to the vet about keeping an eye on how things go..
Missy got a couple of abcess's which we treated with antibiotics and we had a long period where everything was fine, but she developed an abcess that was near her eye, and on examining the x-ray they said that the root of the tooth was pressing on the eye and growing up, and if they took the tooth out she could loose they eye , i gave them the go ahead to do whatever they had to to get her out of pain, but when she went in for surgery her abcess had drained and her eye was better.
They didn't want her to go through surgery for no reason so she came home. Our vet said that this root was going to be difficult to remove because of its position, i think he knew then that it was only a matter of time. he gave us the choice of putting her to sleep, but we couldn't comprehend this while she seemed to be doing ok. (i realise now that he was telling us that anything we did would be pallative)
She didn't get any other symptoms, but one day about 5 months later she came into the lounge and i gave her some satuma which she loved, and she sat with us for a while. Then she ran into the kitchen, and we heard scratching, my husband went in and just cried not to go in. I heard her scream and went in, she was having a fit.
Our emergency trip to the vet was bizarre, she'd managed to get herself sitting up but looked dazed and confused. He gave her something (i can't remember what) and said that she could recover from this, but when we got her in the car, she had another fit and we could tell that she was gone RIP Moomin x
I just wanted to say that in my experience removing incisors can be the right descision and bunnies can have just as healthy and happy lives without their front teeth, so long as they have loving owners that help them along the way.
On a seperate note i was horrified when our vet even suggested putting Missy to sleep, but maybe he was thinking about the best thing for her.......