A 19-month-old spayed female Burmese had recently been treated for epiphora. During that clinical examination, the referring veterinarian noticed moderate gingivitis and calculus accumulation. On referral to CADS, bilateral supernumerary (SN) maxillary fourth premolar teeth were diagnosed (), with associated stage 3 periodontal disease (PD3). SN 108 and SN 208 were positioned palatal to the normal maxillary fourth premolar teeth. The supernumerary teeth were orientated in the same manner as the normal teeth; that is, the mesiobuccal and distobuccal roots were buccally situated and the mesiopalatal root, palatally situated (). PD3 was also diagnosed at 206, 209, 302, 401 and 402, and tooth resorption (TR) at 309 and 409. Closed extraction of 206, 209, 302, 401 and 402 was performed, without elevating a mucogingival flap, while open extractions were performed on SN 108, SN 208, 309 and 409 (), by elevating a mucogingival flap. The SN 108 and SN 208 surgical sites were not sutured closed and were allowed to heal by second intention.
A 19-month-old spayed female Burmese, a littermate of case 1, was presented with a primary complaint of halitosis. Both cats were fed a raw diet and had not shown any changes in eating behaviour. Oral examination revealed bilateral supernumerary maxillary fourth premolar teeth and a supernumerary left mandibular fourth premolar tooth (SN 108, SN 208, SN 308), with associated PD3 and moderate generalised gingivitis. The supernumerary maxillary fourth premolar teeth were also situated palatal to their normal counterparts (), while SN 308 was moderately rotated and situated between 308 and 309 (). PD3 was also diagnosed at 209. Tooth 209 was extracted using the closed extraction technique, and SN 108, SN 208 and SN 308 were extracted using the open extraction technique (). The SN 108, SN 208 and 209 extraction sites were allowed to heal by second intention ().