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 ().
An 8-year-old spayed female Burmese displayed sudden onset clinical signs of pawing at its face, mildly traumatising its left lip. On oral examination, an SN 208 was found palatal to the normal left maxillary fourth premolar tooth (). The supernumerary tooth was situated in a reverse and mirror position to the normal 208, so that the distal root was positioned mesially, the mesiopalatal root positioned palatodistally and the mesiobuccal root positioned adjacent to the normal 208 distal root. PD3 was diagnosed at 108, 109 and 208, and TR of 309. Closed extraction was performed at 109. The SN 208, as well as 108, 208 and 309, were extracted using the open extraction technique. The SN 208 extraction site was allowed to heal by second intention. The owner stated at the follow-up consultation that the cat did not paw at its face again after the surgery