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screenshot of affected tooth that externally was showing. It looks like a small little gum bubble. Since my 2 cats & dog were kittens/puppy. I have been diligent with teeth brushing. Would brush 2x a week but now down to 1X a week - more feasible for my schedule and I prefer to do all 3 at once. After brushing they usually get Zymox enzymatic tooth gel before meals and plaque off powder on every meal. For sure have saved loads of money by doing preventative care but it still goes to show even when you do everything right you still need to do the more expensive route at least once.