Dental Case Analysis: Back Molar with Deep Grooves and Early Decay Risk

Case Overview

The image shows a posterior molar tooth with deep occlusal grooves (fissures). While the enamel surface appears mostly intact, the depth of the grooves creates a high risk area for early tooth decay due to plaque and food retention.

Zoom 100% Visual Examination

Observed Findings

• Back molar with pronounced pits and fissures

• Enamel surface appears smooth but irregular

• Possible early staining within fissures

• No obvious fracture or large cavity

• Saliva pooling around grooves, indicating retention zones

• Surrounding soft tissue appears normal

• Adjacent teeth appear intact

Diagnosis

Primary Diagnosis

• Deep occlusal fissures with high caries risk

Secondary Diagnosis

• Possible early enamel demineralization

• Increased susceptibility to future cavities

Treatment Objective

• Prevent progression to dental caries

• Seal or protect deep grooves

• Maintain tooth structure and chewing function

Treatment Process to Execute

Step-by-Step Plan

1. Clinical examination and caries risk assessment

2. Dental X-ray if decay is suspected beneath enamel

3. Professional cleaning of fissures

4. Preventive treatment options:

   • Fissure sealant application

   • Preventive composite restoration if needed

5. Oral hygiene instruction and monitoring

Healing and Treatment Time Frame

First 14 Days

• No significant discomfort expected

• Sealant or restoration stabilizes the surface

• Normal chewing resumes immediately

After 14 Days

• Tooth remains protected from decay

• Low risk of cavity development if hygiene is maintained

If Treatment Is Delayed

Issues That May Scale Up

• Bacteria penetration into deep grooves

• Development of occlusal cavity

• Need for drilling and filling

• Possible progression to deeper dentin decay

Professional Comments

• Condition is preventive and manageable

• Early action avoids invasive treatment

• Deep fissures are common cavity initiation points

Recommendation

Visit a dental clinic for preventive care and evaluation.

Find a clinic near you:
https://cebudentalimplants.com/map-dental-clinic