Dental Case Full Analysis and Diagnosis

The clinical image shows a tooth with extensive decay. The enamel surface is disrupted and broken down, with dark discoloration indicating advanced carious involvement. This tooth likely exhibits significant decay reaching deeper tooth layers.

The working diagnosis is dental caries in an advanced stage. Further clinical evaluation is needed to determine whether the pulp is involved.

Severity Grading

Assessment indicates moderate to severe dental caries. If the pulp is involved, the condition may be near critical.

Examination Considerations

A complete evaluation should include clinical exam, dental X-rays, and pulp vitality testing. These confirm decay depth and pulp involvement.

Expected Time Frame to Heal

Healing depends on the treatment performed:

• Restorative filling with no pulp involvement can be completed immediately, with sensitivity lasting up to two weeks.
• If pulp involvement exists a root canal and crown are recommended, with soft tissue healing in one to two weeks and full healing over weeks to months.
• Delaying treatment beyond 14 days increases risk of complications.

Risks If Treatment Is Delayed

Delaying care can result in:

• Spread of infection
• Increased pain
• Dental abscess
• Bone loss
• Potential extraction

Step-by-Step Treatment Plan

Step 1 Clinical and Radiographic Assessment

• Intraoral clinical evaluation
• Diagnostic X-rays
• Pulp vitality tests

Step 2 Infection Control

• Administer local anesthesia if needed
• Isolate the operative area

Step 3 Caries Removal

Remove decayed tissue and evaluate depth relative to pulp status.

Step 4 Definitive Treatment

If the pulp is not involved a restorative filling is placed. If the pulp is involved root canal therapy followed by a crown is recommended.

Step 5 Finishing and Polishing

Refine the restoration and ensure proper bite and comfort.

Step 6 Follow-Up

Check healing one to two weeks after treatment.

Comments and Clinical Interpretation

The decay is beyond early stages and likely involves deep tooth structures. Without prompt treatment the risk of infection and complications increases.

Recommended Next Step

Visit a dental clinic as soon as possible for a complete assessment and treatment. Use a dental directory to locate a provider in your area.

Search the directory for the nearest dental clinic: cebudentalimplants.com/map-dental-clinic

Patient Advice

Seek dental care promptly. Maintain oral hygiene with brushing and flossing. Avoid sticky or very cold foods. Seek treatment within seven to ten days where possible.