Exposed Pulp With Advanced Infection – Root Canal–Level Dental Case (100% Zoom Analysis)

Clinical Disclaimer
This is an image-based educational analysis. A definitive diagnosis requires an in-clinic examination, vitality testing, and dental X-rays. The visual evidence, however, indicates a severe and urgent condition requiring professional treatment.

Case Overview (Zoom 100%)

The image shows a tooth isolated with a rubber dam, exposing a large access cavity with clearly visible pulp chamber and canal openings. The surrounding dentin appears discolored, and the pulp tissue looks compromised—signs consistent with advanced decay and pulpal infection. This is beyond a simple cavity and firmly within endodontic (root canal) territory.

Primary Diagnosis

1. Irreversible Pulpitis / Necrotic Pulp

   • Pulp tissue is exposed and infected

   • Natural healing is no longer possible

2. Advanced Dental Caries

   • Extensive loss of enamel and dentin

   • Bacterial invasion of the pulp chamber

3. High Risk of Periapical Infection

   • Infection can extend beyond the tooth apex into bone

   • Potential abscess formation if untreated

Deep Examination Findings (From Image)

• Open pulp chamber with visible canal orifices

• Discoloration consistent with bacterial contamination

• Rubber dam isolation confirms need for endodontic treatment

• Structural integrity of the tooth already compromised

Can This Heal in 14 Days?

 No — exposed and infected pulp cannot heal naturally.

However, 14 days is a critical window to:

• Remove infected tissue

• Stop bacterial spread

• Prevent abscess, bone loss, or facial swelling

Delaying treatment beyond this timeframe significantly increases complications.

Recommended Treatment Process

Step 1: Emergency Endodontic Assessment (Day 1–2)

• Clinical evaluation

• Periapical X-ray

• Confirmation of pulp vitality and infection extent

Step 2: Root Canal Treatment (Day 2–7)

• Removal of infected pulp tissue

• Thorough canal cleaning and disinfection

• Temporary or permanent canal filling

Step 3: Tooth Reinforcement (Day 7–14)

• Core buildup

• Crown placement to protect weakened tooth

• Occlusion adjustment

If the tooth is structurally non-restorable, extraction may be required.

Expected Healing Timeline

• Pain relief: 24–72 hours after canal cleaning

• Infection control: 5–10 days

• Bone and tissue healing: weeks to months

• Long-term success depends on crown placement and oral hygiene

What Will Scale Up If Untreated

Short Term (1–2 Weeks)

• Severe, constant pain

• Increased sensitivity and pressure

Medium Term (1–3 Months)

• Dental abscess

• Jawbone infection

• Facial swelling

Long Term

• Tooth loss

• Spread of infection to nearby teeth or sinuses

• Risk of systemic infection

Professional Comments

• This case is a true dental emergency

• Antibiotics alone will not solve the problem

• Root canal treatment can still save the tooth if done promptly

• Delaying care increases cost, pain, and risk

Strong Recommendation

Please visit the nearest dental clinic immediately for proper diagnosis and endodontic treatment.

You can locate a trusted dental clinic near your area using our directory listing:
https://cebudentalimplants.com/map-dental-clinic

Prompt treatment can save the tooth and prevent serious infection.