Deep Examination & Analysis

Based on the image provided, there are several significant dental health concerns that require immediate professional attention:

• Gross Caries (Severe Decay): The lower molar (bottom right of the photo) shows a large, dark cavitation covering most of the occlusal (biting) surface. This indicates extensive tooth structure loss.

• Likely Pulp Exposure: Given the depth of the dark area on the lower molar, the decay has likely reached the pulp (nerve) of the tooth.

• Gingival Recession & Inflammation: The gums surrounding the upper teeth appear retracted, and there is visible redness/inflammation, suggesting periodontal (gum) disease.

• Heavy Calculus/Staining: There is significant buildup on the lingual (inside) surfaces of the upper teeth, which harbors bacteria and contributes to bone loss.

Urgency Categorization

The 14-Day Outlook: Risks of Delay

If this is not addressed within the next 14 days, the following issues may "scale up":

1. Abscess Formation: Bacteria can reach the root tip, causing a painful, pus-filled infection that can spread to the jawbone.

2. Tooth Loss: The lower molar may deteriorate to the point where it can no longer be saved with a crown or root canal, requiring full extraction.

3. Acute Pain: Decay often reaches a "tipping point" where it goes from a dull ache to unbearable, constant nerve pain.

Proposed Execution Process

A dentist will likely follow this workflow:

• Step 1: Diagnostics: Digital X-rays (Periapical and Bitewing) to determine the depth of the decay and the health of the roots.

• Step 2: Stabilization: Removal of the decayed tissue.

• Step 3: Restoration: Depending on X-ray results, you will likely need a Root Canal Treatment (RCT) followed by a Crown, or an Extraction if the tooth is non-restorable.

• Step 4: Periodontal Cleaning: A deep scaling (prophylaxis) to treat the gum inflammation.

Estimated Time Frame to Heal: * Simple Filling: 1 day.

• Root Canal & Crown: 2–3 visits over 2 weeks.

• Extraction: 7–10 days for soft tissue healing; 3–6 months for bone remodeling.

Comments: Please do not attempt to clean the cavity yourself or use "home kits," as this can push bacteria deeper into the nerve.

Action: You should visit a clinic immediately to prevent the infection from spreading. You can find a licensed professional near your area in Cebu using the directory below:

Search the Cebu Dental Directory Map

Would you like me to help you formulate a list of specific questions to ask the dentist during your appointment?