Zoom 100% Clinical Examination – Deep Findings

Overall Alignment

• Visible malocclusion (misalignment) between upper and lower teeth

• Improper bite contact causing uneven force distribution

• Signs of traumatic occlusion

Lower Teeth Findings

• Fractured lower tooth (partial crown loss)

• Exposed dentin with plaque accumulation

• Brownish discoloration near fracture margins

• Early decay at the broken edge

• Gum irritation around damaged tooth

Upper Teeth Findings

• Mild crowding

• Uneven enamel wear patterns

• Occlusal surfaces showing early stress wear

 Primary Diagnosis

 Malocclusion With Traumatic Bite

Complicated by:

• Fractured lower tooth

• Early secondary dental caries

• Occlusal trauma

• Inflammatory gum response

 Why the Teeth Are Painful

 Time Frame to Heal (With Proper Treatment)

 Initial Pain Relief

• 24–72 hours after stabilization

 Short-Term Treatment (7–14 days)

• Fractured tooth protection

• Infection control

• Bite adjustment

 Long-Term Correction

• Orthodontic correction: months

• Final restorations: 2–4 weeks after alignment

Recommended Treatment Process

Step 1: Diagnostic Phase

• Full-mouth X-rays

• Bite analysis

• Occlusal evaluation

Step 2: Immediate Stabilization

• Smooth or restore fractured tooth

• Temporary filling or crown

• Pain and inflammation control

Step 3: Definitive Treatment

 Bite Correction

• Orthodontic treatment (braces or aligners)

• Occlusal adjustment

 Tooth Restoration

• Composite build-up or crown

• Root canal if pulp becomes involved

 What Will Scale Up If Untreated

• Progressive tooth fracture

• Chronic jaw pain (TMJ disorders)

• Tooth nerve damage

• Increased decay risk

• Gum disease progression

• Tooth loss

 Clinical Comments

The pain is bite-related and structural, not just surface decay.
Ignoring misalignment will cause repeated tooth damage and worsening pain.
Early intervention prevents extensive orthodontic and restorative procedures later.

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