Advanced Cervical / Root Caries on Anterior Teeth – Full Case Analysis (100% Zoom)

Clinical Note: The following is an educational analysis based on the provided image. A definitive diagnosis requires an in-person dental examination, periodontal probing, and dental X-rays.

Case Overview (Zoom 100%)

The image shows localized but advanced decay at the cervical (gum-line) and root surface of an anterior tooth, with adjacent teeth also showing gingival recession. The darkened area indicates dentin/root involvement, not surface staining. The gum tissue appears inflamed and recessed, exposing softer root surfaces that are highly vulnerable to rapid decay.

Primary Diagnosis

1. Root Caries (Cervical Caries)

   • Decay has progressed into root cementum and dentin

   • Faster progression than enamel caries due to softer tooth structure

2. Gingival Recession

   • Gum tissue has receded, exposing the root

   • Commonly linked to periodontal disease, aggressive brushing, or occlusal stress

3. High Sensitivity / Early Pulp Risk

   • Lesion depth suggests proximity to the pulp

   • Risk of pulpitis if not treated promptly

Client-Reported Symptoms (Typical in This Case)

• Sharp sensitivity to cold, air, or sweets

• Occasional pain when brushing or eating

• Gum tenderness or bleeding near the affected tooth

• Concern about tooth appearance or dark discoloration

Deep Examination Findings (Image-Based)

• Clearly demarcated carious lesion at the root surface

• Loss of normal tooth contour near the gum line

• Inflamed gingiva with reduced attachment height

• Adjacent teeth show early risk due to recession

Can This Heal in 14 Days?

Tooth decay does NOT heal on its own.
However, 14 days is a critical window to:

• Stop bacterial progression

• Reduce inflammation

• Prevent nerve infection

Without treatment, damage will continue beyond this period.

Treatment Process to Execute

Step 1: Clinical Assessment (Day 1–3)

• Intraoral examination

• Periapical X-ray of affected tooth

• Periodontal evaluation

Step 2: Disease Control (Day 3–7)

• Scaling and root planing to remove plaque and bacteria

• Desensitizing agents if needed

• Oral hygiene correction (brushing technique, fluoride use)

Step 3: Definitive Restoration (Day 7–14)

Depending on severity:

• Cervical composite filling (if pulp not involved)

• Root canal treatment (if pulp is infected)

• Crown placement if structural integrity is compromised

• Extraction only if the tooth is non-restorable

Expected Healing Timeline

• Gum inflammation reduction: 7–10 days

• Sensitivity improvement: 1–2 weeks

• Full soft tissue stabilization: 3–4 weeks

• Long-term stability depends on oral hygiene and recall visits

What Will Scale Up If Left Untreated

• Rapid deepening of root decay

• Severe tooth sensitivity and pain

• Pulp infection and abscess formation

• Gum and bone loss around the tooth

• Tooth fracture or eventual tooth loss

• Increased treatment cost and complexity

Professional Comments

• Root caries is aggressive and time-sensitive

• Early treatment can save the tooth and nerve

• Delay significantly increases the risk of root canal or extraction

• Preventive care and regular follow-ups are essential after treatment

Strong Recommendation

Please visit the nearest dental clinic as soon as possible for a full evaluation and appropriate treatment.

You may search for a clinic near your location using our dental directory:
https://cebudentalimplants.com/map-dental-clinic

Early intervention can prevent pain, infection, and tooth loss.