Dental Case Analysis: Decayed Molar with Damaged Filling

Case Overview

The image shows posterior molar teeth with visible tooth decay and a failing restoration. One tooth has a large cavity with exposed dentin, while the adjacent tooth shows an old metallic filling with possible marginal breakdown.

Zoom 100% Visual Examination

Observed Findings

• Large open cavity on the chewing surface of a molar

• Visible brown and yellow decayed dentin

• Loss of enamel structure

• Adjacent molar has an old metallic (amalgam) filling

• Possible leakage around the filling margins

• Gum tissue nearby appears mildly irritated

• Food retention area present inside the cavity

Diagnosis

Primary Diagnosis

• Dental caries (advanced occlusal decay)

Secondary Diagnosis

• Failing dental restoration

• Risk of pulp involvement if untreated

Treatment Objective

• Remove all decayed tooth structure

• Prevent infection spread

• Restore tooth function and structure

• Relieve pain and sensitivity

Treatment Process to Execute

Step-by-Step Plan

1. Clinical examination and dental X-ray

2. Complete caries removal

3. Assessment of pulp vitality

4. Tooth restoration:

   • Composite filling or

   • Inlay/onlay or

   • Root canal treatment if pulp is infected

5. Crown placement if tooth structure is weak

Healing and Treatment Time Frame

First 14 Days

• Pain relief after decay removal

• Sensitivity may reduce significantly

• Gum irritation begins to heal

After 14 Days

• Restored tooth regains function

• Infection risk greatly reduced

• Normal chewing comfort returns

If Treatment Is Delayed

Issues That May Scale Up

• Severe toothache

• Tooth infection or abscess

• Nerve damage requiring root canal

• Tooth fracture

• Possible tooth loss

Professional Comments

• Condition is serious and progressive

• Immediate dental treatment is strongly advised

• Early restoration can save the tooth

• Delay increases cost and complexity

Recommendation

Visit a nearby dental clinic as soon as possible for:

• Decay removal

• Proper restoration

• Infection prevention

 Find a dental clinic near you:
https://cebudentalimplants.com/map-dental-clinic