Teeth Case – Zoom 100% (Dental X-ray)

Focused Area: Posterior teeth (molar region) with interproximal defect indicated by arrow

Full Analysis and Deep Radiographic Examination

This assessment is based on the provided dental X-ray image only and does not replace a complete clinical examination, periodontal probing, or additional radiographs if required.

Radiographic Findings

• Radiolucent area between posterior teeth, consistent with interproximal dental caries

• Possible loss of tooth structure at the contact point

• Early signs of localized bone level reduction adjacent to the affected tooth

• Existing restoration visible on the molar, suggesting previous decay history

• No obvious advanced periapical abscess visible at this image depth, but early pathology cannot be ruled out

Probable Diagnosis

• Interproximal dental caries (moderate depth)

• Early periodontal bone involvement localized to the molar region

• Increased risk of pulp irritation depending on cavity depth

Recommended Treatment Process

Step 1: Full Mouth Scaling and Polishing (Day 1)

• Ultrasonic scaling to remove plaque and calculus

• Manual scaling in posterior and interproximal areas

• Polishing to reduce bacterial reattachment

Estimated duration: 45–60 minutes
Local anesthesia: May be required depending on sensitivity

Step 2: Definitive Interproximal Treatment (Day 1–7)

Based on X-ray depth and clinical findings:

• Composite restoration for moderate interproximal decay

• Replacement of failing restoration if margins are compromised

• Root canal treatment if pulp involvement is confirmed

• Crown placement if structural integrity is reduced

Healing and Recovery Timeline

A 14-day healing period is realistic for soft tissue once infection sources are removed.

What Will Scale Up If Left Untreated

• Expansion of interproximal decay into the pulp

• Development of dental abscess or chronic infection

• Progressive bone loss around the affected molar

• Increased tooth mobility and eventual tooth loss

• Higher cost and complexity of future dental treatment

Post-Treatment Care Instructions

• Brush twice daily using fluoride toothpaste

• Floss daily, especially between molars

• Use interdental brushes if contacts are open

• Maintain regular dental checkups and X-rays as advised

Professional Comment

Radiographic interproximal decay often progresses silently without pain. Scaling alone will not stop this condition. Early restorative treatment guided by X-ray findings is critical to preserve the tooth and surrounding bone.

Visit a Dental Clinic Near You

For dental X-rays, scaling, and interproximal cavity treatment, locate a nearby dental clinic using our directory:

https://cebudentalimplants.com/map-dental-clinic