Severe Lower Molar Decay: Urgent Restoration and Gum Care Needed

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Severity: 
Critical
Teeth Problems: 
Baby tooth decay
Tooth decay

Severe Lower Molar Decay: Urgent Restoration and Gum Care Needed

Case Type: Advanced Dental Caries and Calculus Accumulation

Full Analysis and Diagnosis

Upon examination, the posterior molars exhibit:

  • Extensive caries (tooth decay) on both left and right sides.

  • Possible pulp involvement — dark discoloration and cavity penetration indicate the decay may have reached the pulp chamber.

  • Heavy calculus deposits and plaque buildup along the gumline, likely contributing to inflammation or gingivitis.

  • Gingival swelling may be present, suggesting bacterial infection and poor oral hygiene.

Recommended Dental Procedures

  1. Initial Phase (Day 1–3):

    • Full oral cleaning and scaling to remove calculus and bacterial plaque.

    • Caries excavation and temporary filling to prevent further infection.

  2. Intermediate Phase (Day 4–10):

    • Endodontic evaluation (root canal treatment) if pulpal infection or pain is present.

    • Restoration or extraction depending on tooth structure integrity.

  3. Final Phase (Day 11–14):

    • Permanent fillings or crowns for restored teeth.

    • Soft tissue therapy (antiseptic rinses, possible antibiotics if infection persists).

Healing Time Frame

  • Soft tissue healing: 7–14 days with proper oral hygiene.

  • Post-root canal recovery: Typically 10–14 days before full restoration placement.

  • If untreated, the infection can worsen, leading to abscess formation or bone involvement.

Possible Complications if Untreated

  • Spread of infection to adjacent teeth and gums.

  • Tooth loss due to root destruction.

  • Jawbone infection (osteomyelitis) in severe untreated cases.

  • Chronic bad breath and systemic bacterial spread.

Expert Comment

“Early treatment is key. Even advanced decay can be saved with root canal therapy and restoration if handled promptly.”

Advice to the Patient

Visit your nearest dental clinic or implant specialist for immediate evaluation and treatment. Delaying care will only increase discomfort and treatment costs.

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