Teeth Case – Zoom 100%

Focused Area: Posterior tooth with visible cavity and adjacent bleeding gum tissue

Full Analysis and Deep Examination

This analysis is based on the provided image only and does not replace a full clinical examination, dental probing, or radiographic assessment.

Observed Findings

• Large cavitated lesion on the posterior tooth, with visible loss of enamel and dentin

• Active gum bleeding adjacent to the decayed tooth

• Inflamed gingival tissue, likely aggravated by bacterial leakage from the cavity

• Brownish discoloration inside the tooth structure indicating advanced dental caries

• Irregular tooth surface that promotes further plaque and food retention

Probable Diagnosis

• Advanced dental caries (deep cavity)

• Plaque-induced gingivitis localized to the affected tooth

• Possible pulp involvement cannot be ruled out without X-ray

• Risk of localized dental infection

Recommended Treatment Process

Step 1: Immediate Full Mouth Scaling (Day 1)

• Ultrasonic scaling to remove plaque and calculus

• Manual scaling around the affected tooth and gumline

• Polishing to reduce bacterial re-adhesion

Estimated duration: 45–60 minutes
Local anesthesia: May be required due to gum sensitivity

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

Depending on cavity depth:

• Dental filling if decay has not reached the pulp

• Root canal treatment if pulp exposure or infection is confirmed

• Crown restoration if structural loss is significant

• Extraction only if the tooth is non-restorable

Healing and Recovery Timeline

A 14-day healing period is realistic for gum tissue, provided the cavity is properly treated.

What Will Scale Up If Left Untreated

• Progression to pulp infection or abscess

• Severe tooth pain and swelling

• Spread of infection to surrounding bone

• Increased gum destruction and bone loss

• Eventual tooth loss

• Higher treatment cost and more invasive procedures

Post-Treatment Care Instructions

• Brush twice daily with fluoride toothpaste

• Use dental floss or interdental brushes daily

• Avoid chewing on the affected side until treated

• Reduce sugar intake and acidic beverages

• Follow all dentist-prescribed medications if given

Professional Comment

This case represents a high-risk dental condition. Scaling alone is not sufficient. The decayed tooth must be definitively treated to stop bacterial spread and prevent serious infection.

Visit a Dental Clinic Near You

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