Dental Case Analysis: Broken Back Tooth with Deep Cavity

Case Overview

The image shows a posterior tooth located near the tongue side with visible enamel breakdown and a deep cavity. The tooth structure appears weakened, suggesting advanced decay and possible fracture.

Zoom 100% Visual Examination

Observed Findings

• Back tooth with broken enamel edge

• Deep cavity extending into dentin

• Darkened area indicating active decay

• Inner (lingual) surface involvement

• Food and bacteria retention area present

• Surrounding soft tissue appears mildly irritated

• Adjacent teeth appear intact

Diagnosis

Primary Diagnosis

• Advanced dental caries with enamel fracture

Secondary Diagnosis

• Possible pulp irritation or early pulp exposure

• High risk of infection if untreated

Treatment Objective

• Remove decayed and weakened tooth structure

• Prevent nerve infection

• Restore chewing function

• Preserve the tooth if possible

Treatment Process to Execute

Step-by-Step Plan

1. Clinical dental examination and X-ray imaging

2. Removal of decayed tooth material

3. Pulp vitality assessment

4. Treatment options:

   • Deep composite restoration

   • Root canal treatment if pulp is affected

   • Crown placement for structural support

   • Extraction if the tooth is non-restorable

5. Post-treatment monitoring and hygiene guidance

Healing and Treatment Time Frame

First 14 Days

• Reduction in pain and sensitivity

• Gum tissue begins healing

• Improved chewing comfort

After 14 Days

• Tooth function stabilizes

• Risk of infection significantly reduced

• Continued healing depending on procedure performed

If Treatment Is Delayed

Issues That May Scale Up

• Severe tooth pain

• Pulp infection or abscess

• Tooth fracture progression

• Spread of infection to surrounding bone

• Tooth loss requiring implant or bridge

Professional Comments

• Condition is serious and progressive

• Lingual-side decay often worsens unnoticed

• Early treatment may save the tooth

• Delay increases complexity and cost

Recommendation

Seek prompt dental treatment to avoid complications.

Visit a nearby dental clinic for evaluation and care.

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