The image shows a close-up of a patient's teeth undergoing fixed orthodontic treatment (metal braces).
Treatment Stage: The patient appears to be in an intermediate to advanced stage of treatment, as evidenced by the use of square/rectangular archwires and auxiliary mechanics.
Malocclusion Indication (Upper Image):
Image Observations: The photograph shows both upper and lower teeth, appearing to be the posterior (back) view, or possibly a frontal view with pronounced crowding/unevenness.
The teeth show visible crowding (lack of space, teeth overlapping).
There is a clear appearance of unevenness, which you noted, and the teeth appear to be of different sizes or shapes.
Image Observations: The picture shows the front teeth (incisors). The central incisor (the main front tooth) on the viewer's left has a chipped or fractured corner (incisal angle). A thin, dark, or gray line—the "mini fracture"—appears to run vertically or slightly obliquely from the chipped edge toward the gum line.
Client Statement: "I have chipped front tooth that has mini fracture in it, should I bond it or smooth it out?"
Image Observations: The picture shows the lower right side of the mouth (Mandibular quadrant).
The tooth farthest back (most posterior) appears to have a restoration (filling or inlay/onlay) or possibly a crown which exhibits a large, dark, and deep-looking defect or void on its biting surface (occlusal surface). The defect appears dark brown/black with a distinct border.
Image Observations: The picture shows the front teeth with small, dark, punctate (dot-like) spots or specks, primarily located close to the gum line (gingival margin). The spots are circled in red for emphasis. The surrounding gum tissue (gingiva) appears generally pink and healthy in the visible area.
Client Statement: "Had it some days now. Can't remove with brush."
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