Quick visual observations (what the photo suggests)

• Lower anterior crowding: the six lower front teeth are pushed/overlapped and rotated — a classic relapse after braces when retainers aren’t worn.

• Incisal wear/chipping on some lower incisors (flat, shorter edges) — likely from abnormal contact or grinding.

• Yellowish deposits near the gumline on some teeth — looks like plaque/tartar (calculus) buildup.

 Advanced Dental X-Ray Analysis & Root Canal Evaluation

 Radiographic Observations (Zoom 100%)

Upon close examination of your panoramic X-ray, several key findings are noted:

1. Tooth #2 (Upper Right Second Molar)

   • Shows early signs of infection or periapical radiolucency (dark area near the root tip).

   • This indicates pulpal inflammation or developing abscess.

Immediate observations (zoomed image review)

-A metallic structure is visible on the lower posterior tooth area (looks like a crown/abutment or large restoration).

-The occlusal surfaces of adjacent molars show brown staining and pits consistent with caries (decay).

-The local gum tissue is mildly red and slightly swollen near the affected tooth — a sign of inflammation.

Case Analysis: Gum Swelling and Palatal Bulge Behind Upper Teeth

Client’s Complaint

“May umbok o bukol sa gilid ng ngalangala (palate) bandang likod ng ngipin. Medyo namamaga, minsan sumasakit pag nadiinan. Gusto kong malaman kung bakit ito nangyari at paano ito gagamutin.”

Clinical Observation (from Image)

The photo shows:

• A localized swelling or raised area on the upper inner gum near the molars (palatal side).

The estimated cost per implant 80k to 90k year 2025  if there  a need for bone graft is 25k..... number of hours will be spent on the procedure maximum 2hours... thats the 1st stage.. 
let the implant/s and bone heal for about 9-12 months for best results to minimize failure... 
2nd stage takes 2weeks. until you have your crowns. 
hope i answer your inquiries.... 
but first we need an xray to diagnose...