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.
A Story of Chaddy
Chaddy was the pride of his family. As a call center agent in Manila, he earned more than anyone in his province ever had. His salary put his younger siblings through school, repaired his parents' home, and gave him a taste of a modern life. By day, he was a provider, a hero. But by night, he was a prisoner of the clock, fighting a silent war against his own biology.
Kamusta, mga Magulang! Look around any high school in the Philippines today, and you'll see a common sight: teenagers with metallic smiles from braces. While orthodontics is a wonderful science, it makes you wonder—why is this becoming almost a rite of passage? Is this widespread crowding and misalignment inevitable?
The scene is a familiar one across the Philippines: a family gathered for a hearty dinner, laughter echoing over a plate of crispy lechon kawali or sticky kakanin. But for Mang Tony, a 58-year-old jeepney driver from Bulacan, a joyful bite turned into a moment of panic. He felt a hard, solid object dislodge from his molar, and before he could react, he had swallowed it. His dental crown was gone.
Full Analysis and Diagnosis (Zoom 100%)
Upon close observation, one of the upper front teeth shows visible dark discoloration—a likely indication of pulpal necrosis or internal tooth trauma. This often happens when the tooth’s nerve dies due to deep decay, previous injury, or infection spreading inside the pulp chamber. The surrounding gumline also appears slightly inflamed, which can contribute to pain and pressure sensitivity.
Client Report:
“Need help, it is painful.”
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