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.

 Image observations (zoom 100%)

• Advanced generalized dental decay on multiple teeth (both arches). Dark cavitations and structural loss are evident.

• Severe periodontal (gum) breakdown — gingival recession, exposed roots, inflamed/irregular gum margins.

• Localized areas that look necrotic or grossly infected (dark, soft tissue changes near teeth).

• Missing / broken teeth and heavy tissue destruction in posterior segments.

Full Analysis and Observations:

1. Image Observation (The Bump):

   • The image shows a raised, somewhat localized bump on the gum tissue (or mucosa).

   • It appears to be slightly paler or "whitish" in a small area at the peak of the swelling, as you described.

   • The surrounding tissue looks glossy and red, which is typical of oral mucosa, but the bump itself is distinct.

   • The location seems to be in the general area where a tooth was extracted.

Case Study: Tooth Decay and Gum Infection in a Child (Age 6–9)

Parent’s Concern

“My child complains of pain and discomfort at the back teeth. The gums look irritated and there’s a dark spot on the tooth.”

Clinical Observation (From Image)

Upon detailed zoom examination of the image:

• The lower molar shows visible brownish decay, possibly from a large cavity or broken filling.

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).