I examined the image at 100% and enlarged it. This is not enough to make a definitive diagnosis, because an intraoral photo cannot show the tooth roots, bone, periodontal pockets, or pulp. But there are several findings that deserve attention—especially because you report that it is getting worse every day.
1. Gum/soft-tissue inflammation
From an orthodontic perspective, swollen or bleeding gums during braces treatment should be evaluated rather than dismissed as an unavoidable side effect. Brackets, wires, and other orthodontic appliances create additional areas where dental plaque can accumulate, making effective brushing and interdental cleaning more challenging.
The image appears to be an anterior dental occlusal radiograph, likely showing a developing/mixed-dentition situation. However, an X-ray alone cannot provide a definitive diagnosis or replace an in-person examination.
The most important finding is crowding/overlap of the anterior teeth with developing or unerupted teeth positioned behind/among the erupted teeth.
Heavy dental calculus around the lower front teeth, particularly behind the lower incisors, is a common finding in general dental practice. This region is especially prone to calculus accumulation because the openings of the submandibular and sublingual salivary ducts are located nearby. Minerals in saliva can gradually harden dental plaque, forming deposits that cannot be completely removed by ordinary brushing.
The inner surfaces of the lower front teeth are particularly susceptible to calculus accumulation because the openings of the submandibular and sublingual salivary ducts are located nearby. Saliva contains minerals that can help harden dental plaque into calculus over time.
Patients with lower front gum inflammation may also experience tartar buildup, periodontal disease, gum abscesses, or tooth decay. Explore these related clinical case studies.
 |
 |
 |
 |
