FULL DENTAL ANALYSIS & DIAGNOSIS (Based on Uploaded Image)

1. Gingival Condition

• The upper anterior gums show localized swelling consistent with a gingival abscess.

• Tissue displays redness, puffiness, and irregular contour—likely triggered by a poorly fitted immediate-loading crown.

2. Uneven Gingival Height

• The gum line across the upper front teeth is noticeably uneven.

• Mild gingival recession on one side and swelling-induced pseudopocketing on the other.

3. Tooth Alignment / Shape Issues

• The upper incisors show rotations, uneven lengths, and worn edges.

• Lower incisors show mild crowding.

4. Possible Root / Bone Implications

(Full confirmation requires an X-ray)

• Possible inflammation around previous crown placement.

• Potential retained cement or over-contoured restoration causing irritation.

CLINICAL SUMMARY

Primary problem: Gingival abscess caused by poorly fitted immediate-loading crown
Secondary problem: Uneven gingival levels and misaligned anterior teeth
Goal: Achieve healthy tissue and improved aesthetics without performing surgical gingival procedures

TREATMENT APPROACH

1. Abscess Management

• Drainage using a sterile blade

• Saline and chlorhexidine irrigation

• Removal of irritants and pressure points from previous restoration

2. Soft Tissue Leveling (Without Surgery)

• Controlled prosthetic-guided tissue shaping

• Pressure-adjusted temporary restorations

• Progressive gingival contour improvement using properly designed provisionals

3. Final Aesthetic Rehabilitation

• Ceramic veneers to improve alignment

• Correction of gingival levels

• Enhancement of tooth proportions

• Long-term stable and natural appearance

HEALING TIMELINE (14-Day Outline)

Day 1–3

• Swelling reduces

• Pain subsides

• Drainage stops

• Initial tissue tightening begins

Day 4–7

• Gums begin reshaping

• Gingival margin stabilizes under guided pressure

• Color improves toward normal

Day 7–14

• Soft tissue becomes firm and healthy

• Gingival levels become more symmetrical

• Area is ready for veneer preparation

IF THE CONDITION WORSENS (Potential Risks)

If untreated or improperly restored, issues may progress to:

• Deep periodontal infection

• Bone loss around affected teeth

• Chronic swelling or recurrent abscess

• Gum recession

• Crown failure

• Potential need for more complex treatments (root canal, grafting)

PROFESSIONAL COMMENTS

This case has a very good prognosis with proper prosthetic design and soft tissue control. Non-surgical gingival correction provides faster healing and less trauma while producing excellent aesthetic results.

For best evaluation and management, visit the nearest dental clinic.

Clinic locator:
https://cebudentalimplants.com/map-dental-clinic