Dental Case Analysis: Lower Teeth with Metallic Fillings and Plaque Accumulation

Case Overview

The image shows the lower dental arch with visible metallic (amalgam) restorations on posterior molars. There are signs of plaque accumulation and dark staining within the grooves of treated teeth.

Zoom 100% Visual Examination

Observed Findings

• Multiple amalgam (silver) fillings on lower molars

• Dark discoloration around restoration margins

• Plaque accumulation along occlusal grooves

• Mild staining on adjacent teeth

• Gum tissue appears generally stable

• No obvious acute swelling visible

• Tongue positioned normally

Diagnosis

Primary Diagnosis

• Restored molars with marginal staining

• Possible plaque-induced discoloration

Secondary Diagnosis

• Risk of secondary caries around old fillings

• Early biofilm accumulation

Treatment Objective

• Assess integrity of existing fillings

• Remove plaque and tartar buildup

• Prevent secondary decay

• Maintain long-term tooth stability

Treatment Process to Execute

Step-by-Step Plan

1. Clinical examination and bite check

2. Dental X-ray to assess filling margins

3. Professional oral prophylaxis (cleaning)

4. Polish restoration margins

5. Replace fillings if leakage or decay is detected

6. Oral hygiene reinforcement

Healing and Treatment Time Frame

First 14 Days

• Improved gum comfort after cleaning

• Reduced plaque accumulation

• Sensitivity may temporarily occur after polishing

After 14 Days

• Gum tissue stabilizes

• Oral environment becomes healthier

• Reduced risk of secondary decay

If Treatment Is Delayed

Issues That May Scale Up

• Secondary decay under old fillings

• Filling breakdown or fracture

• Gum inflammation

• Development of deep cavities

• Need for root canal treatment

Professional Comments

• Existing restorations appear functional but require monitoring

• Marginal staining does not always mean decay, but needs evaluation

• Regular dental visits are essential

• Early detection prevents costly procedures

Recommendation

Schedule a dental evaluation and professional cleaning.

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