Dental Case Analysis: Front Teeth Decay with Active Pain Complaint

Client Concern

Client said:
“Hi, my teeth hurt. Any observations from these please?”

Case Overview

The image shows the upper and lower front teeth with visible brown enamel defects and decay on the upper incisors. There is also visible misalignment and plaque accumulation.

Pain reported by the client is consistent with the visual findings.

Zoom 100% Visual Examination

Observed Findings

• Brown cavitated lesions on upper central incisors

• Enamel breakdown on upper front teeth

• Visible demineralization (white and brown patches)

• Mild crowding on lower anterior teeth

• Plaque accumulation near gumline

• Possible gum irritation

• Uneven bite contact

Primary Diagnosis

• Active dental caries (front teeth)

• Enamel erosion with dentin exposure

• Possible pulp irritation (due to pain)

Why The Teeth Hurt

Pain may be caused by:

• Decay reaching dentin layer

• Cold sensitivity from enamel loss

• Bacterial penetration toward the nerve

• Early pulp inflammation

• Gum inflammation from plaque buildup

If pain is spontaneous or throbbing, pulp involvement may already be present.

Clinical Interpretation

This is not only cosmetic.

Front tooth decay progresses quickly because enamel is thinner in that area.

If untreated, infection may spread deeper toward the pulp chamber.

Treatment Process to Execute

Step-by-Step Plan

1. Immediate clinical examination

2. Dental X-ray to assess pulp involvement

3. Caries removal

4. Treatment options:

   • Composite restoration (if decay is moderate)

   • Root canal treatment (if pulp is infected)

   • Crown placement if structure is weakened

5. Professional cleaning

6. Fluoride strengthening treatment

Healing Timeline

First 14 Days (After Treatment)

• Pain reduces significantly

• Sensitivity decreases

• Gum irritation improves

• Restored structure stabilizes

After 14 Days

• Normal chewing comfort

• Cosmetic appearance improved

• Infection risk reduced

Healing depends on whether filling or root canal is required.

If Treatment Is Delayed

Issues That May Scale Up

• Severe toothache

• Pulp infection

• Dental abscess

• Swelling of face or gums

• Tooth fracture

• Tooth discoloration

• Possible tooth loss

Front teeth infections can escalate quickly.

Professional Comments

• Condition appears active and progressive

• Pain indicates deeper involvement

• Immediate intervention is recommended

• Early treatment can save the teeth

• Delay increases cost and complexity

Recommendation

Do not wait.

Visit a nearby dental clinic for proper diagnosis and treatment.

Search the nearest location here:
https://cebudentalimplants.com/map-dental-clinic