Severe Upper Tooth Decay With Multiple Cavities

Case Overview

This case shows advanced dental decay affecting multiple upper teeth. Several teeth present with large cavities, enamel breakdown, discoloration, and structural loss. The condition appears long-standing and untreated.

The lower teeth show mild plaque accumulation with possible early decay. The primary concern is severe destruction of the upper teeth with a high risk of infection.

Scale All Teeth

Upper Teeth

• Multiple visible cavitations

• Brown and dark lesions involving dentin

• Enamel destruction and structural collapse

• Possible pulp involvement

• Inflamed gum tissue surrounding affected teeth

Lower Teeth

• Mild plaque accumulation

• Early signs of decay on posterior teeth

• No visible major fractures

Full Analysis and Probable Diagnosis

Clinical Findings

• Deep carious lesions on upper anterior teeth

• Extensive enamel and dentin damage

• Irregular tooth surfaces

• Gingival redness near decayed teeth

• Multiple active decay sites

Interpretation

Findings are consistent with advanced multi-tooth dental caries. The pattern suggests prolonged plaque accumulation and possible high sugar exposure.

Probable Diagnosis

• Advanced dental caries

• High risk of pulp infection

• Potential abscess formation

Clinical confirmation is required.

Deep Examination

Structural Assessment

• Significant enamel destruction

• Dentin exposure

• Possible nerve involvement

• Some teeth may be non-restorable

Infection Risk

• Pulp infection possible

• Periapical inflammation risk

• Risk of spreading infection if untreated

Time Frame to Heal

With Immediate Treatment

• Pain control within 1 to 3 days

• Infection management within 7 to 14 days

• Soft tissue recovery within 2 to 3 weeks

• Full rehabilitation may require multiple visits

Without Treatment

• Increasing tooth pain

• Abscess formation

• Facial swelling

• Tooth loss

• Jawbone infection

14-Day Treatment Execution Plan

Days 1 to 3

• Immediate dental evaluation

• Radiographic assessment

• Pain and infection management

• Treatment planning

Days 4 to 7

• Restorations or pulp therapy if restorable

• Extraction of non-restorable teeth if required

• Professional cleaning

Days 8 to 14

• Healing monitoring

• Finalize long-term rehabilitation plan

• Preventive care implementation

Issues That Will Scale Up If Untreated

• Severe pain

• Dental abscess

• Facial swelling

• Spread of infection

• Premature tooth loss

• Increased treatment complexity

• Higher long-term cost

Clinical Comments

This condition requires urgent intervention. Early treatment improves prognosis and prevents further structural destruction. Delayed care increases complication risks and reduces treatment options.

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