Quick clinical impression

• The lower anterior teeth show rough, yellowish/cream areas at the cervical (gumline) region of several incisors.

• Most likely causes (photo only — no probing/X-ray): tartar/calculus buildup with superficial stain, and/or non-carious cervical wear (abrasion/erosion) exposing dentine. The rough texture could be hardened calculus or eroded tooth surface.

Quick clinical impression

• The picture shows occlusal breakdown / possible caries or fractured cusp on the last visible molar (upper right in the photo). The tooth surface looks cavitated and stained; one area looks like loss of enamel/restoration.

• I don’t see obvious swelling or pus in the photo, and I can’t test percussion/mobility or pulp vitality from a photo — those are needed for definitive diagnosis.

Quick summary / impression

• Photo shows localized gingival recession on the lower central incisor(s)** with visible root exposure** and inflammation of the adjacent gum.

• One of the receded teeth feels slightly mobile when you wiggled it — this suggests loss of attachment and possible underlying bone loss around that tooth.

• Overall: mild → moderate localized periodontal loss, but exact severity cannot be confirmed without clinical probing and an X-ray.

Case Analysis: Recurrent Morning Gum Swelling

Gingival swelling, gum irritation, interdental papilla, nocturnal bruxism, occlusal trauma, food impaction, localized periodontitis, dental abscess, morning swelling, dental pain,