Based on the provided intraoral photograph, the primary and most significant diagnosis is Severe Maxillary and Mandibular Dental Crowding with associated Malocclusion.
Maxillary Arch (Upper Jaw):
Severe Crowding: There is a significant lack of space for the teeth to align.
Image Observations: You did not upload an image for this specific case, so the analysis is based solely on your description.
Client Statement: "Had an extraction yesterday. This is what it looks like today. Did the filling come out? Does it look normal?"
Image Observations: The photograph shows the lower front teeth (mandibular incisors) and the gum line.
Heavy Calculus/Tartar: There is a significant, thick band of yellow/brown, hard material covering the base of the teeth, especially noticeable between the teeth (interproximal areas) and along the gum line (lingual/tongue side). This is severe dental calculus (tartar).
The mountain air of Mindanao rushed past Miguel, a vibrant 17-year-old, as he navigated the familiar dirt road on his motorbike. He felt free, the helmet forgotten at home—a small, unthinking decision. When the front wheel hit a loose stone, the world flipped. The physical scrapes and bruises healed in weeks, but the real consequence was a gap in his smile where a front tooth used to be.
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