The image strongly suggests a case of Severe Tooth Decay and Possible Pulp Exposure. The pain shown in the right panel indicates a severe toothache, which often means the decay has progressed to the innermost part of the tooth (the pulp), causing irreversible pulpitis or a dental abscess. This requires urgent professional attention.

Do not attempt to self-treat this condition. Use the provided directory link to find a nearby clinic immediately.

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.

Case Analysis:

Upon examining the dental X-ray, it shows a partially erupted third molar (wisdom tooth) that is horizontally impacted against the adjacent second molar. This type of impaction is known to cause several complications if left untreated.

Nice clear radiographs — thanks. I’ll give a focused clinical/radiographic read, a 0–14 day action plan you can use now, likely definitive options, what will get worse if ignored, and short practical comments for the patient and clinician.

Radiographic diagnosis (concise)

• The images show a deep carious lesion extending into the pulpal chamber of a posterior tooth (likely a mandibular molar from the root morphology).