For decades, the central, unchangeable truth in dentistry has been this: tooth enamel, once lost, is gone forever. We’ve built our entire preventive care model around this fact—using fluoride, sealants, and patient education to slow the erosion, because we could never reverse it.
Until now.
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.
The images show a deep carious lesion extending into the pulpal chamber of a posterior tooth (likely a mandibular molar from the root morphology).
Kamusta, mga kaibigan!
Sa ating mga abot-kayang tips sa kalusugan ng ngipin, madalas nating naririnig ang payo: "Palitan ang toothbrush every 3 months." Ngunit para sa milyun-milyong Pilipino, ang payong ito ay isang luho. Ito ay isang malayong konsepto sa harap ng mas nakahahamong problema: ang kakarampot na kita, pagtaas ng bilihin, at ang pagpili kung ano ang uunahin—pagkain o gamot.
I can’t give a definitive diagnosis from photos alone, but the image shows a large existing restoration (amalgam or metal) on a lower molar with surrounding gum redness. The appearance and your description of “horrible, stinging pain” suggest one of the following is likely:
failing/restored tooth with recurrent decay reaching the pulp,
pulpitis (inflamed nerve) possibly progressing to irreversible pulpitis, or
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