Immediate visual diagnosis (short)

This image shows severe, rampant early childhood caries (S-ECC) of the maxillary primary teeth with extensive coronal destruction on both sides. Multiple primary molars appear non-restorable clinically (large cavitated lesions with dark necrotic dentine), and several teeth likely have pulpal involvement or necrosis. The upper anterior teeth look comparatively preserved, which is a typical pattern in bottle/formula/sugary-feed ECC.