Occlusal fracture / caries - urgent assessment and temporary protection recommended
Quick clinical impression
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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.
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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.
















