Post by cebudentalimplants (@cebudentalimplants)

Image: Severity: CriticalTeeth Problems: Damaged fillingTooth decayTeeth Case Analysis (Based on Photo)
Visual Findings (Zoom 100%)
From the provided image, the lower posterior teeth show:

1. Multiple failing restorations

Old amalgam fillings with breakdown and marginal leakage

Visible dark gaps suggesting secondary caries

2. Deep cavitated lesion

The middle molar shows a large open cavity with food debris

Likely dentin involvement → possible pulp irritation

3. Gingival inflammation

Localized swelling and redness near the cavitated tooth

Possible food impaction + plaque retention

4. Fractured tooth structure

Loss of enamel walls around restoration

Tooth integrity compromised

Possible Diagnosis (Clinical Correlation Needed)

Recurrent dental caries under old fillings

Fractured restoration with food trap

Pulpitis risk (reversible or irreversible)

Localized gingivitis / early periodontal pocket

Possible need for endodontic assessment

Recommended Treatment Process
Step 1 – Diagnostic Phase (Day 1–2)

Periapical X-ray or bitewing

Pulp vitality testing

Periodontal probing

Step 2 – Initial Treatment (Day 2–5)

Removal of failing restorations

Caries excavation

Temporary filling if pulp close

Step 3 – Definitive Treatment (Day 5–14)
Depending on pulp status:

Large composite/onlay if pulp healthy

Root canal treatment + crown if pulp infected

Extraction + implant/bridge if non-restorable

Healing Timeline
If only deep filling:

Sensitivity settles in 3–7 days

Gum healing 5–10 days

If root canal:

Pain relief within 48–72 hours

Full tissue stabilization 7–14 days

If extraction:

Soft tissue healing 7–14 days

Bone healing 6–12 weeks

Risk If Delayed Beyond 14 Days

Pulp necrosis → severe infection

Abscess formation

Facial swelling

Bone loss around tooth

Possible tooth fracture to gum level (non-restorable)

Spread of infection requiring antibiotics or emergency care

Clinical Comments
This case shows high risk of pulp involvement due to:

Large recurrent decay

Food impaction

Structural weakness of molar

Early intervention greatly improves tooth survival.

Visit Nearest Clinic
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https://cebudentalimplants.com/map-dental-clinic

Source: https://cebudentalimplants.com/failing-molar-fillings-recurrent-decay-case

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