Understanding Yellow Stains on Teeth: When to See a Dentist
Dental hypoplasia Hello Doctor: Today, I noticed that the surface of my teeth appears yellow when I looked in the mirror, and brushing doesn't remove it. Brushing near this tooth causes pain in the gums, and there's a little bit of bleeding. Could this be more indicativ...
Dr. Lin Jiayong Reply:
Hello: If there is already pain and bleeding, it indicates that inflammation is present. It is recommended to return for a follow-up appointment as soon as possible.[Read More] Understanding Yellow Stains on Teeth: When to See a Dentist
Concerns About Nerve Damage When Extracting Wisdom Teeth
There is a concern that extracting wisdom teeth may permanently damage the nerves? Hello Dr. Lin, I am 20 years old and recently had my lower left wisdom tooth extracted for orthodontic treatment (it had not yet erupted). Before the extraction, the doctor reviewed my full mouth X...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you schedule an appointment with the oral surgery department at a medical center to have your lower right wisdom tooth extracted. Once the extraction is completed and confirmed to be without complications, you can return to your original clinic for o...[Read More] Concerns About Nerve Damage When Extracting Wisdom Teeth
Understanding Oral Cavity Tumors: Insights on Upper Jaw Issues
Oral tumors, maxillary issues? The patient is inquiring about a swelling in the oral maxilla, described as follows: 1. On January 26, due to exhaustion, the patient fell asleep without brushing their teeth. In the middle of the night, they noticed a swelling in the right upper m...
Dr. Lin Jiayong Reply:
Hello: You have already been evaluated at a major hospital's oral surgery department, and a treatment plan and direction (observation or direct excision) have been established. If you still have concerns, you may seek a second opinion by consulting the oral surgery departmen...[Read More] Understanding Oral Cavity Tumors: Insights on Upper Jaw Issues
Can You Extract Wisdom Teeth with Mouth Ulcers?
Can you have your wisdom teeth extracted if you have mouth ulcers? Hello, doctor. This morning when I woke up, I noticed that there was a sore in my mouth next to my wisdom tooth. I believe that my horizontal wisdom tooth may have cut the surrounding tissue while I was sleeping. ...
Dr. Lin Jiayong Reply:
Hello: If the exact cause of your mouth sores is your wisdom teeth, then removing the wisdom teeth is the only way to completely resolve your mouth sore issue.[Read More] Can You Extract Wisdom Teeth with Mouth Ulcers?
Understanding Dental Implant Issues: What to Do When Your Crown Falls Off
Dental implant prosthesis dislodgement? 1. First, let me explain about the lost dental implant. It has been in place for 8 years and is the last tooth on the upper right side. The corresponding lower teeth are a continuous three-unit dental bridge. Due to the limited space availa...
Dr. Lin Jiayong Reply:
Hello: 1. 1.8 years is actually quite a long time. Generally, a dental prosthesis is considered successful if it lasts over 3 years, and after 5 years, there is typically no warranty in the industry. "The situation with the lower bridge from 8 years ago has not changed to ...[Read More] Understanding Dental Implant Issues: What to Do When Your Crown Falls Off
Impact of Antibiotics on Dental Abscess: What You Need to Know
The impact of antibiotics on dental abscesses? I have already had a root canal treatment, but the abscess has not resolved. I am scheduled for apicoectomy in two weeks. However, I started taking antibiotics from a dermatologist last month, and this week I finished the medication....
Dr. Lin Jiayong Reply:
Hello: The antibiotics prescribed by dermatologists are usually less potent. If the dermatologist has advised that you do not need to continue taking them, it is recommended that you refrain from further use. For prophylactic antibiotics before dental procedures, if there is a ne...[Read More] Impact of Antibiotics on Dental Abscess: What You Need to Know
Understanding Radiation Exposure from Dental Cone Beam CT Scans
What could be the radiation dose from a dental computed tomography (CT) scan in my case? Hello Dr. Lin, I am currently evaluating orthodontic treatment (the doctor mentioned that it will involve imaging of the temporomandibular joint), but I need to undergo a dental cone beam com...
Dr. Lin Jiayong Reply:
Hello: If there is a need to perform orthognathic surgery in conjunction with oral surgery, or to undergo a procedure that involves the advancement of the maxilla, a comprehensive computed tomography (CT) scan will be required. If there are significant concerns regarding radiatio...[Read More] Understanding Radiation Exposure from Dental Cone Beam CT Scans
Post-Car Accident Dental Issues: TMJ Pain and Tooth Repair Options
Symptoms after a car accident? Hello, Doctor. 1. I would like to ask about the temporomandibular joint (TMJ) issue caused by a car accident. Sometimes when I open my mouth, I hear a clicking sound on the right side, and there is pain when I massage the area between my ear and t...
Dr. Lin Jiayong Reply:
Hello: If the pain between the joint and the temple persists, it is recommended to consult a neurologist or an oral surgeon and undergo a CT scan for confirmation. If there are no abnormalities, it is advisable to relax. For the small fracture of the front tooth, it is suggested ...[Read More] Post-Car Accident Dental Issues: TMJ Pain and Tooth Repair Options
Swelling After Dental Treatment: Understanding Pain Relief and Antibiotics
After taking painkillers and antibiotics following a medical visit yesterday, my face is swollen? Hello Dr. Lin, Recently, I have been experiencing discomfort and increasing pain in my right lower molar, which has had a crown for six to seven years. Due to the pain, I went to a...
Dr. Lin Jiayong Reply:
Hello: If you confirm that both sides of the face are asymmetrical and you are experiencing swelling, pain, fever, or difficulty swallowing or breathing, it is advisable to seek emergency medical attention as soon as possible.[Read More] Swelling After Dental Treatment: Understanding Pain Relief and Antibiotics
Understanding Wisdom Tooth Extraction: The Role of 3D Imaging in Nerve Safety
Wisdom Tooth Extraction and Computed Tomography (CT) Hello, Dr. Tseng. I have a wisdom tooth that is growing at a significant angle (approximately 45 to 60 degrees towards the front teeth), and my doctor has recommended that I have it extracted. However, I have heard from people ...
Dr. Zeng Guanghui Reply:
Dear Mr. Zheng, 1. Conventional X-rays can only determine the distance between the wisdom teeth and the mandibular canal, but they cannot predict the buccolingual relationship between the wisdom teeth and the mandibular canal. A 3D computed tomography (CT) scan is necessary to a...[Read More] Understanding Wisdom Tooth Extraction: The Role of 3D Imaging in Nerve Safety
Post-Wisdom Tooth Extraction: Understanding Complications and Symptoms
Post-operative issues after wisdom tooth extraction? Hello Doctor: I had my lower left wisdom tooth extracted yesterday (with stitches), but today I am experiencing severe throat pain (sharp pain when swallowing), a sore on the tip of my tongue, redness and swelling of the gums o...
Dr. Zeng Guanghui Reply:
Dear Ms. Kuo, The conditions mentioned above may occur after wisdom tooth extraction. This is due to the proximity of the extraction site to the throat and the lingual side. It is recommended to keep the wound clean and take anti-inflammatory and pain relief medications as presc...[Read More] Post-Wisdom Tooth Extraction: Understanding Complications and Symptoms
Understanding Sedation Dentistry: Duration and Options for Dental Procedures
Sleep Dentistry Inquiry Hello, doctor. My back teeth are very sensitive if they go too deep, and I often feel like vomiting, so I would like to try sedation. I would like to ask how long the sedation dental implant procedure typically takes. Is sedation only available for the ini...
Dr. Zeng Guanghui Reply:
Hello Mr. Alan: Sedation dentistry is performed by a specialist with expertise in anesthesia, and the typical cost ranges from 20,000 to 30,000 TWD. A risk assessment is usually conducted prior to the procedure. The duration of the treatment depends on the time required for the n...[Read More] Understanding Sedation Dentistry: Duration and Options for Dental Procedures
Understanding Gum Pain: Causes, Treatment, and Healing Time
Gum pain issues? Hello Doctor: I visited the dentist the day before the Lunar New Year because I had pain in my lower right front gums for a month. After examination, the doctor diagnosed it as gingivitis caused by food debris trapped in the gums. He used sharp instruments to cle...
Dr. Zeng Guanghui Reply:
Hello Miss Ruo Ruo: 1. If your gums are painful, it indicates that the gum inflammation has not fully resolved. It is recommended to return for a follow-up appointment for further examination by a dentist. 2. The wounds from gingivitis typically take about 3 to 4 days to graduall...[Read More] Understanding Gum Pain: Causes, Treatment, and Healing Time
Can 3D Dental CT Reveal Wisdom Teeth and Nerve Relationships?
Can dental computed tomography visualize the three-dimensional relationship between wisdom teeth and nerves? Hello Dr. Lin, I have a wisdom tooth that is growing at a 45-degree angle towards my front teeth. My dentist has recommended that I have it extracted, but I am concerned b...
Dr. Lin Jiayong Reply:
Hello: If there is a CBCT (Cone Beam Computed Tomography) image, it is indeed easier to assess the risk of nerve injury during and after tooth extraction, and it also helps the dentist to better understand how to avoid nerve disturbance during the extraction process. The advantag...[Read More] Can 3D Dental CT Reveal Wisdom Teeth and Nerve Relationships?
Understanding Gum Pain After Dental Cleaning: Is It Normal?
Dental cleaning and gum recession? A few days ago, I went to the dentist due to tooth pain. The doctor informed me that I had gingivitis and performed a cleaning. After the cleaning, I noticed that my gums were quite sore, and they still hurt. Is this normal? How many days will i...
Dr. Lin Jiayong Reply:
Hello: Sensitivity and discomfort after teeth cleaning usually resolve within a week. If it persists, it is advisable to return for an examination to check for any other irreversible issues. To assess changes in tooth length or gum recession, X-rays or intraoral photographs taken...[Read More] Understanding Gum Pain After Dental Cleaning: Is It Normal?
Do Water Flossers and Interdental Brushes Widen Gaps Between Teeth?
Oral issues 1. Does using a water flosser and interdental brushes cause gaps between teeth to increase? Is there any impact on the teeth? 2. There is a slight cavity on the wisdom tooth (a small dark spot on the occlusal surface, but it is not causing any issues). Is any treatm...
Dr. Lin Jiayong Reply:
Hello: 1. It may be necessary to assess the original condition of the gum inflammation to predict whether using a water flosser and interdental brushes will make the gaps between the teeth more noticeable. Gentle pressure should not harm the teeth themselves, as teeth are the har...[Read More] Do Water Flossers and Interdental Brushes Widen Gaps Between Teeth?
Dealing with Tooth Pain After Failed Root Canal Treatment
The molar was improperly filled by the dentist, and the nerve was not completely cleaned out? About a year ago, I went to a dentist because I had a deep cavity in one of my molars. The dentist performed a root canal and filled the tooth. However, this month I started experiencing...
Dr. Zeng Guanghui Reply:
Hello Mr. Toothache: If you have already undergone root canal treatment but the filling material has come loose, it is recommended to consult a dentist for further examination and assessment. The dentist will check for any cracks in the treated tooth. If there are no cracks, it i...[Read More] Dealing with Tooth Pain After Failed Root Canal Treatment
Understanding Gum Issues: Red Spots and Bleeding While Brushing
Issues between the teeth and the gums? Hello, Doctor. Tonight while brushing my teeth, I noticed two spots that look a bit red between my teeth and gums, and there seems to be some bleeding, but I don't taste any blood. I would like to ask if this could be periodontal diseas...
Dr. Zeng Guanghui Reply:
Hello Ms. Mei: Based on the description above, it seems more like chronic gingivitis, where brushing can easily cause bleeding, but there is no significant discomfort. It is recommended to maintain a regular schedule and avoid staying up late, ensure proper oral hygiene, and have...[Read More] Understanding Gum Issues: Red Spots and Bleeding While Brushing
Do You Really Need a Dental Implant for a Missing Tooth?
Related dental filling issues? Hello, dentist. I have had a missing tooth for a long time in the lower left second molar position. The lower left first molar (wisdom tooth) is still present, and the upper left second molar (second molar) is still intact. I have asked other doctor...
Dr. Zeng Guanghui Reply:
Hello, sir: If the lower left second molar is missing, and the first and third molars (wisdom tooth) are still present, over time, the first and third molars may tilt toward the edentulous area. It is recommended to consider a dental bridge or a single implant to fill the gap of ...[Read More] Do You Really Need a Dental Implant for a Missing Tooth?
Understanding Jaw Displacement: Causes and Treatment Options
Perceived jaw displacement? Hello Dr. Lin, my wife has recently been experiencing pain when she sleeps with her head tilted to the left, as she feels her jaw shifts to the left and causes pain that wakes her up. Could this indicate a problem with her temporomandibular joint (TMJ)...
Dr. Lin Jiayong Reply:
Hello: It is advisable to clarify the timing of the pain (how long has it been occurring? Is the pain constant or intermittent?), and the cause (have there been any accidents, falls, etc.? Or have you recently undergone dental treatment?). Is Zhongshan Hospital a dental facility?...[Read More] Understanding Jaw Displacement: Causes and Treatment Options