Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Treatment and Prognosis of Aggressive Periodontitis Hello, Doctor. On November 18th in the afternoon, while eating lunch, I experienced discomfort in my teeth (specifically in the upper and lower first molars on the right side) after chewing on pork rib cartilage. By November 22n...
Dr. Zeng Guanghui Reply:
Dear Mr. Ri Hai, 1. Aggressive periodontitis refers to the rapid destruction and resorption of the alveolar bone surrounding the teeth, with the damage extending beyond the inflammation of the periodontal ligament. If it is merely inflammation of the periodontal ligament, anti-i...[Read More] Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Managing Post-Root Canal Pain: A Guide for Dental Patients
Tooth pain after root canal treatment? Hello, my lower right first molar underwent a failed root canal treatment last year. Today, I had a re-treatment with a microscope. After the procedure, I experienced occlusal pain with the temporary crown. I transferred to another dental cl...
Dr. Lin Jiayong Reply:
Hello: According to what you mentioned, the first, second, and third molars on the lower right side have undergone root canal treatment, indicating that the original condition of the teeth was likely not ideal. Therefore, after completing the root canal treatment, it is important...[Read More] Managing Post-Root Canal Pain: A Guide for Dental Patients
Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene
Post-operative care for wisdom teeth extraction and gum pain on the third day? I had my lower right and upper right wisdom teeth extracted on December 1 (Friday), which was the first day of my menstrual period. For the first three days, I gently brushed the right side of my mouth...
Dr. Lin Jiayong Reply:
Hello: 1. If your immune system is weaker during your menstrual period, there may be a risk of acute infection after tooth extraction. However, based on your description, there are no signs of acute symptoms, so it should not affect the healing of the wound. 2. No. 3. Normal cle...[Read More] Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene
Swollen Gums Next to Upper Teeth: Is It a Wisdom Tooth?
There is a swelling next to the uppermost tooth? I'm not sure if I'm getting wisdom teeth, but it's been quite a few days. Here is the picture I took: https://ppt.cc/fmRmix
Dr. Lin Jiayong Reply:
Hello: It is possible. It is recommended to seek medical attention as soon as possible to get an X-ray to confirm the internal condition for safety![Read More] Swollen Gums Next to Upper Teeth: Is It a Wisdom Tooth?
Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene
Post-operative care for wisdom teeth extraction and gum pain on the third day? I had my lower right and upper right wisdom teeth extracted on December 1 (Friday), which was the first day of my menstrual period. For the first three days, I gently brushed the right side of my mouth...
Dr. Lin Jiayong Reply:
Hello: 1. If your immune system is weaker during your menstrual period, there may be a risk of acute infection after tooth extraction. However, based on your description, there are no signs of acute symptoms, so it should not affect the subsequent wound healing. 2. No. 3. Normal ...[Read More] Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene
Understanding Oral Mucosal White Spots: Causes and Concerns
Oral mucosal white spots Hello doctor, I recently noticed a white spot on the left side of my mouth that seems larger than the other Fordyce spots. Could this also be a Fordyce spot, or could it be something else concerning? Thank you! The white spot is circled in red in the atta...
Dr. Lin Jiayong Reply:
Hello: It may still be necessary to perform a physical examination, including assessing the texture, whether there are any protrusions or depressions, the presence of distinct borders, any broken skin or foul-smelling discharge, as well as the patient's discomfort, etc. It i...[Read More] Understanding Oral Mucosal White Spots: Causes and Concerns
Understanding Gum Issues: What to Do When You Notice a Hole Near Your Wisdom Tooth
It feels like a piece of gum tissue has come off above the wisdom tooth? Hello, Doctor. This morning, I noticed a sudden hole at the junction of my last molar and the gum, as if a piece of tissue is missing, exposing something white inside (I'm not sure if it's a wisdom...
Dr. Lin Jiayong Reply:
Hello: It is recommended to visit a dentist for a panoramic X-ray to confirm if there are any impacted wisdom teeth. Additionally, if the previously filled molar is experiencing sensitivity, you may want to return to the original clinic to check if it needs to be refilled.[Read More] Understanding Gum Issues: What to Do When You Notice a Hole Near Your Wisdom Tooth
Does Teeth Cleaning Affect Cracked Teeth? Expert Insights
Does teeth cleaning affect cracked teeth? Hello, six months ago, I had a diagonal crack in a lower molar that underwent root canal treatment and was filled with resin. I would like to know if getting a dental cleaning will have any impact on the cracked tooth. (The tooth has yell...
Dr. Lin Jiayong Reply:
Hello: It is recommended to inform the dentist before the teeth cleaning that the area has a history of tooth fracture, so please proceed with caution or use special instruments for cleaning. Alternatively, you may return to the original endodontist who performed the root canal t...[Read More] Does Teeth Cleaning Affect Cracked Teeth? Expert Insights
Do You Need New Retainers After Root Canal and Porcelain Crown?
Root canal treatment Hello, doctor. I would like to ask if a tooth that has undergone root canal treatment needs to have a new all-ceramic crown, will I need to return to the clinic to pay for a new clear retainer and fixed retainer? Or can the all-ceramic crown be compatible wit...
Dr. Zeng Guanghui Reply:
Dear Miss An, After root canal treatment, a full ceramic crown is required. If you currently have a clear retainer and a fixed retainer, it may be difficult to fit the original retainers snugly after the crown is placed. You may want to discuss with your dentist the possibility...[Read More] Do You Need New Retainers After Root Canal and Porcelain Crown?
Understanding White Patches in the Mouth: Causes and Concerns
Oral issues What could the white patches on the inner lining of the mouth be? They are not painful or itchy, but sometimes they are present and sometimes they are not. I am unsure if I can provide a photo.
Dr. Lin Jiayong Reply:
Hello: The photo appears to show variations in mucosal thickness, which should not be a major concern. However, it is still recommended to seek a medical examination for a more accurate assessment.[Read More] Understanding White Patches in the Mouth: Causes and Concerns
Understanding Oral Growths: When to See an ENT or Dentist
Oral issues There is a small raised granulation tissue in the upper left area of the oral cavity (which is not painful). In October, I underwent laser excision and biopsy at a major hospital, and the report indicated that it was inflammatory granulation tissue, benign in nature. ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to visit the oral diagnosis department of a medical center to investigate the actual causes of recurrent granulation tissue hyperplasia. This may be due to inappropriate prosthetic devices, poor occlusal habits, or complications/side effects from systemic...[Read More] Understanding Oral Growths: When to See an ENT or Dentist
Understanding Tooth Decay, Grinding, and Cracked Teeth Issues
Cavities, bruxism, and tooth fractures? Hello, doctor. I was breastfed until I was two and a half years old. At three, I discovered cavities in my primary teeth that required root canal treatment, but I did not address those teeth because they were going to fall out. As I grew ol...
Dr. Lin Jiayong Reply:
Hello: It is recommended to find a trusted physician and undergo long-term treatment at that location. Many of the questions you raised require prior and subsequent X-rays or objective data from follow-up observations to determine whether filling is necessary, whether to proceed ...[Read More] Understanding Tooth Decay, Grinding, and Cracked Teeth Issues
Should You Extract a Tooth with a Root Abscess After Root Canal Treatment?
Does a tooth that has undergone root canal treatment and developed an apical abscess need to be extracted? Is a second root canal necessary for an apical radiolucency? In mid-September, I accidentally bit down on a chopstick with my upper left teeth, around the third, fourth, or ...
Dr. Zeng Guanghui Reply:
Dear Ms. Mimi: If the fifth tooth has micro-cracks, the prognosis will still be poor even with re-root canal treatment in the future, so extraction is recommended. As for the fourth tooth, if the apical lesion is small, re-root canal treatment can be considered; however, if the a...[Read More] Should You Extract a Tooth with a Root Abscess After Root Canal Treatment?
Dealing with Dentures: When Your New Smile Looks Overdone
The dentures are fitted but have become misaligned? Dear Dr. Tseng: Today I went to try on a partial denture, and when the doctor showed me in the mirror, I was shocked to see how it looked like a big overbite. The doctor said it was supposed to look like that and that I would ge...
Dr. Zeng Guanghui Reply:
Hello Mr. Alon: If it is a porcelain crown, the thickness will be greater, and since the amount of tooth reduction is relatively small, the resulting crown will be slightly larger than the original tooth. It is recommended to discuss the treatment plan further with your attending...[Read More] Dealing with Dentures: When Your New Smile Looks Overdone
Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Oral ulcer Hello doctor, my mouth ulcer has been persistent for three to four days, located on the inner mucosa of my cheek. Recently, the mucosa around the ulcer has swollen, and there are numerous small white spots appearing above the ulcer (they are not painful, cannot be scra...
Dr. Zeng Guanghui Reply:
Hello, Xiaolin: The swelling of the mucosa near the hole is likely due to inflammation or infection, and the white spot on the hole may be granulation tissue as the ulcer gradually heals. It is recommended to see a dentist or an otolaryngologist if there is pain or inflammation. ...[Read More] Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Understanding Gum Bumps: Causes, Concerns, and When to Seek Help
Gum swelling or gum lump? A few days ago, I suddenly noticed 2-3 lumps on the gum behind my last molar, right on the gum where my wisdom tooth used to be (the wisdom tooth was extracted 2-3 years ago). The color is flesh-toned, and when I touch it with a cotton swab, it feels har...
Dr. Zeng Guanghui Reply:
Hello Ms. Aa: If there is recurrent discomfort in the molar area, it may be associated with pain, even in the absence of an abscess. This could indicate chronic inflammation. It is advisable to consult a dentist for further evaluation and treatment. Dr. Tseng Guang-Hui, Departmen...[Read More] Understanding Gum Bumps: Causes, Concerns, and When to Seek Help
Understanding Frequent Mouth Ulcers: Causes and Solutions
Inquire about issues related to mouth ulcers? Hello doctor, I have been experiencing frequent mouth ulcers for the past two to three years, and they are quite large, sometimes even bigger than a one-dollar coin. Although I had an MRI in September that showed no issues, it often t...
Dr. Zeng Guanghui Reply:
Hello, Mr. Luo You-jie: Irregular lifestyle, poor sleep, and high emotional stress can also lead to mouth ulcers. If you experience frequent mouth ulcers, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Frequent Mouth Ulcers: Causes and Solutions
Should You Use Collagen After Wisdom Tooth Extraction?
Wisdom Tooth Extraction and Collagen Hello, I am scheduled to have my upper wisdom teeth extracted this week. Due to work commitments, I am concerned about post-operative pain and the healing time, and I am hesitant about whether I should pay out of pocket for collagen placement....
Dr. Lin Jiayong Reply:
Hello: Literature has confirmed and clinical observations show that wounds treated with collagen tend to heal better. If financially feasible, spending a few extra thousand dollars to enhance the healing of the wound is likely beneficial and should not be a concern. Additionally,...[Read More] Should You Use Collagen After Wisdom Tooth Extraction?
Understanding Tooth Pain: Causes and Solutions for Dental Discomfort
Experiencing pain when lightly pushing the tongue against the edges of the teeth? Hello Doctor, I have a habit of teeth grinding, which seems to have damaged many of my healthy teeth. My upper left molar originally had issues with bleeding when using dental floss between it and t...
Dr. Lin Jiayong Reply:
Hello: If you are currently receiving treatment for dentures at Clinic A, it is recommended to continue monitoring at Clinic A. If you still experience discomfort after 1 to 3 months, you can request a referral from Clinic A to consult with the endodontics or periodontics departm...[Read More] Understanding Tooth Pain: Causes and Solutions for Dental Discomfort
Timing for Root Canal and Crown After Dental Trauma from Car Accident
Fractured front tooth due to a car accident? I suffered two broken front teeth due to a car accident. One tooth is severely fractured with the pulp exposed, while the other has a large corner missing. Fortunately, the roots of both teeth are intact. However, I have been experienc...
Dr. Lin Jiayong Reply:
Hello: Considering your age, the tooth with pulp exposure should undergo root canal treatment immediately. For the tooth with simple crown fracture, it is recommended to observe for 3 to 6 months to ensure there are no pulp symptoms or mobility before considering a full ceramic c...[Read More] Timing for Root Canal and Crown After Dental Trauma from Car Accident