Is Tooth Extraction Necessary If Pain Has Resolved?
If there is no pain, is it possible to avoid tooth extraction? Hello, doctor. I would like to ask you about the pain in my lower right second tooth. I visited Dentist A, who diagnosed me with periodontal disease and recommended periodontal treatment. They performed a cleaning and...
Dr. Zeng Guanghui Reply:
Hello Ms. Hsieh: If there is severe periodontal defect, you may consider undergoing scaling followed by the use of antibiotics and analgesics to alleviate inflammation and pain. However, if the inflammation and pain do not fully improve, it is recommended to consider tooth extrac...[Read More] Is Tooth Extraction Necessary If Pain Has Resolved?
Understanding Gum Discomfort After Dental Work: What to Do Next?
Gum discomfort? Hello, Doctor. Around early September, when I had my braces removed, I discovered a secondary cavity in my lateral incisor. It was excavated and filled; the cavity was deep but not reaching the nerve. After the filling, I have had no issues with chewing, but occas...
Dr. Zeng Guanghui Reply:
Hello Ms. An: If you are experiencing inflammation and pain in your gums, it may be due to the filling being positioned below the gum line, which is putting pressure on the gums. It is recommended to adjust the filling or consider surgical removal of the gum tissue. Please return...[Read More] Understanding Gum Discomfort After Dental Work: What to Do Next?
Can You Use Propolis After Wisdom Tooth Extraction?
Can propolis solution be used after wisdom tooth extraction? After wisdom tooth extraction, is it okay to apply propolis liquid on the wound with stitches? Should it be diluted with warm water, or is it not recommended? If it is permissible, how long after the extraction should I...
Dr. Lin Jiayong Reply:
Hello: It is strongly advised not to apply or take any non-prescription medications before the wound has fully healed. Please have any additional skincare products confirmed by your physician regarding the wound healing status before starting to use them![Read More] Can You Use Propolis After Wisdom Tooth Extraction?
Understanding Mouth Ulcers: Treatment and Healing Progress
Mouth ulcer issues? 1. I noticed my mouth ulcer on November 1, 2023. My family visited a traditional Chinese medicine practitioner who prescribed a powder medication for the ulcer. I applied it during the day, and it helped significantly. At night, I used an oral patch called &qu...
Dr. Lin Jiayong Reply:
Hello: The photo link is not accessible. It is recommended to seek an in-person medical examination instead![Read More] Understanding Mouth Ulcers: Treatment and Healing Progress
Understanding Dental Filling Failures and Insurance Implications
Filling dislodgement? Hello, doctor. I had a cavity filled at Clinic A in June of this year, and today (November) it fell out. I went to another clinic, and the doctor (B) there told me that due to insurance regulations, he couldn't refill it and advised me to return to Clin...
Dr. Lin Jiayong Reply:
Hello, I also recommend that you return to the original clinic for further handling. As for Dr. A, he will discuss with you based on the actual situation whether to proceed with standard insurance coverage or if additional out-of-pocket items are necessary.[Read More] Understanding Dental Filling Failures and Insurance Implications
Understanding Periodontal Ligament Inflammation: Causes and Treatments
Periodontal ligament inflammation Hello, Doctor. Two weeks ago, I visited the clinic due to an unpleasant odor between teeth 25 and 26, and I experienced bleeding when using dental floss. The dentist discovered that the filling on tooth 25 had come off, so it was refilled. Howeve...
Dr. Zeng Guanghui Reply:
Hello, Miss Anonymous: 1. Periodontal ligament inflammation is generally caused by excessive occlusal forces or trauma to the teeth. If the location of the cavity is very close to the dental pulp, it is still possible for the tooth to feel sore even after filling, and it may con...[Read More] Understanding Periodontal Ligament Inflammation: Causes and Treatments
Can Gum Recession Occur Within a Week? Understanding Dental Health Risks
Is it possible for gum recession to occur within a week? Hello, Doctor. I am 26 years old and have been using an electric toothbrush for the past ten years (I had orthodontic treatment and removed my braces seven years ago). I regularly have dental cleanings and check-ups, and my...
Dr. Zeng Guanghui Reply:
Hello Ms. Yu: Generally, excessive force while brushing teeth over a long period can lead to gum recession or injuries such as ulcers. It is recommended to change your brushing technique and use the Bass method. If you are using an electric toothbrush, it is advisable to apply ge...[Read More] Can Gum Recession Occur Within a Week? Understanding Dental Health Risks
Understanding Tooth Surface Roughness and Its Impact on Dental Health
Roughness of the tooth surface? Hello, Doctor. However, I feel that the rough area is on the surface of my front teeth, not the inner side. This shouldn't be an occlusion issue, right? I also want to ask if micro-hydroxyapatite can help with enamel regeneration? Additionally...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to have an in-person consultation to identify the true cause of the illness. 2. Additionally, discussions related to research or assignments are not within the scope of services provided by this website.[Read More] Understanding Tooth Surface Roughness and Its Impact on Dental Health
Metal Dental Crown Issues: Poor Fit and Ongoing Discomfort
The metal dentures do not fit properly against the gums? Hello, Doctor! I have a molar that is half decayed, so I had a metal crown placed on it. The week after getting it, I felt very uncomfortable; food debris keeps getting stuck in the gaps of that tooth, and I feel that the c...
Dr. Lin Jiayong Reply:
Hello: It is generally recommended to observe for at least one month. If discomfort persists, you may consider undergoing root canal treatment followed by capping the entire tooth with a crown. Regarding costs, it is advisable to have the procedure done at the same clinic to rece...[Read More] Metal Dental Crown Issues: Poor Fit and Ongoing Discomfort
Post-Wisdom Tooth Extraction: Managing Gum Discomfort and Swelling
Discomfort in the gums after wisdom tooth extraction? It has been three weeks since my wisdom tooth extraction. A week ago, I returned to the clinic because of a bony protrusion from the alveolar bone, which was smoothed down. I felt discomfort in my gums while the bone was being...
Dr. Lin Jiayong Reply:
Hello: If you are experiencing symptoms such as dysphagia or difficulty breathing while swallowing, it is advisable to return for a follow-up appointment as soon as possible to identify the underlying cause. If you no longer trust your original clinic, you may seek an examination...[Read More] Post-Wisdom Tooth Extraction: Managing Gum Discomfort and Swelling
Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars
Dental implant root canal Recently, I have experienced swelling and pain when biting down on my upper second premolar prosthesis (which has been in use for 10 years). There is also pain when pressing on the buccal gingiva. An X-ray shows a shadow between the prosthesis and the mo...
Dr. Lin Jiayong Reply:
Hello: 1/2 It is suggested to change your perspective. The originally problematic tooth has been preserved for an additional 10 years due to root canal treatment and the protection of a crown. 3/4 If you want to confirm the success rate of a second root canal, it is advisable to ...[Read More] Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars
Understanding Roughness on Front Teeth: Causes and Solutions
Rough surface of the teeth? Is the rough feeling on my front tooth due to enamel wear? Could it be caused by using an electric toothbrush, or is it due to excessive consumption of acidic foods and drinks leading to erosion? However, why is it that only one front tooth is noticeab...
Dr. Lin Jiayong Reply:
Hello: 1. It may be caused by misalignment of the teeth (anterior-posterior crossbite) or malocclusion (where a particular incisor bears more occlusal load). 2. Textbooks and literature primarily suggest fluoride products (mouthwash/toothpaste/fluoride varnish) for the prevention...[Read More] Understanding Roughness on Front Teeth: Causes and Solutions
Understanding Gum Issues: When to Seek Dental Care for Swelling
Gum issues On the first day, I felt something unusual above crowns 2 and 3, but there was no swelling or pain. By the seventh day, the gums around teeth 1, 2, and 3 were swollen, particularly at the junction of teeth 2 and 3, which was painful when pressed. Eating does not cause ...
Dr. Zeng Guanghui Reply:
Hello Mr. Anonymous: If your gums are persistently swollen, it indicates that there is inflammation or infection in the gums, and you should seek treatment from a dentist as soon as possible. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Issues: When to Seek Dental Care for Swelling
Understanding Oral Health: Managing Red Spots and White Lesions
Oral issues On October 30, 2023, I noticed a red area on the inner corner of my mouth. It's not very large, but it's red enough to be noticeable, though not as red as blood. There is a small white spot in the middle that seems to heal and then reappear. I've experi...
Dr. Lin Jiayong Reply:
Hello: If a wound repeatedly fails to heal completely after two weeks or more than a month, it is advisable to seek medical attention. Please have a physician examine it to rule out any other underlying conditions for safety. Simply using an oral ointment only provides a corticos...[Read More] Understanding Oral Health: Managing Red Spots and White Lesions
Can a Cracked Second Molar Crown Be Saved? Exploring Treatment Options
Treatment for a fractured crown of the second molar? Hello, Doctor. Recently, while brushing my teeth, I accidentally discovered that my second molar has a chipped crown (the approximate condition of the chip is illustrated here: https://i.imgur.com/AwNJvJO.jpg). Although the vis...
Dr. Lin Jiayong Reply:
Hello: If you strongly wish to preserve the tooth root and do not anticipate using the damaged tooth for occlusal function in the future, it is advisable to discuss this with specialists in endodontics and periodontics.[Read More] Can a Cracked Second Molar Crown Be Saved? Exploring Treatment Options
Understanding Root Canal Treatment: Temporary Fillings and Follow-Up Care
Root canal treatment filling materials and follow-up appointment schedule? Dear Doctor, I had root canal treatment on my lower left first molar, where most of the nerve was removed and medication was placed. However, it seems that some nerve in the root was not located, so it ha...
Dr. Lin Jiayong Reply:
Hello: During the root canal treatment process, it is indeed necessary to use a temporary filling material. If a permanent filling is used, it will be impossible to confirm the original pathway of the nerve and the entry point. As long as the temporary filling is not completely l...[Read More] Understanding Root Canal Treatment: Temporary Fillings and Follow-Up Care
Do Asymptomatic Apical Cysts Require Treatment? A Dental Inquiry
Does an asymptomatic periapical cyst require treatment? Hello Doctor: About eight years ago, I had root canal treatment on two upper front teeth. Approximately five to six years ago, my gums started to become red and swollen, with a bad odor, and it has progressively worsened. I ...
Dr. Lin Jiayong Reply:
Hello: Due to differing opinions from the two physicians, it is recommended that you visit the endodontics department at a medical center for further examination and to seek a third opinion. Please inform the physician of your original condition and the sequence of events. You ca...[Read More] Do Asymptomatic Apical Cysts Require Treatment? A Dental Inquiry
Can I Remove My Braces After Three Years Without My Original Dentist?
Braces removal I have been wearing braces for three years, and due to certain factors, I am unable to return to my original clinic. I would like to know if I can have my braces removed elsewhere, or if I must go back to the original clinic. Currently, I only have wires on my uppe...
Dr. Lin Jiayong Reply:
Hello: If you no longer wish to continue with orthodontic treatment, you can go to another clinic to have the braces removed. However, if you still want to proceed with the treatment and have concerns about the money already spent, it is advisable to return to the original clinic...[Read More] Can I Remove My Braces After Three Years Without My Original Dentist?
Understanding Gum Recession: Symptoms, Causes, and Treatment Options
Gum recession I would like to consult a doctor. Due to poor oral hygiene during my childhood, I have noticed persistent gum recession over the past few years. Compared to before, my teeth appear significantly longer, and my gums have become increasingly sensitive. Occasionally, t...
Dr. Zeng Guanghui Reply:
Hello Ms. Wu: If your gums still show signs of inflammation after a dental cleaning, it indicates that there may still be plaque or tartar attached to the root surface beneath the gums, or that periodontal pockets may still be present. It is recommended that you return for a foll...[Read More] Understanding Gum Recession: Symptoms, Causes, and Treatment Options
Understanding the Soft Feel of Your New Porcelain Dental Crown
All-ceramic crown Hello Doctor, I recently had a connected porcelain crown placed on my upper four teeth, and it has been permanently bonded. I would like to ask why the sensation when my tongue touches the inner side feels soft, somewhat like chewing gum sticking to the roof of ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the clinic for a detailed discussion with the original physician, including the reasons for the connection of the four teeth, the condition of the periodontal and pulpal tissues, the structural condition of the teeth themselves, and whether t...[Read More] Understanding the Soft Feel of Your New Porcelain Dental Crown