Understanding Post-Wisdom Tooth Extraction Cheek Swelling and Concerns
Swelling of the cheek after wisdom tooth extraction? Hello, Director Lin. I had my lower right wisdom tooth extracted about 4.5 months ago. After the extraction, my right cheek was significantly swollen. One month later, I was referred to a medical center for drainage, and the sw...
Dr. Lin Jiayong Reply:
Hello: If the oral surgeon believes there are no issues, it is recommended to simply observe. Due to the intraoral or extraoral incision and drainage, there will inevitably be some degree of injury or scarring in the corresponding skin tissue. If you are very concerned about the ...[Read More] Understanding Post-Wisdom Tooth Extraction Cheek Swelling and Concerns
Are Your Teeth Misaligned? Understanding Dental Concerns and Solutions
Are your teeth misaligned? I recently observed my teeth while looking in the mirror and noticed that my lower right second molar is tilted about 45 degrees toward the tongue. It seems that the upper right second molar has also grown longer compared to the normal and aligned left ...
Dr. Lin Jiayong Reply:
Hello: A simple text description cannot determine the severity of the misalignment. If it has already affected eating or speech, it is advisable to consult an orthodontist for an evaluation.[Read More] Are Your Teeth Misaligned? Understanding Dental Concerns and Solutions
Managing Dislocated Teeth: When to Consider Root Canal Treatment
Displaced dental trauma On May 14, I bit down on a chopstick and dislocated my tooth. After multiple follow-up visits, I returned today (July 2) for an X-ray, which revealed a small dark shadow at the apex of the root. A sensitivity test showed that it was similar to a healthy to...
Dr. Lin Jiayong Reply:
Hello: It is advisable to accept the reality of the dental injury and patiently wait for the body to heal. Typically, it is recommended to wait at least three months before deciding whether to proceed with root canal treatment. Rushing into invasive surgery may not yield the desi...[Read More] Managing Dislocated Teeth: When to Consider Root Canal Treatment
Understanding Oral Mucosa: White Mucus in Your Mouth Explained
Oral mucosa Hello, doctor. For the past month, I've noticed a white, sticky mucus appearing in my mouth after I wake up in the morning or after brushing my teeth for a while. It seems similar to oral mucosa. I've tried three different types of toothpaste without any eff...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about oral cancer, you may seek a second opinion from an oral surgeon. If you are worried about systemic issues, you can have a blood test to check for cancer-related markers.[Read More] Understanding Oral Mucosa: White Mucus in Your Mouth Explained
Pain When Opening Mouth: Possible Causes and When to Seek Help
Pain when opening the mouth? Hello Doctor, here is my condition: I experience pain when swallowing (especially during larger movements, but not when drinking water), and it also hurts when I open my mouth wide. Upon examination of my oral cavity, both sides appear normal (I'...
Dr. Zeng Guanghui Reply:
Hello Mr. Anonymous: If you have already seen an ENT specialist and no abnormalities were found, it is recommended to consult an oral and maxillofacial surgeon to check for any issues related to the temporomandibular joint. Director Tseng Guang-Hui, Dental Department, Nantou Hosp...[Read More] Pain When Opening Mouth: Possible Causes and When to Seek Help
Understanding Alveolar Bone Issues and Trigeminal Neuralgia Recovery
Alveolar bone issues Hello, doctor. I had a gum laceration on my wisdom tooth (tooth #17) and visited the hospital on March 1st. The dentist said that the bone was protruding and needed to be filed down, so they performed the procedure that same day. After 14 days, they said I ne...
Dr. Qiu Qiongyao Reply:
Hello: It is recommended that you visit a dental clinic specializing in temporomandibular joint (TMJ) disorders for treatment. You can call the appointment desk at Yilan Boai Hospital to schedule a consultation with Dr. Wu Qingrong (an appointment is required). The Hualien Hospit...[Read More] Understanding Alveolar Bone Issues and Trigeminal Neuralgia Recovery
Unconsented Tooth Grinding: What to Do When Your Dentist Oversteps
The dentist removed tooth structure without prior consultation and requested to proceed with a crown? Hello, I visited a clinic due to a cavity issue, but the dentist, without asking or informing me, unilaterally ground down my tooth that had a cavity. Now, the dentin is exposed,...
Dr. Lin Jiayong Reply:
Hello: For issues related to medical disputes, it is advisable to consult the local health department or dental association for adjustments and handling. It is also not recommended to proceed with out-of-pocket expenses for dental crowns before clarifying the circumstances.[Read More] Unconsented Tooth Grinding: What to Do When Your Dentist Oversteps
Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Does root canal treatment need to be re-evaluated or redone? Six years ago, I had a severe cavity in one of my teeth that was causing pain, so I underwent a root canal treatment. The dentist mentioned that I would need to come back for a second session, but I only went for the fi...
Dr. Zeng Guanghui Reply:
Hello Miss: During the root canal treatment process, the initial filling material is mostly temporary and cannot last long. Once it falls out, bacteria or dental plaque can invade the root canal, leading to infection and pain. It is recommended to redo the root canal treatment; h...[Read More] Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Dealing with Large Gaps After Dental Implants: Solutions and Considerations
After dental implants, if the gaps between the teeth are too large, it can lead to food trapping? Hello Dr. Tseng, I recently underwent dental implant surgery for three teeth, two of which have a large gap between them and the adjacent teeth, making it easy for food to get stuck....
Dr. Zeng Guanghui Reply:
Dear Mr. Hsiao-Kuang, 1. Generally, dental gaps cannot be filled with resin or other materials. Even if they can be filled, over time, the gums in the gaps are prone to infection and inflammation. 2. If the opposing tooth of the wisdom tooth is no longer present, the opportunity...[Read More] Dealing with Large Gaps After Dental Implants: Solutions and Considerations
Risks of Rapid Bone Grinding in Dental Procedures: What You Need to Know
Alveolar bone recontouring Doctor, I have a bone spur on my tooth number 17. A resident used a high-speed dental drill to grind down the bone spur, and I could smell the burning bone. It has been three months, and I am still in pain. Will this rapid drilling damage the trigeminal...
Dr. Lin Jiayong Reply:
Hello: Under normal circumstances, the trigeminal nerve is not injured. Six months.[Read More] Risks of Rapid Bone Grinding in Dental Procedures: What You Need to Know
Understanding Tooth Cracks: Causes, Concerns, and Treatment Options
Tooth fracture Hello Doctor, I recently noticed that many of my teeth have cracks. They don't hurt when I bite or chew, but there are quite a few cracks, with some teeth having 2 to 3 cracks each. I'm worried that if this continues, the cracks might extend to the roots ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to wear a soft occlusal splint to avoid wear from tooth contact outside of eating. Additionally, consider changing dietary habits and identifying the true cause of the cracks.[Read More] Understanding Tooth Cracks: Causes, Concerns, and Treatment Options
Post-Wisdom Tooth Extraction: Nerve Damage and Healing Time Concerns
Problems Faced After Wisdom Tooth Extraction Hello, I would like to ask the doctor, I had my lower right wisdom tooth extracted 11 days ago, and currently, the lower right part of my lip and the area below my mouth are numb. I read online that this might be due to nerve damage, a...
Dr. Zeng Guanghui Reply:
Hello, Miss Ice Cream: It is likely that the wound from the wisdom tooth extraction is infected, and during the extraction process, there may have been some grinding of the jawbone or impact on the inferior alveolar nerve. Therefore, there may be more severe inflammation and pain...[Read More] Post-Wisdom Tooth Extraction: Nerve Damage and Healing Time Concerns
Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Alveolar bone issues Hello, on March 1st, I visited the dentist due to gum pain, and they performed a procedure to grind down the exostosis on tooth 17. I had the stitches removed 7 days later, and on March 14th, I visited again for another grinding of the exostosis on the same t...
Dr. Zeng Guanghui Reply:
Hello Ms. Anne: Trigeminal neuralgia should not be related to the surgery for the osteoma of the alveolar bone. If there are issues with the trigeminal nerve, it is recommended to consult a neurologist for further diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentis...[Read More] Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Potential Complications of Repeated Alveolar Bone Contouring in Dentistry
Alveolar bone leveling The alveolar bone exostosis of tooth #17 was contoured on March 1st, but the surface was not smooth. The dentist performed another contouring procedure on March 15th at the same location. Will there be any complications from this? Thank you.
Dr. Qiu Qiongyao Reply:
Hello: There will be no sequelae. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Potential Complications of Repeated Alveolar Bone Contouring in Dentistry
Understanding Periodontal Disease and Tooth Restoration Options
Questions about periodontal disease, tooth fractures, and bone grafting for dental implants? Hello, Dr. Tseng. Six months ago, I experienced pain in my second molar and swelling of the gums. The dentist diagnosed me with moderate to severe periodontal disease and suspected nerve ...
Dr. Zeng Guanghui Reply:
Hello Mr. Barry: 1. You may consider consulting a periodontist. 2. The decision to use bone graft material after tooth extraction depends on the morphology of the alveolar bone and the severity of the defects. If the alveolar bone remains intact after extraction, immediate bon...[Read More] Understanding Periodontal Disease and Tooth Restoration Options
Understanding Dental Nerve Pain: Causes and Recovery After Implant Surgery
Dental pulp nerve issues? The original tooth #16 underwent a crown replacement, which resulted in inflammation. An implant surgery was performed on tooth #16, followed by a bone smoothing procedure. Postoperatively, there was persistent dull pain, prompting a visit to the hospita...
Dr. Zeng Guanghui Reply:
Hello Mr. Chih-Jung: It is recommended to seek a comprehensive evaluation at a major medical center, including consultations with oral and maxillofacial surgeons and neurologists. Dr. Kwang-Hui Tseng from Nantou Hospital's dental department.[Read More] Understanding Dental Nerve Pain: Causes and Recovery After Implant Surgery
Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Alveolar bone leveling procedure The 17th tooth has a bone spur. It was ground down once on March 2 and again on March 17. Now, three months later, there is persistent dull pain in the upper cheek area, which only subsides during sleep. Upon waking, the pain returns and lasts all...
Dr. Lin Jiayong Reply:
Hello: It is recommended to patiently observe until around September 17. During this period, please continue to follow up with both oral surgery and neurology specialists as scheduled and take your medications. If there is still a progression towards deterioration after six month...[Read More] Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Antibiotic Concerns for Dental Patients with Heart Valve Disease
Antibiotic Issues in Valvular Heart Disease Hello Doctor, I have valvular heart disease, and my cardiologist advised me to see a dentist and take antibiotics. I took 2 grams of amoxicillin one hour before my appointment. After the visit, I experienced tightness and discomfort in ...
Dr. Lin Jiayong Reply:
Hello: Taking prophylactic antibiotics once is appropriate. If you feel too anxious during tooth extraction, it may lead to severe headaches. If there is still uncontrolled inflammation, redness, and pain 48 hours later, it is advisable to seek medical attention again to check fo...[Read More] Antibiotic Concerns for Dental Patients with Heart Valve Disease
Should You Extract Wisdom Teeth Before Dental Crown Procedure?
Is it necessary to extract the wisdom tooth behind the second molar before performing dental sculpting on the second molar? Hello, doctor. Due to the loss of filling material in my second molar, and because the area of damage is extensive, the doctor has suggested doing a dental ...
Dr. Lin Jiayong Reply:
Hello: If you strongly prefer not to have your wisdom teeth extracted, it is advisable to discuss with your dentist the potential consequences and complications of not having the extraction and proceeding with dental restoration immediately. If you understand the risks and are wi...[Read More] Should You Extract Wisdom Teeth Before Dental Crown Procedure?
Persistent Pain After Alveolar Bone Reshaping: What to Expect?
Dull pain after alveolar bone contouring? The 17th tooth has an alveolar bone protrusion. After visiting a major hospital, the dentist performed a surgery to smooth the alveolar bone. Despite the procedure, there has been ongoing pain for 14 days, leading to a second smoothing of...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original dentist who performed the bone contouring for follow-up. Typically, the bone should be fully restored in about six months![Read More] Persistent Pain After Alveolar Bone Reshaping: What to Expect?