Understanding Dental Impression Costs and Referral Issues in Taiwan
Cost of dental impressions If the first dental clinic performed a tooth extraction and took an impression for a dental prosthesis but has not yet decided on the type of material, and the doctor did not charge any additional fees on that day (only took the health insurance card wi...
Dr. Zeng Guanghui Reply:
Hello Ms. Anonymous: It is recommended to contact the dental clinic to discuss options for follow-up treatment and negotiate how to handle the medical expenses. Dr. Tseng Guang-Hui, Nantou Hospital Dental Department.[Read More] Understanding Dental Impression Costs and Referral Issues in Taiwan
Understanding the Healing Process of Oral Ulcers: What to Expect
The condition after the healing of oral ulcers? Hello, Doctor! About a week ago, I had a small ulcer on the inner mucosa of my right cheek. The white area of the ulcer was about the size of a sesame seed, surrounded by redness, and I felt a stinging pain when eating and speaking....
Dr. Lin Jiayong Reply:
Hello: The guidelines for oral mucosa examination state that a wound that has not healed after two months is considered abnormal. If you continue to observe for two months and still have concerns, it is recommended to consult an oral surgeon to see if a biopsy is necessary.[Read More] Understanding the Healing Process of Oral Ulcers: What to Expect
Severe Toothache and Ear Pain: Causes and Relief Strategies
Pain in the lower right teeth/gums and ear pain? Hello, doctor. I have a question. I am currently undergoing traditional braces treatment, and it has been about one to two weeks since my last adjustment. In the past, the adjustments (including this one) haven't been very pai...
Dr. Lin Jiayong Reply:
Hello: If you are experiencing severe headaches and neither medication nor hot/cold compresses are effective, it is advisable to rule out any issues beyond ill-fitting dentures. It is recommended to go directly to the dental or oral surgery department of a medical center in your ...[Read More] Severe Toothache and Ear Pain: Causes and Relief Strategies
Understanding Dental Insurance Coverage and Re-treatment Policies in Taiwan
Health insurance reimbursement issues? Hello, Doctor! I have a few questions to ask. 1. Some online users mentioned that a dental filling for the same tooth can only be claimed after two years, and if another dentist takes over, it becomes out-of-pocket expenses. 2. A medical...
Dr. Lin Jiayong Reply:
Hello: Returning to the root of the issue, the majority of cases arise from the initial inappropriateness of the restoration (more than two-thirds of the anterior crown is missing, or the occlusal cusps or marginal ridges of posterior teeth are weak or consist of only residual ro...[Read More] Understanding Dental Insurance Coverage and Re-treatment Policies in Taiwan
Understanding Post-Filling Tooth Pain: Is Root Canal Necessary?
Tooth pain after dental filling may indicate the need for a root canal treatment? In March, I had a filling done on a molar that was close to the nerve. After some time, I experienced several episodes of spontaneous pain that were very intense. I consulted with a few doctors, and...
Dr. Lin Jiayong Reply:
Hello: 1. Typically, vital pulp therapy is an out-of-pocket expense, and once the tooth is opened, treatment and medication must be administered immediately. If the tooth has already been opened and is scheduled to be left for two months, there is unlikely to be an opportunity to...[Read More] Understanding Post-Filling Tooth Pain: Is Root Canal Necessary?
Bleeding Gums After Crown Placement: Seeking Dental Solutions
After getting a fixed dental prosthesis on the lateral incisor, there is bleeding when using dental floss? Dear Doctor, I had my first dental crown placed in February of this year, specifically on a lateral incisor. However, since then (June), I experience bleeding whenever I us...
Dr. Zeng Guanghui Reply:
Hello Ms. Zhao: If you have completed your orthodontic treatment and still have periodontal issues, you should undergo periodontal treatment. Once your periodontal health improves and there is no more bleeding from the gums, you can then assess whether the fit of your original br...[Read More] Bleeding Gums After Crown Placement: Seeking Dental Solutions
Understanding Root Canal Treatment for Front Teeth: Key Questions Answered
Anterior tooth root canal treatment On May 18, I experienced severe pain in my right front tooth. The dentist recommended a root canal, so I underwent the first root canal treatment that same day. On June 21, I returned for the second root canal, and the dentist said it was compl...
Dr. Zeng Guanghui Reply:
Hello, Ms. Candy: 1. If there are no discomfort symptoms after root canal treatment and the inflammation at the root apex has improved, it may not be necessary to place a temporary crown. 2. It is important to assess whether the symptoms of inflammation at the root apex have com...[Read More] Understanding Root Canal Treatment for Front Teeth: Key Questions Answered
Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Periodontal disease and chronic inflammation? Hello Dr. Lin: I have been experiencing blood in my saliva, and in early June of this year, I visited an ENT specialist. The biopsy results indicated chronic benign nasopharyngitis, and the doctor did not recommend any further tests o...
Dr. Lin Jiayong Reply:
Hello: It is indeed possible. The upper molars are close to the maxillary sinuses, and the lower molars are near the throat. If there is severe periodontal inflammation, the nasopharynx may feel uncomfortable. It is advisable to consider treating periodontal disease, and if there...[Read More] Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Understanding Jaw Pain: When to Seek Help for TMJ Issues
The temporomandibular joint feels strange? Hello, doctor: I have pain in the right temporomandibular joint, and my chewing muscles are somewhat painful. Speaking is very painful, and eating also causes pain. Pain relievers and anti-inflammatory medications, as well as muscle rela...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first visit the oral surgery department of a medical center for a CT scan to confirm.[Read More] Understanding Jaw Pain: When to Seek Help for TMJ Issues
Can Misalignment Affect Your Sleep Quality? Understanding Dental Impact
Can malocclusion affect sleep? If you are concerned that your malocclusion may affect your sleep, what constitutes malocclusion? Can malocclusion lead to shoulder and neck pain that impacts sleep? I have a slight malocclusion (my lower jaw is slightly shifted to the right 🤏), but...
Dr. Lin Jiayong Reply:
Hello: Occlusal stability refers to the ability of the posterior teeth on both sides to occlude tightly and evenly distribute the occlusal contacts, with a 2mm deviation in the midline of the anterior teeth being acceptable. It is recommended to consult an orthodontist. Additiona...[Read More] Can Misalignment Affect Your Sleep Quality? Understanding Dental Impact
Switching Dentists: How to Address Poor Dental Work and Costs
The dentist was careless with the filling, and I would like to switch dentists to have the same tooth refilled? Hello~ Recently, I went to a dentist for a filling, but each time I leave, I end up with new issues. The doctor always says, "Let's prioritize getting it fill...
Dr. Lin Jiayong Reply:
Hello: It is recommended to find a physician you trust. After stating your purpose, it is best if the physician is willing to assist you. If the issue exceeds the physician's scope of practice, asking the physician to issue a referral to a medical center for further manageme...[Read More] Switching Dentists: How to Address Poor Dental Work and Costs
Is Salty Fluid After Wisdom Tooth Extraction Normal? Understanding Healing Signs
Continuous fluid discharge after the extraction of a lower horizontal wisdom tooth? Four days after having my wisdom teeth removed, I feel a salty sensation at the wound site. When I wake up, my tongue around the wisdom tooth area appears yellow (with no pain at all). I would lik...
Dr. Lin Jiayong Reply:
Hello, it is recommended to return for a follow-up appointment with your physician for an examination immediately after completing the three-day course of medication, and to have the stitches removed one week later.[Read More] Is Salty Fluid After Wisdom Tooth Extraction Normal? Understanding Healing Signs
Understanding Red Spots Inside Your Mouth: Causes and Solutions
Oral redness Doctor, I have red spots (about 0.2-0.3 cm) on the inside of my cheek. I initially thought it was from biting, but it doesn't hurt at all, and there are no raised areas or ulcerations. I consulted a dentist who said there are no issues with my teeth, and it does...
Dr. Lin Jiayong Reply:
Hello: If the mouth is too dry, you may consider having a blood test to check for Sjögren's syndrome and other immune-related diseases. If there is no discomfort in the mucosa itself, it is advisable to simply monitor the condition.[Read More] Understanding Red Spots Inside Your Mouth: Causes and Solutions
Persistent Mouth Ulcer: Causes, Treatment, and When to Seek Help
Mouth ulcer for one month? Hello. 1. I initially bit the inside of my lower lip in the same spot twice, which developed into an ulcer that has persisted for a full month now. About two weeks in, it expanded to approximately 1 cm. I visited an ENT clinic, and the doctor prescrib...
Dr. Zeng Guanghui Reply:
Mouth ulcers may result from physical injuries such as bites, sharp edges of teeth, or dentures, as well as allergic reactions to certain components in food, toothpaste, or mouthwash. Nutritional deficiencies (such as vitamin B or folic acid), hormonal changes during menstruation...[Read More] Persistent Mouth Ulcer: Causes, Treatment, and When to Seek Help
Understanding Bone Graft Loss After Dental Implant Surgery: What to Expect
Bone graft resorption after augmentation? My lower left 37th tooth broke while eating at the end of December last year. The next day, I went to the clinic to have the remaining root extracted and received collagen grafting. After the stitches were removed, the doctor advised me t...
Dr. Zeng Guanghui Reply:
After guided bone regeneration surgery, there has been a loss of bone graft material. It is recommended to return for a follow-up appointment for the dentist to evaluate and perform an examination, checking the condition of the wound sutures and whether the membrane coverage is i...[Read More] Understanding Bone Graft Loss After Dental Implant Surgery: What to Expect
Post-Dental Implant Surgery: When Can You Eat Spicy Foods?
Diet After Dental Implant Surgery Hello, doctor. I had extraction and implant surgery on May 29, and my recovery is going well with no pain. However, there is a hole in that area. I would like to ask how long after the extraction and implant surgery I should wait before eating sp...
Dr. Lin Jiayong Reply:
Hello: One month post-surgery, if the wound has healed, eating spicy food should not have a significant impact.[Read More] Post-Dental Implant Surgery: When Can You Eat Spicy Foods?
Understanding Oral Ulcers: Causes, Concerns, and Treatment Options
Oral ulcer Hello, doctor. I have two issues with my oral mucosa as follows: 1. I have a burning sensation and a white elongated line. After seeing a doctor, I was informed that it is lichen planus, and I was prescribed Compesolon for rinsing. I just started using it, so I am stil...
Dr. Zeng Guanghui Reply:
Hello, Niii: 1. Lichen planus is an autoimmune issue where the body's antibodies attack the oral mucosa, causing an inflammatory response. Therefore, a blood test for autoimmune detection may be necessary. 2. If there is an abscess near the molar, it is generally not ind...[Read More] Understanding Oral Ulcers: Causes, Concerns, and Treatment Options
Can a Finished Dental Crown Be Reshaped Without Risk of Damage?
Denture polishing Hello Dr. Lin, I recently had a crown made for a single molar (zirconia material), and during the try-in, I felt that it was particularly high. The dentist attempted to adjust the crown on the spot using instruments, but I refused. A few weeks later, we took a ...
Dr. Lin Jiayong Reply:
Hello: Clinically, it is "essential" to have the patient bite down and adjust (grind) the dentures in their mouth. If it is a metal crown, there are polishing wheels or sanders used after grinding. For traditional porcelain, it can be sent back to the lab for an additio...[Read More] Can a Finished Dental Crown Be Reshaped Without Risk of Damage?
Post-Wisdom Tooth Extraction: Dealing with Bite Pain and Concerns
Post-operative occlusal pain after wisdom tooth extraction? Hello Doctor, I had my lower right wisdom tooth extracted on June 9th. The doctor mentioned that my wisdom tooth was deeper and the wound was larger. I had my stitches removed on June 15th, but now I experience pain when...
Dr. Lin Jiayong Reply:
Hello: It is possible for nearby teeth to feel loose after tooth extraction, which is a potential complication. It is recommended to monitor the situation. If you are concerned, you may return for a check-up with your dentist approximately every two weeks.[Read More] Post-Wisdom Tooth Extraction: Dealing with Bite Pain and Concerns
Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity
After root canal treatment, there may be some soreness or discomfort in the treated tooth? This tooth has undergone root canal treatment for two years, but there is still some sensitivity and discomfort when tapping or applying pressure on the side of the tooth, although there is...
Dr. Lin Jiayong Reply:
Hello: If the original tooth or the surrounding tissues (alveolar bone/gums/periodontal ligament) are severely damaged before treatment, it is possible that even if the root canal treatment is successful (nerve is cleaned out and there is no inflammation, infection, or spontaneou...[Read More] Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity