Should You Fill or Crown Your Tooth After Root Canal Treatment?
Could you please provide more context or specify your question regarding filling a small molar? If a doctor has performed a root canal treatment on a small molar and the tooth begins to rock back and forth, will getting a dental filling covered by health insurance be effective? O...
Dr. Zeng Guanghui Reply:
If a tooth that has undergone root canal treatment is still loose, it is important to consider the possibility of periodontal disease. It is recommended to treat the periodontal disease first before considering dentures or fillings. Dr. Tseng Guang-Hui, Department of Dentistry, N...[Read More] Should You Fill or Crown Your Tooth After Root Canal Treatment?
Should I Remove My Wisdom Tooth? Understanding Risks and Concerns
Hesitating whether to extract wisdom teeth? Hello, Doctor. My lower right wisdom tooth had swelling before, and after getting an X-ray at the clinic, it was found that the tooth root is very close to the nerve, and it seems to be pressing against it a bit. I would like to ask if ...
Dr. Lin Jiayong Reply:
Hello: If there is a need for full orthodontic treatment, it is advisable to have impacted wisdom teeth extracted while still young, as overall recovery will be better. The likelihood of recovery from inferior alveolar nerve injury is very high, and since it is a sensory nerve, i...[Read More] Should I Remove My Wisdom Tooth? Understanding Risks and Concerns
Understanding Tooth Injuries After a Car Accident: Causes and Concerns
Dental injury from a car accident? Hello, doctor. Last week, I was in a car accident and hit my front tooth. When I shine a strong light on it, I can see a crack, but I don't feel pain when eating cold food. However, my gums have a burning sensation. What could be the reason...
Dr. Lin Jiayong Reply:
Hello: It may be a laceration or localized hematoma caused by trauma to the gums. It is recommended to return for a follow-up appointment for the physician to monitor and observe the condition![Read More] Understanding Tooth Injuries After a Car Accident: Causes and Concerns
Understanding Demineralization: Causes and Prevention for Tooth White Spots
Demineralization of teeth Hello Doctor: About a month ago, I noticed a small white spot on my left front tooth. After an examination, the dentist said it was demineralization and there were no cavities. Recently, the same tooth developed another small white spot on the side, and ...
Dr. Lin Jiayong Reply:
Hello: The initial manifestation of incipient caries is the appearance of white spot lesions on the surface of the teeth, but probing does not reveal any cavitation. The common cause is often seen in patients with enamel hypoplasia. The recommended treatment is to provide high-co...[Read More] Understanding Demineralization: Causes and Prevention for Tooth White Spots
How to Prevent Food Trapping in Upper Molars and Relieve Gum Pain
Food impaction The upper left first and second molars are prone to food trapping, causing gum pain. Flossing is easy, but I'm unsure how to improve the situation. The second molar had a cavity that has been filled, but the two molars feel uneven, with the second molar being ...
Dr. Lin Jiayong Reply:
Hello: The defect in the second molar may be able to be restored with a new crown to regain its complete shape and prevent food from getting trapped. The height discrepancy between the two teeth may require consideration for correcting to an appropriate occlusal height. Before th...[Read More] How to Prevent Food Trapping in Upper Molars and Relieve Gum Pain
Adjusting Dental Prosthetics: Can We Grind Only Ceramic Teeth?
Denture issues? Thank you for the doctor's response. Grinding down the opposing tooth is one option. Is it possible to only adjust the ceramic crown without grinding the opposing healthy tooth? Or is the ceramic crown too hard to be adjusted?
Dr. Lin Jiayong Reply:
Hello: It is advisable to discuss with the original physician. The determination of vertical height, adjustment of occlusal height, health of soft and hard tissues, aesthetic considerations, and the patient's socioeconomic conditions are all comprehensive factors. It is not ...[Read More] Adjusting Dental Prosthetics: Can We Grind Only Ceramic Teeth?
Recurring Abscess After Intentional Replantation: Causes and Concerns
A pus-filled abscess has reformed at the same site after intentional replantation surgery? Due to a persistent abscess on the gum of the first molar on the right side of the lower left first molar for approximately six months, an examination revealed radiolucency around the root ...
Dr. Lin Jiayong Reply:
Hello: 1. The source of infection is usually addressed from both the pulp and periodontal aspects. If root canal treatment has already been performed, the tendency is to suspect infection originating from the surrounding tissues. However, since it has only been two days since the...[Read More] Recurring Abscess After Intentional Replantation: Causes and Concerns
Will My Face Shape Change If My Wisdom Tooth Grows Forward?
The second molar has decayed, leaving only the tooth root? Hello doctor, I would like to ask if the extraction of the lower left second molar, along with the presence of an already partially erupted wisdom tooth, will affect the shape of my face and mouth if the wisdom tooth cont...
Dr. Lin Jiayong Reply:
Hello: A single crooked tooth may not affect the facial shape or mouth shape, but it can impact occlusion and even the temporomandibular joint. It is advisable to consult an orthodontist to determine if it can be repositioned to replace the second molar![Read More] Will My Face Shape Change If My Wisdom Tooth Grows Forward?
Persistent Oral Pain After Wisdom Tooth Extraction: What to Do?
After having my wisdom teeth removed, I have been experiencing persistent pain in my mouth? Hello. I had my wisdom teeth removed around mid-February, and I felt that I was recovering well by early March. However, in early April, I started experiencing pain in my oral tissue. I ha...
Dr. Zeng Guanghui Reply:
It is recommended to first consult a dentist to check for periodontal disease, apical periodontitis, or temporomandibular joint issues. If everything is normal but discomfort persists, consider whether it may be related to facial nerve or trigeminal nerve problems, and seek furth...[Read More] Persistent Oral Pain After Wisdom Tooth Extraction: What to Do?
Understanding Maxillary Sinus Odontogenic Keratocyst: Risks and Concerns
Regarding maxillary sinus odontogenic keratocyst? Hello, I have been experiencing discomfort on the left side of my face since last year. After undergoing a biopsy at the hospital, I was diagnosed with a maxillary sinus odontogenic keratocyst. Following decompression treatment, t...
Dr. Lin Jiayong Reply:
Hello: 1. It is advisable to relax for now; you have already undergone the most proactive surgical treatment available, and there is no need to dwell on negative thoughts. 2. After recurrence, it is important to determine whether it is malignant or has spread to other areas. If i...[Read More] Understanding Maxillary Sinus Odontogenic Keratocyst: Risks and Concerns
Switching Dentists: What Happens to Your Custom Dental Crown?
I would like to ask you about a diagnostic and treatment issue? Hello Dr. Chiu, I would like to ask you some questions regarding treatment. I previously had root canal therapy on my molar, which has now fractured, requiring a crown. I have completed the impressions and have sched...
Dr. Qiu Qiongyao Reply:
Hello, Miss: Q1: The custom dental retainer ordered on April 15 should have been completed. Once payment is made, it is, of course, the patient's property, and you can either take it home or temporarily bond it with adhesive for observation. (Typically, the doctor may issu...[Read More] Switching Dentists: What Happens to Your Custom Dental Crown?
Dealing with Tooth Roots: What to Do When Extraction Fails
The residual root cannot be extracted? Hello, doctor. A few years after undergoing root canal treatment, I experienced severe pain in the same tooth due to extensive decay. My dentist advised that I needed an extraction. However, when I finally went for the extraction, only the r...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe first. If the body can absorb it on its own, that would be the best outcome. If there is no local inflammation or other symptoms, surgery for removal is not advised. If there are other necessary considerations, it is suggested to consult an ora...[Read More] Dealing with Tooth Roots: What to Do When Extraction Fails
Concerns About X-Ray Exposure During Dental CT Machine Malfunction
The machine got stuck during a full-mouth computed tomography scan? Hello, doctor. Today I went to the dental clinic for an implant evaluation, and during the "full mouth computed tomography" (standing, circular), I noticed that the machine got stuck on my shoulder half...
Dr. Lin Jiayong Reply:
Hello: When the machine is stuck and the pause button is pressed, the machine will not operate, and no radiation will be emitted. However, if the machine is forcibly completed in a full rotation, radiation will be present during the process. During imaging, lead aprons should be ...[Read More] Concerns About X-Ray Exposure During Dental CT Machine Malfunction
Concerns About Ceramic Dental Crowns: Why Were My Healthy Teeth Filed?
Issues with Ceramic Fixed Dentures Hello Doctor: Two days ago, I went to the clinic to get ceramic fixed dentures for my two front teeth and one canine tooth, a total of three. I had already had impressions taken before. When the clinic placed the ceramic front teeth, they didn...
Dr. Lin Jiayong Reply:
Hello: Reducing the opposing tooth is one of the treatment options for adjusting occlusal height. However, it is recommended to obtain the patient's consent before proceeding with the adjustment. If occlusal adjustment is not performed at this stage, the opposing tooth will ...[Read More] Concerns About Ceramic Dental Crowns: Why Were My Healthy Teeth Filed?
Understanding Tooth Pain After Filling: Causes and Solutions
Tooth pain after dental filling? During my dental cleaning and X-ray, some cavities were discovered, with two being close to the nerve. The dentist mentioned that after filling, there shouldn't be any pain, so root canal treatment wouldn't be necessary. Initially, the g...
Dr. Lin Jiayong Reply:
Hello: 1. You may want to ask if the tooth had these symptoms before the dental filling and cleaning. If there were already symptoms of sensitivity to cold and pain, it is advisable to observe for about six months. 2. After the dental tissue in the cavity area is prepared, the to...[Read More] Understanding Tooth Pain After Filling: Causes and Solutions
Impact of Clear Aligners on Gum Health: What You Need to Know
Clear aligners are putting pressure on the gums? Hello, doctor. I have been wearing clear aligners for a while now, and today when I put them on, I noticed that the gums near my teeth changed from their original pink color to a white color, which looks like they are being compres...
Dr. Lin Jiayong Reply:
Hello: If you feel tenderness or even a broken skin wound, it is recommended to adjust the tension. If you are very concerned about the impact on your gums, you can return to the original clinic and ask the dentist to shorten the portion covering the gums, so that it only covers ...[Read More] Impact of Clear Aligners on Gum Health: What You Need to Know
Do Dental Crowns Match Your Natural Teeth Color? Cost Considerations
Braces colors Hello, doctor. I just had a single crown placed today, but I noticed that its color is much whiter compared to my natural teeth. I would like to ask if I should request the clinic to remake a crown that matches the color of my natural teeth more closely. Typically, ...
Dr. Zeng Guanghui Reply:
If there is a noticeable color difference between the braces and the original teeth, it is advisable to consult with the dentist at the clinic to see if removal and remaking are necessary. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Do Dental Crowns Match Your Natural Teeth Color? Cost Considerations
Essential Considerations for Orthodontics and Dentures: A Comprehensive Guide
Orthodontics (Invisalign), periodontal integration, and maxillary removable dentures causing difficulty in eating? 1. Is it necessary to be free of periodontal disease in order to undergo orthodontic treatment (Invisalign)? 2. Should cavities be filled and a periodontal treatment...
Dr. Zeng Guanghui Reply:
1. It is essential to complete the treatment of periodontal disease before orthodontic treatment. 2. Prior to orthodontic treatment, any cavities should be filled, and periodontal disease treatment must be completed. 3. It is advisable to consult an orthodontist regarding the...[Read More] Essential Considerations for Orthodontics and Dentures: A Comprehensive Guide
Understanding Tooth Decay: Concerns About Fillings and Discoloration
Dental caries and dental discoloration? The front teeth had cavities that were filled previously, but the interface between the filling material and the tooth is black. After 8 months, the appearance hasn't changed; the dark area hasn't enlarged, and the teeth feel the ...
Dr. Zeng Guanghui Reply:
Hello, 1. If the appearance of the filled front tooth looks dark, it may be due to the filling material being metallic, or there may be residual decay that hasn't been cleaned properly. It is recommended to return for a check-up. 2. If the filling material is very strong...[Read More] Understanding Tooth Decay: Concerns About Fillings and Discoloration
Can Root Canal Treatment Be Completed in One Visit? Exploring Options
Can root canal treatment be completed in one sedation session? Is it possible to pay out of pocket to complete root canal treatment in one visit, instead of having to go to the clinic multiple times, which causes time and mental stress?
Dr. Zeng Guanghui Reply:
It is necessary to assess the original condition of the root canal inflammation and whether there is an apical lesion. If there is severe inflammation at the root apex or bone resorption in the jaw, multiple treatment sessions are generally required to complete the root canal the...[Read More] Can Root Canal Treatment Be Completed in One Visit? Exploring Options