TMJ Fractures After Car Accident: Treatment Options and Concerns
Temporomandibular joint fracture due to a car accident? Hello Doctor, I was in a car accident on September 22, where I sustained fractures in the area of the bilateral mandible and temporomandibular joint (TMJ) (the doctor mentioned that the small fragments on both sides are not ...
Dr. Zeng Guanghui Reply:
1. A joint discussion should be conducted by oral and maxillofacial surgeons and orthodontists to propose possible treatment options for further discussion. 2. If normal occlusion cannot be restored solely through orthodontic means, displacement should be considered. 3. It is rec...[Read More] TMJ Fractures After Car Accident: Treatment Options and Concerns
Understanding Dental Trauma: Tooth Displacement and Nerve Health
Dental displacement due to impact? 1. The reason for the nerve necrosis in the tooth after the impact is likely due to tissue injury that did not heal properly. Trauma can cause damage to the dental pulp, leading to inflammation and eventual necrosis if the blood supply is compro...
Dr. Zeng Guanghui Reply:
1. The periodontal tissues and nerves within the impacted tooth may be damaged, and the risk of damage increases if the tooth is displaced. 2. If there is no vitality detected in the tooth after five months post-trauma, it is unlikely to regain vitality. 3. If the nerve has retur...[Read More] Understanding Dental Trauma: Tooth Displacement and Nerve Health
Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Inquiry Consultation Dear Dr. Tseng, Two days ago, I had ribs for dinner, and while biting into the meat near the bone, I suddenly felt a crunching sound from my right-side teeth, realizing I had bitten into a piece of bone. My upper and lower first and second molars on the righ...
Dr. Zeng Guanghui Reply:
1. Possible generalized sensitivity and pain. 2. If the periodontal ligament is damaged, generally, as long as you avoid biting hard objects and maintain good oral hygiene, there is a chance of recovery. 3. Monitor the situation, but once there is tooth sensitivity and pain, you ...[Read More] Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Post-Wisdom Tooth Extraction: Persistent Jaw Pain and Recovery Tips
Post-operative issues after wisdom tooth extraction (cheek and jaw pain) On February 21, I had my upper and lower right wisdom teeth extracted. The procedure went smoothly and quickly, and both teeth had an out-of-pocket collagen component! After taking three days' worth of ...
Dr. Lin Jiayong Reply:
Hello: If the tooth socket bone was reshaped during the extraction of the wisdom tooth, complete healing of the bone may take about 6 months before there is no sensation. A common and bothersome complication after the extraction of the mandibular wisdom tooth is facial numbness. ...[Read More] Post-Wisdom Tooth Extraction: Persistent Jaw Pain and Recovery Tips
Is Bonding Adjacent Cavities in Kids' Teeth a Good Idea?
Dental fillings can cause gaps between teeth to become blocked? Hello Dr. Tseng, my child has previously undergone dental treatment for cavities. At that time, the dentist mentioned that filling a single tooth could lead to the filling falling out easily, so they bonded two adjac...
Dr. Zeng Guanghui Reply:
It is recommended to return for a follow-up appointment, and for the dentist to re-separate and refill the temporary filling area. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Is Bonding Adjacent Cavities in Kids' Teeth a Good Idea?
Post-Surgery Tooth Pain: Should I Switch Back to Ice After Warm Compress?
Toothache after warm compress? Hello doctor, I recently underwent orthognathic surgery. During my follow-up appointment, the doctor mentioned that the wound has not yet healed, but I can switch from ice packs to warm compresses. However, after using the warm compresses, I experie...
Dr. Zeng Guanghui Reply:
On the day after surgery, applying ice packs can help reduce swelling and pain at the surgical site. However, if the surgical wound is extensive, swelling and pain may persist for some time. It is recommended to keep the wound clean. If the pain is unbearable, it is advisable to ...[Read More] Post-Surgery Tooth Pain: Should I Switch Back to Ice After Warm Compress?
Understanding Post-Filling Tooth Pain: Causes and When to Seek Help
It may take about a month after a dental filling for you to experience pain when biting down on something? Hello Doctor, I had a dental filling done at the end of January this year due to a cavity. The cavity was located in the space between the last two molars, specifically in f...
Dr. Lin Jiayong Reply:
Hello: 1. Nowadays, dental filling materials predominantly use resin, but the hardness of resin is lower than that of enamel or dentin, making it unable to withstand excessive occlusal forces. 2. The symptoms you mentioned are less likely related to your cleaning methods or gingi...[Read More] Understanding Post-Filling Tooth Pain: Causes and When to Seek Help
Understanding Post-Braces Inflammation and Bone Reshaping in Dentistry
After getting braces, there was inflammation, and now I need to redo the braces, which may require addressing issues with the alveolar bone? About a year ago, I had a root canal treatment on my first molar due to decay, followed by the placement of a ceramic crown. A few months l...
Dr. Lin Jiayong Reply:
Hello: 1. Crown lengthening procedure. It can directly modify the alveolar bone, or an orthodontic approach can be attempted to extrude the tooth upwards. 2. The area being treated is quite small and localized, with minimal impact on adjacent teeth. 3. Typically, there will be im...[Read More] Understanding Post-Braces Inflammation and Bone Reshaping in Dentistry
Effective Brushing Techniques for Invisalign Users: What You Need to Know
Brushing Technique Hello, Doctor. I recently started using Invisalign, and since improper cleaning can lead to cavities, I would like to ask you a question. Previously, I brushed my teeth at a 45-degree angle or in a circular motion, brushing two teeth at a time for about 30 stro...
Dr. Lin Jiayong Reply:
Hello: Since you are currently in the orthodontic phase, it is recommended to follow the instructions of your orthodontist. It is especially important to be patient and consistently wear your Invisalign aligners! Do not let gum injuries affect the duration of wear.[Read More] Effective Brushing Techniques for Invisalign Users: What You Need to Know
Understanding Tooth Pain: Issues with Wisdom Teeth and Dental Implants
Dental issues Hello Doctor, since yesterday, I have been experiencing pain in the tooth next to my upper right wisdom tooth, which got food debris stuck in it. After using dental floss picks a few times, that tooth started to hurt. I have three crowns on my upper front teeth, whi...
Dr. Lin Jiayong Reply:
Hello: It seems that there are symptoms of acute gingivitis in the maxilla. It is advisable to visit a clinic for local cleaning and disinfection.[Read More] Understanding Tooth Pain: Issues with Wisdom Teeth and Dental Implants
Understanding Oral Mucosa: White Bumps and Cancer Concerns
Oral mucosa I would like to ask the doctor about a white raised lesion on the left side of my mucosa. It feels soft to the touch at the base, but it is rough when I touch it with my tongue. It is not painful, and there are no ulcers. I used to chew betel nut but have quit, althou...
Dr. Lin Jiayong Reply:
It is strongly recommended to visit a hospital's dental or otolaryngology department for a biopsy of the affected area.[Read More] Understanding Oral Mucosa: White Bumps and Cancer Concerns
How to Prevent Tongue Cuts from Sharp Edges of Clear Retainers
The edges of the clear retainer are causing cuts on the tongue? Hello Doctor, I recently started wearing a clear retainer, but I'm not sure if the edges of the retainer are too sharp, as they keep cutting my tongue (whether I'm swallowing saliva, drinking water, or talk...
Dr. Lin Jiayong Reply:
Hello: 1. If it's not too difficult to return to the original clinic, it is recommended to go back and have the dentist adjust it. 2. It is not advisable to use nail clippers to file it yourself, especially since there are already wounds in the oral cavity; putting in anythi...[Read More] How to Prevent Tongue Cuts from Sharp Edges of Clear Retainers
Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui Reply:
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Understanding Persistent Pain After Microscopic Root Canal Treatment
Microscopic Root Canal Treatment Hello Doctor: I completed root canal treatment at the end of November last year, but I have been experiencing persistent dull pain, pain when tapping, and pain when biting down on food. Therefore, I switched to another clinic for microscopic root ...
Dr. Lin Jiayong Reply:
Hello: Since the root canal treatment was completed in January, it is recommended to observe for at least three months before deciding on any more aggressive treatments (such as apicoectomy, flap regeneration, or extraction followed by dental implants). It may also be beneficial ...[Read More] Understanding Persistent Pain After Microscopic Root Canal Treatment
Understanding Dental Fillings: Materials, Options, and Expert Advice
Dental fillings, cavities, and filling materials? I have been searching for a long time and spent half a day trying to find information about dental filling materials. How can I find relevant information or contact organizations that specialize in this area? (It is difficult to a...
Dr. Zeng Guanghui Reply:
1. If the extent of the cavity is small, composite resin can be used for filling. If the cavity is larger, options to consider in sequence include inlays, porcelain veneers, and crowns. If the cavity is too extensive to be filled, a dental crown should be placed for protection. ...[Read More] Understanding Dental Fillings: Materials, Options, and Expert Advice
Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Gum bleeding I went to the dentist at 2 PM, and they said I had dental plaque. The dentist used a scaler, and it took until almost 5 PM. My gums are still bleeding; is this normal? What can I do to stop the bleeding?
Dr. Zeng Guanghui Reply:
If there is bleeding from the gums after dental treatment, it indicates that the gums are still inflamed, or there may be an underlying coagulation disorder, or the patient may be on anticoagulants due to cardiovascular disease affecting coagulation function. It is recommended to...[Read More] Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Can Root Canal Treatment Be Safe for Breast Cancer Patients?
Can a patient with breast cancer undergo root canal treatment? Due to breast cancer, I am currently undergoing medication treatment and have had a root canal procedure. Regarding the root canal treatment, I would like to ask: 1. The temporary crown used is made of plastic; does i...
Dr. Lin Jiayong Reply:
Hello: There is no issue with undergoing root canal treatment during radiation or chemotherapy for breast cancer! However, during the process of dental filling or tooth preparation, there will indeed be some moisture/spray involved, which may cause some irritation due to the inte...[Read More] Can Root Canal Treatment Be Safe for Breast Cancer Patients?
Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
After having my upper and lower right wisdom teeth extracted, I often bite my cheek? Hello, I had my upper and lower right wisdom teeth removed a long time ago, but occasionally a small growth appears on the inside of my right cheek. I'm not sure how I keep biting it. Could ...
Dr. Lin Jiayong Reply:
Hello: The raised, nipple-like structure on the cheek is commonly the opening of the parotid gland, one of the three major salivary glands. If it is repeatedly bitten, it may become enlarged. It is advisable to consult a physician to confirm this and to explore other methods to r...[Read More] Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
Managing Post-Extraction Complications After Orthodontic Treatment
Orthodontic extraction Hello, doctor. I am currently an Invisalign user. On February 4th, I had two upper and lower premolars extracted on the right side around 11:30 AM. However, the bleeding did not stop until around 10 PM that night. After that, the wound would hurt even when ...
Dr. Lin Jiayong Reply:
Hello: If the wound has a bacterial infection causing purulence and odor, antibiotic treatment should still be administered. It is advisable to return for a follow-up appointment as soon as possible and inform the physician about the ongoing discharge and odor issues from the wou...[Read More] Managing Post-Extraction Complications After Orthodontic Treatment
Understanding Root Canal Treatment: Addressing Pain and Complications
Root canal treatment I have longer and more difficult-to-access tooth roots. The clinic does not have a microscope for root canal treatment, so the doctor put in a lot of effort to complete the procedure on my upper right first molar. That tooth itself does not hurt, but I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult the original clinic's dentist to take an X-ray of the lower right first molar to confirm whether there is an issue with that tooth. For teeth that have already completed treatment, it is advisable to simply monitor them, as excessive...[Read More] Understanding Root Canal Treatment: Addressing Pain and Complications