Understanding Root Canal Filling Materials: What to Expect After Treatment
Root canal filling materials A few days ago, I had a root canal treatment. After the doctor changed the dressing, they filled the tooth and applied a thick brown substance around the root of the tooth. The smell is quite strong, and it feels uncomfortable when my tongue touches i...
Dr. Zeng Guanghui Reply:
Hello Mr. Chen You-Chang: You can return for a consultation with the treating dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital, Ministry of Health and Welfare.[Read More] Understanding Root Canal Filling Materials: What to Expect After Treatment
Understanding Irregular White Lesions on Oral Mucosa: Causes and Concerns
Oral mucosa Hello, doctor. Today, due to a throat inflammation, I looked in the mirror and noticed an irregularly shaped white patch on the inner mucosa of my right cheek, slightly larger than a grain of rice. It is not painful, itchy, or swollen (completely flat). I sometimes un...
Dr. Zeng Guanghui Reply:
Hello Mr. Jiang: It may be inflammation caused by irritation of the mucous membrane. I recommend seeing a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Irregular White Lesions on Oral Mucosa: Causes and Concerns
Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Gum issues Hello Doctor: About two years ago, I noticed that two of my lower front teeth had small triangular gaps in the gums (less than 1mm). Additionally, the triangular gum area between two other teeth feels very loose and not well-adapted, leading me to suspect that I might ...
Dr. Lin Jiayong Reply:
Hello: The health and aesthetics of soft and hard tissues do not always equate. If there is no periodontal disease, cavities, or severe misalignment of teeth, but there is still a desire to improve the black triangle areas between the gums, it is advisable to consult with a perio...[Read More] Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Understanding Temporary Bite Pain: Causes and When to See a Dentist
Occlusal pain Hello: Last night after dinner, I felt something strange with my right teeth. When I bit down, the last tooth on the lower jaw hurt, but today it doesn't hurt anymore. What could be the reason for this? Do I need to see a doctor for further evaluation?
Dr. Lin Jiayong Reply:
Hello: It is recommended to schedule an appointment for examinations (such as X-rays, pulp vitality tests, thermal sensitivity tests, etc.)![Read More] Understanding Temporary Bite Pain: Causes and When to See a Dentist
Understanding Dental Nerve Death: Symptoms, Treatment, and Concerns
Regarding dental pulp necrosis? Hello Dr. Lin, I have a question regarding my upper left first molar (hereafter referred to as "the tooth"). Several years ago, I had extensive silver amalgam filling done on this tooth, which was already very close to the dental pulp at...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult directly with the Department of Endodontics at a medical center.[Read More] Understanding Dental Nerve Death: Symptoms, Treatment, and Concerns
Recurring Gum Issues Around Wisdom Tooth: Causes and Concerns
Repeated cavities in the wisdom teeth? Hello Doctor: The gum in the upper right area where my wisdom tooth is located often swells and develops holes. It usually heals on its own, but after a few days or weeks, it starts to hurt again. Strangely, only that area is affected, and t...
Dr. Lin Jiayong Reply:
Hello: It is recommended to directly ask an oral surgeon to perform X-ray imaging and biopsy for confirmation.[Read More] Recurring Gum Issues Around Wisdom Tooth: Causes and Concerns
Assessing Cracked Teeth After Root Canal Treatment: To Extract or Not?
Cracked teeth after root canal treatment? Hello, for a tooth that has undergone root canal treatment and shows cracks, the depth and angle of the cracks cannot be determined through X-ray imaging. However, an intraoral examination reveals a fracture. Should the tooth be extracted...
Dr. Lin Jiayong Reply:
Hello: It is recommended to visit a dental center's endodontics department for the dentist to assess the fracture location of the tooth, as well as to determine if treatment can restore its original shape and function. After discussing an appropriate treatment plan, you can ...[Read More] Assessing Cracked Teeth After Root Canal Treatment: To Extract or Not?
Common Dental Concerns: Understanding Tooth Cracks and Sensitivity
Inquiry for clarification? Hello Dr. Tseng, I have a few questions I would like to ask you: Q1. I have noticed a small gap on the occlusal surface of my lower left first molar. I'm not sure if it is a fracture or if it has always been like that. There are no symptoms, but...
Dr. Zeng Guanghui Reply:
Hello Mr. Kris: 1. Unless the cavity is very deep, maintaining good oral hygiene is usually sufficient. 2. It is recommended to consult a dentist for further diagnosis. 3. If a tooth has cracked but the damage is limited to the enamel, there are generally no symptoms; just monito...[Read More] Common Dental Concerns: Understanding Tooth Cracks and Sensitivity
Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
During traditional or Invisalign orthodontic treatment, not only do the teeth move, but the alveolar bone also shifts as well? Doctor: Hello! I am 22 years old. Currently, my upper dental arch is relatively narrow, and I have a malocclusion with my upper right central incisor and...
Dr. Lin Jiayong Reply:
Hello: Since a lateral cephalometric image is needed to calculate the space ratio of the teeth/arch, it is recommended to consult with a physician who can provide an in-person examination. If there are concerns about the original physician, you can bring the existing images and m...[Read More] Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
Traditional vs. Invisalign: Which Orthodontic Method Improves Dental Arches?
During traditional or Invisalign orthodontic treatment, is the alveolar bone also corrected? Dr. Tseng: Hello, I am 24 years old and would like to correct my dental issues. My main concerns are that my upper dental arch is relatively narrow, my upper right central incisor is misa...
Dr. Zeng Guanghui Reply:
Hello Mr. Longlong: 1. Traditional orthodontics or Invisalign have limited movement of the alveolar bone. It is recommended to consult an orthodontist to determine if, in addition to traditional orthodontic treatment, orthognathic surgery or the use of a palatal expander is neces...[Read More] Traditional vs. Invisalign: Which Orthodontic Method Improves Dental Arches?
Failed Wisdom Tooth Extraction: Seeking Solutions and Next Steps
Failed wisdom tooth extraction? Hello Dr. Lin, I am currently undergoing orthodontic treatment, but I am experiencing pain from my lower left wisdom tooth. The orthodontist indicated that extraction was possible. Before the extraction, an X-ray revealed that it was a horizontal w...
Dr. Lin Jiayong Reply:
Hello: If it is confirmed that the residual roots of your wisdom teeth are causing you psychological or physical discomfort, and the original clinic's dentist is unwilling to address the issue, it is recommended that you request a referral or go directly to the oral surgery ...[Read More] Failed Wisdom Tooth Extraction: Seeking Solutions and Next Steps
Common Dental Concerns: Sensitivity, Cracks, and Rough Edges Explained
Questions about teeth? Hello Dr. Chiu, I have some questions regarding my teeth that I would like to ask you: Q1. My lower left incisor has become sensitive and feels dull pain after being lightly struck by a metal utensil. The tooth appears normal to the naked eye, but when il...
Dr. Qiu Qiongyao Reply:
Hello Kris, In response to your inquiries, here are the answers: A1: For sensitivity and dull pain, it is recommended to visit a dentist for an X-ray examination. A2: The rough or chipped areas on the occlusal surface of the teeth can be polished, but it is also advisable t...[Read More] Common Dental Concerns: Sensitivity, Cracks, and Rough Edges Explained
Dealing with Tight Spaces After Crown Placement: Tips for Kids
Hawley crown The child had a Hawley retainer placed on May 11th. Three days prior, they used rubber bands to expand the gaps between the teeth, and then the retainer was placed directly. Now, on the seventh day, one side of the gap can be cleaned easily with dental floss, but the...
Dr. Lin Jiayong Reply:
Hello: If it is confirmed that there is a cleaning issue, you should return for a follow-up appointment to have the doctor make adjustments. Otherwise, there is a risk of developing gingivitis and cavities. For custom and out-of-pocket items, it is reasonable and expected to have...[Read More] Dealing with Tight Spaces After Crown Placement: Tips for Kids
Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?
Root issues? Hello Doctor, a couple of days ago I suddenly noticed something near the root of my tooth that looks like either a hole or a small bump. I would like to ask if this is an apical abscess or just a simple oral ulcer? In the first image, I want to inquire about the area...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult the periodontology department at a medical center directly. The issue may be caused by periapical inflammation or an abscess leading to a gum laceration, or it could be due to deep bacterial accumulation in the periodontal pockets around the ro...[Read More] Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?
Understanding Tooth Decay Risks After Ceramic Inlay Restoration
Diagnosing whether an inlay restoration has recurrent caries? Hello, Doctor. Around the end of April, I felt pain from my wisdom tooth and went to the first clinic to have it extracted. However, after reviewing the X-ray, the clinic determined that the second molar had a cavity, ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the clinic where the ceramic inlay was originally made for follow-up on that tooth. Having pre- and post-treatment X-rays as evidence provides a more objective basis and reduces the risk of unnecessary or excessive treatment.[Read More] Understanding Tooth Decay Risks After Ceramic Inlay Restoration
Understanding Facial Swelling After Root Canal Treatment: Causes and Solutions
Root canal treatment facial swelling? Hello, dentist. About five days ago, I visited the dentist due to pain in my lower right teeth. The dentist informed me that the nerve in my tooth had died, so they performed a root canal treatment and left a hole in the tooth. The next day, ...
Dr. Lin Jiayong Reply:
Hello: If you have been taking medication and receiving injections for more than 48 hours and are still experiencing swelling, pain, or fever, it is advisable to bring your list of medications to the hospital's Infectious Disease Department for evaluation to determine if a c...[Read More] Understanding Facial Swelling After Root Canal Treatment: Causes and Solutions
Persistent Pain After Dental Implant: Should You Remove It?
Unexplained throbbing pain in the teeth? It has been 10 years since the dental implant was placed. After replacing the crown on the upper first molar, peri-implantitis occurred. Following root planing, there has been persistent dull pain above the upper jaw for 6 months. A CT sca...
Dr. Lin Jiayong Reply:
Hello: It is advisable to consult an oral surgeon, as removing an implant that has been in place for over 10 years and shows no signs of mobility is a significant procedure. You should be mentally prepared and seek a specialist surgeon to ensure a safer operation.[Read More] Persistent Pain After Dental Implant: Should You Remove It?
Understanding Oral Soft Tissue: Concerns About Movable Cheek Lumps
Buccal palpation Hello doctor, I felt a movable lump in the cheek area next to my wisdom tooth. However, when I saw the doctor, he assured me that it is a soft tissue in the oral cavity and told me not to worry, saying it is not a growth. But the lump feels somewhat oval-shaped a...
Dr. Zeng Guanghui Reply:
Hello Ms. Lala: It is possible that the inflammation and swelling are due to the gums around your wisdom tooth. It is recommended to return for a follow-up appointment for further examination by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Oral Soft Tissue: Concerns About Movable Cheek Lumps
Understanding Dental Crown Issues: Expert Answers to Common Concerns
Braces issues Hello Doctor: Over a year ago, I had issues with the metal crowns on two of my central incisors and the left lateral incisor bridge, which had black margins at the gums. I went to the clinic to have them remade. The right central incisor had not been crowned since I...
Dr. Lin Jiayong Reply:
Hello: Since the current issue is only the fracture of the right central incisor, it is recommended to focus on reconstructing that tooth (simplifying the problem makes it easier to achieve the goal). We can see if it is possible to reattach the post and crown; if not, I suggest ...[Read More] Understanding Dental Crown Issues: Expert Answers to Common Concerns
Post-Braces Sensitivity: Understanding Gum Recession and Dental Pain
After one year of orthodontic treatment, there is gingival recession in the upper two molars? Dear Doctor, my orthodontic treatment is expected to last about a year. Recently, after changing the upper arch wire, the last two molars have become extremely sensitive; drinking water ...
Dr. Lin Jiayong Reply:
Hello: During the process of orthodontic treatment, acute pulpitis is quite common. It is advisable to coexist with the pain for a while and not rush into starting root canal therapy, as this could prolong the orthodontic treatment indefinitely. The dentist should first move the ...[Read More] Post-Braces Sensitivity: Understanding Gum Recession and Dental Pain