Can You Correct Overbite with Existing Dental Implants?
Correcting protruding teeth? Hello Dr. Huang: I have several fixed dental prostheses (one single crown and a three-unit bridge). Can I still undergo orthodontic treatment for protruding teeth? Thank you!
Dr. Huang Zhicheng reply Dentistry
Hello, since I am not familiar with your current oral condition, I recommend having an orthodontist evaluate it, as you may receive a more appropriate answer. Generally speaking, a single fixed dental prosthesis is unlikely to affect orthodontic treatment; however, the bridge (a ...[Read More] Can You Correct Overbite with Existing Dental Implants?
Exploring Options for Partial Dentures: Metal vs. Flexible Solutions
Please ask any questions related to removable dentures? Hello Doctor: I would like to ask about a situation where there are four missing teeth on one side of the lower jaw and the plan is to get a removable partial denture. If considering stability, is it necessary to choose a tr...
Dr. Huang Zhicheng reply Dentistry
Hello, in clinical practice, there is a design involving a button: a male button is adhered to the distal surface behind the last remaining tooth, while a female button is embedded on the inner side of the posterior removable denture. When the denture is placed in the mouth, the ...[Read More] Exploring Options for Partial Dentures: Metal vs. Flexible Solutions
Do Impacted Wisdom Teeth Require Treatment or Extraction?
Does a horizontal tooth need treatment? It has decayed very deeply, and brushing it causes a lot of pain. Is the dental nerve exposed? I have a severely decayed wisdom tooth with a large cavity that hurts a lot when I brush my teeth, as the bristles touch the cavity. Is it possib...
Dr. Huang Zhicheng reply Dentistry
Dear Vivi, Hello. Wisdom teeth, especially those that are impacted, often need to be extracted as they can trap food and promote bacterial growth, leading to periodontal disease and pulpitis. In more severe cases, this can result in facial cellulitis. Wishing you safety and hea...[Read More] Do Impacted Wisdom Teeth Require Treatment or Extraction?
Do Sonic Toothbrushes and Water Flossers Harm Your Teeth and Gums?
Ultrasonic vibration and dental cleaning? Hello Dr. Huang, I would like to ask the following two questions: 1. Regarding the use of electric ultrasonic toothbrushes, will prolonged use due to the ultrasonic feature cause any harm to the teeth? 2. If I use a dental water floss...
Dr. Huang Zhicheng reply Dentistry
Dear Dennis, Hello! As long as the electric toothbrush is held at a 45-degree angle to the teeth while brushing, it will not harm the teeth. However, a water flosser can only remove food debris trapped in the triangular spaces between the teeth and cannot replace dental floss in...[Read More] Do Sonic Toothbrushes and Water Flossers Harm Your Teeth and Gums?
Understanding Gaps Between Fixed Dentures and Gums: What You Need to Know
The fixed dental prosthesis is not properly aligned with the gum tissue? Hello Doctor: I have a fixed dental prosthesis that has not yet been secured. I would like to ask if it is normal for my prosthesis not to fit snugly against my gums (it is only noticeable upon close inspect...
Dr. Huang Zhicheng reply Dentistry
Dear Nini, Hello, unless the fit of the dental crown is poor, resulting in a gap (similar to a bucket sitting on your head), it should be redone. However, a normal gap between the gum and the crown (gingival sulcus) is considered normal. Wishing you peace and health. Sincerely...[Read More] Understanding Gaps Between Fixed Dentures and Gums: What You Need to Know
Effective Treatments for Temporomandibular Joint Disorders
Treatment methods for temporomandibular joint (TMJ) arthritis? How often should an occlusal splint be replaced? Is the currently popular PRP therapy (Platelet-Rich Plasma therapy) applicable for the treatment of temporomandibular joint disorders?
Dr. Huang Zhicheng reply Dentistry
Dear Linglong, Hello, the material of the occlusal splint is stable and the same as that used for complete dentures. Unless it breaks, there is no need for replacement; it just requires regular adjustments every 3 to 6 months. PRP (Platelet-Rich Plasma) is used in orthopedics fo...[Read More] Effective Treatments for Temporomandibular Joint Disorders
How to Correct Cavities and Misalignment in Front Teeth?
I want to correct cavities in my front teeth? Hello~ I have a cavity in one of my front teeth, and there is a developing black cavity between the two front teeth. Additionally, there is a tooth next to it that has a chipped corner due to an impact from a canine tooth, which also ...
Dr. Huang Zhicheng reply Dentistry
Hello, it is advisable to fill any cavities before proceeding with orthodontic treatment. The placement of braces should be the final step, as the position of the teeth can only be determined at that time. If cavities cannot be filled, a temporary crown may be placed, and a perma...[Read More] How to Correct Cavities and Misalignment in Front Teeth?
Understanding the Risks of a Dead Tooth: Symptoms and Affordable Solutions
Root necrosis I would like to ask about my situation. I have four teeth at the back that have undergone root canal treatment and have been sealed. One of these teeth has a necrotic root, and I initially chose not to extract it to preserve the other three teeth, essentially formin...
Dr. Huang Zhicheng reply Dentistry
Dear Dr. Luo's Team, Hello, regarding the last molar, if there is no opposing tooth, please have the doctor use a high-speed handpiece to section and extract the last molar at the connecting area. The first three molars will not be affected. Wishing you peace and health. ...[Read More] Understanding the Risks of a Dead Tooth: Symptoms and Affordable Solutions
Understanding Temporomandibular Joint Disorders: Symptoms, Treatments, and FAQs
Temporomandibular joint (TMJ) Hello, doctor. I would like to ask you again about my condition. On September 2nd, I mentioned that my temporomandibular joint (TMJ) does not hurt, but when I open my mouth, I have to first open the right side and hear a click, then the left side als...
Dr. Huang Zhicheng reply Dentistry
Dear Zhong Zhong, Hello, you should not wear the occlusal splint while eating; it needs to be removed. There are almost no side effects, and since you are still young, you can wear the occlusal splint for three months and then reassess. This will also help identify the underlyin...[Read More] Understanding Temporomandibular Joint Disorders: Symptoms, Treatments, and FAQs
Understanding Bone Protrusion and Deep Bite: Orthodontic Solutions Explored
Bone fracture correction issues? Hello, I recently consulted about orthodontic issues, and the doctor mentioned that I have a skeletal open bite and deep bite problem. I have consulted with three orthodontic specialists. One doctor insisted that due to my skeletal open bite, I sh...
Dr. Huang Zhicheng reply Dentistry
Dear Ada, Hello. Generally, orthodontists will perform X-ray imaging to analyze the positional relationship of the craniofacial structures in order to determine whether orthognathic surgery is necessary. You may ask your doctor to analyze the predicted outcomes of surgery versus...[Read More] Understanding Bone Protrusion and Deep Bite: Orthodontic Solutions Explored
Bleeding Gums After Denture Replacement: Seeking Solutions and X-Ray Options
The gums in the area where the dentures are placed have been bleeding continuously? Hello Doctor: My front tooth is a prosthetic, and it accidentally broke when I bumped into something, so I had a new prosthetic installed. However, after getting braces, my gums bleed every time I...
Dr. Huang Zhicheng reply Dentistry
Dear Xiaomi, Hello. Based on your description, we cannot rule out the possibility of a vertical root fracture. The teeth that require prosthetics are often those that have undergone root canal treatment, which makes them more susceptible to fractures due to impact. Additionally,...[Read More] Bleeding Gums After Denture Replacement: Seeking Solutions and X-Ray Options
Understanding Jaw Joint Issues: Impact and Disability Considerations
Temporomandibular joint issues? Hello, doctor. I was born with a rightward deviation of my mouth, and I am unable to force my mouth to the left. Additionally, I have a congenital asymmetry of the jaw joint that produces sounds and symptoms of locking, but my face is not visibly s...
Dr. Huang Zhicheng reply Dentistry
Dear Mr. Chen, Hello. One possible reason for the deviation of your mouth when opening is that there may be adhesions in one of the temporomandibular joints (TMJ), while the other side remains mobile, causing the mouth to tilt towards the immobile side. Another possibility is th...[Read More] Understanding Jaw Joint Issues: Impact and Disability Considerations
Understanding Tooth Pain During Orthodontic Treatment: Causes and Solutions
In the process of orthodontic treatment? Hello, I am currently wearing a Damon brace and have entered the second month. However, for the past few days, I have been experiencing severe pain in the tooth right before my lower left molar (the lower left third molar). When I drink ro...
Dr. Huang Zhicheng reply Dentistry
Dear Xiaohua, Hello, when your teeth are being moved, they may become more sensitive or even painful. Please avoid consuming very hard, very cold, or very hot foods, as well as beverages with extreme temperatures. Once the teeth have moved to a certain position and stabilized, t...[Read More] Understanding Tooth Pain During Orthodontic Treatment: Causes and Solutions
Understanding Jaw Pain: Is It TMJ or Wisdom Teeth Issues?
Inability to open the mouth wide? Hello, doctor. Recently, I've noticed that when I eat, especially burgers or steamed buns, if I open my mouth too wide, the joint on the right side at the back hurts. Some people say it might be related to my wisdom teeth or a temporomandibu...
Dr. Huang Zhicheng reply Dentistry
Dear Ting, Hello. Temporomandibular joint (TMJ) disorders can present with symptoms such as clicking or popping sounds during jaw opening and closing, as well as jaw deviation upon opening. In contrast, wisdom teeth issues typically manifest as swelling and pain in the posterior...[Read More] Understanding Jaw Pain: Is It TMJ or Wisdom Teeth Issues?
Understanding Post-Wisdom Tooth Extraction Complications
Issues After Wisdom Tooth Extraction I had my upper and lower left wisdom teeth extracted on August 31. The extraction process went smoothly according to the doctor, but after the anesthesia wore off at home, I noticed that my tongue remained numb, and swallowing was very uncomfo...
Dr. Huang Zhicheng reply Dentistry
Dear Dou Dou, Hello. It is possible that extracting wisdom teeth may result in tongue numbness and postoperative numbness of one side of the lower jaw due to pressure on the inferior alveolar nerve within the mandibular canal (especially if the impacted tooth is positioned very ...[Read More] Understanding Post-Wisdom Tooth Extraction Complications
Understanding Temporomandibular Joint Issues: Diagnosis and Treatment Options
Temporomandibular joint (TMJ) Hello, Doctor: I would like to ask you about my temporomandibular joint (TMJ). It doesn't hurt, but when I open my mouth, I have to first open the right side and hear a click, then the left side also clicks, and I can only open my mouth fully in...
Dr. Huang Zhicheng reply Dentistry
Dear Miss Zhong Zhong, Hello, you have a meniscus displacement of the temporomandibular joint (TMJ). Direct reduction is difficult because it is not a dislocation. Medication treatment or the use of an occlusal splint can be effective, but it may take a longer time since it is c...[Read More] Understanding Temporomandibular Joint Issues: Diagnosis and Treatment Options
Understanding Upper Jaw Holes with Dark Spots: Dental Concerns Explained
Hole in the maxilla accompanied by black spots? The upper front teeth behind the incisors suddenly started to hurt two days ago, and when I checked before bed today, I found several small holes in the upper gum accompanied by black spots. What disease could this be?
Dr. Huang Zhicheng reply Dentistry
Dear Nian: Hello, ulcers with holes on the immobile mucosa in the mouth are often due to viral infections. Applying a corticosteroid oral ointment may pose risks. Using povidone-iodine will help naturally, but if it does not improve after more than two weeks, please consult a phy...[Read More] Understanding Upper Jaw Holes with Dark Spots: Dental Concerns Explained
Managing TMJ Pain During Pregnancy: Seeking Alternative Dental Care
Temporomandibular joint concerns? Dear Dr. Huang, I am the pregnant woman for whom you made the occlusal splint. Last time, I inquired about my original right joint pain, but now it has shifted to the left side (the right side still feels uncomfortable, but not as painful as the...
Dr. Huang Zhicheng reply Dentistry
Hello, the temporomandibular joint (TMJ) is a very unique joint in the body, as both sides work in a coupled manner. Therefore, if one side has an issue, the other side will eventually be affected as well. Please bring your occlusal splint and come directly to the clinic; I will ...[Read More] Managing TMJ Pain During Pregnancy: Seeking Alternative Dental Care
Understanding TMJ Disorders: Symptoms and Concerns for Teens
Temporomandibular joint (TMJ) When I open my mouth wide, I hear a sound on the right side. When I close my mouth and lightly bite my teeth together, there is also a sound. Additionally, when I press on the area of my masseter muscle, it feels a bit sore. So far, I am only experie...
Dr. Huang Zhicheng reply Dentistry
Dear Xiao Ming, Hello. The sound when opening and closing your mouth is due to the displacement of the articular disc in the temporomandibular joint (TMJ). Sometimes, unilateral chewing, nighttime bruxism, or stress from schoolwork can lead to muscle tension and pain, causing th...[Read More] Understanding TMJ Disorders: Symptoms and Concerns for Teens
Struggles with Root Canal Treatment: Seeking Solutions for Discolored Teeth
Root canal treatment issues As a child, I chipped a small corner of my tooth, and as I grew older, the color of the tooth gradually turned yellow. Feeling something was wrong, I had an X-ray taken and discovered a dark shadow. The dentist said I needed a root canal treatment. Sin...
Dr. Huang Zhicheng reply Dentistry
Hello QQ: After damage to the dental pulp, bacteria can proliferate within the root canal, and toxins may extend to the apex of the tooth. This can lead to the erosion of the surrounding bone, forming a cyst, which causes the tooth to become mobile. When the lesion is significant...[Read More] Struggles with Root Canal Treatment: Seeking Solutions for Discolored Teeth