Is It Worth Grinding Natural Teeth for Dentures?
Can natural teeth be filed down? Can natural teeth be filed down? Is it worth filing down natural teeth to make room for dentures?
Dr. Huang Zhicheng reply Dentistry
Hello, in order to place braces or crowns, it is necessary to prepare the natural teeth by reducing them by one millimeter, which does not affect the health of the natural teeth. Wishing you peace and health. Sincerely, Dr. Huang Chih-Cheng, Director of Dentistry, Taoyuan General...[Read More] Is It Worth Grinding Natural Teeth for Dentures?
Understanding Tooth Pain: Causes and Solutions for Dental Discomfort
Toothache I have a tooth on the lower left side that is broken in half but doesn't hurt. However, in the past few days, I've suddenly experienced pain when biting down and even with light pressure, making it difficult to eat. What could be the reason for this?
Dr. Huang Zhicheng reply Dentistry
Hello, in cases of fractured teeth, the dental pulp usually undergoes necrosis. The absence of pain is often due to chronic inflammation. However, if the immune system is compromised or there is an oral infection, it can progress to acute periapical periodontitis, which will caus...[Read More] Understanding Tooth Pain: Causes and Solutions for Dental Discomfort
Clicking Sound Near Right Ear When Opening Mouth: Possible Causes
There is a clicking sound below the right ear when opening the mouth? Hello Doctor, I have recently noticed that when I open my mouth wide, there is a "clicking" sound on the right side below my ear, and there is also a sound when I close my mouth. At the same time, I c...
Dr. Huang Zhicheng reply Dentistry
Hello, you have a dislocation of the right temporomandibular joint (TMJ) and the articular disc. When you habitually chew on one side, it can lead to bruxism at night and increased tension in the masticatory muscles due to stress and busyness, which can pull the articular disc ou...[Read More] Clicking Sound Near Right Ear When Opening Mouth: Possible Causes
Understanding Tooth Pain: Do I Need Root Canal Treatment?
Regarding cavities between the molars (the last tooth) and the second-to-last tooth? Hello Doctor, my last tooth and the second to last tooth had a filling due to a cavity between them. A few years later, during a check-up, the dentist found that there was decay underneath the fi...
Dr. Huang Zhicheng reply Dentistry
Dear Xiao Gao, Hello, before the dental filling, the dentist uses a high-speed handpiece to prepare the tooth, which may stimulate the pulp chamber and cause it to become hyperemic, making it sensitive to pressure, temperature, and concentration. It is recommended to observe for...[Read More] Understanding Tooth Pain: Do I Need Root Canal Treatment?
Understanding Root Canal Self-Treatment: Concerns and Solutions
Root canal self-treatment I have a question. Today at the dental clinic, during the final stage of my root canal treatment, the tip of the gutta-percha cone broke off at the bottom of the root canal. The dentist said it cannot be removed, but that the gutta-percha has high biocom...
Dr. Huang Zhicheng reply Dentistry
Hello, the MTA (Mineral Trioxide Aggregate) is a biocompatible material, and it is acceptable to extend 2-3 mm beyond the root canal exit. If it is excessive, apexification surgery is recommended. Regarding the second question, if there is an observable periapical radiolucency ...[Read More] Understanding Root Canal Self-Treatment: Concerns and Solutions
Bridges vs. Implants: Choosing the Best Solution for Missing Teeth
Dental bridge and dental implant? Hello, I have a dental issue with missing teeth (the teeth have broken down to the gum line). The dentist at the clinic suggested two options: 1) dental bridge, and 2) dental implants. I have two areas of missing teeth: 1) On both sides of the mi...
Dr. Huang Zhicheng reply Dentistry
Hello, first you need to consider how long you can wait. After tooth extraction (as you mentioned, if the tooth is fractured below the gum line or if there is deep decay in a crowned tooth that cannot be saved), the upper jaw typically requires a waiting period of more than 3 mon...[Read More] Bridges vs. Implants: Choosing the Best Solution for Missing Teeth
Post-Wisdom Tooth Extraction: Managing Pain and Recovery Concerns
Post-operative issues after wisdom tooth extraction? Hello Dr. Huang: I had my lower right wisdom tooth extracted on December 15, which was a surgical procedure, and I had two stitches that were removed on December 22. However, in the past few days, I have frequently felt sorenes...
Dr. Huang Zhicheng reply Dentistry
Dear Huynee, Hello. After the removal of your wisdom teeth, in addition to the larger wound being prone to infection and inflammation, the second molar in front may also experience sensitivity due to the exposure of the roots after the extraction of the wisdom tooth. Once the wo...[Read More] Post-Wisdom Tooth Extraction: Managing Pain and Recovery Concerns
Can Wisdom Teeth Replace Missing Molars? Exploring Dental Options
If you have missing teeth and are considering using your wisdom teeth as replacements? Hello, Doctor: I have had my lower right first molar extracted, and now there is a gap. The dentist who performed the extraction suggested either a dental implant or a bridge. However, I still ...
Dr. Huang Zhicheng reply Dentistry
Dear Winnie, Hello. It is difficult to extract the horizontally impacted wisdom tooth and transplant it to the space of the first molar, as the wisdom tooth needs to be reshaped and damaged for extraction, making it unsuitable for transplantation. Options for the edentulous area...[Read More] Can Wisdom Teeth Replace Missing Molars? Exploring Dental Options
Root Canal Treatment and Orthodontics: Common Concerns and Answers
Root canal treatment and orthodontics? Hello, Doctor. I will be undergoing root canal treatment and orthodontics, and I have two questions: 1) Regarding root canal treatment: After the placement of the post and the crown, will there be a gap between the crown and the actual too...
Dr. Huang Zhicheng reply Dentistry
Hello, 1. The dental braces are precisely cast to fit snugly with the teeth, which minimizes the risk of harboring plaque. However, it is still important to maintain good oral hygiene, as while the tooth roots do not decay, plaque and tartar can lead to periodontal disease if n...[Read More] Root Canal Treatment and Orthodontics: Common Concerns and Answers
Understanding Bite Issues After Jaw Surgery: What to Expect
Occlusal issues, inability to maintain a bite? Hello, doctor. I had orthognathic surgery due to a bite issue, and the occlusion was adjusted during the procedure. It has been three months post-surgery, and I am unable to bite through soft foods; I can only consume liquids. Althou...
Dr. Huang Zhicheng reply Dentistry
Hello, prior to surgery, an assessment of the occlusion should be conducted. The current occlusal space should be evaluated once the surgical results have stabilized (you have been post-operative for 3 months and should be healed). Then, orthodontic treatment can be used to prope...[Read More] Understanding Bite Issues After Jaw Surgery: What to Expect
Understanding and Managing Temporomandibular Joint Pain: What to Do Next
Temporomandibular joint (TMJ) Hello, Dr. Huang. Three months ago, I experienced severe pain in the area in front of my left ear whenever I moved my mouth slightly, so I went to see a doctor. At that time, I consulted an otolaryngologist, who noted that the cartilage in front of m...
Dr. Huang Zhicheng reply Dentistry
Hello, you may be suffering from temporomandibular joint disorder (TMJ disorder), which is characterized by the dislocation of the meniscus within the temporomandibular joint. This can cause clicking sounds during jaw movement, inflammation of the synovial bursa, and pain due to ...[Read More] Understanding and Managing Temporomandibular Joint Pain: What to Do Next
Is It Normal to Experience Pain After a Dental Filling?
Dental filling issues? After visiting the dentist, I was told that I need a root canal. They filled the tooth temporarily for now, and I will return in two weeks for the procedure. However, it has been painful for three days since the filling. Is this normal? Can I take pain reli...
Dr. Huang Zhicheng reply Dentistry
Hello, the term "nerve extraction" refers to root canal treatment. After the nerve is removed, the root canal requires several disinfections and adjustments, after which the symptoms will resolve. Finally, it must be filled with gutta-percha to be considered complete. P...[Read More] Is It Normal to Experience Pain After a Dental Filling?
Is Mild Discomfort Normal After Tooth Extraction One Week Later?
Post-extraction swelling and pain? Hello, doctor! I had a tooth extraction a week ago. The wound has healed and there is no bleeding anymore, but I still feel some swelling and a bit of discomfort, though it's not very painful. Is this normal?
Dr. Huang Zhicheng reply Dentistry
Hello, if the wound has not healed after more than a week and still shows signs of infection, you should return for a follow-up appointment. There are many bacteria and microorganisms in the oral cavity, which raises concerns about a possible wound infection. It seems that there ...[Read More] Is Mild Discomfort Normal After Tooth Extraction One Week Later?
How to Address Misaligned Teeth After a Head Injury
Shoulder pain? If something fell and hit your head, causing your mouth to appear misaligned and your teeth to be out of their normal arrangement, what should you do?
Dr. Huang Zhicheng reply Dentistry
Hello, if your chin has suffered a heavy impact, you should see a dentist to check if the temporomandibular joint (TMJ) is injured or inflamed, which could lead to malocclusion. Medication or wearing a bite splint can help alleviate the symptoms. Wishing you safety and good healt...[Read More] How to Address Misaligned Teeth After a Head Injury
Understanding Left Jaw Pain: Causes, Treatments, and Recovery
Left temporomandibular joint pain? Hello, about a month ago, I noticed that my left cheek hurts when I open my mouth, so I went to a large hospital and visited the emergency department (they referred me to the dental department). Initially, they suggested it might be a temporoman...
Dr. Huang Zhicheng reply Dentistry
Dear Mei, Temporomandibular joint disorder (TMJ) is similar to a cold in that it can improve but may still recur. Some individuals may experience bruxism or clenching due to emotional factors or stress, even if they do not grind their teeth at night. In addition to medication, t...[Read More] Understanding Left Jaw Pain: Causes, Treatments, and Recovery
Understanding Tooth Root Residue: Options for Dental Correction and Concerns
Root remnants Doctor, I have four molars that have cavities, causing my adjacent teeth to tilt forward over time, resulting in a slight indentation on my right cheek. I often bite my mouth, and my healing ability seems poor. My upper front teeth are slightly misaligned, leaning t...
Dr. Huang Zhicheng reply Dentistry
Hello, I think it would be best for you to wear the occlusal splint for at least three months to allow the joint to relax. After ensuring there is no malocclusion and you are not frequently biting your cheeks, you can proceed with orthodontic treatment to align your teeth. If the...[Read More] Understanding Tooth Root Residue: Options for Dental Correction and Concerns
Is It Normal for Silver Alloy Dentures to Turn Toothpaste Gray?
Silver alloy dentures Hello, I am here to ask for a second opinion from a doctor. I recently had three alloy dental crowns made, primarily composed of silver with some gold (this is all the dentist's price list mentioned). The color is light yellow. Strangely, when I rub too...
Dr. Huang Zhicheng reply Dentistry
Hello: The metal stability of the braces in the mouth is very high and should not easily cause discoloration of the toothpaste. Perhaps you could try a different brand of toothpaste. Of course, if the metal crown is made of a gold-silver alloy, and the casting temperature is too ...[Read More] Is It Normal for Silver Alloy Dentures to Turn Toothpaste Gray?
Understanding the Bass Technique for Kindergarten Dental Hygiene
The Bass brushing technique for preschool children? Hello Dr. Huang: I am the school nurse at a public kindergarten, and I would like to ask you some questions regarding the Bass brushing technique. Over ten years ago, when our kindergarten started promoting the Bass brushing met...
Dr. Huang Zhicheng reply Dentistry
Dear Joan, Hello. The Bass brushing technique was promoted in elementary and kindergarten schools over 20 years ago. It uses this dry brushing method, which does not cause issues with water usage, slipping, or orderliness. Stomach acid can naturally kill bacteria, and swallowing...[Read More] Understanding the Bass Technique for Kindergarten Dental Hygiene
Choosing Between Dental Implants and Traditional Dentures: What You Need to Know
Choosing dentures for malocclusion? 1. I had a root canal treatment on a tooth in third grade, and now in my second year of high school, that tooth is loose. The doctor said it needs to be extracted and suggested that dental implants or traditional dentures have lower risks and c...
Dr. Huang Zhicheng reply Dentistry
Dear Yi Yi, 1. You are quite young, and if you opt for a traditional dental bridge after tooth extraction, there is a high risk of pulp necrosis in the abutment teeth due to the required grinding. Dental implants would be a better option. Of course, you could also wait a few yea...[Read More] Choosing Between Dental Implants and Traditional Dentures: What You Need to Know
Understanding Pain and Concerns After Tooth Extraction with Braces
Issues Related to Tooth Extraction with Braces Dear Doctor, I am currently undergoing orthodontic treatment with braces. Three days ago, I had my second premolar on the right side extracted, and it has been painful since then. Is it normal for the inner gum of the socket to have ...
Dr. Huang Zhicheng reply Dentistry
Hello, the pain from the extraction site generally begins to improve around the third day post-operation. The main principle of wound care is to maintain the blood clot within the extraction socket. Actions such as sucking on the wound, using a straw, or continuously spitting out...[Read More] Understanding Pain and Concerns After Tooth Extraction with Braces