Do Impacted Wisdom Teeth Need Removal? Risks and Considerations
Do impacted wisdom teeth need to be extracted? Hello Doctor: The day before yesterday, during my dental check-up, an X-ray revealed that I have impacted wisdom teeth on both sides of my lower jaw, which are growing almost horizontally and are very close to the nerves. The dentist...
Dr. Liu Tiancai reply Dentistry
Hello: According to the theory, impacted wisdom teeth should be extracted because the cyst surrounding the crown may undergo adverse changes. Additionally, there may be a periodontal pocket between the wisdom tooth and the second molar, which can lead to periodontal disease or de...[Read More] Do Impacted Wisdom Teeth Need Removal? Risks and Considerations
Post-Filling Care: Understanding Pain and Next Steps in Dental Treatment
Post-filling observation period and subsequent management inquiries? Dear Dr. Liu, I would like to consult you regarding some issues related to my dental filling. I appreciate your time in responding. Thank you...^^ Let me first describe the main situation as follows: ------...
Dr. Liu Tiancai reply Dentistry
Hello: Based on your detailed description of the clinical course and symptoms, I recommend that you observe this molar for another month. After that, we can decide whether to proceed with root canal treatment based on clinical objective symptoms and electrical vitality testing. G...[Read More] Post-Filling Care: Understanding Pain and Next Steps in Dental Treatment
Exploring Mini Dental Implants: Availability and Costs in Taoyuan
Have you heard of this technique, doctor? Are mini bone screw implants a new orthodontic technique? Do you know if Taoyuan Hospital offers this service, or if there are other locations that do? Also, could you provide information on the price difference between silver crowns and ...
Dr. Liu Tiancai reply Dentistry
Hello: 1. Micro screws are being used at Taoyuan Hospital. 2. The price of silver crowns compared to regular crowns is usually lower for silver crowns of the same quality. Sincerely, Dr. Liu Tien-Tsai, Dentistry.[Read More] Exploring Mini Dental Implants: Availability and Costs in Taoyuan
Choosing the Right Dentures and Braces: What You Need to Know
Dentures and Orthodontics I recently considered getting dentures and orthodontic treatment, but my mother said that the back dentures don't need to be of high quality. I think she meant that I should get "silver" dentures instead of those that match the color of my...
Dr. Liu Tiancai reply Dentistry
Hello: For dentures and orthodontics, it is recommended to do orthodontics first. "Silver" dentures match the color of the teeth. The biggest difference with dentures lies in the ceramic firing that mimics the color of natural teeth, so aesthetics is a major considerati...[Read More] Choosing the Right Dentures and Braces: What You Need to Know
Can I Get Dental Implants with High Blood Pressure? Key Considerations
Dental implant Hello, doctor! I have a few questions: 1. I have hypertension (with some adrenal gland hyperplasia), and my blood pressure is currently controlled below 120/80. I take my medication regularly. Can I undergo dental implants? Is there any risk involved? 2. Twenty ...
Dr. Liu Tiancai reply Dentistry
Hello: 1. The criteria for evaluating the feasibility of dental implants are related to both your overall health status and the condition of the local jawbone. Based on your health condition, you should be eligible for dental implants, but the suitability will also depend on th...[Read More] Can I Get Dental Implants with High Blood Pressure? Key Considerations
Microscopic Root Canal Treatment: A Comprehensive Guide for Patients
Microscopic Root Canal Treatment Hello, about fifteen years ago, I had treatment done on the upper right incisor and the adjacent teeth (teeth 2, 3, and 4) and received a dental prosthesis, but it was not handled well. Tooth 4 started to hurt again three years ago, and an X-ray s...
Dr. Liu Tiancai reply Dentistry
Hello: Your X-ray examination shows a shadow indicating a bacterial infection within the root canal. It is necessary to remove the original filling and undergo retreatment. Microscopic treatment can indeed provide a safer and more reliable therapeutic effect. You may visit Taipei...[Read More] Microscopic Root Canal Treatment: A Comprehensive Guide for Patients
Should I Extract My Wisdom Teeth with Cavities or Try Filling First?
My wisdom tooth is decayed~~~ Hello Dr. Liu, I have cavities in both of my upper left and right wisdom teeth. All four of my wisdom teeth are quite intact, not very tilted, and there are no occlusion issues; I do experience some food retention at times, but I brush my teeth afte...
Dr. Liu Tiancai reply Dentistry
Hello: 1. The decision to extract wisdom teeth primarily depends on the individual's level of oral hygiene. Even if one brushes their teeth after meals, food particles may still remain, indicating that wisdom teeth are inherently difficult to care for. If they are well-maint...[Read More] Should I Extract My Wisdom Teeth with Cavities or Try Filling First?
Understanding Dental Issues: Concerns About Tooth Deformities and Treatments
Medical consultation Hello Doctor, I would like to ask: 1. I have noticed that the two upper front teeth in my mouth have a noticeable inward curvature when viewed from the side (there has been no external force causing this) for about 8 months. I am unsure of the cause. If I...
Dr. Liu Tiancai reply Dentistry
Hello: Please visit a dental clinic to check if the inwardly positioned tooth is due to periodontal disease or if the posterior teeth are pushing forward. Your second question lacks sufficient detail for a response, but it is recommended to have all your teeth properly examined a...[Read More] Understanding Dental Issues: Concerns About Tooth Deformities and Treatments
Tooth Pain While Eating: Possible Causes and Solutions
Tooth pain while eating? A few days ago, I started feeling pain near the gums of my lower right premolar when chewing food. I haven't eaten anything particularly hot or cold, and the pain doesn't occur when I'm not eating. Today, I chewed more on the right side dur...
Dr. Liu Tiancai reply Dentistry
Hello: Based on your description, it is difficult to determine the possible situation. If the molar behind your premolar is already missing, there may be a risk of occlusal overload. From the context, it appears that you have a deep cavity in the teeth on the other side, which su...[Read More] Tooth Pain While Eating: Possible Causes and Solutions
Can Dental Fillings Still Lead to Cavities? A Patient's Concern
Did the dentist conceal that cavities may still occur after dental fillings? (Forwarded from the Director's mailbox) During my orthodontic treatment, I had several cavities due to tooth decay. My dentist did not inform me that even after fillings, there is still a possibilit...
Dr. Liu Tiancai reply Dentistry
Hello: Teeth exposed in the oral cavity are at risk of cavities as long as there is plaque accumulation (meaning they have not been cleaned properly). If you have cavities, your dentist will remove the decayed portion and fill it with appropriate materials. Essentially, this trea...[Read More] Can Dental Fillings Still Lead to Cavities? A Patient's Concern
Persistent Tooth Pain: Seeking Solutions for Ongoing Dental Issues
Toothache I have been having persistent issues with my upper right incisor, specifically the third tooth from the front. About three years ago, I had it checked, and the three teeth are connected. At the beginning of last year, one of them started to throb in pain. The dentist to...
Dr. Liu Tiancai reply Dentistry
Hello: Your issue is likely due to incomplete root canal treatment, as there are still bacteria present in the root canal, which can cause fluctuating symptoms. Please consult a specialist in endodontics for a thorough resolution. Sincerely, Dr. Liu Tien-Tsai, Dentistry.[Read More] Persistent Tooth Pain: Seeking Solutions for Ongoing Dental Issues
Can Elderly Patients Get Dentures After Years Without Teeth?
Dentures for the elderly Hello Doctor, 1. My father is nearly 70 years old and has been completely edentulous for over 10 years, which means his gums have significantly atrophied. Is it still possible for him to get dentures? 2. What options are available, and what are the as...
Dr. Liu Tiancai reply Dentistry
Hello: Complete edentulous patients can receive complete dentures, which not only restore aesthetics but also aid in chewing and reduce gastrointestinal burden. There is an adjustment period when first wearing complete dentures, and close collaboration with the dentist is essenti...[Read More] Can Elderly Patients Get Dentures After Years Without Teeth?
What to Do When Only One Tooth Nerve is Found?
What should I do if I can't find the dental nerve? Hello Doctor: I recently visited a general dental clinic, and the dentist informed me that I need a root canal treatment. However, he only found one nerve and mentioned that there should be at least three nerves, so he could...
Dr. Liu Tiancai reply Dentistry
Hello: If there are cavities or trauma, the pulp chamber and root canals may undergo calcification, making it difficult to locate the root canals. Therefore, please seek assistance from an endodontist (preferably one equipped with a surgical microscope). Some endodontists do not ...[Read More] What to Do When Only One Tooth Nerve is Found?
Managing Tooth Pain: Treatment Options for Gum Recession and Injury
Toothache Hello Dr. Liu, My teeth have generally been in good condition, with no cavities or extractions. However, twenty years ago, I experienced sensitivity to cold, and my dentist diagnosed it as gum recession. Five years ago, I injured my molar by biting down on something ha...
Dr. Liu Tiancai reply Dentistry
Hello: After biting down on a hard object, not only the gums are usually affected, but the occlusal surfaces of the molars often exhibit "cracked tooth syndrome." If you have bitten into a chicken bone and are experiencing significant pain, it is likely that the crack h...[Read More] Managing Tooth Pain: Treatment Options for Gum Recession and Injury
Understanding Fever and Pain After Root Canal Treatment: Causes and Solutions
Inflammation from root canal treatment can cause fever? Hello Dr. Liu, I started undergoing root canal treatment over ten days ago. On the first day, everything seemed fine, and the dentist advised me to return in a week for a medication change. When I went back a week later, I...
Dr. Liu Tiancai reply Dentistry
Hello: If there is a bacterial infection within the root canal system (either intrinsic or extrinsic, meaning bacteria that enter through cavities or bacteria introduced during treatment via saliva or instruments), it can potentially lead to an acute periapical abscess, causing b...[Read More] Understanding Fever and Pain After Root Canal Treatment: Causes and Solutions
Persistent Discomfort After Root Canal Treatment: What to Do Next?
Root canal treatment Hello Dr. Liu, I underwent two sessions of root canal treatment on my molars from mid-September to early November, and the canals have been filled. However, when I apply pressure to the tooth, I still experience discomfort (which was the reason for the secon...
Dr. Liu Tiancai reply Dentistry
Hello: Root canal treatment is a highly intricate procedure, especially for molars, which are more complex. It is essential to completely clean, disinfect, shape, and densely fill the root canal system to ensure success. If any of these steps are not performed properly, problems ...[Read More] Persistent Discomfort After Root Canal Treatment: What to Do Next?
Understanding the Complexity and Challenges of Root Canal Treatment
The complexity and difficulty of root canal treatment? Hello Doctor: A year ago, I had a dental check-up before going to China for an extended period. The dentist informed me that my molar had been filled for a long time and needed to be excavated and refilled. Since then, I have...
Dr. Liu Tiancai reply Dentistry
Hello: Root canal treatment is a procedure for treating the dental pulp (nerve) in cases of inflammation or necrosis, with symptoms including spontaneous pain, sensitivity to hot and cold, pain upon biting, and the presence of abscesses. Typically, this treatment requires accompa...[Read More] Understanding the Complexity and Challenges of Root Canal Treatment
Understanding Dental Cysts: Treatment Options and Nerve Risks Explained
Cyst?! Hello Dr. Liu, Recently, I took my boyfriend for a dental check-up, and the dentist discovered a cyst in the gum tissue beneath his lower fifth tooth. My boyfriend mentioned that about 1 to 2 years ago, when he visited the dentist, he was informed about the cyst issue. A...
Dr. Liu Tiancai reply Dentistry
Hello: Cysts associated with the mandibular premolars are usually related to root canal infections. Thorough root canal debridement and disinfection can cure most apical lesions. Please consult an endodontist. The management of periapical cysts can vary based on the dentist'...[Read More] Understanding Dental Cysts: Treatment Options and Nerve Risks Explained
Understanding Gum Cysts: Causes, Types, and Treatment Options
Gingival cyst? My mother-in-law is completely edentulous except for three remaining teeth. She is planning to undergo dental implants, but a cyst was discovered beneath the teeth that need to be extracted. How does a cyst develop? Is there a distinction between benign and maligna...
Dr. Liu Tiancai reply Dentistry
Hello: There are many different origins of cysts in the oral cavity. For example, the cyst under your mother-in-law's tooth may be what is known as an apical cyst, which is the most common cause of intraoral cysts. This occurs due to the necrosis of the dental pulp (nerve ne...[Read More] Understanding Gum Cysts: Causes, Types, and Treatment Options
Managing Gum Abscess After Root Canal Treatment: Options and Risks
A periodontal abscess has developed on a molar tooth that has undergone root canal treatment? Hello Doctor: About ten years ago, I had a root canal treatment on my upper right molar and also had a crown placed. However, since mid-year this year, I have developed a gum abscess tha...
Dr. Liu Tiancai reply Dentistry
Hello: The presence of a pus-filled abscess on a tooth after root canal treatment indicates a root canal infection or a fracture in the tooth root. If there are spiral pins inside your tooth, they must be removed before proceeding with further root canal treatment. It is advisabl...[Read More] Managing Gum Abscess After Root Canal Treatment: Options and Risks