Understanding Osteoma Issues: Recovery and Pain Management After Dental Surgery
Osteoma problem Hello, doctor. On March 1st, I went to the oral and maxillofacial surgery department at the hospital. They said there was a bone protrusion at the site of tooth #17, which was diagnosed as an osteoma that needed to be excised. The PGY resident performed the surger...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Anne: It is recommended to continue follow-up treatment in the neurology department. Director Tseng Guang-Hui, Dental Department, Nantou Hospital.[Read More] Understanding Osteoma Issues: Recovery and Pain Management After Dental Surgery
Understanding Toothpaste Ingredients: Long-term Effects on Oral Health
Regarding toothpaste ingredients? Hello, Director Zeng. I have seen some information suggesting that chlorhexidine can kill both good and bad bacteria, and long-term use may lead to an imbalance of bacterial species, worsening periodontal conditions. I would like to ask you: 1....
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Huang, 1. Some mouthwashes may contain chemical agents that can kill bacteria. Short-term use can help reduce oral bacteria, but long-term use may also affect the normal flora of the mouth. IPMP is a plant extract that contains antibacterial and antioxidant properties....[Read More] Understanding Toothpaste Ingredients: Long-term Effects on Oral Health
Recurring Tongue Ulcers: Causes, Symptoms, and Treatment Options
Recurrent ulcers in different areas under the tongue? Hello Doctor: My symptoms are as follows: Starting from the evening of June 10th during the Dragon Boat Festival holiday, I began to feel an unusual sensation at the tip of my tongue, becoming very sensitive to spicy foods. La...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Shen: It is possible that recurrent inflammation of the mucosa on the surface of the tongue is causing abnormal taste sensations. You may want to visit a large medical center and consult with the Department of Oral Surgery or Oral Pathology for further examination. Dr. ...[Read More] Recurring Tongue Ulcers: Causes, Symptoms, and Treatment Options
Concerns About Flat, Firm Skin After Wisdom Tooth Extraction: What to Do?
After the surgery to extract wisdom teeth, the flat, pancake-like surface tissue is a bit concerning? Hello, Director Tseng. I had my lower right wisdom tooth extracted about 4.5 months ago. After the extraction, my right cheek was significantly swollen. A month later, I was refe...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Zhong: 1. & 2. It is possible that the extraction site is healing, and there may be some soft tissue resembling scar tissue. Generally, it will gradually return to normal, but if there is tenderness, it is advisable to return for an examination immediately. Dr. Tsen...[Read More] Concerns About Flat, Firm Skin After Wisdom Tooth Extraction: What to Do?
Is It Normal to Feel Teeth Touching Cheek After Wisdom Tooth Extraction?
Three days after tooth extraction, it feels like the teeth are touching the inside of the cheek? Hello, I just had my upper right wisdom tooth removed, and now I feel like the upper right tooth is touching the gum. Is this normal? Thank you.
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Tony: It is possible that the tissue in your cheek is very close to the extraction site and may be inflamed. Generally, as the wound heals gradually and the swelling in the cheek subsides, it should no longer come into contact with the teeth. Dr. Tseng Guang-Hui, Depart...[Read More] Is It Normal to Feel Teeth Touching Cheek After Wisdom Tooth Extraction?
Pain When Opening Mouth: Possible Causes and When to Seek Help
Pain when opening the mouth? Hello Doctor, here is my condition: I experience pain when swallowing (especially during larger movements, but not when drinking water), and it also hurts when I open my mouth wide. Upon examination of my oral cavity, both sides appear normal (I'...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Anonymous: If you have already seen an ENT specialist and no abnormalities were found, it is recommended to consult an oral and maxillofacial surgeon to check for any issues related to the temporomandibular joint. Director Tseng Guang-Hui, Dental Department, Nantou Hosp...[Read More] Pain When Opening Mouth: Possible Causes and When to Seek Help
Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Does root canal treatment need to be re-evaluated or redone? Six years ago, I had a severe cavity in one of my teeth that was causing pain, so I underwent a root canal treatment. The dentist mentioned that I would need to come back for a second session, but I only went for the fi...
Dr. Zeng Guanghui reply Dentistry
Hello Miss: During the root canal treatment process, the initial filling material is mostly temporary and cannot last long. Once it falls out, bacteria or dental plaque can invade the root canal, leading to infection and pain. It is recommended to redo the root canal treatment; h...[Read More] Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Dealing with Large Gaps After Dental Implants: Solutions and Considerations
After dental implants, if the gaps between the teeth are too large, it can lead to food trapping? Hello Dr. Tseng, I recently underwent dental implant surgery for three teeth, two of which have a large gap between them and the adjacent teeth, making it easy for food to get stuck....
Dr. Zeng Guanghui reply Dentistry
Dear Mr. Hsiao-Kuang, 1. Generally, dental gaps cannot be filled with resin or other materials. Even if they can be filled, over time, the gums in the gaps are prone to infection and inflammation. 2. If the opposing tooth of the wisdom tooth is no longer present, the opportunity...[Read More] Dealing with Large Gaps After Dental Implants: Solutions and Considerations
Post-Wisdom Tooth Extraction: Nerve Damage and Healing Time Concerns
Problems Faced After Wisdom Tooth Extraction Hello, I would like to ask the doctor, I had my lower right wisdom tooth extracted 11 days ago, and currently, the lower right part of my lip and the area below my mouth are numb. I read online that this might be due to nerve damage, a...
Dr. Zeng Guanghui reply Dentistry
Hello, Miss Ice Cream: It is likely that the wound from the wisdom tooth extraction is infected, and during the extraction process, there may have been some grinding of the jawbone or impact on the inferior alveolar nerve. Therefore, there may be more severe inflammation and pain...[Read More] Post-Wisdom Tooth Extraction: Nerve Damage and Healing Time Concerns
Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Alveolar bone issues Hello, on March 1st, I visited the dentist due to gum pain, and they performed a procedure to grind down the exostosis on tooth 17. I had the stitches removed 7 days later, and on March 14th, I visited again for another grinding of the exostosis on the same t...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Anne: Trigeminal neuralgia should not be related to the surgery for the osteoma of the alveolar bone. If there are issues with the trigeminal nerve, it is recommended to consult a neurologist for further diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentis...[Read More] Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Understanding Periodontal Disease and Tooth Restoration Options
Questions about periodontal disease, tooth fractures, and bone grafting for dental implants? Hello, Dr. Tseng. Six months ago, I experienced pain in my second molar and swelling of the gums. The dentist diagnosed me with moderate to severe periodontal disease and suspected nerve ...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Barry: 1. You may consider consulting a periodontist. 2. The decision to use bone graft material after tooth extraction depends on the morphology of the alveolar bone and the severity of the defects. If the alveolar bone remains intact after extraction, immediate bon...[Read More] Understanding Periodontal Disease and Tooth Restoration Options
Understanding Dental Nerve Pain: Causes and Recovery After Implant Surgery
Dental pulp nerve issues? The original tooth #16 underwent a crown replacement, which resulted in inflammation. An implant surgery was performed on tooth #16, followed by a bone smoothing procedure. Postoperatively, there was persistent dull pain, prompting a visit to the hospita...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Chih-Jung: It is recommended to seek a comprehensive evaluation at a major medical center, including consultations with oral and maxillofacial surgeons and neurologists. Dr. Kwang-Hui Tseng from Nantou Hospital's dental department.[Read More] Understanding Dental Nerve Pain: Causes and Recovery After Implant Surgery
Concerns After Temporary Denture Removal: Pain and Bleeding Explained
When removing a temporary denture, it feels like the teeth are being extracted? After a root canal, I may have bitten down too hard on the temporary crown, making it difficult for the doctor to remove it during extraction. It felt like the original tooth was being pulled out, and...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Anonymous: Generally, tooth extraction should not damage the teeth or the roots. It is recommended to return for a follow-up appointment to have your dentist examine the condition of your teeth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Concerns After Temporary Denture Removal: Pain and Bleeding Explained
Understanding TMJ Resorption: Causes, Symptoms, and Treatment Options
Temporomandibular joint (TMJ) resorption Dr. Zeng's spouse was recently diagnosed with left temporomandibular joint (TMJ) resorption. What does this indicate about the joint's condition? Is the severe pain in the joint related to this issue? How should it be treated, an...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. CSH: 1. There is temporomandibular joint (TMJ) degeneration, resulting in instability of the mandible and occlusal position, with significant facial masticatory muscle pain. 2. There is a correlation. 3. Please consult an oral surgeon for further evaluation and treatmen...[Read More] Understanding TMJ Resorption: Causes, Symptoms, and Treatment Options
Understanding Root Canal Treatment: Common Questions and Concerns
Inquiry Consultation Dear Dr. Tseng, Hello. My upper left first molar (hereafter referred to as "the tooth") underwent extensive silver amalgam filling several years ago, and at that time, the filling was very close to the dental pulp. Recently, I have experienced some...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Kris: 1. Chronic inflammation can lead to nerve damage in the teeth, usually over a prolonged period, and typically does not present with significant pain or discomfort. 2. If there is already an infection at the root of the tooth, delaying treatment may result in th...[Read More] Understanding Root Canal Treatment: Common Questions and Concerns
Post-Wisdom Tooth Extraction: Understanding Oral Tissue Bumps and Pain
I just had my wisdom teeth removed, and the stitches have been taken out. It's not the gums; there are raised strips of tissue on both sides of my mouth? Hello, Doctor. I recently had a wisdom tooth extraction on one side, and since the lower wisdom tooth was horizontally im...
Dr. Zeng Guanghui reply Dentistry
Hello, Miss Yue: There is a raised lesion on the inner side of your mouth, which may indicate inflammation of the mucosa. This is generally related to autoimmune issues. It is recommended that you return for a follow-up appointment with a dentist for an examination. Dr. Tseng Gua...[Read More] Post-Wisdom Tooth Extraction: Understanding Oral Tissue Bumps and Pain
Understanding White Lesions in the Oral Mucosa: Causes and Concerns
Oral mucosa Hello, doctor. I have been experiencing throat inflammation for the past couple of days, and when I looked in the mirror, I noticed a white, irregularly shaped mass on the inner right cheek of my mouth. It is not painful or itchy, and there is no swelling. The texture...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Andy: It is recommended to consult a dentist or an otolaryngologist for further examination. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.[Read More] Understanding White Lesions in the Oral Mucosa: Causes and Concerns
Concerns About Child's Crown: Pain, Gums, and Treatment Options
Hao-style dental crown The child had a Hawley retainer placed on May 11. Three days prior, rubber bands were used to open the gaps between the teeth, and the retainer was placed directly after that. However, now that it has been seven days, one side of the gap can be cleaned easi...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Kelly: If the edges of your braces are pressing against your gums, it is recommended to return for a follow-up appointment with your dentist for adjustments. This will help avoid gum irritation and allow for proper flossing. Dr. Tseng Guang-Hui, Department of Dentistry,...[Read More] Concerns About Child's Crown: Pain, Gums, and Treatment Options
Post-Surgery Lip Healing: When to Seek Dental Care After Stitches
Issues with wound healing after lip suturing? I had a car accident on April 30, during which I had stitches on my lower lip and inner lip (both on the same side). The stitches were removed on May 9. The wound looks healed now, but the stitched area feels a bit firm, and my lip is...
Dr. Zeng Guanghui reply Dentistry
Hello, Miss: It is recommended that if the lip swelling persists, you should return for a follow-up examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Post-Surgery Lip Healing: When to Seek Dental Care After Stitches
Is Roughness After Teeth Cleaning Normal? Understanding Dental Recovery
After teeth cleaning, the surface of the teeth may feel rough? It has been several days since my dental cleaning, and I have noticed that the surfaces of a few teeth feel a bit rough, accompanied by slight swelling of the gums (I have already taken anti-inflammatory medication an...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Anonymous: It is possible that the gums were already inflamed before the teeth cleaning. Although plaque and tartar have been removed after the cleaning, the inflammation may take some time to improve. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Is Roughness After Teeth Cleaning Normal? Understanding Dental Recovery