Is Temporary Root Canal Treatment Safe Before Traveling Abroad?
Root canal treatment cannot be completed in all sessions? Hello, currently I have a cavity in my upper right second molar that has reached the nerve. The dentist said I need a root canal treatment, but I will be going abroad at the end of the month and won't return until Sep...
Dr. Zeng Guanghui reply Dentistry
If the inflamed tissue around the root apex cannot be completely eliminated, a temporary crown can be used to protect the tooth temporarily. However, it is essential to thoroughly disinfect the root canal and ensure that there is no inflammation at the root apex before filling th...[Read More] Is Temporary Root Canal Treatment Safe Before Traveling Abroad?
Post-Root Canal Complications: Persistent Gum Bump Concerns
After root canal treatment Hello Doctor: I would like to inquire about a dental issue. About ten years ago, I had root canal treatment on three connected teeth. However, before the Lunar New Year, one of the teeth that had undergone root canal treatment developed a bump on the gu...
Dr. Zeng Guanghui reply Dentistry
Gingival dental abscess may be indicative of apical infection or periodontal infection. If it is an apical infection, it may be necessary to evaluate whether retreatment of the root canal is required. It is recommended to consult a dentist for examination and treatment. Dr. Tseng...[Read More] Post-Root Canal Complications: Persistent Gum Bump Concerns
Effectiveness of Periodontal Flap Surgery Without Bone Graft
Periodontal flap surgery Dear Doctor: After undergoing basic treatment for periodontal disease at the hospital, my doctor mentioned that I need to have periodontal flap surgery, which may require bone grafting. However, the hospital only offers bone grafts from human and bovine s...
Dr. Zeng Guanghui reply Dentistry
If periodontal surgery is performed without the use of bone graft material, and only the periodontal defects are removed, the height of the alveolar bone will decrease, the gums will recede, and the spaces between the teeth will widen. It is advisable to have further discussions ...[Read More] Effectiveness of Periodontal Flap Surgery Without Bone Graft
Understanding Wisdom Teeth and Loose Teeth: Causes and Solutions
Wisdom teeth, loose teeth Hello Doctor: I have recently been developing wisdom teeth (four of them), but the wisdom teeth themselves are not painful. However, other teeth are painful and loose, particularly the upper front teeth and the adjacent tooth (the front tooth has been fi...
Dr. Zeng Guanghui reply Dentistry
It is possible that the filling on the front tooth is very deep and close to the dental nerve, causing inflammation of the dental nerve. It is recommended that if the pain persists, you should see a dentist as soon as possible for further examination and treatment. Dr. Tseng Guan...[Read More] Understanding Wisdom Teeth and Loose Teeth: Causes and Solutions
Understanding Tooth Sensitivity: Causes and Remedies for Painful Teeth
Soreness in a row of teeth? Hello, doctor. About six months ago, I had my left wisdom tooth extracted and a cavity in my upper left incisor filled. However, I have been experiencing sensitivity and pain in that tooth when consuming hot or cold beverages. I thought it might be due...
Dr. Zeng Guanghui reply Dentistry
It is recommended to see a dentist for a thorough examination to determine if the dental nerve is inflamed. If the dental nerve is indeed inflamed, root canal treatment will be necessary to alleviate the pain. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Tooth Sensitivity: Causes and Remedies for Painful Teeth
TMJ Fractures After Car Accident: Treatment Options and Concerns
Temporomandibular joint fracture due to a car accident? Hello Doctor, I was in a car accident on September 22, where I sustained fractures in the area of the bilateral mandible and temporomandibular joint (TMJ) (the doctor mentioned that the small fragments on both sides are not ...
Dr. Zeng Guanghui reply Dentistry
1. A joint discussion should be conducted by oral and maxillofacial surgeons and orthodontists to propose possible treatment options for further discussion. 2. If normal occlusion cannot be restored solely through orthodontic means, displacement should be considered. 3. It is rec...[Read More] TMJ Fractures After Car Accident: Treatment Options and Concerns
Understanding Dental Trauma: Tooth Displacement and Nerve Health
Dental displacement due to impact? 1. The reason for the nerve necrosis in the tooth after the impact is likely due to tissue injury that did not heal properly. Trauma can cause damage to the dental pulp, leading to inflammation and eventual necrosis if the blood supply is compro...
Dr. Zeng Guanghui reply Dentistry
1. The periodontal tissues and nerves within the impacted tooth may be damaged, and the risk of damage increases if the tooth is displaced. 2. If there is no vitality detected in the tooth after five months post-trauma, it is unlikely to regain vitality. 3. If the nerve has retur...[Read More] Understanding Dental Trauma: Tooth Displacement and Nerve Health
Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Inquiry Consultation Dear Dr. Tseng, Two days ago, I had ribs for dinner, and while biting into the meat near the bone, I suddenly felt a crunching sound from my right-side teeth, realizing I had bitten into a piece of bone. My upper and lower first and second molars on the righ...
Dr. Zeng Guanghui reply Dentistry
1. Possible generalized sensitivity and pain. 2. If the periodontal ligament is damaged, generally, as long as you avoid biting hard objects and maintain good oral hygiene, there is a chance of recovery. 3. Monitor the situation, but once there is tooth sensitivity and pain, you ...[Read More] Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Is Bonding Adjacent Cavities in Kids' Teeth a Good Idea?
Dental fillings can cause gaps between teeth to become blocked? Hello Dr. Tseng, my child has previously undergone dental treatment for cavities. At that time, the dentist mentioned that filling a single tooth could lead to the filling falling out easily, so they bonded two adjac...
Dr. Zeng Guanghui reply Dentistry
It is recommended to return for a follow-up appointment, and for the dentist to re-separate and refill the temporary filling area. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Is Bonding Adjacent Cavities in Kids' Teeth a Good Idea?
Post-Surgery Tooth Pain: Should I Switch Back to Ice After Warm Compress?
Toothache after warm compress? Hello doctor, I recently underwent orthognathic surgery. During my follow-up appointment, the doctor mentioned that the wound has not yet healed, but I can switch from ice packs to warm compresses. However, after using the warm compresses, I experie...
Dr. Zeng Guanghui reply Dentistry
On the day after surgery, applying ice packs can help reduce swelling and pain at the surgical site. However, if the surgical wound is extensive, swelling and pain may persist for some time. It is recommended to keep the wound clean. If the pain is unbearable, it is advisable to ...[Read More] Post-Surgery Tooth Pain: Should I Switch Back to Ice After Warm Compress?
Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui reply Dentistry
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Understanding Dental Fillings: Materials, Options, and Expert Advice
Dental fillings, cavities, and filling materials? I have been searching for a long time and spent half a day trying to find information about dental filling materials. How can I find relevant information or contact organizations that specialize in this area? (It is difficult to a...
Dr. Zeng Guanghui reply Dentistry
1. If the extent of the cavity is small, composite resin can be used for filling. If the cavity is larger, options to consider in sequence include inlays, porcelain veneers, and crowns. If the cavity is too extensive to be filled, a dental crown should be placed for protection. ...[Read More] Understanding Dental Fillings: Materials, Options, and Expert Advice
Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Gum bleeding I went to the dentist at 2 PM, and they said I had dental plaque. The dentist used a scaler, and it took until almost 5 PM. My gums are still bleeding; is this normal? What can I do to stop the bleeding?
Dr. Zeng Guanghui reply Dentistry
If there is bleeding from the gums after dental treatment, it indicates that the gums are still inflamed, or there may be an underlying coagulation disorder, or the patient may be on anticoagulants due to cardiovascular disease affecting coagulation function. It is recommended to...[Read More] Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Troubleshooting Issues with Clear Retainers After Orthodontic Treatment
Incompatible clear aligners? After completing the treatment with clear aligners, I visited the clinic where the dentist took impressions and charged me NT$10,000 for the clear retainers, informing me that there would be a two-week manufacturing period. Two weeks later, during my ...
Dr. Zeng Guanghui reply Dentistry
It is recommended to communicate with your physician, as there is indeed a necessity for retainers after completing orthodontic treatment to prevent the well-aligned teeth from shifting. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Troubleshooting Issues with Clear Retainers After Orthodontic Treatment
Understanding TMJ Disorders: Can Surgery Help Realign Your Jaw?
Temporomandibular joint disorder (TMJ disorder) Hello doctor, I would like to inquire about issues related to the temporomandibular joint (TMJ). I have been suffering from TMJ arthritis for over a year. Initially, I experienced occasional difficulty opening my mouth, but later I ...
Dr. Zeng Guanghui reply Dentistry
It is recommended to consult an oral surgeon for further examination to confirm the necessity of the surgery, the potential therapeutic outcomes post-surgery, and to assess any possible complications. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding TMJ Disorders: Can Surgery Help Realign Your Jaw?
Understanding Dental Fillings: Symptoms of Resin Loss and When to Seek Help
Inquiry Consultation Dear Dr. Tseng, A few days ago, while eating dumplings, I bit into a slightly hard white object and spat it out. I'm unsure if it was a fragment of bone from the dumpling filling or if it might be a piece of resin that has come off from my dental fillin...
Dr. Zeng Guanghui reply Dentistry
1. It is possible to experience sensitivity and pain when consuming hot or cold foods. 2. If the area of the dental filling's resin has a shallow detachment, it may be completely asymptomatic. 3. If there are noticeable symptoms, it is advisable to monitor the situation; how...[Read More] Understanding Dental Fillings: Symptoms of Resin Loss and When to Seek Help
Understanding Swelling After Wisdom Tooth Extraction: Causes and Remedies
Swelling of the gums around the molars after wisdom tooth extraction? Hello Doctor: Last week I had my impacted wisdom tooth extracted, and today after the stitches were removed, the gum around my second molar is still very swollen (as shown in the picture). It is even covering t...
Dr. Zeng Guanghui reply Dentistry
Because the blood clot in the extraction site takes time to be gradually absorbed and replaced by hard tissue, it is important to maintain good oral hygiene during this period to prevent infection and inflammation, which could affect wound healing. Dr. Tseng Guang-Hui, Department...[Read More] Understanding Swelling After Wisdom Tooth Extraction: Causes and Remedies
Understanding White Bumps in the Throat: Causes and Concerns
Throat issue, a white object has developed in the throat? I suddenly noticed a white round unknown object in my throat one day. It doesn't cause me any discomfort or a foreign body sensation; it just surprises me a bit when I see it while brushing my teeth. I would like to k...
Dr. Zeng Guanghui reply Dentistry
It is recommended to consult an oral surgeon or an otolaryngologist for further examination. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.[Read More] Understanding White Bumps in the Throat: Causes and Concerns
Understanding Sedation Dentistry for Patients with Asperger's Syndrome
Sleep therapy I currently have severe tooth decay in my lower molars, leading to pulpitis. The upper left molar has only a remaining root with signs of resorption, while the upper right molar has decayed again after root canal treatment. My front teeth also have cavities, and I h...
Dr. Zeng Guanghui reply Dentistry
If you experience anxiety or fear about dental visits, it is recommended to go to a medical center's dental department for an evaluation to determine if you need to schedule dental treatment under local anesthesia. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospita...[Read More] Understanding Sedation Dentistry for Patients with Asperger's Syndrome
Understanding the Lifespan of Dental Bridges: What You Need to Know
The lifespan of a dental bridge? I have had my dental bridge for about 8-9 years now. Recently, I read online that the typical lifespan is around 10 years. After reading that, I became very anxious about the possibility of the bridge suddenly falling out, so I often pull and shak...
Dr. Zeng Guanghui reply Dentistry
As long as you brush your teeth thoroughly and have regular dental cleanings, you can prevent gum inflammation and the development of periodontal disease, allowing dental bridges to last a long time. - Dr. Tseng Guang-Hui, Nantou Hospital Dental Department.[Read More] Understanding the Lifespan of Dental Bridges: What You Need to Know