Dr. Zeng Guanghui reply Dentistry Question - Page 13

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Is It Safe to Extract Wisdom Teeth Just Days After a Tooth Removal?

Tooth extraction related? Hello Doctor: I had a tooth extraction on December 19, and the dentist said that I need to have two wisdom teeth extracted on December 21, just one day after the previous extraction. I would like to ask if this is advisable, or would you recommend waitin...


Dr. Zeng Guanghui reply Dentistry
To assess the healing status of the original tooth extraction site, if the healing process is progressing well and there are no signs of infection, you may proceed to evaluate other teeth. It is recommended to return for a follow-up appointment with a dentist for a thorough exami...

[Read More] Is It Safe to Extract Wisdom Teeth Just Days After a Tooth Removal?


Dealing with a Cracked Second Molar: Should You Extract the Remaining Half?

Biting down on food has fractured the second molar? On December 5th, I cracked my lower left second molar while eating. The dentist later extracted half of the tooth and mentioned that if it's inconvenient to chew, the remaining half could be removed as well. Currently, ther...


Dr. Zeng Guanghui reply Dentistry
It is recommended to completely extract the tooth. Leaving half of the tooth can increase the risk of food debris accumulation and infection. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Dealing with a Cracked Second Molar: Should You Extract the Remaining Half?


Understanding Periodontal Disease Treatment: Standards and Procedures

Periodontal disease treatment What is the standard medical procedure for periodontal disease? Are there different treatment approaches for gingivitis and periodontitis based on their severity? Is routine dental cleaning covered by general health insurance effective?


Dr. Zeng Guanghui reply Dentistry
First, use ultrasound to remove calculus and plaque from the gums, and ensure proper oral hygiene practices such as correct brushing and flossing. Then, mechanically remove the calculus and plaque from the roots below the gum line, and smooth the root surfaces. Observe the treatm...

[Read More] Understanding Periodontal Disease Treatment: Standards and Procedures


Chronic Tooth Pain: Is It Gum Issues or Dental Problems?

I have been experiencing tooth pain for a long time? I have been experiencing tooth pain for a long time, specifically between my first and second molars. I have consulted several dentists who said there is no issue with my teeth. Sometimes, after brushing my teeth, the pain seem...


Dr. Zeng Guanghui reply Dentistry
It is possible that the gap between the two molars is prone to accumulating bacteria and food debris, leading to recurrent inflammation and pain in the gums. If using dental floss and interdental brushes does not effectively clean the space, it is recommended to return for a foll...

[Read More] Chronic Tooth Pain: Is It Gum Issues or Dental Problems?


Understanding Rough Tooth Surfaces: Causes and Solutions

Rough surface of the teeth? After brushing my teeth, they still feel rough to the tongue, similar to the sensation when I haven't brushed. When I gently scrape them with my fingernail, they feel uneven. Even under light, they don't reflect smoothly like other teeth. The...


Dr. Zeng Guanghui reply Dentistry
It is possible that dental calculus is trapped in the rough areas near the tooth roots. It is recommended to consult a dentist for a thorough examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Rough Tooth Surfaces: Causes and Solutions


Understanding the Difference Between Tooth Grinding and Polishing in Dentistry

Follow-up inquiry #189469 consultation? Dear Dr. Tseng, Thank you very much for your response and advice in the consultation regarding question #189469. I would like to ask you further questions: Previously, I had my teeth reshaped by a dentist, and from my observation, the den...


Dr. Zeng Guanghui reply Dentistry
1.2. Grinding involves the use of high-speed dental burs to remove a portion of the tooth structure (enamel or dentin), while polishing refers to the use of low-speed instruments to smooth out rough surfaces or stains on the tooth. 3. The incisal edges of anterior teeth are inher...

[Read More] Understanding the Difference Between Tooth Grinding and Polishing in Dentistry


Removing Residual Adhesive from Dental Restorations: What You Need to Know

3D dental resin Hello Doctor, I would like to ask you about dental bonding residue. I currently have two teeth that have undergone dental bonding, and there is still some adhesive residue that has not been completely removed. I have returned for follow-up visits several times, an...


Dr. Zeng Guanghui reply Dentistry
1. Residual adhesive should be completely removed; ultrasound can be used, or a small needle can be carefully employed to remove excess adhesive. 2. If the residual adhesive is close to the gums, it can easily accumulate plaque, leading to gingival inflammation. 3. Routine polish...

[Read More] Removing Residual Adhesive from Dental Restorations: What You Need to Know


Why Is My Root Canal Treatment Causing More Pain? Common Concerns Explained

Root canal treatment Why did my doctor perform root canal treatment only once, and now my nerve hurts even more? My friends and my previous experiences suggest that it usually takes about five or six sessions to achieve complete success. Is it possible that the doctor is mishandl...


Dr. Zeng Guanghui reply Dentistry
During root canal treatment, all infected tissue and bacteria within the root canal are thoroughly cleaned, and disinfecting medication is placed. After that, special materials are used to fill the canal. If the treatment has only been performed once, it is advisable to consult y...

[Read More] Why Is My Root Canal Treatment Causing More Pain? Common Concerns Explained


Understanding White Coating on the Left Side of the Tongue

White patches on the left side of the tongue? It seems that since middle school, there has been a white coating on the left side of my tongue. I haven't paid much attention to it until recently when I noticed it again. I can brush it off with a toothbrush (it requires a bit ...


Dr. Zeng Guanghui reply Dentistry
It is likely to be tongue coating, which is primarily formed by a film of epithelial cells from the tongue, food debris, and oral bacteria adhering to the rough surface of the tongue, gradually accumulating over time. It is recommended to maintain good oral hygiene, drink plenty ...

[Read More] Understanding White Coating on the Left Side of the Tongue


Understanding Rough Edges on Your Front Teeth: Expert Answers to Common Concerns

Inquiry Consultation Dear Dr. Tseng, I have some questions regarding my upper right central incisor and upper right lateral incisor. Although the incisal edges appear smooth and without any visible chips, they feel rough to the touch. Here are my questions: Q1. Does the rough a...


Dr. Zeng Guanghui reply Dentistry
1. It is normal for the incisal edges of the upper incisors to be uneven; however, prolonged occlusal wear may cause them to become flat. 2. If the incisal edges of the upper incisors become thin due to long-term occlusal wear, they are more susceptible to fracture when biting ha...

[Read More] Understanding Rough Edges on Your Front Teeth: Expert Answers to Common Concerns


Understanding Apex Cysts: Treatment Options and Concerns in Dentistry

Apical cyst Due to an X-ray finding, there is a sizable periapical cyst (a round structure resembling a small ball) at the apex of my front tooth, which may be about the same size as the tooth root. It is asymptomatic, and this tooth has no cavities, has never undergone root cana...


Dr. Zeng Guanghui reply Dentistry
1. If the periapical cyst is caused by the necrosis of the nerve of the affected incisor, the cyst should gradually disappear after root canal treatment of that tooth. However, if the cyst is caused by an impacted supernumerary tooth, the cyst will not resolve even if the incisor...

[Read More] Understanding Apex Cysts: Treatment Options and Concerns in Dentistry


Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained

Oral mucosa I apologize for the inconvenience, but I have a soft lump on the mucous membrane of my left oral cavity. This soft lump has an ulcer, and it hurts when I touch it with my tongue. There is also redness and swelling around the lump, and it is painful when I apply oral o...


Dr. Zeng Guanghui reply Dentistry
It is possible that there is inflammation of the salivary glands within the left oral mucosa, leading to obstruction of saliva secretion. It is recommended to consult an oral surgeon for further examination. Director Tseng Guang-Hui, Nantou Hospital Dental Department.

[Read More] Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained


Implants vs. Bridges: Which Dental Solution is Right for You?

Dental implants or dental bridges? Hello, Doctor: I have had two missing molars on the lower left for over fifteen years. My alveolar bone has become quite thin and slightly low, and my wisdom tooth is a bit tilted but healthy. As a result, the opposing upper tooth has slightly d...


Dr. Zeng Guanghui reply Dentistry
1. If the wisdom tooth is to be used as a support for a dental bridge, it should not be excessively tilted; otherwise, the dental bridge will be difficult to clean in the long term, and the occlusal forces may lead to bone loss around the tilted wisdom tooth. If one insists on us...

[Read More] Implants vs. Bridges: Which Dental Solution is Right for You?


Understanding the Role of Occlusal Splints in Jaw Pain Relief

What is the function of an occlusal splint? Hello Doctor: 1. If the temporomandibular joint pain is not caused by grinding or clenching, will a bite splint still be helpful? 2. Can leaving the mouth open while sleeping also cause tension in the joint muscles?


Dr. Zeng Guanghui reply Dentistry
1. To determine the cause of temporomandibular joint (TMJ) pain, whether it is due to the joint capsule itself or other wear and tear, or if it is caused by excessive contraction of the surrounding masticatory muscles, it is recommended to consult an oral and maxillofacial surgeo...

[Read More] Understanding the Role of Occlusal Splints in Jaw Pain Relief


Is It Normal for Dentures to Struggle with Chewing Even Noodles?

Is it normal for a complete denture to make it difficult to bite through even a piece of thread? Recently, my father just received his removable complete dentures about 10 days ago. After putting them in, he can't even bite through a piece of white bread with his front teeth...


Dr. Zeng Guanghui reply Dentistry
If the height and width of the edentulous ridge are insufficient, or if the ridge has severely atrophied, the stability of complete dentures may be compromised. When wearing the dentures, they may shift during eating, making it difficult to chew properly. It is recommended to ret...

[Read More] Is It Normal for Dentures to Struggle with Chewing Even Noodles?


Understanding Dental Crowns: When to Consider Root Canals

Fabrication of dental crowns Hello, Doctor. I am currently in the process of making a dental bridge for my upper front teeth. I have already had the left upper and right central incisors root-canaled, and the right central incisor was also treated during the process of reshaping ...


Dr. Zeng Guanghui reply Dentistry
1. If three of the four front teeth have undergone root canal treatment and one has not, discomfort or pain in the untreated tooth during the temporary crown fitting may be due to poor marginal adaptation of the temporary crown or irritation of the dental pulp from occlusal force...

[Read More] Understanding Dental Crowns: When to Consider Root Canals


Choosing Between Dental Bridges and Implants: Cost-Effective Solutions

Issues with Dental Bridges and Implants Hello, Doctor. I have been experiencing periodontal disease, which has led to inflammation and the extraction of two teeth. Initially, I planned to use the two healthy teeth on the left side and one tooth on the right side (the outermost to...


Dr. Zeng Guanghui reply Dentistry
If the outer tooth is not severely affected by periodontal disease, first try to have a dentist treat it to see if it can be preserved for a traditional dental bridge. If it cannot be saved and needs to be extracted, it will result in three missing teeth. You can ask the dentist ...

[Read More] Choosing Between Dental Bridges and Implants: Cost-Effective Solutions


Understanding Periodontal Disease Treatment: Expert Insights and Options

Questions related to periodontal disease treatment? Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal diseas...


Dr. Zeng Guanghui reply Dentistry
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...

[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options


Understanding Indentations on the Tongue: When to Seek Dental Advice

There is a groove along the edge of the tongue? Hello doctor, yesterday I noticed a ring that was transparent, and when I woke up in the morning, it changed to just a ring that looked different from the surrounding area. I don't feel any discomfort or pain. Should I see a do...


Dr. Zeng Guanghui reply Dentistry
It is recommended to consult a dentist or an oral surgeon for further examination. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.

[Read More] Understanding Indentations on the Tongue: When to Seek Dental Advice


Is It Difficult to Remove an Old Dental Bridge? Expert Insights

Is it difficult to remove an old dental bridge? Hello Doctor: Due to my age, the supporting teeth of the dental bridge I had installed previously have experienced gum recession, exposing the roots and causing them to decay, resulting in looseness. The doctor has determined that e...


Dr. Zeng Guanghui reply Dentistry
It may be considered to cut the dental bridge between the two supporting teeth, removing the non-salvageable supporting tooth along with the severed portion of the bridge, while preserving the remaining salvageable supporting tooth. Dr. Tseng Guang-Hui, Department of Dentistry, N...

[Read More] Is It Difficult to Remove an Old Dental Bridge? Expert Insights


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