Understanding White Hard Debris After Tooth Extraction: What It Could Be
After tooth extraction, a white hard substance fell out of the socket while brushing? Hello Doctor, I had my lower left wisdom tooth extracted last month, but because the socket is quite large, food gets easily trapped there after the stitches were removed. A few days ago, I noti...
Dr. Zeng Guanghui reply Dentistry
It could be bone fragments, dental calculus, or fragments of the tooth itself. It is recommended to return for a follow-up appointment with a dentist to have X-rays taken to confirm whether there are any other foreign objects in the extraction site. Dr. Tseng Guang-Hui, Departmen...[Read More] Understanding White Hard Debris After Tooth Extraction: What It Could Be
Persistent Tooth Pain: Possible Causes and Solutions for Your Molar
Persistent toothache? Hello Dr. Tseng, my first molar has been uncomfortable for the past month and a half. I feel like I might have accidentally bitten down hard while sleeping. Last month, I had an X-ray taken, but it didn't show any issues. The symptoms have progressed fr...
Dr. Zeng Guanghui reply Dentistry
It is possible for teeth to develop cracks due to excessive occlusal forces, leading to inflammation of the dental pulp. It is recommended to return for a follow-up appointment for a detailed examination by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Persistent Tooth Pain: Possible Causes and Solutions for Your Molar
Impact of Wisdom Tooth Extraction on Orthodontic Records Collection
Extraction of impacted wisdom teeth and collection of data and dental casts for orthodontic treatment? Hello, Doctor: One week after having my impacted wisdom teeth removed, I need to gather data and take impressions for orthodontic treatment. I would like to know if taking photo...
Dr. Zeng Guanghui reply Dentistry
If the soft tissue has initially healed one week after wisdom tooth extraction, then taking impressions for orthodontic evaluation should not be an issue. Dr. Tseng Kwang-Hui, Nantou Hospital Dental Department.[Read More] Impact of Wisdom Tooth Extraction on Orthodontic Records Collection
Can Permanent Dental Bridges Alleviate Sensitivity from Tooth Grinding?
Can a fixed dental bridge help alleviate sensitivity caused by tooth grinding or other factors? Hello Doctor: Recently, I have been preparing for a dental bridge between my lower left first molar and third molar, as my second molar is edentulous. While wearing a temporary crown, ...
Dr. Zeng Guanghui reply Dentistry
If temporary or permanent fixed dentures are placed after tooth grinding, but there are already symptoms of sensitivity and pain before cementation, it is advisable to perform root canal treatment first before placing the fixed dentures. This approach helps to avoid inflammation ...[Read More] Can Permanent Dental Bridges Alleviate Sensitivity from Tooth Grinding?
Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain
Root canal treatment Hello, doctor. Last Monday, a small abscess appeared on the gums next to my molar, and it wasn't very painful, so it didn't go away. Later, I visited a dental clinic on Thursday, and they said it was due to inflammation of the nerve inside the molar...
Dr. Zeng Guanghui reply Dentistry
If a root canal treatment is performed due to an abscess, it indicates that the infection at the root tip has reached a certain extent. Although the initial one or two root canal treatments may have been done, the abscess may not disappear immediately. It may require multiple ses...[Read More] Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain
Limited Mouth Opening After Wisdom Tooth Extraction: Is It Normal?
Limited mouth opening after extraction of the lower left horizontal wisdom tooth? Before the tooth extraction, I could open my mouth about 48mm. After the extraction, I could only open it about one finger's width. A week later, I was able to open it two fingers' width. ...
Dr. Zeng Guanghui reply Dentistry
If there is an infection or inflammation at the extraction site after wisdom tooth removal, it can affect the ability to open the mouth. However, if there is soreness when biting down, particularly in the area in front of the ear, it may indicate a temporomandibular joint (TMJ) i...[Read More] Limited Mouth Opening After Wisdom Tooth Extraction: Is It Normal?
Understanding Wisdom Tooth Extraction Complications and Regulations
Wisdom tooth extraction issues? I would like to ask, I had a wisdom tooth extraction at a clinic in January, but recently I discovered that the sutures were not properly managed, so I went to a second clinic to have the sutures removed. An X-ray was taken, and it was found that t...
Dr. Zeng Guanghui reply Dentistry
If there is indeed a residual tooth root, the size of the remaining root should be assessed. Small fragments of the tooth root may resorb on their own over time, but if there is a larger residual root, it is recommended to return for a follow-up appointment to have it thoroughly ...[Read More] Understanding Wisdom Tooth Extraction Complications and Regulations
Should You Rush to the Dentist for Swollen Gums After Tooth Filling?
Gum tissue growing around a dental filling? A week ago, I had issues with my wisdom tooth affecting the second molar, which had decayed to the point that I need crown lengthening surgery. I initially visited the clinic, and the dentist did a temporary filling for me. We scheduled...
Dr. Zeng Guanghui reply Dentistry
If wisdom teeth are extracted and there is a desire to temporarily fill a cavity in the molar in front, the gum and jawbone will gradually heal and grow back during the recovery process. If you feel that the gum is pressing against the filling in the front molar, you should retur...[Read More] Should You Rush to the Dentist for Swollen Gums After Tooth Filling?
Addressing Issues with Partial Dentures: Height and Angle Concerns
Issues with the angle and height of removable partial dentures and dental bridges? Recently, I received a set of removable partial dentures for both the upper and lower jaws, which include a palladium metal bridge and metal clasps, primarily for the bilateral molars and a few ant...
Dr. Zeng Guanghui reply Dentistry
1. If the lingual resin base of the removable denture is too long or too thick, it may compress the gums, causing pain. Additionally, patients may feel restricted tongue movement and discomfort when first wearing the denture. It is recommended to return to the clinic for adjustme...[Read More] Addressing Issues with Partial Dentures: Height and Angle Concerns
Understanding White Spots on Gums After Wisdom Tooth Extraction
White spots on the oral mucosa after wisdom tooth extraction? Hello Doctor: I had my wisdom teeth removed four months ago. The area where my lower wisdom tooth was extracted has mostly healed, but there is a small white spot on the gum that won't go away. Could this possibly...
Dr. Zeng Guanghui reply Dentistry
Generally, it is scar tissue from wound healing. If you have any concerns, you can return for a check-up with your dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding White Spots on Gums After Wisdom Tooth Extraction
Post-Wisdom Tooth Extraction: Understanding Pain and Complications
Post-operative issues after wisdom tooth extraction? Hello Doctor, I would like to inquire about some discomfort I am experiencing after having my wisdom tooth extracted. I had my lower left horizontal wisdom tooth removed on March 16th, and the doctor mentioned that the wound wa...
Dr. Zeng Guanghui reply Dentistry
During the extraction of wisdom teeth, it is possible to remove the surrounding alveolar bone, which can result in a large extraction site that is prone to inflammation and pain. The adjacent molar may also experience discomfort due to the initial void in the alveolar bone immedi...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Complications
Impact of Wisdom Tooth Extraction on Orthodontic Records Collection
Extraction of horizontal wisdom teeth and collection of data and dental casts for orthodontic treatment? Hello, Doctor: One week after having my impacted wisdom teeth removed, I need to collect data and take impressions for orthodontic treatment. I would like to know if taking ph...
Dr. Zeng Guanghui reply Dentistry
If the soft tissue has initially healed one week after wisdom tooth extraction, there should be no issues in taking impressions for orthodontic evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Impact of Wisdom Tooth Extraction on Orthodontic Records Collection
Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Dental Inquiry Consultation Dear Dr. Tseng, Over a year ago, I experienced a dull pain near my lower left first or second molar. I visited a dental clinic where an X-ray was taken of the affected area. The dentist examined the tooth and interpreted the X-ray, concluding that I d...
Dr. Zeng Guanghui reply Dentistry
1. X-rays cannot detect small hidden cracks unless the fracture has become significantly evident, causing the tooth to split. 2. Unless there is a noticeable crack in the tooth or a significant defect, CBCT still has difficulty detecting hidden fractures. 3. It is also possible t...[Read More] Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Is Your Child's Dental Filling Done Right? Signs You Need a Second Opinion
Is the dental filling procedure normal? Does it need to be redone? My 8-year-old child had a permanent front tooth that showed signs of calcification as soon as it erupted, with some uneven surfaces. Recently, my child complained that a specific area of this tooth was very sensit...
Dr. Zeng Guanghui reply Dentistry
Is it because the tooth did not actually have a cavity, but rather surface demineralization? After the first dentist removed the demineralized area through grinding, the second dentist cleaned the tooth surface with a brush and water, then filled the demineralized area with resin...[Read More] Is Your Child's Dental Filling Done Right? Signs You Need a Second Opinion
Understanding Oral Cancer Treatment: Key Questions and Considerations
Malignant tumors: Oral cancer issues? My mother underwent an oral biopsy at the hospital a month ago, and the results indicated carcinoma in situ. She was later transferred to another hospital for further management, where the physician deemed it unnecessary to perform another bi...
Dr. Zeng Guanghui reply Dentistry
If the initial biopsy reveals spindle cell carcinoma and a subsequent complete excision of the visible lesions still shows spindle cell carcinoma upon pathological examination, it suggests that the spindle cell carcinoma may have spread to the underlying alveolar bone. Surgical i...[Read More] Understanding Oral Cancer Treatment: Key Questions and Considerations
Managing Tongue Discomfort After Dental Bridge Placement: Solutions and Tips
Friction between the tongue and teeth? I have had a missing left lower molar for many years and recently had a bridge made using the canine teeth (total of 3 teeth). However, my tongue has been constantly rubbing against it, causing redness, swelling, pain, and even sores, which ...
Dr. Zeng Guanghui reply Dentistry
If the gap from missing teeth remains for too long, the tongue may start to move outward. Once fixed dentures are placed, the tongue may initially feel restricted and may rub against the dentures, requiring some time to adapt. However, if the issue of tongue friction persists aft...[Read More] Managing Tongue Discomfort After Dental Bridge Placement: Solutions and Tips
Understanding Periodontal Disease Treatment and Dental Implants
Periodontal disease treatment Today, I went to the dentist, and the doctor said I have severe periodontal disease and need dental implants. However, the treatment plan is to place the implants first and then treat the periodontal disease, which is the opposite of what I expected....
Dr. Zeng Guanghui reply Dentistry
1. Generally, periodontal disease should be treated first, and once the periodontal condition is stable, then consider dental implants in the edentulous area. 2. Swelling in the lower gums may be due to chronic inflammation, which is usually not painful. However, if it does not r...[Read More] Understanding Periodontal Disease Treatment and Dental Implants
Understanding Gum Swelling: Inflammation or Wisdom Tooth Issues?
Gum swelling and pain? I noticed a swelling on the inner side of my upper right teeth (the side closer to the tongue) around February 16. The swollen area is closer to the last two teeth. On February 16, it wasn't very painful, but by February 18, it had become painful to th...
Dr. Zeng Guanghui reply Dentistry
It could be inflammation in the interdental spaces or at the gum line, or it may be caused by an impacted wisdom tooth. It is recommended that if the swelling persists, you should consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hosp...[Read More] Understanding Gum Swelling: Inflammation or Wisdom Tooth Issues?
Understanding Loose Titanium Dental Crowns: Causes and Solutions
Loose titanium alloy crown? The tooth is not painful, but the dentist recommended root canal treatment. After the treatment, I was advised to get a dental crown. However, just one to two days after the crown was placed, I felt slight movement when eating, which makes me anxious a...
Dr. Zeng Guanghui reply Dentistry
Teeth may have discolored or the nerves may be necrotic, so even if there is no pain, root canal treatment is still recommended. After the root canal treatment, a crown should be placed. If you feel slight movement in the crown, you should return to the dentist to check if it is ...[Read More] Understanding Loose Titanium Dental Crowns: Causes and Solutions
Exposed Tooth Roots After New Dental Bridge Installation: What to Do?
The new dental bridge has just been placed, and the tooth roots are exposed? Hello Doctor: I just had a three-unit full ceramic bridge placed, and I've noticed that one of the abutment teeth has an uncovered root portion (the outer side is fully covered, but the inner side h...
Dr. Zeng Guanghui reply Dentistry
The advantage of having healthy gums is that they are easier to keep clean. However, if you feel that your gaps between teeth are too large, it is advisable to discuss any concerns with your dentist to explore better treatment options. Dr. Tseng Guang-Hui, Department of Dentistry...[Read More] Exposed Tooth Roots After New Dental Bridge Installation: What to Do?