Dr. Zeng Guanghui reply Dentistry Question - Page 19

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Dealing with Gum Recession: Causes, Symptoms, and Solutions

Gum recession? I have been experiencing sensitivity in my teeth even when I'm not eating. Drinking cold water, beverages, or eating food causes pain. I consulted a dentist who suggested it might be due to gum recession, but it’s not severe. They mentioned it could be related...


Dr. Zeng Guanghui reply Dentistry
Gum recession can lead to tooth sensitivity. In addition to applying fluoride and using fluoride toothpaste, it is advisable to avoid hot and cold foods or beverages. If persistent soreness and sensitivity occur, it is important to consult a dentist to evaluate the need for root ...

[Read More] Dealing with Gum Recession: Causes, Symptoms, and Solutions


From Simple Filling to Root Canal: Understanding Dental Treatment Evolution

How a simple dental filling evolves into root canal treatment? Hello Doctor, I previously had some discomfort in my left back tooth after biting into something, but it was only mild pain that lasted briefly. During my dental visit, I asked the dentist to check it out, and he su...


Dr. Zeng Guanghui reply Dentistry
If a cavity is reopened and filled again, and there is persistent sensitivity to hot and cold, it may indicate that the extent of the decay is significant and the filling material is close to the nerve. If sensitivity continues after a period of observation, root canal treatment ...

[Read More] From Simple Filling to Root Canal: Understanding Dental Treatment Evolution


Understanding Gum Pain After Dental Filling: Causes and Solutions

Pain in the gums around the central incisors? After getting a filling for a cavity in my front tooth, I initially didn't feel much discomfort. However, when the dentist tapped on the tooth with considerable force, I started to experience intermittent pain. Over the past few ...


Dr. Zeng Guanghui reply Dentistry
It is possible that the original cavity was very deep and close to the dental pulp, so after the filling, the material is near the pulp, which may cause irritation or even inflammation of the dental nerve. It is recommended that if the pain persists, you should return to the dent...

[Read More] Understanding Gum Pain After Dental Filling: Causes and Solutions


Understanding Flossing After Root Canal Treatment: What You Need to Know

Flossing after root canal treatment? The normal depth of the gingival sulcus ranges from 1 to 3 mm. When using dental floss, there may be a sensation of the gums blocking at the very back. I have a tooth that has undergone root canal treatment and has a crown. Cleaning between th...


Dr. Zeng Guanghui reply Dentistry
If dental floss can reach deep into the gingival sulcus, it indicates that there has been bone resorption around the teeth. Once the bone surrounding the teeth is resorbed, the bottom of the gums will also recede. It is advisable to consult a dentist for further examination to de...

[Read More] Understanding Flossing After Root Canal Treatment: What You Need to Know


Understanding Soft, Pus-Filled Bumps on Your Cheek: Dental Insights

Hello, doctor: I have a bump on the inside of my right cheek that contains pus and feels soft when I touch it. What could this be? Hello doctor: I have a bump on the inside of my right cheek that is filled with pus and feels soft when I touch it. What could this be?


Dr. Zeng Guanghui reply Dentistry
It may be a mucous cyst caused by inflammation of the salivary glands within the buccal mucosa. It is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Soft, Pus-Filled Bumps on Your Cheek: Dental Insights


Persistent Pain in Lower Teeth: Possible Causes and Solutions

Lower tooth pain? I have pain in my lower teeth (from the front teeth to the back on the right side). I visited a dentist for the first time (at a clinic near my school), and the doctor said I had gum inflammation and performed a dental cleaning. On my second visit (to a clinic n...


Dr. Zeng Guanghui reply Dentistry
It is recommended that if dental issues are ruled out, one should consider whether there are problems with the temporomandibular joint (TMJ), facial nerve, or trigeminal nerve. It may be advisable to consult an oral surgeon for further evaluation. Director Tseng Guang-Hui, Depart...

[Read More] Persistent Pain in Lower Teeth: Possible Causes and Solutions


Understanding Oral Blisters: Causes, Symptoms, and Treatment Options

Oral blisters Hello, I would like to inquire about a white blister-like growth on the roof of my mouth. If it is ruptured, it becomes red and appears to bleed, and it is slightly painful. What could this condition be? Thank you.


Dr. Zeng Guanghui reply Dentistry
Generally, blisters on the oral mucosa are caused by repeated friction. Most of the time, they will rupture on their own, and the bleeding will stop and heal without intervention. However, if they occur repeatedly, it is advisable to consult a dentist to check for any sharp denta...

[Read More] Understanding Oral Blisters: Causes, Symptoms, and Treatment Options


Why Food Gets Stuck After Root Canal and Crown Treatment

After root canal treatment, food particles are likely to get stuck between the teeth? Hello Doctor, I am a patient of #177426. I apologize for not explaining clearly at that time. Currently, the condition of my teeth is as follows: there is a wisdom tooth in the lower right that ...


Dr. Zeng Guanghui reply Dentistry
Because the crowns of the two molars are installed separately (at different times), there is a gap between the two crowns. However, if you maintain proper oral hygiene and prevent plaque accumulation in the interproximal area, inflammation and bleeding in that area should not occ...

[Read More] Why Food Gets Stuck After Root Canal and Crown Treatment


Recovery Time and Considerations After Microscopic Apicoectomy Surgery

Microsurgical Apicoectomy Hello Dr. Tseng: I had a CT scan that showed a 2 cm shadow, and the doctor said that all three of my front teeth need to be extracted and bone grafting will be required. How long after undergoing apicoectomy can I return to work? (My job is in civil engi...


Dr. Zeng Guanghui reply Dentistry
1. Microscopic apicoectomy combined with bone grafting may result in swelling and pain at the surgical site during the first week. Starting from the second week, as long as oral hygiene is maintained, normal eating can resume. 2. It is essential to monitor the healing of the bone...

[Read More] Recovery Time and Considerations After Microscopic Apicoectomy Surgery


Understanding Tartar Issues: Identifying and Managing Dental Concerns

Dental calculus issue? Hello, doctor. I have a few questions: 1. Previously, there was a gray-black substance above the gingival papilla of my lower anterior teeth, and the dentist said it was subgingival calculus. Recently, I noticed a similar condition at the junction above t...


Dr. Zeng Guanghui reply Dentistry
1. Although dental floss can pass through the spaces between teeth, if the tartar is located very close to the tooth surface, it may not always be fully felt. 2. It is recommended that if there is gum inflammation, bleeding, or gum recession, it may be caused by the accumulation ...

[Read More] Understanding Tartar Issues: Identifying and Managing Dental Concerns


Managing Post-Surgical Pain and Complications After Apex Surgery

Post-operative inflammation after apicoectomy? Dear Doctor, I have a lateral incisor that was treated for cavities by an unlicensed dentist (dental technician) when I was 14 years old (1994) and had a crown placed. In 2014, due to the presence of an abscess and the adjacent heal...


Dr. Zeng Guanghui reply Dentistry
1. Apicoectomy requires prior assessment of the root length to determine if it is sufficient. If the root length is adequate and there is still an apical lesion after root canal treatment, this surgery may be considered. 2. Apicoectomy is generally considered when the results of ...

[Read More] Managing Post-Surgical Pain and Complications After Apex Surgery


Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions

The tongue repeatedly rubs against the fixed dental bridge? Hello Doctor: I had a missing left lower molar for many years and recently had a dental bridge made using my canine tooth (a total of three crowns). However, since I started wearing the temporary crown and then the ceram...


Dr. Zeng Guanghui reply Dentistry
Due to the prolonged absence of teeth, once dentures are placed to fill the gaps, the tongue may initially feel uncomfortable and restricted in movement. However, as long as there is no inflammation in the gums after the placement, the patient will gradually adapt over time. - Dr...

[Read More] Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions


Understanding Gum Pain: Is It Nerve Inflammation or Something Else?

Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have pain in my gums that feels like nerve pain in my teeth, and I'm not sure if it's due to gum swelling. I can't eat anything becaus...


Dr. Zeng Guanghui reply Dentistry
First, check for any inflammation or abscess in the gums. If the gums appear normal but there is still pain, consider the possibility of facial muscle pain or temporomandibular joint (TMJ) issues. If there are no problems in these areas, it may be related to facial nerve or trige...

[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?


Understanding Oral Burns: Causes, Symptoms, and Treatment Options

Oral burn? In the past few days, I have developed a hole in my inner gum. I'm not sure how it happened, but I remember that one day I drank hot soup, and after burning myself, a wound appeared. I applied some oral ointment, but it seems like the hole has gotten a bit larger ...


Dr. Zeng Guanghui reply Dentistry
It may be an oral mucosal burn, leading to mucosal damage and pain. However, if there are irregular lifestyle habits or significant emotional stress, it can cause immune system dysregulation, resulting in oral mucosal ulcers. Generally, after maintaining proper oral hygiene and a...

[Read More] Understanding Oral Burns: Causes, Symptoms, and Treatment Options


Understanding the Connection Between Dental Crowns and Tongue Discomfort

The relationship between braces and the tongue? Hello, I have had root canal retreatment and have temporary crowns placed on both upper and lower molars. Due to the height of the crowns, my tongue feels elevated and pulled back, and I have a persistent mild sour sensation at the ...


Dr. Zeng Guanghui reply Dentistry
The thickness of the braces may be affecting the movement of the tongue, or the original alignment of the teeth may be leaning towards the tongue, hindering its movement. It is recommended to return for a check-up with a dentist. Dr. Tseng Guang-Hui, Nantou Hospital Dental Depart...

[Read More] Understanding the Connection Between Dental Crowns and Tongue Discomfort


Can Discolored Dental Resin Be Replaced Affordably?

Tooth-colored resin discoloration? I would like to ask the dentist, if the composite resin used to fill a cavity in my front tooth has discolored over the years, can I request the dentist to replace it with new composite resin (covered by insurance)? Considering economic issues, ...


Dr. Zeng Guanghui reply Dentistry
1. If the composite resin has discolored and the filling has been in place for an extended period, you can ask your dentist to replace it. 2. When choosing a filling material, try to select a composite resin that closely matches the natural color of your teeth for a more natural ...

[Read More] Can Discolored Dental Resin Be Replaced Affordably?


Understanding Tooth Nerve Pain: Causes and Treatment Options

Tooth nerve pain Hello doctor, today I visited two dentists and neither found any cavities or trauma, but the nerve activity in my teeth has inexplicably decreased (nerve vitality was tested). Is it really necessary to proceed to root canal treatment? Are there other possibilitie...


Dr. Zeng Guanghui reply Dentistry
Decreased dental nerve activity indicates degeneration of the dental nerve. It is recommended to undergo root canal treatment to prevent potential necrosis of the dental nerve, which could lead to the development of dental abscesses. As for whether it is trigeminal neuralgia, it ...

[Read More] Understanding Tooth Nerve Pain: Causes and Treatment Options


Should You Extract a Misaligned Tooth or Consider Orthodontics?

Regarding tooth extraction? Hello doctor, I have a molar (not a wisdom tooth) that has grown very crooked, positioned similarly to double teeth, perfectly located at the back, making it hard to notice from the front. I usually don't feel anything special, but sometimes I acc...


Dr. Zeng Guanghui reply Dentistry
If the degree of misalignment of the molars is significant, it may lead to biting the tongue, and orthodontic treatment should be considered to align them properly. If the results of orthodontic treatment are unsatisfactory, extraction may be recommended. It is advisable to consu...

[Read More] Should You Extract a Misaligned Tooth or Consider Orthodontics?


Understanding Tooth Sensitivity After Dental Fillings: A Patient's Concern

Filling the left molar? I have been getting my teeth cleaned every six months regularly. I was informed that I needed to have a filling on the right side, which has been an issue for 10 years. On the day of the appointment, they first treated the deeper cavity on the right side. ...


Dr. Zeng Guanghui reply Dentistry
The left molar has been filled after a cavity, and although the cavity was not very deep, there is a feeling of soreness afterward. It is possible that there is gum recession at the tooth neck or a shallower tooth crack. It is recommended that if the soreness persists, a follow-u...

[Read More] Understanding Tooth Sensitivity After Dental Fillings: A Patient's Concern


Can You Drink Cold Beverages with Temporary Dentures After Root Canal?

Wearing temporary dentures while drinking? Hello, Doctor: May I ask if it is okay to drink cold beverages or coffee during the period of having a temporary crown after root canal treatment? Can I eat hot food normally? Is there a risk of cracking? Thank you.


Dr. Zeng Guanghui reply Dentistry
During the period of wearing temporary dentures, you can maintain a normal diet and drink beverages as long as you avoid overly hard foods. However, it is advisable to steer clear of excessively hot items. As long as you avoid hard foods, the temporary dentures should not break. ...

[Read More] Can You Drink Cold Beverages with Temporary Dentures After Root Canal?


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