Understanding Black or Green Spots on Your Baby's Gums: What to Do?
Black spots on a baby's gums? Hello Doctor: My daughter (1 year and 5 months old) recently developed a green or black spot on the gum of one of her lower incisors. It looks similar to food particles, but the location is deep in the gingival sulcus (clearly visible from the f...
Dr. Zeng Guanghui reply Dentistry
If food debris gets trapped in the gingival sulcus, it can lead to gingival inflammation and pain over time. Therefore, it is important to monitor the gums for signs of inflammation. If any inflammatory symptoms are present, immediate medical attention should be sought. Dr. Tseng...[Read More] Understanding Black or Green Spots on Your Baby's Gums: What to Do?
Is It Normal to Experience Pain During a Ceramic Crown Procedure?
Is it normal to experience significant pain during a ceramic crown procedure? Is it normal to experience significant pain during a ceramic crown procedure after receiving anesthesia? (Specifically, after partially grinding down the occlusal surface in the previous visit, I felt i...
Dr. Zeng Guanghui reply Dentistry
After taking impressions for a ceramic crown on a molar, a temporary crown is placed to protect the prepared tooth before the permanent crown is fitted. This helps prevent sensitivity and discomfort. When it is time to place the permanent crown, the temporary crown is removed, an...[Read More] Is It Normal to Experience Pain During a Ceramic Crown Procedure?
Dealing with Dental Implants: What to Do When Natural Teeth Fail
Natural teeth erupt after dental implants? After implanting one artificial root on the right side and two artificial roots on the left side of the lower jaw, and before the second surgery, the natural teeth in the front of the lower jaw have erupted. The doctor has recommended or...
Dr. Zeng Guanghui reply Dentistry
To determine the cause of the eruption of the lower anterior teeth, it is necessary to assess whether it is due to periodontal disease or malocclusion. If it is periodontal disease, periodontal treatment should be undertaken. If it is due to pre-existing malocclusion, orthodontic...[Read More] Dealing with Dental Implants: What to Do When Natural Teeth Fail
Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Cavity in the upper left third molar? Hello, Doctor: I regularly visit the dentist for cleanings and have had issues with cavities for many years, with the upper left third molar being the most severe. Last year, the dentist suggested a root canal, but I refused because I have ne...
Dr. Zeng Guanghui reply Dentistry
If the third molar has extensive decay, and there was a previous filling that has chipped off slightly, resulting in occasional sensitivity or pain, it is advisable to consult a dentist for an examination. An X-ray can be taken to assess the depth of the decay and determine wheth...[Read More] Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Understanding Tooth Sensitivity and Gum Inflammation After Dental Work
Tooth sensitivity or toothache? Hello, I have a deep cavity in my molar that is close to the nerve. After getting it filled, I experience sensitivity and pain when biting down on hard objects, which then leads to gum inflammation and soreness. There is pus when I apply pressure t...
Dr. Zeng Guanghui reply Dentistry
If the filling is very close to the dental nerve, it may cause inflammation of the dental nerve. Therefore, in addition to gingival inflammation, it is also possible that the discomfort is caused by inflammation of the dental nerve. If the symptoms recur, it is advisable to consu...[Read More] Understanding Tooth Sensitivity and Gum Inflammation After Dental Work
Understanding Gum Swelling: Causes, Symptoms, and Dental Anxiety Solutions
The gums (gingiva) are swollen in one area but do not cause spontaneous pain? Hello, doctor. I have a strong fear of visiting the dentist and a fear of pain. It seems that the gum behind my upper front teeth is swollen (it feels swollen when I touch it with my tongue...). Since i...
Dr. Zeng Guanghui reply Dentistry
The inflammation may be due to the gingiva on the lingual side of the upper front teeth. The cause of the inflammation could be accumulated dental plaque or calculus. It is recommended to undergo a dental cleaning treatment to remove the plaque and calculus in order to improve th...[Read More] Understanding Gum Swelling: Causes, Symptoms, and Dental Anxiety Solutions
Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Gingival cyst Since June or July, I have been experiencing sudden pain in my teeth when chewing, as well as tenderness when pressure is applied. I have visited the dentist several times, and the doctor said there was no issue with my teeth. Due to other health concerns, I had an ...
Dr. Zeng Guanghui reply Dentistry
There may be an infection and inflammation of the gums and periodontal tissues surrounding the teeth. It is recommended to consult a dentist for further examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Understanding Submandibular Pain: Causes and Treatment Options
Sublingual pain while eating? Hello, Dr. Tseng. Whenever I eat, a vein suddenly appears on the right side of my tongue, followed by swelling and pain, but it returns to normal after a while. Is this treatable? Which department should I consult?
Dr. Zeng Guanghui reply Dentistry
There may be inflammation of the salivary glands in the sublingual area or stones lodged in the salivary duct. It is recommended to consult a dentist or an otolaryngologist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Submandibular Pain: Causes and Treatment Options
Understanding Gum Pain After Dental Implants: Causes and Solutions
Gum swelling and pain? Hello Doctor, I would like to ask about an issue I have been experiencing. I had a dental prosthesis placed about a year ago (I can't remember the exact time), and I have been able to eat normally since then. However, for the past couple of days, I hav...
Dr. Zeng Guanghui reply Dentistry
It is possible that the tooth receiving the dental prosthesis has periodontal disease or that the dental nerve itself is already inflamed. It is recommended to see a dentist promptly if symptoms persist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Pain After Dental Implants: Causes and Solutions
Should Tooth Extraction and Periodontal Treatment Be Done Together?
Orthodontic extraction and periodontal treatment? Hello Dr. Tseng: Currently, the orthodontic plan includes the extraction of three wisdom teeth. However, last week, a periodontal assessment was conducted, and due to mild periodontal symptoms, periodontal treatment is needed (inc...
Dr. Zeng Guanghui reply Dentistry
If the wisdom tooth that needs to be extracted has severe periodontal symptoms, including pericoronitis or the presence of abscesses, it is recommended to perform periodontal treatment first before extracting the wisdom tooth. If there is no improvement, both procedures can be do...[Read More] Should Tooth Extraction and Periodontal Treatment Be Done Together?
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 nerve pain in my teeth, and I'm not sure if it's due to swollen gums. I can't eat anything because any movement causes nerve pain...
Dr. Zeng Guanghui reply Dentistry
It is important to check for any inflammation or swelling of the gums, as well as to examine the teeth for cavities or crown defects. If the oral tissues appear normal but there is still gum tenderness and pain while eating, it may indicate an issue with the facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Understanding Gum Holes: What to Do About Decayed Tooth Roots
There is a hole in the gum? Doctor, I have a tooth that hasn't undergone root canal treatment and has decayed down to just the root. Recently, a hole appeared in the gum above the decayed root, and I can see that it's dark inside. I'm not sure if it's the deca...
Dr. Zeng Guanghui reply Dentistry
It is recommended that if the gums are severely swollen and painful, one should first take antibiotics and anti-inflammatory pain relievers to reduce swelling before consulting a dentist for a cleaning, in order to avoid recurrent infections. Dr. Tseng Guang-Hui, Department of De...[Read More] Understanding Gum Holes: What to Do About Decayed Tooth Roots
Bleeding Gums After Denture Fitting: Causes and Solutions
The gums around the dentures may bleed? Hello Dr. Tseng, In July, I started experiencing bleeding when using dental floss around the gums of my dentures. However, aside from the bleeding, there has been no redness or swelling, and this condition has persisted until today. Durin...
Dr. Zeng Guanghui reply Dentistry
If the edges of the dentures and the junction with the gums are not cleaned properly, plaque can accumulate, leading to gum inflammation and bleeding. If bleeding persists after wearing dentures, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, D...[Read More] Bleeding Gums After Denture Fitting: Causes and Solutions
Understanding Dental Issues After a Car Accident: Tightness in Lower Teeth
Dental fracture due to a car accident? Hello, doctor. I was in a car accident where I broke my teeth and fractured my jaw. I went to the dentist and had the broken upper teeth extracted, and they used a dental splint to stabilize the entire upper arch. The lower teeth that were i...
Dr. Zeng Guanghui reply Dentistry
There may be a fracture in the mandibular joint area, which is causing limited mouth opening. It is recommended to consult an oral and maxillofacial surgeon for further evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Dental Issues After a Car Accident: Tightness in Lower Teeth
Do I Need Root Canal Treatment? Understanding Tooth Pain and Care
Is root canal treatment necessary? Hello Dr. Tseng, I would like to ask you about a tooth that started throbbing with pain the day after I had my teeth cleaned. It is sensitive to both cold and hot water, and the pain has kept me awake for two nights. Taking Tylenol hasn't h...
Dr. Zeng Guanghui reply Dentistry
After taking medication for three days, the inflammation of the dental nerve may have alleviated and returned to normal. However, it is also possible that the dental nerve is gradually degenerating and dying, with bacteria still present in the nerve tissue. Ultimately, this could...[Read More] Do I Need Root Canal Treatment? Understanding Tooth Pain and Care
Should You Extract Your Wisdom Tooth If Fillings Keep Falling Out?
Wisdom tooth filling Hello, I have a cavity on the outer side of my upper right wisdom tooth, close to my cheek. The dentist filled it, but the filling came out two days later. I went back today for another filling, and the original dentist mentioned that fillings in this locatio...
Dr. Zeng Guanghui reply Dentistry
If the cavity on the buccal side of the upper right wisdom tooth cannot be adequately restored, and the tooth exhibits sensitivity symptoms while also being impacted, it is advisable to consider the extraction of the upper right wisdom tooth. Dr. Tseng Guang-Hui, Department of De...[Read More] Should You Extract Your Wisdom Tooth If Fillings Keep Falling Out?
Why X-Rays May Miss Cavities: Understanding Root Canal Needs
X-rays do not show cavities, but a root canal is needed? Hello Doctor: I have been experiencing sensitivity and pain in my upper molars for the past three to four years, especially with hot and cold stimuli (I have had dental fillings done before, but I don't remember how lo...
Dr. Zeng Guanghui reply Dentistry
If a tooth that has already been treated shows sensitivity and pain to hot and cold stimuli, or even spontaneous pain, it indicates that the dental pulp may be inflamed. Although there may not be visible cavities on the tooth's surface, if the inflammation of the dental pulp...[Read More] Why X-Rays May Miss Cavities: Understanding Root Canal Needs
Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Tooth friction in the oral cavity? Due to malocclusion, one of the lower teeth is protruding outward and constantly rubbing against the inner side of the lower lip, causing the mucosa in that area to feel rough when licked by the tongue. I would like to know what potential risks ...
Dr. Zeng Guanghui reply Dentistry
Repeated damage to the mucosa of the lower lip can easily lead to the formation of fibromas over time. It is advisable to consult a dentist to address any protruding teeth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Can I Visit the Dentist for Pain After Wisdom Tooth Extraction?
Fifth day after wisdom tooth extraction? Hello doctor, I would like to ask if I can visit a general dentist (or even undergo root canal treatment) after having my lower left horizontal wisdom tooth extracted and still having stitches that haven't been removed yet. My face is...
Dr. Zeng Guanghui reply Dentistry
If you have had your wisdom teeth removed and have not yet had your stitches taken out, swelling in your face may indicate that the wound is inflamed. This could make it difficult to eat properly, leading to excessive biting force on the opposite side, which may cause pain in the...[Read More] Can I Visit the Dentist for Pain After Wisdom Tooth Extraction?
Understanding Cavities and Gum Issues: Your Dental Care Questions Answered
Cavities and gum tissue? Today, I went for my regular dental cleaning, and the dentist discovered two cavities, small black spots. Initially, I was supposed to get fillings, but then it was found that there is a cavity on the back side of my last lower tooth, which is in contact ...
Dr. Zeng Guanghui reply Dentistry
1. There is a cavity on the distal surface of the last tooth in the lower left quadrant. If the cavity extends below the gum line, it will be necessary to remove some gum tissue before filling the cavity; however, the amount of gum tissue removed is usually minimal, just enough t...[Read More] Understanding Cavities and Gum Issues: Your Dental Care Questions Answered