Dr. Zeng Guanghui reply Dentistry Question - Page 37

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Is Root Canal Treatment Necessary After Dental Filling Pain?

Is pain after a dental filling always an indication for root canal treatment? I had a filling done on my second-to-last tooth on the left side about a year ago at Clinic A. A couple of days ago, I suddenly experienced some sharp pain, so I went to Dental Clinic B, where they took...


Dr. Zeng Guanghui reply Dentistry
A year after a dental filling, if you experience sharp pain, an X-ray may reveal that the filling is very close to the dental nerve. If the sharp pain persists, it indicates that the dental nerve may be inflamed, and you should consider undergoing root canal treatment.

[Read More] Is Root Canal Treatment Necessary After Dental Filling Pain?


Understanding Oral Discomfort: Causes and Treatment Options

Oral issues Hello Dr. Tseng, I have previously detailed my symptoms and consulted with you about my ongoing oral discomfort, which has persisted for four months. During this time, I have seen several dentists, oral surgeons, and ENT specialists. My last visit was over a month a...


Dr. Zeng Guanghui reply Dentistry
After an oral examination and X-rays, there were no abnormalities found in the oral mucosa and gums. However, there are taste disturbances and a tingling, uncomfortable sensation in the tongue and oral mucosa, which may be more related to emotional and psychological stress. It is...

[Read More] Understanding Oral Discomfort: Causes and Treatment Options


Is There Hope for Treating Severe Periodontal Disease in Diabetic Patients?

Is there still room for treatment in severe periodontal disease? Hello, my father is a patient with diabetes and kidney disease. His symptoms are not severe, but we want to prevent any deterioration. I read online that chronic inflammation from periodontal disease could exacerbat...


Dr. Zeng Guanghui reply Dentistry
In such situations, it is essential to maintain proper oral hygiene for the remaining teeth, including correct brushing techniques and the use of dental floss. Regular dental cleanings should be scheduled every six months, and blood sugar control for diabetes should be managed ef...

[Read More] Is There Hope for Treating Severe Periodontal Disease in Diabetic Patients?


Unexplained Pain After Dental Implant: Causes and Solutions

Pain after dental implant placement for unknown reasons? Hello Doctor, I had my lower left second molar extracted years ago and never got it restored, so recently the third molar next to it broke in half. I consulted a dentist who recommended root canal treatment followed by plac...


Dr. Zeng Guanghui reply Dentistry
Teeth that have undergone root canal treatment and have received a post may still experience pain, which could indicate that there is a crack in the tooth itself. It is advisable to return for a follow-up appointment for a thorough examination by the dentist.

[Read More] Unexplained Pain After Dental Implant: Causes and Solutions


Persistent Tongue Discomfort: Understanding Symptoms and Causes

The right side of my tongue has been uncomfortable for two years, with symptoms that come and go. Upon visual inspection, there are no ulcers, and it feels normal to the touch without any hardness? Hello, I would like to ask the doctor about discomfort on the right side of my ton...


Dr. Zeng Guanghui reply Dentistry
It is recommended to consult an oral surgeon for a thorough examination.

[Read More] Persistent Tongue Discomfort: Understanding Symptoms and Causes


Gum Issues During Orthodontic Treatment: Understanding Gingival Overgrowth

Gum issues Dear Doctor, I am currently undergoing orthodontic treatment. I would like to ask: my lower teeth have become somewhat aligned after the treatment, but I have noticed that my gums seem to be hypertrophied, or the gum tissue is covering my teeth. Is this a common occurr...


Dr. Zeng Guanghui reply Dentistry
It is possible that during the orthodontic process, some teeth were pushed inward, causing a change in the original position of the gums related to those teeth, which may give the appearance of gum overgrowth. Additionally, it could be due to difficulty in maintaining oral hygien...

[Read More] Gum Issues During Orthodontic Treatment: Understanding Gingival Overgrowth


Unexpected Oral Growth: What Could It Be?

There is a growth in the mouth? I just finished eating and suddenly noticed something in my mouth. It's located between the upper and lower teeth towards the back. It feels a bit sensitive when pressed, but I don't feel it unless I touch it. However, there is a persiste...


Dr. Zeng Guanghui reply Dentistry
The above situation may be caused by frictional irritation of the buccal mucosa during chewing, leading to an inflammatory response of the mucosa. It is recommended to consult a dentist for further examination.

[Read More] Unexpected Oral Growth: What Could It Be?


Understanding Oral Mucosal Scarring: Causes and Concerns

Oral mucosal scar Hello doctor, I have had frequent experiences with mouth sores in the past. Recently, I had an oral ulcer that took over a month to heal, but it left a grayish-white, somewhat wrinkled mark on the area of the lingual arch. Could this be scar tissue? If it is sca...


Dr. Zeng Guanghui reply Dentistry
The above situation suggests that scar tissue and oral mucosal fibrosis are not the same, as the latter can lead to restricted mouth opening and is considered a precancerous condition of the oral cavity. If there are any concerns, it is advisable to consult a dentist for further ...

[Read More] Understanding Oral Mucosal Scarring: Causes and Concerns


Understanding Oral Mucosa Inflammation: Causes, Symptoms, and Solutions

Oral mucosa Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the left side of my cheek and the...


Dr. Zeng Guanghui reply Dentistry
The above situation may indicate issues with the immune system or the temporomandibular joint (TMJ). It may be advisable to consult an oral and maxillofacial surgeon for an evaluation of the TMJ and to see a rheumatologist to assess for any immune system disorders.

[Read More] Understanding Oral Mucosa Inflammation: Causes, Symptoms, and Solutions


Understanding Oral Discomfort: Causes and Solutions for Persistent Symptoms

Oral issues Hello Doctor, I have previously inquired about my condition and have also visited a major hospital to see an oral and maxillofacial surgeon. I detailed my issues to the doctor, who examined my mouth and said everything looked fine. The doctor also reviewed my previous...


Dr. Zeng Guanghui reply Dentistry
Discomfort in the oral cavity and cheeks, characterized by a burning and tingling sensation, was noted. However, both the oral examination and X-rays showed no abnormalities. Additionally, there is pain on the outer cheek near the ear, which may indicate a temporomandibular joint...

[Read More] Understanding Oral Discomfort: Causes and Solutions for Persistent Symptoms


Understanding Post-Wisdom Tooth Extraction Oral Changes

After wisdom tooth extraction Hello, two days after having my lower left wisdom tooth extracted, I noticed a large white area on the gum next to the extraction site, with a small spot that looks like blood in the center. There is no pain, but I feel something unusual in my mouth....


Dr. Zeng Guanghui reply Dentistry
The above situation may indicate that the tissue around the extraction site is beginning to heal slowly after tooth removal, and it is recommended to consult a dentist for further examination.

[Read More] Understanding Post-Wisdom Tooth Extraction Oral Changes


Understanding Gum Cancer Symptoms and Dental Concerns: A Patient's Guide

Oral issues Hello Doctor, I would like to ask you about the main symptoms of gum cancer, which are ulcers or non-healing wounds after tooth extraction. Is it possible that in the early stages there are no obvious symptoms, but there is swelling and subtle pain in the gums? I have...


Dr. Zeng Guanghui reply Dentistry
If you are concerned about slow healing of the extraction site or suspect the possibility of a gum tumor, you can consult an oral surgeon at a major hospital for further evaluation.

[Read More] Understanding Gum Cancer Symptoms and Dental Concerns: A Patient's Guide


How to Care for Your Teeth After a Filling Falls Out

Prosthesis dislodgement Hello, doctor. About a year ago, I had a dental filling done at a dental clinic, and today while brushing my teeth, I noticed that the filling has come off. However, I won't be able to schedule an appointment to have it redone within this week. During...


Dr. Zeng Guanghui reply Dentistry
After a restoration falls out, you should immediately return to the dental office to have it replaced. Before your appointment, try to keep your mouth clean by brushing thoroughly, and avoid consuming very hot or cold foods, as well as hard items.

[Read More] How to Care for Your Teeth After a Filling Falls Out


Understanding Gum Ulcers: Causes, Concerns, and Treatment Options

Gingival ulceration Hello doctor, I have asked questions before. (I have quit smoking, do not chew betel nut, and do not drink alcohol.) I had a tooth extraction two weeks ago, specifically the second molar on the upper left side. A day or two after the extraction, I developed an...


Dr. Zeng Guanghui reply Dentistry
You can visit a major hospital to consult with an oral surgeon for further diagnosis and treatment, and discuss the possibility of a biopsy with the physician.

[Read More] Understanding Gum Ulcers: Causes, Concerns, and Treatment Options


Understanding Tongue Issues: Causes and Concerns for Your Oral Health

Tongue issues? Hello, doctor. Recently, I'm not sure if it's because I've been staying up late and my sleep schedule is irregular, or if it's due to oral sex I had two weeks ago. I have a sore on my tongue, and the area around the tongue is uneven and white. T...


Dr. Zeng Guanghui reply Dentistry
The above situation is generally caused by irregular lifestyle habits, poor sleep quality, and excessive emotional stress, leading to immune system dysregulation and inflammation of the tongue mucosa. It is recommended to consult a dentist for further diagnosis and treatment.

[Read More] Understanding Tongue Issues: Causes and Concerns for Your Oral Health


Understanding Facial Hardness After Tooth Extraction: When to Seek Help

The left cheek feels firm? Hello Doctor, I would like to ask for your advice. I had a tooth extraction over ten days ago, specifically the second to last tooth on the upper left side. The day after the extraction, I noticed a hole near the gum area, which was painful at first. Re...


Dr. Zeng Guanghui reply Dentistry
If you feel a hole or ulcer in your cheek after tooth extraction, and your cheek is swollen and irritated, it may indicate an infection at the extraction site. It is advisable to consult a dentist for an X-ray examination to check for any abnormalities at the extraction site.

[Read More] Understanding Facial Hardness After Tooth Extraction: When to Seek Help


Understanding Oral Granules: When to See an ENT or Dentist?

Questions about oral granules? Hello Doctor, about half a month ago, I noticed some granular material appearing in the area between my throat and molars for an unknown reason. It doesn't hurt or itch, and since I can easily remove it with my finger, I didn't pay much at...


Dr. Zeng Guanghui reply Dentistry
There should be a small bump on the gum tissue behind the molars, located between the throat and the molars. It is not painful or itchy, and it regrows after being picked at. This may be due to hyperplasia of the oral mucosal cells caused by irritation. It is recommended to consu...

[Read More] Understanding Oral Granules: When to See an ENT or Dentist?


Understanding Clicking Sounds in the Jaw: When to Seek Further Dental Care

There is a crackling sound in the temporomandibular joint during chewing? I started noticing a clicking sound in my right temporomandibular joint (TMJ) when eating about two years ago. The left side does not make any noise. I went to the TMJ department at Taipei Medical Universit...


Dr. Zeng Guanghui reply Dentistry
If there is a persistent sound in the right temporomandibular joint during chewing, it is recommended to have regular follow-up appointments.

[Read More] Understanding Clicking Sounds in the Jaw: When to Seek Further Dental Care


Do You Need an Oral Surgeon for Wisdom Tooth Extraction?

Is it necessary to see an oral surgeon for the extraction of impacted wisdom teeth? 1. I visited two dental clinics, and both referred me to a major hospital's oral surgery department for the extraction of my impacted wisdom teeth. Is a regional hospital considered a major h...


Dr. Zeng Guanghui reply Dentistry
1. There is no requirement that impacted wisdom teeth must be extracted by an oral surgeon; as long as the oral surgeon has sufficient clinical experience in this area, the extraction process may be quicker and the wound management more effective. 3. Extraction of the adjacent mo...

[Read More] Do You Need an Oral Surgeon for Wisdom Tooth Extraction?


Understanding Oral Mucosa Issues: Identifying Abnormal Color Changes

Oral mucosal issues? Hello Doctor, I have recently noticed some abnormal coloration in my oral mucosa. In the photo (http://i.imgur.com/Nb3vtVM.jpg), 1. The area on the right side of the mucosa is surrounded by pink, but the white part in the middle feels like there is a line whe...


Dr. Zeng Guanghui reply Dentistry
The issue of oral mucosal inflammation presents symptoms similar to lichen planus, which may be caused by an autoimmune system disorder leading to abnormalities in the oral mucosa. It is recommended to consult an oral surgeon for further examination.

[Read More] Understanding Oral Mucosa Issues: Identifying Abnormal Color Changes


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