Concerns About Missing Baby Teeth: What Parents Should Know
Missing primary teeth Dear Dr. Tseng, Hello! My eldest child just turned 3 years old. While brushing his teeth, I accidentally discovered that the last primary tooth on the upper right side has not erupted. I have taken him to see a doctor, who mentioned that there are no signs ...
Dr. Zeng Guanghui reply Dentistry
It is possible for molars to erupt later than expected, and the cause can only be determined through X-rays. It is recommended to consult a pediatric dentist at a major hospital for further diagnosis.[Read More] Concerns About Missing Baby Teeth: What Parents Should Know
Understanding Oral Ulcers: Causes, Symptoms, and When to Seek Help
Oral ulcers, oral issues? Hello doctor, I currently have the following symptoms: there are three ulcers in my mouth, my oral cavity and tongue are extremely dry, and there are many bumps on the inside of my left cheek as shown in the image. Eating and opening my mouth are painful...
Dr. Zeng Guanghui reply Dentistry
Oral ulcers and dry mouth are generally caused by high stress or irregular lifestyle habits, leading to immune system dysregulation and resulting in damage to the oral mucosa. However, if the condition does not heal within two weeks, it is advisable to consult an oral surgeon for...[Read More] Understanding Oral Ulcers: Causes, Symptoms, and When to Seek Help
Black Spots on Gums Between Molars in 6-Year-Old: What to Do?
A 6-year-old child has black spots on the gum between the molars? A 6-year-old child has black spots on the gum tissue between the first and second primary molars. The dentist at the clinic recommended seeing an oral surgeon, as they have not encountered this condition before. Ho...
Dr. Zeng Guanghui reply Dentistry
The above situation may be due to pigmentation deposits within the gums or an inflammatory infection. It is recommended to visit a larger hospital to consult with an oral surgeon or pediatric dentist for further examination.[Read More] Black Spots on Gums Between Molars in 6-Year-Old: What to Do?
Understanding Root Canal Treatment for Fractured Front Teeth
Upper front teeth, root canal treatment? Hello, Doctor. The night before last, I accidentally broke one of my upper front teeth, with the fracture being about 1/4 to 1/3 of the tooth. That night and the next day (yesterday), I experienced sensitivity and pain when I came into con...
Dr. Zeng Guanghui reply Dentistry
If the front tooth is fractured and the dentin is exposed, with a significant loss of structure that is close to the dental pulp, it is advisable to perform root canal treatment followed by a crown. If the loss of structure is minor and there is sufficient distance from the pulp,...[Read More] Understanding Root Canal Treatment for Fractured Front Teeth
Understanding Minor Gum Bleeding After Dental Filling: What to Know
Minor bleeding from the gums after dental filling? Hello, doctor. My question is that last week I went to the clinic for a dental filling. After the procedure, there was a slight amount of bleeding. The doctor said it was normal and to try gently pressing on it after a week. Howe...
Dr. Zeng Guanghui reply Dentistry
Bleeding at the gum margin after a dental filling may be due to the original cavity being very close to the gum line, and the filling material possibly exerting pressure on the gums. It is recommended to return for a follow-up appointment to have the dentist check if the filling ...[Read More] Understanding Minor Gum Bleeding After Dental Filling: What to Know
Should I Replace a Lost Filling Before Root Canal Treatment?
Filling has fallen out? Hello, Doctor. Two days ago during my teeth cleaning, a piece of my filling came off. The dentist decided not to replace it and scheduled me for a root canal next week. However, this morning when I woke up and had a sip of water, the filling came off again...
Dr. Zeng Guanghui reply Dentistry
After teeth cleaning, the previously filled area may have fallen out, possibly due to deep decay affecting the dental nerve. Therefore, an appointment is made for a root canal treatment. The fallen area may be temporarily filled, but it will not be very secure. It is recommended ...[Read More] Should I Replace a Lost Filling Before Root Canal Treatment?
Why Does My Tooth Hurt After a Dental Filling?
After getting a dental filling, the lower tooth is experiencing sharp pain? Hello, doctor. I just had the last tooth in my upper right quadrant filled this morning, but by the afternoon, I started experiencing sudden, intermittent pain in the tooth below it. The dentist did not m...
Dr. Zeng Guanghui reply Dentistry
The above situation should not be related to the dental filling mentioned earlier. If there were no previously detected cavities in the lower teeth, the pain may be caused by gingivitis or periodontal inflammation. It is recommended to return for a follow-up appointment for furth...[Read More] Why Does My Tooth Hurt After a Dental Filling?
Is 12 Days Too Late to Remove Stitches After Wisdom Tooth Extraction?
Concerns Regarding Stitches After Wisdom Tooth Extraction Hello doctor, I had my horizontal wisdom tooth extracted and I'm scheduled to have my stitches removed 12 days later. Is that too late? My doctor was on leave, which is why it was delayed to 12 days. Should this be a ...
Dr. Zeng Guanghui reply Dentistry
It is normal to have the stitches removed 1-2 weeks after the extraction of impacted wisdom teeth. It is important to keep the wound clean to prevent inflammation.[Read More] Is 12 Days Too Late to Remove Stitches After Wisdom Tooth Extraction?
Understanding Root Canal Treatment: Addressing Concerns and Alternatives
Nerve necrosis, root canal treatment? Hello, doctor. I have been experiencing pain in my teeth when exposed to hot or cold temperatures, so I sought medical attention. An X-ray showed shadows at the roots of my front tooth and the adjacent tooth (which has undergone root canal tr...
Dr. Zeng Guanghui reply Dentistry
If the dental nerve is already necrotic or if the tooth has undergone root canal treatment and there is a shadow at the root, with no response to cold or heat stimuli, it is recommended to undergo re-treatment for the root canal. Otherwise, the apical lesion will not completely r...[Read More] Understanding Root Canal Treatment: Addressing Concerns and Alternatives
Can Tongue Bite Scars Be Treated with Sutures Safely?
Scar from a tongue bite injury? If there is a dent on the edge of the tongue from a previous bite, can it be treated with a surgical incision? If so, will this procedure damage the nerves of the tongue?
Dr. Zeng Guanghui reply Dentistry
In the above situation, it is recommended to consult an oral surgeon to evaluate whether surgical intervention is feasible for addressing the indentation.[Read More] Can Tongue Bite Scars Be Treated with Sutures Safely?
Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Oral ulcers/oral issues? Hello Doctor, I visited due to a sore throat two weeks ago and started taking antibiotics, after which I began experiencing oral pain (which has lasted for two weeks). I have been developing sores and consulted a dentist, who provided some steroid oral oi...
Dr. Zeng Guanghui reply Dentistry
Damage to the oral mucosa may be due to immune system issues or bacterial and viral infections. It is recommended to consult a dentist for further examination.[Read More] Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Understanding Gum Swelling After Root Canal Treatment: Causes and Solutions
Root canal treatment On September 6th, I had my first root canal treatment. The dentist noticed vertical cracks in the tooth and hoped to save it. On the 22nd, during the third treatment, I am now waiting for the crown. Starting on the 26th, I experienced gum swelling and pain, w...
Dr. Zeng Guanghui reply Dentistry
If there is a suspicion of a vertical tooth fracture that extends to the root, even after undergoing root canal treatment, there may still be gum swelling and pain, or even the development of abscesses. It is advisable to consult a dentist for further evaluation.[Read More] Understanding Gum Swelling After Root Canal Treatment: Causes and Solutions
Understanding Oral Lesions: What Do Painful Bumps Mean?
Oral cavity Hello Doctor: I would like to inquire about something. I smoke occasionally, do not drink alcohol, and do not consume betel nut, but recently I have developed small lumps in the inner cheek area of my mouth that are somewhat painful to the touch. I would like to know ...
Dr. Zeng Guanghui reply Dentistry
The presence of small flesh-like growths in the buccal mucosa may indicate an inflammatory response of the oral mucosa. It is advisable to consult a dentist for further evaluation and treatment.[Read More] Understanding Oral Lesions: What Do Painful Bumps Mean?
Understanding Dental Fillings: When to Remove Temporary Medications
Dental crown coverage Hello, doctor. The examining physician suspected that there was a cavity in the tooth, so they drilled into the tooth and later filled the cavity with medication. How long after this procedure should the medication be removed? Additionally, what is the proce...
Dr. Zeng Guanghui reply Dentistry
Typically, when a cavity is deep and close to the dental pulp, a temporary medication is placed in the excavated cavity for about one month, allowing time for the inflammation in the tooth to subside before it can be permanently restored with resin.[Read More] Understanding Dental Fillings: When to Remove Temporary Medications
Understanding Dental Nerve Death: Causes, Symptoms, and Treatment Options
Nerve necrosis A few days ago, I felt pain in the first tooth to the right of my front teeth, and it hurt even when drinking water. Over the past couple of days, the pain has not been very severe, but I decided to see a dentist. An X-ray was taken, and it appeared to be fine, but...
Dr. Zeng Guanghui reply Dentistry
The necrosis of the dental pulp tissue within the closed space of the pulp chamber can lead to purulent secretions that may infect the periapical tissues through the apical foramen, causing an inflammatory response. Therefore, root canal treatment is necessary to thoroughly debri...[Read More] Understanding Dental Nerve Death: Causes, Symptoms, and Treatment Options
Understanding Tooth Sensitivity: Is It Cavities or Something Else?
Tooth sensitivity or toothache? Hello, doctor. I often feel pain in my second to last tooth on the upper left when I eat, especially when chewing with that tooth; it feels particularly sore. About a month ago, I had a dental cleaning and an X-ray taken. I told the dentist that to...
Dr. Zeng Guanghui reply Dentistry
In the above situation, it is possible that the outer enamel has worn down, exposing the second layer of dentin. It may also be due to gum recession, which exposes the neck of the tooth, or there may be cracks on the surface of the tooth structure. These conditions may not necess...[Read More] Understanding Tooth Sensitivity: Is It Cavities or Something Else?
Understanding Options for Your Broken Upper Left Molar: A Dental Guide
The upper left third molar has broken down to one-third of its original structure? Hello Doctor, my upper left last molar has broken down to 1/3. I believe it was previously treated with a root canal but only filled without a crown. Last year, while eating, the last molar on the ...
Dr. Zeng Guanghui reply Dentistry
1. If root canal treatment is performed without any complications and the root depth is sufficient, it is possible to attempt to place a post to reinforce the tooth structure before applying a crown. 2. If extraction is deemed necessary, it should be done under local anesthesia...[Read More] Understanding Options for Your Broken Upper Left Molar: A Dental Guide
How to Address Mild Enamel Damage: Tips Beyond Fluoride Treatment
Enamel damage What can be done for mild enamel damage or tooth issues? Is it safe to leave it untreated? Besides fluoride treatment, what other options are available?
Dr. Zeng Guanghui reply Dentistry
Mild enamel damage without symptoms of sensitivity to hot, cold, or acidic stimuli can be monitored. Fluoride treatments or the use of fluoride toothpaste can help protect the damaged enamel. It is advisable to avoid sugary or acidic foods and to refrain from using a horizontal b...[Read More] How to Address Mild Enamel Damage: Tips Beyond Fluoride Treatment
Dealing with Oral Issues: Understanding Braces and Mouth Sores
Oral issues Hello Doctor, I have braces and recently I've had a sore in my mouth for almost two weeks. I'm not sure if it's related to the braces, but it feels like it's getting better and worse. What should I do? Thank you, Dr. Tseng.
Dr. Zeng Guanghui reply Dentistry
Mouth ulcers are primarily caused by abnormalities in the immune system and are not related to braces, unless the braces are poorly fitted, causing sharp edges to irritate the oral mucosa and lead to mucosal damage. It is advisable to consult a dentist for further examination.[Read More] Dealing with Oral Issues: Understanding Braces and Mouth Sores
Managing Dental Emergencies: Dealing with Swelling After Root Canal Treatment
Halfway through the root canal, my face swelled up... I have received emergency treatment? Hello, doctor. I had a root canal treatment on my molar when I was in elementary school, but it may have been incomplete at that time. Occasionally, when I stay up late, I develop a pus-fil...
Dr. Zeng Guanghui reply Dentistry
If the molar experiences gum swelling after root canal treatment, potentially leading to cellulitis, in addition to administering antibiotics and performing incision and drainage, it is essential to thoroughly debride the root canal of the affected tooth. After cleaning the root ...[Read More] Managing Dental Emergencies: Dealing with Swelling After Root Canal Treatment