Dr. Zeng Guanghui reply Dentistry Question - Page 46

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Understanding Mandibular Development Issues After Orthodontic Treatment

Mandibular development issues? Hello Doctor, my height is 183 cm and my weight is 63 kg. It has been over a year since I completed my orthodontic treatment, and my bite is normal. My wisdom teeth have not erupted yet. (I experienced a noticeable growth spurt from the third year o...


Dr. Zeng Guanghui reply Dentistry
1. Yes. 2. The normal occlusion of the upper and lower incisors is not directly related to the forward growth of the jaw; the growth of the jaw is primarily associated with the growth curve. 3. When the jaw grows, it grows as a whole. If viewed from the side, a short jaw without ...

[Read More] Understanding Mandibular Development Issues After Orthodontic Treatment


Understanding Tooth Sensitivity After Dental Filling: Is It Normal?

Re-filling a tooth may cause sensitivity? Hello, doctor. Today I went to my regular dentist for a check-up, and the doctor helped me with a dental filling. I have a few questions: 1. The tooth that was filled had undergone root canal treatment previously, but during the filling p...


Dr. Zeng Guanghui reply Dentistry
1. If a tooth that has already undergone root canal treatment is refilled with resin and does not cause sensitivity, it may be due to other issues. It is advisable to consult a dentist for further examination. 2. If the filling is in place but occasionally causes slight sensitivi...

[Read More] Understanding Tooth Sensitivity After Dental Filling: Is It Normal?


Understanding Dental Fillings and Root Canal Treatment: What You Need to Know

Dental fillings and root canal treatment? I recently went for a dental check-up and found that I have several cavities, some of which are small spots. Among them, only one molar in front of my wisdom tooth has a denser area of decay. Additionally, it was discovered that the pulp ...


Dr. Zeng Guanghui reply Dentistry
1. Dental fillings involve the removal of decayed tooth structure affected by cavities, followed by the restoration of the tooth's shape and function with a filling material. If a cavity is confirmed, it is still recommended to undergo filling treatment as soon as possible t...

[Read More] Understanding Dental Fillings and Root Canal Treatment: What You Need to Know


Do You Always Need to Extract a Tooth with a Root Fracture?

Is it necessary to extract a tooth if the root is fractured? Hello, doctor. I accidentally fell while riding my bike and broke my right front tooth. An X-ray showed a vertical crack along the root of the tooth. Does this situation definitely require extraction? Is it still possib...


Dr. Zeng Guanghui reply Dentistry
If there is a vertical crack that has reached the tooth root, extraction may be the better option. It is advisable to consult a dentist for further evaluation.

[Read More] Do You Always Need to Extract a Tooth with a Root Fracture?


Should You Extract Baby Teeth or Start Orthodontics First?

Should tooth extraction be done before orthodontic treatment or vice versa? Hello, my child is in the fourth grade this year (she is relatively small for her age), but the teeth next to her upper front teeth have not yet fallen out (they are a bit loose). I initially wanted to ex...


Dr. Zeng Guanghui reply Dentistry
The teeth next to the upper front teeth should be primary molars. If the erupted permanent first and second premolars have already pushed forward, localized orthodontic treatment can be performed first, followed by the extraction of the primary canine to minimize the risk of spac...

[Read More] Should You Extract Baby Teeth or Start Orthodontics First?


Managing Cracked Premolars in a 12-Year-Old: Root Canal Options

Bicuspid tooth Hello Doctor: My 12-year-old child has already lost both upper molars, but the newly erupted molars are premolars. Recently, one of the premolars has fractured, causing tooth pain. I would like to know how to manage this situation. Additionally, can a 12-year-old c...


Dr. Zeng Guanghui reply Dentistry
If a premolar has fractured and is causing tooth pain, it may have led to pulpitis. It is advisable to undergo root canal treatment to alleviate the tooth pain and restore chewing function.

[Read More] Managing Cracked Premolars in a 12-Year-Old: Root Canal Options


Understanding Dental Filling Material Changes and Their Effects

Dental filling material replacement? Hello, about six years ago I had a silver filling placed on my molar. Recently, I went to a local hospital abroad for a check-up, and the doctor mentioned that there might be secondary decay underneath the silver filling. After removing the fi...


Dr. Zeng Guanghui reply Dentistry
The tooth that was originally filled with silver amalgam was replaced with a resin filling, but after the procedure, there is pain and sensitivity to cold. This may be due to the original cavity being quite deep and close to the dental pulp. It is recommended to see a dentist for...

[Read More] Understanding Dental Filling Material Changes and Their Effects


Is It Safe to Use Mouthwash Daily? Understanding Its Effects on Oral Health

Use of Mouthwash Hello, doctor. I've recently started using mouthwash, and I've noticed a film forming in my mouth afterward. Is this a normal phenomenon? Additionally, I know that mouthwash cannot replace brushing, but since it's inconvenient to brush at work duri...


Dr. Zeng Guanghui reply Dentistry
Mouthwash typically does not leave a film in the oral cavity after use; if a film is present, it may be a biofilm formed by dental plaque that has not been adequately removed through brushing. Therefore, mouthwash is essentially an adjunct to brushing and cannot replace the act o...

[Read More] Is It Safe to Use Mouthwash Daily? Understanding Its Effects on Oral Health


Can I Get Braces After Root Canal Treatment? A Dental Guide

Orthodontic issues Hello, I had an injury to my front teeth when I was younger, which resulted in an abscess due to improper cleaning of the gums. I am currently about to undergo root canal treatment. I would like to know if, after completing the root canal treatment and getting ...


Dr. Zeng Guanghui reply Dentistry
Due to dental trauma leading to pulpitis and necrosis, resulting in the formation of abscesses, after completing root canal treatment, if the alignment of the teeth is irregular, orthodontic treatment can be performed first. Afterward, crown lengthening can be done, followed by t...

[Read More] Can I Get Braces After Root Canal Treatment? A Dental Guide


Do Adults Need Braces for Slightly Crooked Teeth?

Orthodontics Doctor, may I ask if, in general adults, teeth can continue to shift forward and become misaligned even if there are no wisdom teeth issues or other oral problems? If I feel that my teeth have become slightly more crooked than before, is it necessary to undergo ortho...


Dr. Zeng Guanghui reply Dentistry
If there is a malocclusion or skeletal discrepancies causing dental occlusion abnormalities, or if there is periodontal disease, it may lead to the entire dental arch being pushed forward. It is advisable to consult a dentist for further examination.

[Read More] Do Adults Need Braces for Slightly Crooked Teeth?


Should You Replace Silver Fillings Before Pregnancy?

Should the silver filling be replaced after it has been repaired? I had many silver fillings in my mouth during childhood, and recently I've heard that silver fillings may cause chronic mercury poisoning due to the release of mercury vapor. Additionally, if I become pregnant...


Dr. Zeng Guanghui reply Dentistry
The amalgam filling that has been in place for a long time has mostly released its mercury vapor and is not harmful to the body, unless the filling has cracked, fallen out, or has corroded. In such cases, it is necessary to have it removed and replaced. It is recommended to seek ...

[Read More] Should You Replace Silver Fillings Before Pregnancy?


Managing Avulsed Baby Teeth: Treatment Options and Recovery Insights

Dental trauma resulting in avulsion of primary teeth? Hello, Doctor. My child has just turned two years old and accidentally fell, injuring the upper front teeth. Two of the upper front teeth have been luxated into the alveolar bone, with one being more severe, having been displa...


Dr. Zeng Guanghui reply Dentistry
A 2-year-old child has experienced trauma to the primary incisors, with one tooth being more severely impacted, having been driven into the alveolar socket by nearly half. Generally, the tooth may eventually re-erupt, but potential complications include injury to the permanent to...

[Read More] Managing Avulsed Baby Teeth: Treatment Options and Recovery Insights


Should You Request X-Rays During Your Biannual Dental Checkup?

Regular check-up issues Hello, doctor! During my regular check-ups every six months, should I request that the doctor take X-rays? I'm a bit concerned about cavities that might not be visible to the naked eye and could be left untreated. Or is it sufficient for the doctor to...


Dr. Zeng Guanghui reply Dentistry
Some cavities, especially those located on the interproximal surfaces or at the root of the tooth, may not be visible to the naked eye. Therefore, the dentist will determine whether X-rays are necessary based on clinical examination to check for any other lesions in the root or t...

[Read More] Should You Request X-Rays During Your Biannual Dental Checkup?


Understanding Tongue Issues: What to Do When You Notice Abnormalities

Issues with the tongue? Hi Doctor, I'm an international student and it's not very convenient for me to see a doctor abroad, so I wanted to ask you first. A few days ago, I ate instant noodles and quickly burned my tongue slightly (but it wasn't serious, just a bit ...


Dr. Zeng Guanghui reply Dentistry
Based on the above description, it is more likely to be a sublingual salivary gland cyst, sublingual salivary gland inflammation, or a stone. It is recommended to consult a dentist or an oral surgeon for further examination.

[Read More] Understanding Tongue Issues: What to Do When You Notice Abnormalities


Tooth Sensitivity After Filling: When to Consider Root Canal Treatment?

After dental filling, one tooth may experience pain? Three hours after my dental filling, I drank cold water and felt a particular tooth was especially sensitive, but I didn't feel pain when drinking hot water. I currently have a desensitizing toothpaste for use. The tooth t...


Dr. Zeng Guanghui reply Dentistry
In the above situation, if the symptoms of pain persist, it is possible that the dental nerve has become inflamed. It is recommended to return for an evaluation to determine whether root canal treatment is necessary.

[Read More] Tooth Sensitivity After Filling: When to Consider Root Canal Treatment?


Understanding Tooth Root Cracks: Causes and Next Steps for Diagnosis

Root fracture issues? Hello, doctor. Recently, I've been feeling a bit of discomfort when drinking. I visited the dentist today, and he mentioned that it might be a periodontal issue, so he performed a cleaning. However, he also said that the tooth that underwent root canal ...


Dr. Zeng Guanghui reply Dentistry
Teeth that have undergone root canal treatment may become more brittle due to dehydration. If they are not protected with a crown, biting down on hard objects can lead to fractures or cracks in the tooth structure. If the crack extends to the root, it may cause pain during chewin...

[Read More] Understanding Tooth Root Cracks: Causes and Next Steps for Diagnosis


Understanding a Movable Bump on the Inside of Your Lower Lip

There is a lump on the inner left side of the lower lip? Hello Dr. Tseng: Recently, I noticed a round, swollen bump on the inner left side of my lower lip, close to the lip. It doesn't hurt but is movable, and it feels like a small ball. I've had it for about a week now...


Dr. Zeng Guanghui reply Dentistry
The above situation is likely due to inflammation and swelling of the small salivary glands inside the mouth. It is recommended to consult a dentist or an oral surgeon for further evaluation and treatment.

[Read More] Understanding a Movable Bump on the Inside of Your Lower Lip


Understanding Black Spots on Your Tongue: When to Seek Dental Advice

Tongue issues Hello, doctor. I have noticed some black spots on my tongue, specifically on the tip, which are distributed over approximately 12 to 13 papillae (it seems like the tips of the papillae have turned black without any protrusion). This condition has persisted for about...


Dr. Zeng Guanghui reply Dentistry
There are black spots on the tip of the tongue that have persisted for two years. Although there is no protruding sensation, it may be a lesion due to inflammation of the lingual papillae. It is advisable to consult a dentist or an oral surgeon for further examination.

[Read More] Understanding Black Spots on Your Tongue: When to Seek Dental Advice


Understanding Tongue Pain: Causes and When to Seek Dental Care

Issues with the tongue? Hello doctor, I have been experiencing sudden pain at the base of my tongue. When I looked in the mirror, I noticed something has grown next to my tongue, which seems to be the cause of the pain. I would like to know if this is just due to excessive heat i...


Dr. Zeng Guanghui reply Dentistry
Sudden pain at the base of the tongue with the appearance of a lesion on the side of the tongue may indicate an ulcer. Typically, such ulcers will heal on their own within about a week. However, if the ulcer does not improve after a week, it is advisable to consult a dentist for ...

[Read More] Understanding Tongue Pain: Causes and When to Seek Dental Care


Why Does My Tooth Hurt After Root Canal Treatment?

Pain after root canal treatment? A year ago, one of my lower front teeth underwent root canal treatment due to acute pulpitis, as the dentist diagnosed. Since then, the tooth had no issues until yesterday when I started experiencing pain while eating. It doesn't hurt when I&...


Dr. Zeng Guanghui reply Dentistry
One of the lower front teeth has undergone root canal treatment, but it hurt when eating yesterday. There may be periodontal issues or a crack in that tooth. It is advisable to consult a dentist for further examination.

[Read More] Why Does My Tooth Hurt After Root Canal Treatment?


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