Understanding Gum Bumps: Are They Scars from Wisdom Tooth Removal?
Follow-up Inquiry #204291 Dear Dr. Tseng, Thank you for your response to the inquiry in "<a href='https://adoctor.tw/article/204291'>#204291</a>." Regarding your reply about the possibility of residual roots left after wisdom tooth extraction bein...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Kris: 1. It is possible that the gum keratinization scar is a result of the healing process after tooth extraction. 2. Prolonged occlusal friction from chewing food may increase the degree of keratinization and could potentially lead to malignant changes. It is recommen...[Read More] Understanding Gum Bumps: Are They Scars from Wisdom Tooth Removal?
Understanding Post-Wisdom Tooth Extraction Healing and Concerns
Inquiry Consultation Hello Dr. Tseng: I had my lower right wisdom tooth extracted over a decade ago. Currently, that area only has gum tissue. Last July, I noticed a semi-circular protrusion on the gum tissue, approximately 0.2 cm in size, with a pinkish-white color. During a rou...
Dr. Zeng Guanghui reply Dentistry
Hello Kris: 1. The semicircular protrusion may be caused by gingival inflammation and hyperplasia. It is recommended to consult a dentist for further examination if it does not resolve. 2. If there are residual tooth roots that were not completely extracted, this could lead to...[Read More] Understanding Post-Wisdom Tooth Extraction Healing and Concerns
Can You Re-Treat a Root Canal After Getting a Dental Post?
After a root canal treatment, there may be sudden pain after a period of time? Can a root canal be performed if there is a dental implant?
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Wang: 1. If you experience sudden pain after a root canal treatment, it may be due to a crack in the treated tooth, leading to a bacterial infection. It is advisable to return for a check-up with your dentist. 2. Successful removal of the dental post is necessary before...[Read More] Can You Re-Treat a Root Canal After Getting a Dental Post?
Understanding Tooth Cracks: Treatment Options and Solutions
Tooth fracture issues? Hello, Doctor. While eating, I cracked a tooth. After a preliminary examination, it was found that there is a radial crack on the crown of my upper right molar, which seems to be a superficial crack that has not reached the root yet. Currently, I experience...
Dr. Zeng Guanghui reply Dentistry
Hello, Student Wu: 1. All the above treatment methods are acceptable, but if you proceed directly with the crown and experience inflammation and pain in the tooth nerve, it will be necessary to drill a hole in the crown to perform a root canal treatment, or to remove the crown ...[Read More] Understanding Tooth Cracks: Treatment Options and Solutions
Can Dental Fillings Be Replaced to Prevent Root Canal Treatment?
Can dental fillings be replaced or updated? Hello, doctor. Recently, I have had three fillings that have resulted in nerve necrosis requiring root canal treatment. Since there are several other fillings that have been in place for a long time, I am concerned about the possibility...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Wei: If there is a fracture or detachment in the filling, or if you experience sensitivity to hot or cold, it is advisable to return for a follow-up appointment with your dentist for evaluation. If necessary, the filling material may need to be removed, and then conside...[Read More] Can Dental Fillings Be Replaced to Prevent Root Canal Treatment?
Understanding Dental Crown Polishing: Common Concerns and Solutions
Orthodontic bracket polishing and grinding? Hello, Doctor. I have a tooth that underwent root canal treatment, had a screw placed in it, and was then capped. Recently, during a routine dental cleaning, I mentioned to the dentist that the gum around this tooth occasionally feels s...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Chen: 1. Dentures can be adjusted, but they need to be polished afterward to avoid irritating the gums or tongue. 2. Generally, after polishing, they should not feel rough; however, if a metal crown is ground down and breaks, it may feel very rough. 3. It is recommended...[Read More] Understanding Dental Crown Polishing: Common Concerns and Solutions
Fixed Dentures Dislodged: Should You Reposition Them for Better Fit?
The fixed dental prosthesis has come loose, and reattaching it feels like it is flipped sideways compared to its original position? If a patient has had their fixed dentures dislodged due to eating overly sticky food and subsequently had them reattached by a dentist, but is exper...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Bystander A: Generally, if the appliance is worn in the wrong direction, it is unlikely to fit completely. If you have any concerns, it is advisable to return for a follow-up appointment to have the dentist check it again. Dr. Tseng Guang-Hui, Department of Dentistry, N...[Read More] Fixed Dentures Dislodged: Should You Reposition Them for Better Fit?
Understanding Tooth Pain: Insights on Wisdom Teeth and Root Canal Issues
The first molar next to the lower left wisdom tooth? Hello Doctor: The first molar next to the lower left wisdom tooth underwent root canal treatment a long time ago, but now there is intense pain when pressing on the gums with my finger, and the molar is also loose (the tooth st...
Dr. Zeng Guanghui reply Dentistry
Dear Mr. Liu, 1. The roots of the lower left molar are shorter than those of the anterior teeth. If root canal treatment fails, an apicoectomy may be necessary. After the surgery, removing a portion of the root tip can further shorten the already short roots of the molar, which ...[Read More] Understanding Tooth Pain: Insights on Wisdom Teeth and Root Canal Issues
Understanding Tongue Ulcers: When to Seek Medical Advice
Tongue ulcer protrusion I do not smoke or chew betel nut, but I frequently experience oral ulcers (on my lips, tongue, and the front part of my throat). After an ulcer on my tongue this time, it swelled up, and I accidentally bit the wound, resulting in an irregular protrusion wi...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Nini: If the ulcer has not healed after more than a week, or if there is a hard lump in the ulcerated area, it is recommended to return for a follow-up appointment to consider a biopsy. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Tongue Ulcers: When to Seek Medical Advice
Common Issues with Dentures: Understanding Your Dental Options
Issues with Dentures Dr. Jun-Chi Tseng: I would like to inquire about issues related to dentures. My upper left incisor had swollen gums and pain, and I did not seek dental care immediately. Later, I was diagnosed with the need to extract the tooth. I chose to have a dental bridg...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. A-Bao: The edges of the dentures should be bonded in such a way that they fit snugly against the gums without any gaps. If there are any gaps, it is recommended to return for an examination. If there is a black area at the back of the dentures, it is generally a metal-c...[Read More] Common Issues with Dentures: Understanding Your Dental Options
Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Treatment and Prognosis of Aggressive Periodontitis Hello, Doctor. On November 18th in the afternoon, while eating lunch, I experienced discomfort in my teeth (specifically in the upper and lower first molars on the right side) after chewing on pork rib cartilage. By November 22n...
Dr. Zeng Guanghui reply Dentistry
Dear Mr. Ri Hai, 1. Aggressive periodontitis refers to the rapid destruction and resorption of the alveolar bone surrounding the teeth, with the damage extending beyond the inflammation of the periodontal ligament. If it is merely inflammation of the periodontal ligament, anti-i...[Read More] Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Do You Need New Retainers After Root Canal and Porcelain Crown?
Root canal treatment Hello, doctor. I would like to ask if a tooth that has undergone root canal treatment needs to have a new all-ceramic crown, will I need to return to the clinic to pay for a new clear retainer and fixed retainer? Or can the all-ceramic crown be compatible wit...
Dr. Zeng Guanghui reply Dentistry
Dear Miss An, After root canal treatment, a full ceramic crown is required. If you currently have a clear retainer and a fixed retainer, it may be difficult to fit the original retainers snugly after the crown is placed. You may want to discuss with your dentist the possibility...[Read More] Do You Need New Retainers After Root Canal and Porcelain Crown?
Should You Extract a Tooth with a Root Abscess After Root Canal Treatment?
Does a tooth that has undergone root canal treatment and developed an apical abscess need to be extracted? Is a second root canal necessary for an apical radiolucency? In mid-September, I accidentally bit down on a chopstick with my upper left teeth, around the third, fourth, or ...
Dr. Zeng Guanghui reply Dentistry
Dear Ms. Mimi: If the fifth tooth has micro-cracks, the prognosis will still be poor even with re-root canal treatment in the future, so extraction is recommended. As for the fourth tooth, if the apical lesion is small, re-root canal treatment can be considered; however, if the a...[Read More] Should You Extract a Tooth with a Root Abscess After Root Canal Treatment?
Dealing with Dentures: When Your New Smile Looks Overdone
The dentures are fitted but have become misaligned? Dear Dr. Tseng: Today I went to try on a partial denture, and when the doctor showed me in the mirror, I was shocked to see how it looked like a big overbite. The doctor said it was supposed to look like that and that I would ge...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Alon: If it is a porcelain crown, the thickness will be greater, and since the amount of tooth reduction is relatively small, the resulting crown will be slightly larger than the original tooth. It is recommended to discuss the treatment plan further with your attending...[Read More] Dealing with Dentures: When Your New Smile Looks Overdone
Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Oral ulcer Hello doctor, my mouth ulcer has been persistent for three to four days, located on the inner mucosa of my cheek. Recently, the mucosa around the ulcer has swollen, and there are numerous small white spots appearing above the ulcer (they are not painful, cannot be scra...
Dr. Zeng Guanghui reply Dentistry
Hello, Xiaolin: The swelling of the mucosa near the hole is likely due to inflammation or infection, and the white spot on the hole may be granulation tissue as the ulcer gradually heals. It is recommended to see a dentist or an otolaryngologist if there is pain or inflammation. ...[Read More] Understanding Oral Ulcers: Causes, Symptoms, and Treatment Options
Understanding Gum Bumps: Causes, Concerns, and When to Seek Help
Gum swelling or gum lump? A few days ago, I suddenly noticed 2-3 lumps on the gum behind my last molar, right on the gum where my wisdom tooth used to be (the wisdom tooth was extracted 2-3 years ago). The color is flesh-toned, and when I touch it with a cotton swab, it feels har...
Dr. Zeng Guanghui reply Dentistry
Hello Ms. Aa: If there is recurrent discomfort in the molar area, it may be associated with pain, even in the absence of an abscess. This could indicate chronic inflammation. It is advisable to consult a dentist for further evaluation and treatment. Dr. Tseng Guang-Hui, Departmen...[Read More] Understanding Gum Bumps: Causes, Concerns, and When to Seek Help
Understanding Frequent Mouth Ulcers: Causes and Solutions
Inquire about issues related to mouth ulcers? Hello doctor, I have been experiencing frequent mouth ulcers for the past two to three years, and they are quite large, sometimes even bigger than a one-dollar coin. Although I had an MRI in September that showed no issues, it often t...
Dr. Zeng Guanghui reply Dentistry
Hello, Mr. Luo You-jie: Irregular lifestyle, poor sleep, and high emotional stress can also lead to mouth ulcers. If you experience frequent mouth ulcers, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Frequent Mouth Ulcers: Causes and Solutions
Understanding Gum Issues: What Could That Bump on Your Gums Be?
Gum issues There is a small bump at the bottom of the gums of my lower teeth. It doesn't hurt when I touch it with my tongue, but it seems to hurt when I press it with my fingers. It's located too deep to reach. I want to know if this is a lump or if it could be caused ...
Dr. Zeng Guanghui reply Dentistry
Dear Ms. Worried, If there is a painful small bump at the base of your gums when pressed, it may indicate an infection at the tooth's apex. It is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital[Read More] Understanding Gum Issues: What Could That Bump on Your Gums Be?
Can You Use a Tooth File for Sharp Molars or See a Dentist?
Friction between the tongue, inner cheeks, and teeth? The edges of the molars at the back are too sharp, often causing friction with the tongue, inner cheeks, and teeth. Can I use an over-the-counter dental file to smooth out the sharp areas myself, or should I consult a dentist ...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Timothy: It is recommended to consult a dentist to address the sharp edges of the molars. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.[Read More] Can You Use a Tooth File for Sharp Molars or See a Dentist?
Understanding Recurrent Inflammation After Root Canal Treatment
Recurrent root canal inflammation? I would like to inquire about a tooth for which I am considering getting an implant. Last year, I had a dental crown placed, but over the past year, I have experienced recurrent pain when biting and had to have it opened twice. The last time it ...
Dr. Zeng Guanghui reply Dentistry
Hello Mr. Jas: If a tooth undergoes root canal treatment but has a small crack that frequently causes gum inflammation, and the inflammation recurs, it is advisable to consider extracting the tooth and then exploring options for dental implants or other forms of prosthetics. Dire...[Read More] Understanding Recurrent Inflammation After Root Canal Treatment