Dr. Zeng Guanghui reply Dentistry Question - Page 54

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Persistent Tongue Pain While Eating: When to See a Specialist?

The surface of the tongue hurts while eating, similar to the sensation of the skin being scraped by food? This condition has persisted for several months, especially when eating hard foods, which causes significant pain in the tongue, and there are red patches on the tongue'...


Dr. Zeng Guanghui reply Dentistry
The above condition is likely due to inflammation and atrophy of the filiform papillae on the tongue, which causes discomfort when exposed to irritating or hard foods. This is generally caused by interference from the autoimmune system. It is recommended to consult an oral surgeo...

[Read More] Persistent Tongue Pain While Eating: When to See a Specialist?


Understanding Hard White Bumps Behind Wisdom Teeth: Causes and Solutions

There is a small, hard, white bump behind the wisdom tooth? There is a white bump growing behind my lower right wisdom tooth. It doesn't hurt when I touch it with my tongue, and it has been getting larger over the past week. Initially, I thought it was an abscess, but I late...


Dr. Zeng Guanghui reply Dentistry
The above situation is likely due to inflammation and infection of the gum tissue surrounding the wisdom tooth, combined with frictional irritation, leading to excessive keratinization of the mucosa. It is advisable to consult a dentist for diagnosis and treatment, and if necessa...

[Read More] Understanding Hard White Bumps Behind Wisdom Teeth: Causes and Solutions


Overcoming Dental Anxiety: Can I Still Get Fillings or Need Extraction?

Dental and gum issues? Hello, Doctor. My experience with the dentist stopped at the age of 12 because I still remember the fear and pain from the anesthesia during tooth extraction, which has made me afraid to see a dentist ever since. When I was 12, I had the last tooth on the l...


Dr. Zeng Guanghui reply Dentistry
In the above situation, the gums adjacent to the cavity are unable to tightly adhere to the tooth, indicating severe gingival inflammation, and the cavity has progressed to the nerve. At this point, dental cleaning treatment may be necessary, and the affected tooth may require an...

[Read More] Overcoming Dental Anxiety: Can I Still Get Fillings or Need Extraction?


Options for Treating Multiple Cavities with Minimal Pain

Many cavities? Having only 27 teeth with more than five cavities and no pain, what treatment options do you have, doctor? If the decay is only superficial, can it be filed down or something similar?


Dr. Zeng Guanghui reply Dentistry
It is advisable to fill cavities early to prevent dental plaque from further invading the carious lesions, which can lead to deeper decay and eventually nerve inflammation. Early treatment is definitely the better choice.

[Read More] Options for Treating Multiple Cavities with Minimal Pain


Tooth Pain Without Cavities: Understanding Dental Nerve Connections

Toothache without cavities? I’m sorry, but I feel pain in a certain tooth on the lower right side, yet there seems to be nothing wrong. Instead, the dentist said that the last tooth on the upper right has a cavity. Am I misinterpreting the pain, or could it be that the nerves in ...


Dr. Zeng Guanghui reply Dentistry
The above situation may indicate that although the lower right tooth does not have cavities, the periodontal tissue may be inflamed. It is recommended to consult a dentist for further evaluation and treatment.

[Read More] Tooth Pain Without Cavities: Understanding Dental Nerve Connections


Understanding Oral Mucosal Ulcers: Symptoms and When to See a Doctor

Oral mucosa Hello Dr. Tseng, I have a sore in my mouth that has been present for over three weeks and hasn't healed. Last week, a small black spot appeared. What could this symptom indicate? Would it be better to see a doctor? Thank you for your response.


Dr. Zeng Guanghui reply Dentistry
The above situation may be an oral ulcer, which typically heals on its own within about a week. If it has not improved after three weeks, there may be an infection at the ulcer site. Additionally, if a small spot appears, it could be caused by the rupture of a small blood vessel ...

[Read More] Understanding Oral Mucosal Ulcers: Symptoms and When to See a Doctor


Why Are My New Dentures Shaking? Understanding Common Concerns

New dentures may wobble while eating? Dear Dr. Tseng, I had six connected new front teeth installed at the hospital, and after more than a month, I noticed that the dentures slightly wobble when I drink soup or eat. The doctor mentioned that it is the dental roots that are movin...


Dr. Zeng Guanghui reply Dentistry
Six connected dentures may become loose after a month, possibly due to inflammation of the supporting periodontal tissues or because the dentures are too long and there are not enough supporting teeth. It is recommended to consult a dentist for further examination.

[Read More] Why Are My New Dentures Shaking? Understanding Common Concerns


Choosing Between Dental Crowns and Inlays for Root Canal Teeth

Selection between dental crowns and porcelain veneers? Hello, About two years ago, I underwent root canal treatment on my upper first molar due to decay. The tooth was not painful, but it was very close to the pulp chamber on the X-ray, so root canal treatment was necessary. Th...


Dr. Zeng Guanghui reply Dentistry
1. If there is enough support, a crown can be placed directly. 2. If there is still a significant amount of tooth structure remaining and the area of loss is small, a porcelain inlay can be considered; otherwise, a crown is preferable, as teeth that have undergone root canal trea...

[Read More] Choosing Between Dental Crowns and Inlays for Root Canal Teeth


How to Stop Gum Bleeding: Tips for Healthy Gums After Dental Cleaning

Gum bleeding Hello, doctor. I would like to ask, I had a dental cleaning at a nearby clinic about a month ago. Since graduating from college, I have been experiencing ongoing gum issues, including redness, swelling, and bleeding. After visiting the dentist for a cleaning, I was i...


Dr. Zeng Guanghui reply Dentistry
If gum bleeding is caused by misalignment of the upper teeth that easily bites into the lower gums, along with impacted wisdom teeth pressing against other teeth, it can lead to plaque accumulation in the interproximal spaces, making the gums more prone to bleeding. It may be nec...

[Read More] How to Stop Gum Bleeding: Tips for Healthy Gums After Dental Cleaning


Managing Incomplete Root Canal Treatment and Persistent Tooth Pain

Several years ago, I underwent root canal treatment, and during a recent examination, the doctor mentioned that there is inflammation inside? Hello, doctor. Six years ago, I underwent root canal treatment, but recently during a dental cleaning, the dentist informed me that the ro...


Dr. Zeng Guanghui reply Dentistry
In the above situation, it is possible that the root canal was initially cleaned and disinfected, but not filled with medication, or it was filled but not completely. Therefore, during re-treatment, it is necessary to thoroughly clean out the inflamed tissue within the root canal...

[Read More] Managing Incomplete Root Canal Treatment and Persistent Tooth Pain


Post-Wisdom Tooth Extraction: Dealing with Black Tissue Concerns

Issues After Wisdom Tooth Extraction I had my wisdom tooth extracted yesterday and noticed a soft black area where the tooth was removed, which I believe is necrotic tissue. I didn't pull it out because I was afraid it might still be attached to healthy tissue. Should I sche...


Dr. Zeng Guanghui reply Dentistry
It is likely a blood clot from the wound; it is recommended to return for a follow-up appointment with a dentist for examination.

[Read More] Post-Wisdom Tooth Extraction: Dealing with Black Tissue Concerns


Understanding Treatment Options for Cavities in Upper Left Teeth

Upper left posterior tooth Hello Doctor, I have two cavities in the upper left back teeth that have become hollow and cracked, but there is a healthy tooth in between. What would be the treatment for this? I haven't had a day off recently, so I would like to understand the g...


Dr. Zeng Guanghui reply Dentistry
In the above situation, it is important to assess the extent of the fracture. If the fracture has affected the dental nerve, root canal treatment is recommended. However, if the fracture extends to the tooth root, extraction is advised. It is recommended to consult a dentist for ...

[Read More] Understanding Treatment Options for Cavities in Upper Left Teeth


Understanding Sudden Oral Bumps: Causes and Solutions

Swelling in the upper oral cavity? This morning, while having breakfast, a lump suddenly appeared on the upper inner side of my mouth as shown in the image http://imgur.com/z44d3XO. It gradually diminished, but it reappeared during lunch and dinner. Although it does not affect my...


Dr. Zeng Guanghui reply Dentistry
The above situation may indicate inflammation of the minor salivary glands within the oral mucosa. It is recommended to consult a dentist for further examination.

[Read More] Understanding Sudden Oral Bumps: Causes and Solutions


Understanding Occasional Tooth Pain During Orthodontic Treatment

Dental issues Hello, doctor. I would like to ask you about a situation during my orthodontic treatment. One of my front teeth occasionally experiences sudden sharp pain for a few seconds (it has had a cavity filled before), but I don't feel discomfort when drinking room temp...


Dr. Zeng Guanghui reply Dentistry
In the above situation, it is possible that during the orthodontic process, there is pressure and remodeling of the periodontal tissues as the teeth move. However, if the pain persists, it is important to consider whether the dental nerve may be affected. It is advisable to retur...

[Read More] Understanding Occasional Tooth Pain During Orthodontic Treatment


Understanding Post-Wisdom Tooth Extraction Healing and Concerns

Wisdom tooth extraction wound? Hello Doctor, I just had my wisdom tooth extracted yesterday. Although half of it was covered by gum, the extraction took less than 10 minutes, which was quite fast. After that, it took about two hours for the bleeding to stop. I didn't open my...


Dr. Zeng Guanghui reply Dentistry
In the above situation, the white substance may be food debris, while the black substance could be blood clots. It is recommended to brush your teeth regularly to maintain oral hygiene, but be careful not to brush the wound. Additionally, you may consider using mouthwash to aid i...

[Read More] Understanding Post-Wisdom Tooth Extraction Healing and Concerns


Understanding Gum Recession: Causes and Solutions Beyond Periodontal Disease

Gingival recession (non-periodontal disease) Previously, when I visited the dentist, they mentioned that my teeth were very healthy with no tartar or other issues. However, during my recent visit, the doctor pointed out that I have exposed roots on one of my teeth (I later realiz...


Dr. Zeng Guanghui reply Dentistry
The causes of gum recession include improper brushing techniques, such as aggressive horizontal brushing, repeated gum inflammation, or the bleaching agents from whitening trays that come into contact with the gums, which can irritate and lead to gum recession. If the recession i...

[Read More] Understanding Gum Recession: Causes and Solutions Beyond Periodontal Disease


Should I Extract or Fill My Decayed Upper Second Molar?

Cavity in the second molar? Doctor, I have a cavity in my upper left second molar, and that tooth is misaligned. The molar behind it and my lower wisdom tooth have both been extracted. The dentist I visited said that the tooth does not occlude properly, so it would be fine to ext...


Dr. Zeng Guanghui reply Dentistry
In the above situation, if you want to preserve the second molar, it is recommended to first fill the cavity and then use orthodontic treatment to align the teeth properly, so as not to affect the occlusion. You should consult a dentist to evaluate whether this treatment is feasi...

[Read More] Should I Extract or Fill My Decayed Upper Second Molar?


Understanding Bumps on the Upper Jaw: Causes and When to See a Dentist

There are small bumps on the upper jaw? Hello Doctor: This evening, I suddenly felt that there were small, raised bumps on my upper palate. After looking in the mirror, I noticed that they are small white bumps, and there are quite a few of them. I would like to ask if you know w...


Dr. Zeng Guanghui reply Dentistry
The above condition may be caused by inflammation or infection of the maxillary oral mucosa. If it persists for several days without improvement, it is advisable to consult a dentist for further evaluation and treatment.

[Read More] Understanding Bumps on the Upper Jaw: Causes and When to See a Dentist


Dealing with Abscess Under Dental Bridge: Pain Relief and Treatment Options

Abscess at the site of a dental bridge? Hello Dr. Tseng, I had a dental bridge placed over a year ago on teeth 14, 15, and 16. Currently, I am in France. A few days ago, I suddenly started experiencing tooth pain, and later my gums became swollen. I researched online and found ou...


Dr. Zeng Guanghui reply Dentistry
The above situation is likely due to an infection or inflammation of the gum tissue around the dental bridge, or it could be that there is decay in the teeth within the bridge. If the antibiotics taken are not effective, it may be necessary to completely remove the dental bridge,...

[Read More] Dealing with Abscess Under Dental Bridge: Pain Relief and Treatment Options


Understanding and Treating Oral Warts: Key Questions Answered

How to treat oral cauliflower lesions? Hello Dr. Tseng, In January and February, after engaging in sexual activity, I noticed small raised bumps in my throat and under my tongue. I looked up images online and they resemble oral warts. I have a few questions to ask: 1. Do warts...


Dr. Zeng Guanghui reply Dentistry
1. In the aforementioned situation, the patient was referred to an oral surgeon for examination and evaluation. 2. Treatment options for oral warts include cryotherapy, electrosurgery, laser therapy, and topical medications. 3. Following surgical treatment, the recovery time ...

[Read More] Understanding and Treating Oral Warts: Key Questions Answered


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