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Managing Dental Anesthesia Risks for Hyperthyroid Patients

Anesthesia for tooth extraction in patients with hyperthyroidism? Hello, Doctor. My hyperthyroidism is currently under control, but I am still on medication. I discovered that I have a loose tooth that needs to be extracted due to periodontal issues. However, I am concerned about...


Dr. Zhu Guanyu reply Dentistry
Hello, based on your physiological condition, it is recommended that you first visit our dental department for further examination, and then arrange for subsequent treatment. Thank you for your message! Wishing you peace and health. Sincerely, Dr. Kuan-Yu Chu, Attending Physician...

[Read More] Managing Dental Anesthesia Risks for Hyperthyroid Patients


Understanding Swelling in the Upper Mouth: Causes and Solutions

Swelling in the upper part of the oral cavity? Hello doctor, this morning I felt very dry in my mouth, so I kept drinking water. However, by the evening, I noticed that the area in my mouth, where my tongue touches the roof, feels swollen, particularly in the upper palate. Upon c...


Dr. Zhu Guanyu reply Dentistry
Dear Xiao Zhang, Hello, based on the description in your letter, it is difficult to make an accurate diagnosis. I recommend that you visit a dental clinic for a comprehensive examination to establish a proper treatment plan. Thank you for your letter, and I wish you a speedy rec...

[Read More] Understanding Swelling in the Upper Mouth: Causes and Solutions


Can Orthodontics After Root Canal Treatment Cause Tooth Fractures?

Orthodontic treatment after root canal therapy? Hello, 1. I would like to ask if undergoing orthodontic treatment on teeth that have had root canal therapy could cause them to fracture due to the forces applied (possibly requiring the use of bone screws to pull the teeth back)....


Dr. Zhu Guanyu reply Dentistry
Hello, 1. Generally, it is not common, but for molars that have undergone root canal treatment, regardless of whether orthodontic treatment is needed, it is recommended to fabricate a dental crown for protection, as excessive biting forces can increase the risk of these teeth f...

[Read More] Can Orthodontics After Root Canal Treatment Cause Tooth Fractures?


Persistent Tooth Pain After Micro Root Canal and Apicoectomy: Next Steps

After undergoing microscopic root canal surgery and apicoectomy, the tooth has still been painful after six months of observation? After undergoing microscopic root canal treatment and apicoectomy, if the tooth still hurts after six months, the doctor recommends further examinati...


Dr. Zhu Guanyu reply Dentistry
Hello, Generally speaking, the follow-up period for teeth after root canal treatment is typically longer. Additionally, the tissue loss caused by apicoectomy may require an even longer recovery time. Currently, our dental department is equipped with an operating microscope, but...

[Read More] Persistent Tooth Pain After Micro Root Canal and Apicoectomy: Next Steps


What to Do If Your Clear Aligners Break: Expert Advice

Broken braces? Doctor, I have been wearing clear aligners for a while, but recently one of them broke! The dentist at the clinic I originally visited said that the next set of aligners hasn't arrived yet and didn't provide me with a backup. I'm currently without an...


Dr. Zhu Guanyu reply Dentistry
Hello: I would like to know which type of invisible aligner system you are using. It is recommended to return to your original treating dentist to discuss whether there is a need to wear retainers during this period or if there are other necessary measures. Wishing you safety and...

[Read More] What to Do If Your Clear Aligners Break: Expert Advice


Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions

Pain in adjacent teeth after root canal treatment? Hello Doctor: Recently, I have been undergoing root canal treatment on the tooth next to my right front tooth, and the treatment is not yet complete. After the first session, the anesthesia wore off and I experienced pain, but af...


Dr. Zhu Guanyu reply Dentistry
Hello: During the root canal treatment process, unexpected pain may occur. Regarding the symptoms you described in the adjacent tooth, please undergo a complete oral examination to determine the cause. Thank you for your message! Wishing you health and safety. Sincerely, Dr. Kuan...

[Read More] Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions


The Safety and Alternatives of Silver Fillings in Dentistry

Regarding silver amalgam dental fillings? Dear Dr. Zhu, I have several teeth that were filled with dental amalgam in the early stages, and now the amalgam has mostly oxidized and turned black. Recently, I came across information indicating that some countries have banned the use...


Dr. Zhu Guanyu reply Dentistry
Hello: The use of dental amalgam as a filling material for cavities has a history of several hundred years, and there is currently insufficient evidence to prove it is harmful. For more information, please refer to the website of the National Dental Association. If there are no o...

[Read More] The Safety and Alternatives of Silver Fillings in Dentistry


Understanding Dental Issues: Tooth Abscess and Misalignment Concerns

Dental abscess and tooth misalignment? Dear Dr. Zhu, I would like to consult you regarding some personal dental issues: 1. I previously visited a dentist and discovered a small dental abscess on the gum above my upper left second premolar, which also shows a black line on the t...


Dr. Zhu Guanyu reply Dentistry
Hi: Regarding your questions, here are the responses: 1. (1) Will small dental abscesses on the gums disappear naturally? Answer: No, they will not disappear unless the abscess is caused by periodontal disease, in which case it may resolve after periodontal cleaning without the...

[Read More] Understanding Dental Issues: Tooth Abscess and Misalignment Concerns


Can You Get an MRI While Undergoing Dental Orthodontics?

Can local correction be performed under MRI? Hello Doctor, I have had a missing tooth on the lower right side of my mouth for a long time, which has caused my upper teeth to shift downwards (two teeth). I have currently had two bone screws placed and localized orthodontic treatme...


Dr. Zhu Guanyu reply Dentistry
Hello, for an MRI, the head and neck area is not suitable for individuals with metal products. It is recommended to discuss with your orthodontist about removing the braces and bone screws, conducting the imaging, and then reapplying them. Alternatively, if the treatment is neari...

[Read More] Can You Get an MRI While Undergoing Dental Orthodontics?


Is Tongue Pain Normal After Wisdom Tooth Extraction?

Wisdom tooth issues Is it normal for my tongue to feel painful after having my wisdom teeth removed? It hurts when I eat, and even though it has been a week since the extraction and the stitches have been removed, it still hurts.


Dr. Zhu Guanyu reply Dentistry
Dear Qi, Hello, the wound after wisdom tooth extraction requires some time to heal, but it is still recommended that you seek a medical examination to alleviate any concerns. Thank you for your letter! Wishing you peace and health, Dr. Zhu Guanyu Attending Physician, Departm...

[Read More] Is Tongue Pain Normal After Wisdom Tooth Extraction?


Understanding Delayed Healing After Wisdom Tooth Extraction

Healing issues after wisdom tooth extraction? Hello, doctor. I have a question. I had my wisdom teeth extracted at a large hospital and had my stitches removed. It has been almost a month since the extraction, and I noticed some very slight and faint bleeding when I checked the w...


Dr. Zhu Guanyu reply Dentistry
Hello, There are many factors that can affect the healing of the surgical site after wisdom tooth extraction, including the condition of the wisdom tooth and surrounding soft and hard tissues prior to the procedure, the surgical technique and duration during the operation, as w...

[Read More] Understanding Delayed Healing After Wisdom Tooth Extraction


Understanding Gum Issues: Pain and White Discoloration Explained

Gum issues Doctor, I have a question. My husband has been chewing betel nut a lot, and today when he went for a dental cleaning, the dentist said that his gums are white and may have issues. My husband also mentioned that his gums and teeth are painful. I would like to understand...


Dr. Zhu Guanyu reply Dentistry
Hello: If the situation described in your letter applies, it is recommended to seek medical attention for further examination. Thank you for your letter! Wishing you peace and good health. Sincerely, Dr. Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of He...

[Read More] Understanding Gum Issues: Pain and White Discoloration Explained


Understanding Tongue Inflammation: Causes and Dental Care Tips

Tongue problems? Glossitis has not improved for four months, fluctuating between better and worse. I have seen several doctors. Could it be possible that the red, inflamed mucosa of the tongue without any ulcers is caused by an allergy to toothpaste? If I am allergic to toothpast...


Dr. Zhu Guanyu reply Dentistry
Hello, in general, there are two main tools for dental hygiene in adults: toothbrushes and dental floss. This means that toothpaste is not absolutely necessary. The main components of toothpaste are: base materials, abrasives, and flavoring agents. These do not directly contribut...

[Read More] Understanding Tongue Inflammation: Causes and Dental Care Tips


Post-Wisdom Tooth Extraction: Pain, Swelling, and Care Tips

Problems After Wisdom Tooth Extraction Hello, doctor. I had my wisdom teeth removed three days ago, and my face is still very swollen, and my head is very painful. However, the doctor only prescribed painkillers and did not prescribe any anti-inflammatory medication. Is this the ...


Dr. Zhu Guanyu reply Dentistry
Hello, 1. The purpose of taking antibiotics is to prevent or control infections. Symptoms caused by infections typically include redness, swelling, heat, and pain. 2. As long as the paper napkin serves its purpose, whether it is clipped or not seems to be of secondary importa...

[Read More] Post-Wisdom Tooth Extraction: Pain, Swelling, and Care Tips


Understanding Tooth Fractures: Root Canal Treatment and Recovery

Fractured anterior tooth, root canal treatment? Hello, Doctor! Recently, I had a tooth fracture while eating, and after visiting the dental clinic, it was confirmed that I need a root canal treatment and a crown. I would like to ask you a question! My root canal treatment has bee...


Dr. Zhu Guanyu reply Dentistry
Dear Feixue, Hello, due to the prolonged healing time required for periapical lesions, it is possible to experience percussion pain even after root canal treatment. Thank you for your letter. Wishing you peace and health, Dr. Kuan-Yu Chu Director, Department of Dentistry T...

[Read More] Understanding Tooth Fractures: Root Canal Treatment and Recovery


Can Root Canal Treated Teeth Still Crack Under Pressure?

Dentures and dental crown issues? Hello, doctor. I would like to ask if a molar that has undergone root canal treatment, received a crown for protection, and had a post placed inside, can still fracture? If it does fracture, what signs would indicate this? Can it be detected thro...


Dr. Zhu Guanyu reply Dentistry
Hello, 1. Based on your description, it is difficult to accurately determine whether "teeth will break after making dentures." I apologize for this. 2. Obvious cracks can be detected through X-ray examination, but it is more challenging to identify micro-leaks. Tha...

[Read More] Can Root Canal Treated Teeth Still Crack Under Pressure?


Motorcycle Accident Leads to Gum Injury and Dental Treatment

Gum tissue excision due to injury from a motorcycle accident? Hello Doctor, I had an accident in mid-August due to slippery roads and fell onto a large manhole cover. After falling, I quickly got my motorcycle upright and rode home. However, when I got home, I noticed that the gu...


Dr. Zhu Guanyu reply Dentistry
Hello, based solely on your description, it is difficult to provide clear answers to these four questions. I recommend consulting a dentist who has more information about your oral condition. However, in brief: 1. The impact on quality of life after undergoing crown lengthening i...

[Read More] Motorcycle Accident Leads to Gum Injury and Dental Treatment


Is It Normal for Front Teeth to Wiggle After Root Canal Treatment?

Slight mobility of the front teeth? Hello, Doctor! I had a car accident at the beginning of August, which resulted in a crack in my front tooth. The day after the accident, I went to a dental clinic near my home for an examination. After the assessment, the doctor determined that...


Dr. Zhu Guanyu reply Dentistry
Dear Jianming, Regarding your condition, the mobility of your tooth is not a result of root canal treatment but rather caused by trauma (external force). As for the fabrication of a dental crown, its primary purpose is to restore the shape and increase the strength of the tooth...

[Read More] Is It Normal for Front Teeth to Wiggle After Root Canal Treatment?


Understanding Frequent Tongue Biting: Causes and Concerns

The frequency of biting one's tongue? Hello, doctor. I have some questions regarding biting my tongue, thank you. Last September and October, I bit my tongue while having dinner, and the wound was quite deep, bleeding continuously for 1 to 2 hours without stopping. I had to ...


Dr. Zhu Guanyu reply Dentistry
Hello: May I ask if you have any missing molars? Or is there any malocclusion? Or abnormal tongue growth? It is advisable to seek medical examination to find the cause of frequently biting your tongue. Thank you for your message! Wishing you peace and health. Sincerely, Dr. Kuan-...

[Read More] Understanding Frequent Tongue Biting: Causes and Concerns


Understanding Pain After Dental Crown: Causes and Solutions

Pain after getting a crown on a molar? Hello Doctor: My upper left last molar had a root canal treatment and was fitted with a crown. At that time, my upper left wisdom tooth had already erupted, but it was not extracted, and I had no issues afterward. However, last year, my uppe...


Dr. Zhu Guanyu reply Dentistry
Hi Ginger, Hello, the feeling of enlarged gaps between teeth is often the result of loss of gingival papillae, which can be attributed to gingivitis. It is well known that staying up late (leading to decreased immunity), poor oral hygiene (not using dental floss), and excessive ...

[Read More] Understanding Pain After Dental Crown: Causes and Solutions


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