Concerns About Dental Tumor Surgery: Risks of Nerve Damage
Dental tumor issues? Hello, doctor. I underwent a dental tumor excision surgery at the hospital performed by a PGY resident dentist. During the procedure, the electric bone saw was used too quickly, and I kept smelling a burning odor. I was constantly aware of the charred smell. ...
Dr. Lin Jiayong Reply:
Hello: Surgical procedures in the oral cavity, whether involving teeth, gums, or alveolar bone, will inevitably produce some odor. A burnt smell does not necessarily indicate nerve damage. It is recommended to continue follow-up visits for monitoring.[Read More] Concerns About Dental Tumor Surgery: Risks of Nerve Damage
Collagen Sponge Use in Dental Crown Lengthening Procedures
Collagen and Crown Lengthening Procedure Hello, doctor. 1. Currently, can collagen sponge be used for filling cavities in molars? 2. I am considering crown lengthening surgery due to tooth loss for a dental crown. How much tooth structure is required at a minimum for this proc...
Dr. Lin Jiayong Reply:
Hello: 1. Collagen is placed within the alveolar bone, not into the dental cavity. 2. Once a tooth is lost, it cannot be fitted with a crown, and there will be no need for crown lengthening procedures. 3. The consideration for crown lengthening arises only after root canal treatm...[Read More] Collagen Sponge Use in Dental Crown Lengthening Procedures
Understanding Alveolar Bone Issues and Trigeminal Neuralgia Recovery
Alveolar bone issues Hello, doctor. I had a gum laceration on my wisdom tooth (tooth #17) and visited the hospital on March 1st. The dentist said that the bone was protruding and needed to be filed down, so they performed the procedure that same day. After 14 days, they said I ne...
Dr. Qiu Qiongyao Reply:
Hello: It is recommended that you visit a dental clinic specializing in temporomandibular joint (TMJ) disorders for treatment. You can call the appointment desk at Yilan Boai Hospital to schedule a consultation with Dr. Wu Qingrong (an appointment is required). The Hualien Hospit...[Read More] Understanding Alveolar Bone Issues and Trigeminal Neuralgia Recovery
Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Alveolar bone issues Hello, on March 1st, I visited the dentist due to gum pain, and they performed a procedure to grind down the exostosis on tooth 17. I had the stitches removed 7 days later, and on March 14th, I visited again for another grinding of the exostosis on the same t...
Dr. Zeng Guanghui Reply:
Hello Ms. Anne: Trigeminal neuralgia should not be related to the surgery for the osteoma of the alveolar bone. If there are issues with the trigeminal nerve, it is recommended to consult a neurologist for further diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentis...[Read More] Can Repeated Dental Procedures Trigger Trigeminal Neuralgia?
Potential Complications of Repeated Alveolar Bone Contouring in Dentistry
Alveolar bone leveling The alveolar bone exostosis of tooth #17 was contoured on March 1st, but the surface was not smooth. The dentist performed another contouring procedure on March 15th at the same location. Will there be any complications from this? Thank you.
Dr. Qiu Qiongyao Reply:
Hello: There will be no sequelae. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Potential Complications of Repeated Alveolar Bone Contouring in Dentistry
Understanding Periodontal Disease and Tooth Restoration Options
Questions about periodontal disease, tooth fractures, and bone grafting for dental implants? Hello, Dr. Tseng. Six months ago, I experienced pain in my second molar and swelling of the gums. The dentist diagnosed me with moderate to severe periodontal disease and suspected nerve ...
Dr. Zeng Guanghui Reply:
Hello Mr. Barry: 1. You may consider consulting a periodontist. 2. The decision to use bone graft material after tooth extraction depends on the morphology of the alveolar bone and the severity of the defects. If the alveolar bone remains intact after extraction, immediate bon...[Read More] Understanding Periodontal Disease and Tooth Restoration Options
Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Alveolar bone leveling procedure The 17th tooth has a bone spur. It was ground down once on March 2 and again on March 17. Now, three months later, there is persistent dull pain in the upper cheek area, which only subsides during sleep. Upon waking, the pain returns and lasts all...
Dr. Lin Jiayong Reply:
Hello: It is recommended to patiently observe until around September 17. During this period, please continue to follow up with both oral surgery and neurology specialists as scheduled and take your medications. If there is still a progression towards deterioration after six month...[Read More] Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Persistent Pain After Alveolar Bone Reshaping: What to Expect?
Dull pain after alveolar bone contouring? The 17th tooth has an alveolar bone protrusion. After visiting a major hospital, the dentist performed a surgery to smooth the alveolar bone. Despite the procedure, there has been ongoing pain for 14 days, leading to a second smoothing of...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original dentist who performed the bone contouring for follow-up. Typically, the bone should be fully restored in about six months![Read More] Persistent Pain After Alveolar Bone Reshaping: What to Expect?
Can Cysts Be Treated Without Root Canal Therapy?
Can a cyst be treated without root canal therapy? I would like to consult with a doctor. Last year, I had a cavity in my upper right first premolar that was filled. At that time, I was informed that the cavity was quite deep, and if necessary, I might need a root canal later on. ...
Dr. Lin Jiayong Reply:
Hello: If you are currently undergoing orthodontic treatment, it is advisable to follow the treatment plan provided by your orthodontist. Any alveolar bone surgery, debridement, or apicoectomy can affect the movement of the teeth and the timeline for subsequent alignment. It is i...[Read More] Can Cysts Be Treated Without Root Canal Therapy?
Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Gum issues Hello Doctor: About two years ago, I noticed that two of my lower front teeth had small triangular gaps in the gums (less than 1mm). Additionally, I felt that the triangular gum area between two other teeth was quite loose and not well-adapted, which made me suspect th...
Dr. Lin Jiayong Reply:
Hello: The health and aesthetics of soft and hard tissues do not always equate. If there is no periodontal disease, cavities, or severe misalignment of teeth, but there is still a desire to improve the black triangle areas between the gums, it is advisable to consult with a perio...[Read More] Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Gum issues Hello Doctor: About two years ago, I noticed that two of my lower front teeth had small triangular gaps in the gums (less than 1mm). Additionally, the triangular gum area between two other teeth feels very loose and not well-adapted, leading me to suspect that I might ...
Dr. Lin Jiayong Reply:
Hello: The health and aesthetics of soft and hard tissues do not always equate. If there is no periodontal disease, cavities, or severe misalignment of teeth, but there is still a desire to improve the black triangle areas between the gums, it is advisable to consult with a perio...[Read More] Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
During traditional or Invisalign orthodontic treatment, not only do the teeth move, but the alveolar bone also shifts as well? Doctor: Hello! I am 22 years old. Currently, my upper dental arch is relatively narrow, and I have a malocclusion with my upper right central incisor and...
Dr. Lin Jiayong Reply:
Hello: Since a lateral cephalometric image is needed to calculate the space ratio of the teeth/arch, it is recommended to consult with a physician who can provide an in-person examination. If there are concerns about the original physician, you can bring the existing images and m...[Read More] Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
Traditional vs. Invisalign: Which Orthodontic Method Improves Dental Arches?
During traditional or Invisalign orthodontic treatment, is the alveolar bone also corrected? Dr. Tseng: Hello, I am 24 years old and would like to correct my dental issues. My main concerns are that my upper dental arch is relatively narrow, my upper right central incisor is misa...
Dr. Zeng Guanghui Reply:
Hello Mr. Longlong: 1. Traditional orthodontics or Invisalign have limited movement of the alveolar bone. It is recommended to consult an orthodontist to determine if, in addition to traditional orthodontic treatment, orthognathic surgery or the use of a palatal expander is neces...[Read More] Traditional vs. Invisalign: Which Orthodontic Method Improves Dental Arches?
Understanding Tooth Decay Risks After Ceramic Inlay Restoration
Diagnosing whether an inlay restoration has recurrent caries? Hello, Doctor. Around the end of April, I felt pain from my wisdom tooth and went to the first clinic to have it extracted. However, after reviewing the X-ray, the clinic determined that the second molar had a cavity, ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the clinic where the ceramic inlay was originally made for follow-up on that tooth. Having pre- and post-treatment X-rays as evidence provides a more objective basis and reduces the risk of unnecessary or excessive treatment.[Read More] Understanding Tooth Decay Risks After Ceramic Inlay Restoration
Concerns About Persistent Swelling After Wisdom Tooth Extraction
The swelling after wisdom tooth extraction has not gone down, and I am a bit worried? Hello, Director. I had my lower right wisdom tooth extracted at the clinic on February 22. After the extraction, my cheek was significantly swollen. By March 18, the swelling had decreased, but ...
Dr. Zeng Guanghui Reply:
Dear Mr. Zhong, 1. If the process of tooth extraction involves grinding down the alveolar bone, there is usually a higher risk of postoperative swelling and pain due to the larger wound area, which increases the likelihood of infection. If an X-ray is taken postoperatively to co...[Read More] Concerns About Persistent Swelling After Wisdom Tooth Extraction
Understanding Tooth Sensitivity After Fillings and Wisdom Teeth Eruption
Dental filling, tooth eruption Hello, Doctor: At the beginning of March, my dentist discovered a small cavity in one of my lower right canine teeth, so they filled it. After the filling, it was still somewhat painful, but it gradually improved over the course of a week and return...
Dr. Lin Jiayong Reply:
Hello: The discomfort associated with dental sensitivity after filling can last up to six months according to the longest documented literature. The growth of wisdom teeth requires an assessment of the height and width of the alveolar bone to estimate whether they can grow normal...[Read More] Understanding Tooth Sensitivity After Fillings and Wisdom Teeth Eruption
Will Wearing a Bite Splint Misalign My Perfectly Straight Teeth?
Will wearing an occlusal splint cause originally aligned teeth to become misaligned? Hello, doctor. I have a temporomandibular joint (TMJ) issue, and my doctor recommended wearing an occlusal splint for correction. My teeth are quite well-aligned; will wearing the splint change m...
Dr. Lin Jiayong Reply:
Hello: If worn only at night, it will not cause permanent displacement of the teeth, as the occlusal splint itself does not continuously and actively exert force on the teeth and alveolar bone.[Read More] Will Wearing a Bite Splint Misalign My Perfectly Straight Teeth?
Post-Apex Surgery: When to See Your Dentist Again?
Post-operative suture removal after apicoectomy? I underwent apicoectomy to remove a cyst, and just two days ago, I had my stitches removed by the dentist. The dentist mentioned that the cyst had affected the adjacent tooth, which now requires root canal treatment; otherwise, the...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe first. After a portion of the alveolar bone has been debrided and removed, the internal structure also needs time to heal.[Read More] Post-Apex Surgery: When to See Your Dentist Again?
Concerns About Swelling and Pain After Wisdom Tooth Extraction
I am a bit concerned about the swelling and pain recovery status after having my wisdom teeth removed? Hello, Director. I had my lower right wisdom tooth extracted on February 22, and the procedure took about 20 minutes. After the extraction, my cheek was quite swollen, but once ...
Dr. Zeng Guanghui Reply:
Hello Mr. Zheng: 1. As long as proper oral hygiene is maintained, the swelling and pain will gradually subside. 2. It is possible that the tooth extraction process may have affected the alveolar bone, leading to a persistent inflammatory condition of the bone. 3. Generally speaki...[Read More] Concerns About Swelling and Pain After Wisdom Tooth Extraction
Can Dental Procedures Cause Tooth Displacement? Expert Insights
Questions After Dental Visit Hello Dr. Tseng, Today I went to the dental clinic for a routine teeth cleaning and examination. During the procedure, the dentist was opening my mouth on the right side while simultaneously pulling on my right teeth. Although the force applied by th...
Dr. Zeng Guanghui Reply:
Hello Mr. Kris: Under normal circumstances, teeth should be very stable and not easily movable. If you feel movement in the teeth on the left side, it may be due to periodontitis, which can lead to the resorption of the alveolar bone surrounding the teeth, causing them to become ...[Read More] Can Dental Procedures Cause Tooth Displacement? Expert Insights