Alveolar bone, Dentistry FAQ

Understanding Chronic Pulpitis: Symptoms, Treatment, and Management

Chronic pulpitis issues? Hello, Doctor! I apologize for the lengthy message. During my middle school years, I had a cavity filled, and everything was fine until I graduated from high school. However, in my freshman year of college, I suddenly experienced pain (sharp pain) when bi...

Dr. Lin Jiayong Reply:
Hello: I recommend that you visit a local medical center and consult with a prosthodontist, where you can have X-rays taken for confirmation and receive an accurate diagnosis. If it is simply pulpitis, there are indeed reversible and irreversible forms. If it has progressed to ap...

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:
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...

Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene

Post-operative care for wisdom teeth extraction and gum pain on the third day? I had my lower right and upper right wisdom teeth extracted on December 1 (Friday), which was the first day of my menstrual period. For the first three days, I gently brushed the right side of my mouth...

Dr. Lin Jiayong Reply:
Hello: 1. If your immune system is weaker during your menstrual period, there may be a risk of acute infection after tooth extraction. However, based on your description, there are no signs of acute symptoms, so it should not affect the healing of the wound. 2. No. 3. Normal cle...

Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene

Post-Wisdom Tooth Extraction: Managing Gum Discomfort and Swelling

Discomfort in the gums after wisdom tooth extraction? It has been three weeks since my wisdom tooth extraction. A week ago, I returned to the clinic because of a bony protrusion from the alveolar bone, which was smoothed down. I felt discomfort in my gums while the bone was being...

Dr. Lin Jiayong Reply:
Hello: If you are experiencing symptoms such as dysphagia or difficulty breathing while swallowing, it is advisable to return for a follow-up appointment as soon as possible to identify the underlying cause. If you no longer trust your original clinic, you may seek an examination...

Gum Recession During Invisalign Treatment: Causes and Solutions

Gingival recession I am currently undergoing Invisalign treatment, which has been ongoing for about 8 months. Recently, I noticed that the gums around my first molar have receded significantly, and it feels like the alveolar bone is indented. What could be causing this, and what ...

Dr. Lin Jiayong Reply:
Hello: It may be due to rapid movement or anatomical issues, and the rapid changes in soft tissue should also consider the possibility of malignant tumors. It is advisable to return for a follow-up consultation with your physician and to have comparative intraoral images or X-ray...

Can You Get Fixed Dentures with Missing Upper Molars?

Can fixed dentures be made for patients with missing teeth in the three dental specialties? Condition: In the upper right quadrant, there is a missing second premolar, first molar, and second molar, with a wisdom tooth present. Based on current practices, is it possible to create...

Dr. Zeng Guanghui Reply:
Hello Mr. NGC: If there is sufficient bone volume in the jawbone (referring to the height and thickness of the alveolar bone), dental implants should be considered. This is because if the gap in the dental bridge is greater than three missing teeth, the excessive span can have a ...

Can I Use Wisdom Tooth Space for Orthodontics After Extraction?

Wisdom teeth issues related to orthodontics? Hello, I had all four of my impacted wisdom teeth extracted 4.5 years ago, and now I want to straighten my teeth. I would like to move my teeth back without undergoing any additional extractions. I would like to ask the doctor if it is...

Dr. Lin Jiayong Reply:
Hello: The space for tooth alignment requires a lateral cephalometric X-ray for assessment, and calculations must be performed to determine the feasibility. Even if there is sufficient alveolar bone space, it does not necessarily mean that the entire mandibular dentition can be r...

Understanding the Impact of Wisdom and Second Molars Extraction

Extraction of the second molar and wisdom tooth? Because all four wisdom teeth have erupted and are misaligned, and the process of their growth has caused gum swelling and pain affecting my ability to eat, I scheduled a dental consultation at the hospital to discuss the extractio...

Dr. Lin Jiayong Reply:
Hello: It is recommended to consult the oral surgery department at a medical center for a second or third opinion, including whether it is necessary to extract all second molars together. If the opinions of 2 to 3 doctors are consistent, there is less need for hesitation or conce...

Dealing with Gum Issues After Wisdom Tooth Extraction: What to Do?

Gum issues Hello, doctor. I have a question regarding my gums. I have had my upper right, lower right, and lower left wisdom teeth extracted, and I have also undergone root canal treatment. On July 20th (Thursday), I visited the doctor due to tooth pain. The doctor mentioned that...

Dr. Lin Jiayong Reply:
Hello: There are many causes of excessive gum growth, and it is advisable to identify the underlying reason for treatment. Local factors generally include bacterial or viral infections, with solutions such as enhanced oral hygiene, administration of antimicrobial and anti-inflamm...

Understanding Post-Braces Tooth Shifting: What to Discuss with Your Dentist

Deformation of teeth after orthodontic treatment? I have been wearing braces for two and a half years. Initially, it was due to an improper bite (upper teeth inside, lower teeth outside). I have noticed some improvement (upper teeth outside, lower teeth inside), but my lower teet...

Dr. Lin Jiayong Reply:
Hello: If the width and thickness of the alveolar bone are limited, it is possible that the situation you described may occur. It is advisable to inform your treating physician directly and see if there is an opportunity for further improvement or if orthognathic surgery must be ...

Understanding Periodontal Treatment Options for Dental Bridge Issues

Regarding periodontal treatment issues? Dear Dr. Tseng, I have a dental bridge on the far left side of my upper jaw consisting of four teeth, with the second to last tooth being missing. Two weeks ago, I started experiencing significant pain in the gum of the outermost tooth whe...

Dr. Zeng Guanghui Reply:
Hello Mr. Rios: 1. If the condition of the dental bridge is not ideal, such as poor marginal fit of the crowns, it is recommended to remove the bridge. 2. If the periodontal condition is poor, such as bone resorption or gingival recession, you may consider consulting a periodonti...

Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity

After root canal treatment, there may be some soreness or discomfort in the treated tooth? This tooth has undergone root canal treatment for two years, but there is still some sensitivity and discomfort when tapping or applying pressure on the side of the tooth, although there is...

Dr. Lin Jiayong Reply:
Hello: If the original tooth or the surrounding tissues (alveolar bone/gums/periodontal ligament) are severely damaged before treatment, it is possible that even if the root canal treatment is successful (nerve is cleaned out and there is no inflammation, infection, or spontaneou...

Effective Treatments for Long-Term Tooth Extraction Cavities

Post-extraction complications? I have had a hole in my upper left first molar for several years after having it extracted. Are there any treatment options available to restore and fill the gap?

Dr. Lin Jiayong Reply:
Hello: Alveolar bone defect augmentation requires a flap surgery, along with the use of a regenerative membrane and bone graft. If there are no strong indications (such as dental implants or increasing the stability of mobile teeth), it is not recommended to perform any invasive ...

Understanding Apex Surgery for Front Teeth: Pain and Recovery Insights

Anterior tooth apical surgery Hello Doctor, I underwent an apicoectomy on my left central incisor on March 27 due to a dark shadow observed on the X-ray. Since I have a dental post in the left central incisor, the doctor was concerned that removing it might cause the tooth to fra...

Dr. Lin Jiayong Reply:
Hello: If there has been any procedure that involves the alveolar bone, it is recommended to observe for at least 6 months. If root canal treatment has been performed or if there has been a repeat apicoectomy with retrograde filling and it still fails, extraction of the tooth and...

Understanding Socket Healing Time After Tooth Extraction and Bone Grafting

The time required for the alveolar ridge to heal and become smooth after the extraction of the mandibular first and second premolars along with the removal of any supernumerary teeth from the lingual gingiva can vary. Generally, it may take several weeks to a few months for the a...

Dr. Lin Jiayong Reply:
Hello: I'm not sure what the purpose of your bone grafting was at that time. Was it to aid in wound healing, or was it related to dental implant surgery that required bone regeneration? If it was solely for wound healing, then the height of the alveolar bone does not need to...

Can Crown Lengthening and Root Canal Treatment Be Done Together?

Will crown lengthening (with water laser) conflict with other root canal treatments? Hello, Director. I have a long-term inflammation in the gums on one side of my "upper left first molar" after getting braces. I need to grind down about 1mm of the alveolar bone on that...

Dr. Zeng Guanghui Reply:
If you undergo laser crown lengthening surgery, the postoperative wound is generally not too large. After about one to two weeks of healing, you may be able to receive root canal treatment for the upper right central incisor. Dr. Tseng Kwang-Hui, Department of Dentistry, Nantou H...

Effectiveness of Periodontal Flap Surgery Without Bone Graft

Periodontal flap surgery Dear Doctor: After undergoing basic treatment for periodontal disease at the hospital, my doctor mentioned that I need to have periodontal flap surgery, which may require bone grafting. However, the hospital only offers bone grafts from human and bovine s...

Dr. Zeng Guanghui Reply:
If periodontal surgery is performed without the use of bone graft material, and only the periodontal defects are removed, the height of the alveolar bone will decrease, the gums will recede, and the spaces between the teeth will widen. It is advisable to have further discussions ...

Understanding Post-Braces Inflammation and Bone Reshaping in Dentistry

After getting braces, there was inflammation, and now I need to redo the braces, which may require addressing issues with the alveolar bone? About a year ago, I had a root canal treatment on my first molar due to decay, followed by the placement of a ceramic crown. A few months l...

Dr. Lin Jiayong Reply:
Hello: 1. Crown lengthening procedure. It can directly modify the alveolar bone, or an orthodontic approach can be attempted to extrude the tooth upwards. 2. The area being treated is quite small and localized, with minimal impact on adjacent teeth. 3. Typically, there will be im...

Impact of Partial Dentures on Alveolar Bone Loss and Facial Aesthetics

Removable dentures vs. alveolar bone atrophy Hello doctor, if a single removable denture is made, is it inevitable that there will be issues with alveolar bone resorption? Will alveolar bone resorption affect facial appearance? Will it impact the adjacent teeth on both sides? Tha...

Dr. Lin Jiayong Reply:
Hello, the alveolar bone resorption of a single tooth (excluding canines) has minimal impact on facial appearance. The effect on anterior and posterior teeth, however, depends on the overall periodontal and occlusal conditions before a conclusion can be drawn.

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