Unexplained Tooth Sensitivity: Possible Causes and Solutions
The cause of tooth sensitivity cannot be determined? Hello Doctor, I have discomfort in my lower left first molar (tooth #36) that sometimes feels acidic and dull (when there is no discomfort, it feels normal). However, the timing and circumstances are not very consistent; someti...
Dr. Lin Jiayong Reply:
Hello: The main causes of bodily pain are twofold: injury to tissues or organs, or disruption in nerve signal transmission. If you believe the discomfort is caused by injury to the teeth or surrounding tissues, it is recommended that you return to a medical center for a 3D X-ray ...[Read More] Unexplained Tooth Sensitivity: Possible Causes and Solutions
Can Flap Surgery Cure Bad Breath from Periodontal Disease?
Halitosis due to periodontal disease? I have been troubled by this issue for a long time. I brush my teeth three times a day with an electric toothbrush, use dental floss, clean my tongue, and use mouthwash, but there has been no improvement. My family dentist said it is due to b...
Dr. Zeng Guanghui Reply:
If periodontal disease is severe and has resulted in a significant loss of alveolar bone, it is recommended to undergo flap surgery, and subsequent prognosis will require further evaluation by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Can Flap Surgery Cure Bad Breath from Periodontal Disease?
Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Periodontal disease treatment Hello, Dr. Tseng. I had an inlay/onlay/overlay placed a week ago, and during my follow-up visit today, I mentioned that the gums around my lower right first molar hurt when touched by my fingertip (accidentally while using dental floss). However, the...
Dr. Zeng Guanghui Reply:
The initial treatment for periodontal disease begins with X-ray examinations to assess the condition of the alveolar bone around the teeth. If periodontal disease or gingivitis is diagnosed, the first step is to perform scaling and provide oral hygiene education. After a period o...[Read More] Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Should Wisdom Teeth Be Removed Before Starting Denosumab Treatment?
Is it necessary to have wisdom teeth extracted before using denosumab? I am a patient with a giant cell tumor of bone, and I had surgery on February 3rd. I am planning to start denosumab to reduce the recurrence rate. One of the side effects of denosumab is osteonecrosis of the j...
Dr. Lin Jiayong Reply:
Hello: If your wisdom tooth is only partially erupted and is partially covered by bone or gum tissue, that area can easily accumulate debris, leading to bacterial infection. Therefore, the dentist recommends that you have the wisdom tooth extracted. Bisphosphonate medications can...[Read More] Should Wisdom Teeth Be Removed Before Starting Denosumab Treatment?
How Soon Should You Get a Dental Bridge After Tooth Extraction?
Issues with Dentures Hello, after my tooth extraction, the doctor recommended that I get a fixed dental bridge. How long should I wait before getting it done? The doctor provided me with a temporary denture but is urging me to get the fixed bridge within two weeks. Is this the co...
Dr. Zeng Guanghui Reply:
Hello Mr. Jj: After tooth extraction, it is necessary to wait 1-2 months for the wound and alveolar bone to fully heal before proceeding with a fixed dental bridge. During this period, you can use a temporary resin denture for provisional wear. If you have any questions, please f...[Read More] How Soon Should You Get a Dental Bridge After Tooth Extraction?
Understanding Tooth Loss: Is Gum Tissue Filling the Gap Normal?
Tooth loss issues? Hello, doctor. Recently, I had my upper second molar extracted due to a cavity. My dentist mentioned that I should wait for my wisdom tooth to erupt to fill that gap. I’ve recently noticed that the space where my tooth was extracted seems to be filled with some...
Dr. Zeng Guanghui Reply:
Hello, Sun: After the extraction of the second molar, the wound will gradually be filled by soft tissue and the underlying hard tissue (alveolar bone), which is normal. However, whether the third molar (wisdom tooth) can erupt into the position of the extracted tooth should be mo...[Read More] Understanding Tooth Loss: Is Gum Tissue Filling the Gap Normal?
Understanding Tooth Pain from Heat: Possible Causes and Solutions
Tooth sensitivity to heat can cause pain? Hello Doctor, I have been experiencing pain in the area of my lower right molar when drinking hot water or eating hot food. However, after an X-ray, the dentist did not find any abnormalities in the surrounding teeth, and my lower right m...
Dr. Zeng Guanghui Reply:
Hello Mr. Patient: It is possible that the gum tissue around the edges of the braces may be inflamed, or there may be resorption or inflammation of the alveolar bone around the tooth roots. It is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui, Direc...[Read More] Understanding Tooth Pain from Heat: Possible Causes and Solutions
Should You Remove Your Lower Left Second Molar? Expert Insights
Extraction of the lower left second molar? The dentist recommended the extraction of the lower left wisdom tooth and the second molar, stating that since there is no chewing function, the removal of these two teeth would not affect the first molar (I will also gradually have the ...
Dr. Huang Tingfang Reply:
Dear Miss Irene, Generally speaking, the second molars are not extracted unless there is severe decay or periodontal disease. It would be advisable to discuss this with your dentist. If extracted, the upper left second molar may migrate down into the alveolar bone. Take care an...[Read More] Should You Remove Your Lower Left Second Molar? Expert Insights
Understanding Gum Blisters: Causes, Symptoms, and Treatment Options
Suspected gingival ulceration? Hello, several months ago I noticed a blister on my gums. At first, I thought it was caused by excessive heat in my body, and I took anti-inflammatory medication, but it was ineffective. I also visited a dentist who said there was no significant iss...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit a larger medical facility to have an X-ray taken to confirm that there are no issues with hard tissues (alveolar bone or teeth). If the underlying cause is not addressed, the problem of gum blisters may continue to recur. Thank you! Sincere...[Read More] Understanding Gum Blisters: Causes, Symptoms, and Treatment Options
Why Is My Dad's Tongue Constantly Being Irritated by Dentures?
The tongue is constantly being scraped or worn down? My father had to redo his dentures due to discomfort, but after the remake, his tongue is constantly being irritated by the dentures. He consulted an oral surgeon who mentioned that my father's alveolar bone is deformed bu...
Dr. Huang Tingfang Reply:
Dear Mr. Vantar, Hello! If there are no ulcers and only skin abrasions, it should not be a concern. It is possible that your respected parent is experiencing tongue pain. A more detailed examination is necessary. Please take care! Wishing you all the best and smooth sailing! Si...[Read More] Why Is My Dad's Tongue Constantly Being Irritated by Dentures?
Post-Wisdom Tooth Extraction: Is Tongue Pain Normal?
Wisdom tooth extraction and tongue issues? I recently had my lower right wisdom tooth extracted, but after 1-2 days, the right side of my tongue feels like it has been scraped. This sensation has lasted for 3-4 days. I'm wondering if this is normal and how much longer it mig...
Dr. Zeng Guanghui Reply:
Hello Mr. Yang: After having your impacted wisdom tooth removed, if you experience a scraping sensation on the right side of your tongue 1 to 2 days later, it is advisable to return for a follow-up examination to check the wound for any retained fragments or to see if the edges o...[Read More] Post-Wisdom Tooth Extraction: Is Tongue Pain Normal?
Understanding Tooth Sensitivity After Wisdom Tooth Extraction
Regarding the molars after wisdom tooth extraction? Hello Doctor, I had my wisdom teeth extracted over the past few months in preparation for braces. After having the two on the right side removed last month, I have mostly recovered, but my upper right first molar has become very...
Dr. Lin Jiayong Reply:
Hello: After tooth extraction, the alveolar bone may resorb, causing the roots of the anterior molars to become exposed and sensitive. Once the wound heals, the sensitivity symptoms will gradually decrease. Thank you![Read More] Understanding Tooth Sensitivity After Wisdom Tooth Extraction
Can I Get Dental Implants with Thin Jawbone? Costs and Options Explained
I want to get dental implants? Hello Doctor: I have had two missing molars on the lower left for over fifteen years, and my alveolar bone has become quite thin and a bit low. When I touch it with my fingers and thumb, the width is about 0.3 cm. Additionally, my wisdom tooth has a...
Dr. Huang Tingfang Reply:
Dear Mr. Huang: Hello! Basically, if a tooth is missing for too long, the upper teeth may shift downwards, and there may be insufficient bone quality in the mandible, which could require bone grafting. Clinical confirmation is necessary. Wishing you all the best! Sincerely, Dr. H...[Read More] Can I Get Dental Implants with Thin Jawbone? Costs and Options Explained
Understanding Tongue Discomfort: Causes and Treatment Options
Discomfort in the tongue? Hello Doctor, my father visited an ENT specialist and a traditional Chinese medicine practitioner last November due to oral discomfort. They diagnosed him with tongue inflammation and suspected it might be related to dental issues, so we consulted a dent...
Dr. Zeng Guanghui Reply:
Hello Vantar: If the dentist has examined and found no sharp edges of teeth irritating the tongue causing inflammation, the recurrent tongue inflammation may be due to emotional stress or lack of sleep leading to immune system dysregulation. It is advisable to consult an oral sur...[Read More] Understanding Tongue Discomfort: Causes and Treatment Options
Swollen Gums with Hardness and Minor Bleeding: Dental Concerns Explained
Swollen and red gums that feel hard to the touch, with slight bleeding but no pain? Hello, Doctor: About a year ago, I had a root canal treatment on my right central incisor and the adjacent tooth, and I had them reduced in size and covered with porcelain crowns. Over the past si...
Dr. Huang Tingfang Reply:
Dear Ms. Chen, Hello! (The gums are red and swollen, firm to the touch, with slight bleeding but no pain.) This may be indicative of periodontal disease or a fractured tooth root! A thorough examination is necessary! Please seek medical attention as soon as you return to your ho...[Read More] Swollen Gums with Hardness and Minor Bleeding: Dental Concerns Explained
Should You Connect or Separate Dental Implants for Optimal Health?
Dental implant question: Should two implants be connected or placed separately? Hello, Doctor. I have two missing teeth at the back of my lower left jaw (the first and second molars). I had an implant for the first molar six years ago, but recently it has become loose, so I went ...
Dr. Huang Tingfang Reply:
Dear Ms. Hua: Hello! It is best to connect the two dental implants! However, please pay attention to cleanliness, as neglecting it can lead to peri-implantitis, which may cause the prosthesis to become loose! If you do not get the implants, the upper teeth adjacent to the missing...[Read More] Should You Connect or Separate Dental Implants for Optimal Health?
Optimal Timing for Dental Implant Placement After Tooth Extraction
How long after tooth extraction is it best to wait before implanting a dental implant for optimal results? Hello. The second lower molar on the right side has inflammation due to a dental crack, and the dentist has recommended extraction followed by dental implant placement. The ...
Dr. Huang Tingfang Reply:
Dear Miss Xia Tian, Hello! (How long after tooth extraction is it best to implant an implant for overall dental health?) Generally, it takes about three months for the alveolar bone to heal after tooth extraction, which is more suitable for dental implants. However, the downside...[Read More] Optimal Timing for Dental Implant Placement After Tooth Extraction
Post-Wisdom Tooth Extraction: Addressing Pain and Discomfort in Molars
Three months after having my wisdom teeth removed, I am experiencing tightness and pain in the four anterior molars? Hello Doctor: I had my lower left wisdom tooth extracted on January 8, 2020. The wisdom tooth was growing straight up, so the clinic's dentist used forceps fo...
Dr. Lin Jiayong Reply:
Hello: Your description is quite detailed and indicates that the healing of the extraction site or the condition of the adjacent teeth may be affecting your daily life. Therefore, I recommend that you visit a medical center for a dental cone beam computed tomography (CBCT) scan t...[Read More] Post-Wisdom Tooth Extraction: Addressing Pain and Discomfort in Molars
Understanding Dental Trauma: Risks of Pulp Necrosis After Injury
Dental trauma Hello Doctor, yesterday I was playing basketball and got hit in the right incisor area by an elbow. There was slight bleeding at the time, but there were no visible abnormalities, just mild soreness. I immediately went to the dentist for an X-ray examination, and th...
Dr. Zeng Guanghui Reply:
The right incisor has been impacted, showing no external abnormalities, but there is mild sensitivity and bleeding. This may indicate temporary damage to the periodontal ligament due to compression. If X-rays show no root fracture or alveolar bone fracture, it is recommended to m...[Read More] Understanding Dental Trauma: Risks of Pulp Necrosis After Injury
Understanding Black Lines on Teeth and the Need for Root Canal Treatment
Black lines on teeth and root canal treatment? Dear Dr. Lin, About ten years ago, I had a large cavity filled between my upper left first and second premolars. At that time, the dentist mentioned that the cavity was quite deep and was unsure if it had reached the nerve. They sug...
Dr. Lin Jiayong Reply:
Hello: 1. The dark line may be secondary caries or simply food staining, and it could also be necrotic dentin intentionally left during the initial treatment. 2. The source of infection for the abscess is mostly due to pulp necrosis, but it can also originate from bacteria in the...[Read More] Understanding Black Lines on Teeth and the Need for Root Canal Treatment