Should You Request X-Rays During Your Biannual Dental Checkup?
Regular check-up issues Hello, doctor! During my regular check-ups every six months, should I request that the doctor take X-rays? I'm a bit concerned about cavities that might not be visible to the naked eye and could be left untreated. Or is it sufficient for the doctor to...
Dr. Zeng Guanghui Reply:
Some cavities, especially those located on the interproximal surfaces or at the root of the tooth, may not be visible to the naked eye. Therefore, the dentist will determine whether X-rays are necessary based on clinical examination to check for any other lesions in the root or t...[Read More] Should You Request X-Rays During Your Biannual Dental Checkup?
Managing Horizontal Root Fractures: Risks and Treatment Options
Management of Horizontal Root Fractures About five days ago, I suddenly experienced severe pain in the fourth tooth on the right side of my upper front teeth when drinking water or eating. The next day, the pain shifted to my gums, which became swollen and painful, making it diff...
Dr. Lin Jiayong Reply:
Hello: The treatment depends on the depth of the crack and whether the pulp chamber has been affected. Based on your description, it seems that there is a significant degree of pulp inflammation. It is recommended to have a dentist evaluate whether extraction is necessary. If the...[Read More] Managing Horizontal Root Fractures: Risks and Treatment Options
Understanding Tooth Mobility: Insights on Extraction and Bone Grafting
Loose teeth and revision surgery? Hello Dr. Lin, my last two teeth on the lower right side (including the wisdom tooth) are significantly loose! A full-mouth X-ray shows that the alveolar bone around these two teeth has been resorbed, creating a large defect. The X-ray of my othe...
Dr. Lin Jiayong Reply:
Hello: The degree of mobility and the condition of bone loss will determine the prognosis of the tooth after bone grafting. In response to your question: Is it possible to stabilize the existing tooth (after it has been cleaned) using bone grafting or other methods without resort...[Read More] Understanding Tooth Mobility: Insights on Extraction and Bone Grafting
Post-Wisdom Tooth Extraction: Understanding Gum and Bone Changes
After Wisdom Tooth Extraction Hello Doctor: I had my upper left wisdom tooth extracted at the end of May, and today I feel something stuck in the upper left area. When I touched it, I found a hard, white, pointed protrusion above the original wisdom tooth site on the gum (it does...
Dr. Lin Jiayong Reply:
Hello: After tooth extraction, if the sharp alveolar bone causes difficulty in chewing, it is recommended to perform alveoloplasty immediately to reshape it into a more comfortable contour. If you prefer not to undergo this procedure, you may observe the changes for six months be...[Read More] Post-Wisdom Tooth Extraction: Understanding Gum and Bone Changes
Does Wisdom Tooth Extraction Affect Nearby Teeth Pain?
Will extracting wisdom teeth affect other teeth? It has been 5 days since I had my lower right wisdom tooth extracted, but why is the adjacent tooth starting to hurt intensely?
Dr. Lin Jiayong Reply:
Hello, during the process of wisdom tooth extraction, it is common to perform adjustments to the gums and alveolar bone, which can also affect the surrounding teeth. However, if this symptom has caused pain that impacts your daily life, I recommend that you promptly visit a medic...[Read More] Does Wisdom Tooth Extraction Affect Nearby Teeth Pain?
Persistent Swelling After Wisdom Tooth Extraction: What to Do?
Swelling of the face after wisdom tooth extraction that persists for a long time? Hello, doctor. I had my lower right wisdom tooth extracted six months ago, and now when I compare my right and left faces, the left side has defined contours while the right side is noticeably swoll...
Dr. Lin Jiayong Reply:
Hello: When extracting wisdom teeth, if there is any adjustment to the gum tissue or alveolar bone, a longer recovery time is required. According to the literature, bone regeneration typically takes at least six months. Additionally, it is important to consider whether the patien...[Read More] Persistent Swelling After Wisdom Tooth Extraction: What to Do?
Key Factors in Evaluating Dental Implant Environment
Key Points for Dental Implant Environment Assessment The dental implant specialist mentioned that a preliminary assessment of the implant environment is necessary, particularly regarding the condition of the adjacent teeth. Is it suitable for the procedure? Otherwise, could it af...
Dr. Huang Zhicheng Reply:
Hello, dental implants involve placing artificial implants into the alveolar bone to support dental crowns. Therefore, the health of the alveolar bone is a key factor in determining the success of the implant. Just like natural teeth, dental implants require careful oral hygiene,...[Read More] Key Factors in Evaluating Dental Implant Environment
Can Braces Correct a Broken Front Tooth and Misalignment?
Can a broken front tooth be treated with braces? Hello, when I was in second grade, I completely broke my front tooth. At that time, I had already lost my baby teeth, and I went to the hospital to have the tooth repaired. Now, my tooth is slightly protruding, and I'm not sur...
Dr. Zeng Guanghui Reply:
The front tooth is completely broken, and it was later restored. Now the tooth is slightly protruding and a bit loose. It is necessary to examine the surrounding alveolar bone for any signs of atrophy or issues related to periodontal disease or gingival inflammation. If the tooth...[Read More] Can Braces Correct a Broken Front Tooth and Misalignment?
Understanding Cracked Tooth Syndrome: Root Canal Treatment Challenges
During root canal treatment, a crack in the tooth root was discovered? Hello Doctor, last month I began root canal treatment on my lower left first molar due to decay. During the second visit, the doctor mentioned the possibility of a root fracture. By the third treatment, any at...
Dr. Zeng Guanghui Reply:
The lower left first molar has undergone root canal treatment due to caries, but bleeding occurs during needle insertion or injection, indicating that there may be a perforation or crack in the root. If the crack is longitudinal and has affected the periodontal ligament, the toot...[Read More] Understanding Cracked Tooth Syndrome: Root Canal Treatment Challenges
Impact of Missing Second Molars on Alveolar Bone Health at Age 60
Only missing four second molars? I am 60 years old and have had 6 dental implants. Recently, 4 of my second molars have fallen out one after another. I do not want to get implants. What are the effects of alveolar bone resorption on the body after losing these 4 second molars? - ...
Dr. Huang Zhicheng Reply:
Hello, in the situation described above, the resorption of the alveolar bone due to tooth loss does not have an impact on the body itself. Please maintain oral hygiene to ensure gum health. However, if you experience discomfort or other issues, please visit a clinic for diagnosis...[Read More] Impact of Missing Second Molars on Alveolar Bone Health at Age 60
Understanding Gum Abscess: Treatment Options and Bone Grafting Choices
Gingival abscess Hello! When I was 17 years old, I had a "gum abscess," which required surgical removal. Now, 16 years later, it seems to have recurred, and I have scheduled surgery for next Thursday to remove it again. During the procedure, the doctor asked me to choos...
Dr. Zeng Guanghui Reply:
The above situation may be caused by a periodontal abscess leading to alveolar bone resorption defects, so bone grafting material is needed to fill the bone defect. Bovine bone refers to bone powder derived from the skeletal remains of cattle, while human bone refers to bone powd...[Read More] Understanding Gum Abscess: Treatment Options and Bone Grafting Choices
Can Periodontal Bone Loss Be Reversed? Exploring Treatment Options
How to address alveolar bone loss caused by periodontal disease? Hello Dr. Tseng, I have a question regarding the bone loss between the left upper canine and the premolar due to periodontal disease. The pocket has exceeded 10mm. A specialist endodontist has examined it and confir...
Dr. Zeng Guanghui Reply:
1. In the above situation, after examination, it was determined that the issue is not related to root canal problems but rather periodontal disease. If the alveolar bone loss is of a narrow and deep type, there is a higher chance of successful bone grafting. However, if the alveo...[Read More] Can Periodontal Bone Loss Be Reversed? Exploring Treatment Options
Understanding Unusual Gum Growths: When to Seek Dental Advice
My gums feel strange? Hello, I have a hard lump that resembles a tooth at the junction of the gums and the alveolar bone on the inner side of my upper jaw. It feels like bone when pressed, is not painful, does not bleed, and has not increased in size. What should I be aware of?
Dr. Zeng Guanghui Reply:
It may be a growth caused by bone hyperplasia in the jaw. It is recommended to consult a dentist for further examination.[Read More] Understanding Unusual Gum Growths: When to Seek Dental Advice
Treatment Options for Root Furcation Involvement in Molars
Treatment of molar furcation involvement? Hello, I had a toothache in my upper right molar and visited a nearby dental clinic. After examination, the dentist said I needed bone grafting and referred me to a periodontist at another clinic, where I scheduled a periodontal flap surg...
Dr. Huang Zhicheng Reply:
Hello, regarding "Is this molar considered root furcation involvement?" - a clinical examination along with X-ray assistance is necessary for a proper assessment. Periodontal regeneration surgery: In cases of periodontal disease, destruction of surrounding tissues leads...[Read More] Treatment Options for Root Furcation Involvement in Molars
Addressing Tooth Loss: Options for Dental Implants and Bridges
Tooth loss issues I have a missing upper right third molar, and the three posterior teeth are replaced with a dental bridge. The lower right side is missing the second and third molars. The upper left side is missing the first to third molars, and the lower left side is missing t...
Dr. Huang Zhicheng Reply:
Hello, the first molar is the center of occlusion, so placing an implant in the upper left first molar should be sufficient for the functional relationship between the upper and lower first molars, unless your dentist has specific considerations. Please consult regarding cleaning...[Read More] Addressing Tooth Loss: Options for Dental Implants and Bridges
Dealing with Bad Odor After Wisdom Tooth Extraction: Tips and Advice
Wisdom tooth extraction? I had my lower left wisdom tooth extracted last Thursday, but starting from the third day, I noticed a foul and sour smell coming from the area. Brushing and rinsing haven't helped. What should I do? Can I use mouthwash to rinse?
Dr. Huang Zhicheng Reply:
Hello: Wisdom teeth are often removed due to infection and pain. The oral microbiota can easily infect the alveolar bone at the surgical site, leading to localized alveolar osteitis. Mouthwash can be used, but it only suppresses bacteria. Please have the physician perform a medic...[Read More] Dealing with Bad Odor After Wisdom Tooth Extraction: Tips and Advice
Impacts of Delayed Orthodontic Treatment After Tooth Extraction
What are the effects of not immediately correcting supernumerary teeth after their extraction? Hello Doctor, I will be going abroad for work for two years starting on February 28, so I originally scheduled an intensive extraction of my wisdom teeth and supernumerary teeth, follow...
Dr. Zeng Guanghui Reply:
The misalignment of the incisors is due to the presence of supernumerary teeth. Initially, the plan was to correct the crooked incisors and place crowns to make them appear straight. However, the supernumerary teeth are impinging on the adjacent teeth. If considering re-orthodont...[Read More] Impacts of Delayed Orthodontic Treatment After Tooth Extraction
Why Is Half of My Tongue Numb After Wisdom Tooth Extraction?
Half of my tongue is numb after having my wisdom teeth removed? After having my wisdom teeth removed on January 26, the wound hasn't had any major issues, but half of my tongue has been numb and tingling, and I have lost my sense of taste. I would like to know what could be ...
Dr. Zeng Guanghui Reply:
In the above situation, it is possible that the wisdom tooth was positioned deeper, and during the extraction process, surrounding alveolar bone had to be removed, which may have inadvertently affected the nerve. If the damage is not severe, it is generally expected to gradually ...[Read More] Why Is Half of My Tongue Numb After Wisdom Tooth Extraction?
Gum Pain or Nerve Pain? Understanding Your Dental Symptoms
Is it gum pain or nerve pain? I have recently been experiencing bleeding while brushing my teeth, and I feel that my gums are inflamed and swollen. This has progressed to tooth pain, and I'm unsure whether it's gum pain or nerve pain. The area of pain is quite extensive...
Dr. Zeng Guanghui Reply:
Bleeding while brushing your teeth, along with swollen and inflamed gums, may indicate gingival inflammation. This condition can progress to tooth pain, potentially caused by plaque buildup leading to superficial gum infection. Over time, the infection can extend to the periodont...[Read More] Gum Pain or Nerve Pain? Understanding Your Dental Symptoms
Understanding Periodontal Disease: Managing Pain and Treatment Options
Periodontal disease issues? Hello Doctor, I recently underwent a periodontal comprehensive care plan and have completed five sessions. The main problematic teeth were not extracted. Half a month ago, the full-mouth treatment was completed, but I am experiencing significant issues...
Dr. Zeng Guanghui Reply:
The periodontal integrated care plan has been completed, and the plaque or calculus that originally caused the gingival inflammation has been completely removed. The gingival inflammation should have improved; however, tooth mobility or gingival recession cannot be fully restored...[Read More] Understanding Periodontal Disease: Managing Pain and Treatment Options