Understanding Periodontal Inflammation: Is Bone Grafting Effective?
Frequent dental inflammation? Hello Dr. Yang, In the past year, I have been experiencing frequent inflammation in my upper right back tooth. When it flares up, I am unable to chew food, and there is pain when I bite down. A dental clinic in Miaoli mentioned that my periodontal c...
Dr. Yang Zhiren Reply:
Hello: First, look at the periodontal pocket and periapical X-ray of this tooth. If there is vertical periodontal bone loss, bone grafting can be effective; however, if there is horizontal periodontal bone loss, the effect is limited. If the tooth has significant mobility, it ind...[Read More] Understanding Periodontal Inflammation: Is Bone Grafting Effective?
Understanding Tooth Inflammation: When to Seek a Second Opinion
Dental inflammation The second to last tooth on the lower jaw underwent a dental procedure as advised by the dentist. During the filling process, a sudden movement by the dentist caused severe pain. In the following days, the adjacent tooth began to ache gradually. After about a ...
Dr. Zhuang Suhui Reply:
Due to the lack of your clinical data and X-rays for assessment, it is not possible to determine the exact cause of your condition. If the pain cannot be alleviated, I recommend seeking a second opinion from another dentist. Different practitioners may have varying interpretation...[Read More] Understanding Tooth Inflammation: When to Seek a Second Opinion
Could I Have Periodontal Disease? Symptoms and Treatment Options
Is it possible to have periodontal disease? Hello Doctor: My 21-year-old tooth has experienced nerve necrosis due to a collision with a wall, and I have had a crown for over a year and two months. However, after using dental floss, I notice a foul odor, and when I bite down on th...
Dr. Yang Zhiren Reply:
Hello: Your dental nerve is necrotic, and you must complete a thorough root canal treatment before proceeding with the crown. Otherwise, if there is an apical lesion, it may lead to clinical biting pain. Additionally, using dental floss may produce an unpleasant odor, possibly du...[Read More] Could I Have Periodontal Disease? Symptoms and Treatment Options
Common Toothbrushing Concerns: Tips for Effective Oral Hygiene
Tooth brushing issues? Hello, Doctor: I apologize for bothering you again, and this will be the last time. I have organized some questions to ask you, and if these questions are resolved, I will be more confident in my brushing routine! I truly do not mean to disturb you, and I a...
Dr. Huang Zhicheng Reply:
The most important aspects of brushing your teeth are timing (brush immediately within 3 minutes after each meal), technique (using the Bass technique), and order (brush in sequence, two teeth at a time, and do not miss any spots). Additionally, use dental floss. As for toothpast...[Read More] Common Toothbrushing Concerns: Tips for Effective Oral Hygiene
Clicking Sound When Biting: Should You See an Oral Surgeon?
There is a clicking sound when biting? Hello, doctor. Four days ago, I suddenly noticed a clicking sound coming from the cartilage protruding in front of my ear when I bite down. Additionally, there seems to be a tension in a muscle near my temple that appears to extend from the ...
Dr. Huang Zhicheng Reply:
Given your young age, it is unlikely that the issue is related to the bones of the temporomandibular joint (TMJ). Instead, it appears to be a case of temporomandibular joint disorder (TMD), specifically involving anterior disc displacement. When you open your mouth wide, the TMJ ...[Read More] Clicking Sound When Biting: Should You See an Oral Surgeon?
Understanding Temporary Dental Crowns: Materials and Terminology Explained
Root canal treatment Dear Dr. Tsao, I hope this message finds you well. I previously reached out with a question but have not yet received a response, so I am writing to you again. I need to undergo root canal treatment due to a cavity, and the affected tooth has a permanent sta...
Dr. Cao Guoqing Reply:
The formal name is resin temporary crown.[Read More] Understanding Temporary Dental Crowns: Materials and Terminology Explained
Understanding and Treating Jaw Joint Disorders: When to Seek Help
Treatment for Temporomandibular Joint Disorders (TMJ Disorders) Hello, Dr. Huang! I apologize for bothering you! I would like to ask you a question! I have difficulty fully opening my mouth; it feels like it gets stuck. When I try to open my mouth wide, I hear a sound on the left...
Dr. Huang Zhicheng Reply:
You are quite young, and experiencing locking and pain in your jaw joint may indicate a condition known as temporomandibular joint (TMJ) disc displacement. When symptoms are severe, the synovial bursa of the jaw joint can become inflamed, leading to pain and even difficulty openi...[Read More] Understanding and Treating Jaw Joint Disorders: When to Seek Help
The Impact of Missing Teeth on Dental Health and Treatment Options
The impact of tooth loss on dental health? Extracting one tooth from each side of the upper jaw and not replacing them with dentures for several years can lead to several consequences for the remaining teeth. The gaps can cause the adjacent teeth to shift, leading to misalignment...
Dr. Wu Chunzhen Reply:
Missing teeth can easily lead to the tilting of adjacent teeth and the overgrowth of opposing teeth. If conditions permit, please proceed with getting dentures as soon as possible.[Read More] The Impact of Missing Teeth on Dental Health and Treatment Options
Understanding Jaw Fusion: When to Seek Dental Care and Costs Involved
Hello, doctor! I have a question regarding maxillary bone fusion? Hello Doctor, I am 26 years old. During a health check in high school, I was diagnosed with a condition called dental and jawbone fusion. However, the nearby dentist said it wasn't serious, so it was not a con...
Dr. Huang Zhicheng Reply:
Clinically, it is common to encounter patients with limited mouth opening but normal chewing function. In daily life, they may only experience inconvenience when taking large bites or brushing their back teeth, which suggests a congenital structural issue. However, it is importan...[Read More] Understanding Jaw Fusion: When to Seek Dental Care and Costs Involved
Understanding Orthodontics for Children: Addressing Crossbite Issues
Orthodontics Hello, I have a question regarding my child's orthodontic issues. My child is currently in middle school and has had a crossbite since birth, although it wasn't very noticeable and there were no signs of misalignment. However, after entering elementary scho...
Dr. Huang Zhicheng Reply:
Malocclusion, specifically an underbite, is characterized by the excessive growth of the mandibular condyle, resulting in a condition where the lower jaw is larger than the upper jaw. If this condition is hereditary, it typically requires surgical intervention for correction. How...[Read More] Understanding Orthodontics for Children: Addressing Crossbite Issues
Understanding Gum Inflammation: Causes, Prevention, and Treatment Options
Regarding the issue of gingivitis? Hello, Doctor: Sometimes when I bite into food, I feel a bit of pain in my left teeth, but it’s not frequent, and I don’t experience any pain at night while sleeping. When I visited a dental clinic, I had an X-ray taken, and there were no caviti...
Dr. Wu Jinjun Reply:
Hello: The discomfort you experience while biting food may be attributed to two possible causes. The first could be an issue with the teeth themselves, and the second might be related to periodontal problems causing discomfort. The information you provided does not allow for a de...[Read More] Understanding Gum Inflammation: Causes, Prevention, and Treatment Options
Addressing One-Sided Chewing and Missing Teeth Issues
Unilateral chewing and missing teeth issues? Due to having missing teeth on both the upper and lower right sides, I have primarily been eating on the left side for about 10 years. My front teeth have a slight overbite, which prevents proper occlusion. The right side has become so...
Dr. Huang Zhicheng Reply:
Not replacing missing teeth, especially the upper and lower first molars, can lead to poor chewing function, causing individuals to avoid using that side for biting. Chewing on one side can easily result in temporomandibular joint (TMJ) disorders, occasionally leading to symptoms...[Read More] Addressing One-Sided Chewing and Missing Teeth Issues
Understanding HL Orthodontics: A New Approach for Dental Correction
HL correction method I heard that there is a type of orthodontic treatment called HL orthodontics. I would like to ask if your department offers this type of treatment? I have a crossbite.
Dr. Huang Zhicheng Reply:
Our hospital does not offer HL orthodontic treatment. If you are a thumb sucker, it may be a Class III malocclusion. We recommend consulting with a craniofacial and oral surgery hospital.[Read More] Understanding HL Orthodontics: A New Approach for Dental Correction
Managing Teeth Grinding and Bite Issues After Oral Pain
Dental occlusion issues? Doctor, I have recently experienced mouth ulcers, which caused me to unconsciously clench my teeth due to the pain. Although the ulcers have healed, I still find myself unintentionally biting my teeth together. What should I do about this? I have already ...
Dr. Zhuang Suhui Reply:
The condition of teeth clenching is often caused by emotional issues. First, try to relax and observe for a while. If the problem persists, you can visit a dentist to get an occlusal splint to separate the upper and lower teeth.[Read More] Managing Teeth Grinding and Bite Issues After Oral Pain
Understanding Salivary Gland Tumors: To Remove or Not?
Salivary gland tumor Hello Dr. Chuang, I have a small bump (1 cm in length and 0.5 cm in width) on the left side of my oral cavity at the corner of my mouth, which is located right at the salivary gland area. Occasionally, I would bite it, but it does not hurt when I touch it wi...
Dr. Zhuang Suhui Reply:
Is it a salivary gland cyst or a salivary gland tumor? From your description, it sounds more like a salivary gland cyst. If it is confirmed to be a salivary gland cyst, surgical removal is recommended, and the recurrence rate is low after complete excision.[Read More] Understanding Salivary Gland Tumors: To Remove or Not?
Understanding Tooth Damage and Orthodontic Solutions for Overbite
excuse me? Hello, Doctor: 1. I broke my tooth suddenly while eating ice. After visiting the dentist, the doctor said that the enamel was damaged, which caused the tooth to break. What exactly is damaged? Is it the enamel? How should I treat this? 2. Is orthodontic treatment e...
Dr. Chu Boqin Reply:
Hello Mr. Lai: 1. Enamel is very difficult to fracture unless it is caused by dental caries. Please have a dentist repair it or provide a crown. 2. It is effective. The cost ranges from 80,000 to 120,000 NTD, and the duration is approximately 2 years. Thank you for your inqu...[Read More] Understanding Tooth Damage and Orthodontic Solutions for Overbite
Why Do My Teeth Feel Sensitive After Dental Fillings?
After getting a dental filling, is it normal to feel sensitivity in the teeth? Hello Doctor: Recently, I went for a dental check-up, and the dentist filled several cavities. In the following weeks, I occasionally felt sensitivity in the filled teeth, which was quite uncomfortable...
Dr. Zeng Guanghui Reply:
After a dental filling, you may experience sensitivity or discomfort, which could be due to changes in occlusion causing sensitivity while eating. If the sensitivity is related to occlusion, it is advisable to adjust the bite. Additionally, there may be microscopic gaps between t...[Read More] Why Do My Teeth Feel Sensitive After Dental Fillings?
Self-Management Tips for Unilateral Jaw Dislocation: When to Seek Help
Mandibular dislocation Hello Dr. Huang, I would like to ask if there is a way to reposition a unilateral dislocation of the mandible without seeing a doctor. The cause was a series of sneezes, and the situation doesn't seem severe (at least I can still close my mouth), and...
Dr. Huang Zhicheng Reply:
Hello: You may be suffering from anterior disc displacement associated with temporomandibular joint (TMJ) disorder. When opening your mouth, the condyle of the jaw slides forward and downward, getting caught on the displaced anterior disc, which produces a clicking sound. However...[Read More] Self-Management Tips for Unilateral Jaw Dislocation: When to Seek Help
Understanding Dental Implants: Common Concerns and Questions Answered
Dentures..? Hello Doctor: The second tooth from the back on the right side of my upper jaw (I’m not sure what it’s called... it should be a molar) was treated when I was in the second year of junior high school. It seemed to have severe decay, so the dentist performed a root cana...
Dr. Lin Qingye Reply:
If Miss Linlin's tooth has already undergone nerve necrosis and has received root canal treatment, it is best to place a crown on it for protection to prevent fracture. If no further treatment is done, severe fractures may occur, potentially requiring extraction. Therefore, ...[Read More] Understanding Dental Implants: Common Concerns and Questions Answered
Can a Dental Fistula Heal on Its Own Without Surgery?
Will a gum fistula heal on its own over time? I have a tooth that previously underwent root canal treatment, and it has now been diagnosed with a fistula. For a while, it was draining pus, but after using mouthwash and avoiding biting with that tooth, it has improved somewhat. Is...
Dr. Zeng Guanghui Reply:
If a tooth that has already undergone root canal treatment develops a periodontal fistula, it indicates that the infection within the root canal was not completely eradicated after the treatment and has spread to the surrounding alveolar bone, leading to the formation of a fistul...[Read More] Can a Dental Fistula Heal on Its Own Without Surgery?