Crown lengthening, Dentistry FAQ

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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...

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Understanding Discomfort After Root Canal Treatment: What to Do?

Discomfort after root canal treatment? Hello, Director Lin. Two years ago, I underwent root canal treatment on my right front tooth. Although the pain has subsided since the treatment, I have been experiencing a troubling phenomenon for the past two years. I often feel discomfort...


Dr. Lin Jiayong Reply:
Hello: If the tooth has a crown covering it, it may be due to gingival inflammation. It is recommended to perform a crown lengthening procedure and then remake the crown. You may consult with the endodontics or prosthodontics department for further evaluation.

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Understanding Root Canal Treatment: Common Questions and Concerns

Root canal treatment I have a dental cleaning every six months, but shortly after my last cleaning, I experienced pain in tooth #35 due to sensitivity to hot and cold. I returned to the dentist, and an X-ray revealed a cavity. The dentist indicated that I would need a root canal ...


Dr. Lin Jiayong Reply:
Hello: Generally, simple root canal treatments can be performed in the clinic, unless the case involves complex root canals, calcified canals, or fractured roots/instruments, in which case the patient should be referred to a dental pulp specialist at a medical center. <a href=...

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Persistent Gum Swelling After Microscopic Root Canal Treatment: What to Do?

Swelling of the gums persists after microscopic root canal treatment? Hello, I would like to ask for your advice. After undergoing root canal treatment at a clinic, my gums continued to swell, so I went to a hospital for microscopic root canal treatment. After that, a CT scan sho...


Dr. Lin Jiayong Reply:
Hello: It is recommended to observe first. After a simple microsurgery, the body also needs time to recover. If there is still gum swelling and pain after six months, then consider whether other procedures "for the purpose of placing dentures" are necessary. Apex root s...

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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...

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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...

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Understanding Dental Solutions: Crown Lengthening and Bridge Options

Issues with dentures? Hello, Doctor: Due to a large cavity in the lower right canine that extends into the gum, the doctor said it cannot be filled. If a dental bridge is to be made, it would require sacrificing the two adjacent teeth. Additionally, the neighboring tooth to the l...


Dr. Lin Jiayong Reply:
Hello: Based on what you mentioned, it sounds like the best current option, as it is considered the most conservative yet proactive treatment (unless you decide not to take any action and wait until the dental issue worsens to extract the canine). Even if this treatment plan ulti...

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Understanding Dental Crown Lengthening: Is It Covered by Insurance?

Crown lengthening surgery Is there insurance coverage for crown lengthening surgery? After having my lower left wisdom tooth extracted, I have a cavity next to the second molar that extends below the gum line. The dentist said that I need to undergo crown lengthening surgery in o...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you seek a physician you trust, rather than making decisions based solely on price, as you may need assistance in case of postoperative issues. It is safest to have the procedure done at a medical center. (Crown lengthening procedures are typically o...

[Read More] Understanding Dental Crown Lengthening: Is It Covered by Insurance?


Dealing with Dental Pain After Crown Treatment: What Are Your Options?

Wearing braces can cause discomfort and pain? The second molar underwent root canal treatment, but shortly after getting a crown, it started to hurt. Several treatments were ineffective, and I consulted multiple dentists. Eventually, one dentist mentioned that the tooth was tilte...


Dr. Lin Jiayong Reply:
Hello: Since the braces have already been applied and are firmly attached, it is recommended to observe the situation for now. If you experience significant discomfort, you may go to a medical center for a CT scan, and then discuss further treatment options and plans with your ph...

[Read More] Dealing with Dental Pain After Crown Treatment: What Are Your Options?


Should You Rush to the Dentist for Swollen Gums After Tooth Filling?

Gum tissue growing around a dental filling? A week ago, I had issues with my wisdom tooth affecting the second molar, which had decayed to the point that I need crown lengthening surgery. I initially visited the clinic, and the dentist did a temporary filling for me. We scheduled...


Dr. Zeng Guanghui Reply:
If wisdom teeth are extracted and there is a desire to temporarily fill a cavity in the molar in front, the gum and jawbone will gradually heal and grow back during the recovery process. If you feel that the gum is pressing against the filling in the front molar, you should retur...

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Managing Post-Surgical Pain and Complications After Apex Surgery

Post-operative inflammation after apicoectomy? Dear Doctor, I have a lateral incisor that was treated for cavities by an unlicensed dentist (dental technician) when I was 14 years old (1994) and had a crown placed. In 2014, due to the presence of an abscess and the adjacent heal...


Dr. Zeng Guanghui Reply:
1. Apicoectomy requires prior assessment of the root length to determine if it is sufficient. If the root length is adequate and there is still an apical lesion after root canal treatment, this surgery may be considered. 2. Apicoectomy is generally considered when the results of ...

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Understanding Deep Cavities in Lower Second Molars: Treatment Options Explained

Cavity behind the second lower molar? Previously, my lower right wisdom tooth was removed due to its inclination, which led to cavities in the second molar. The decay has extended below the gum line. After consulting multiple hospitals, they indicated that the cavity is deep and ...


Dr. Lin Jiayong Reply:
Hello: 1. To determine whether the cavity will continue to progress towards the pulp, if the decay is already arrested, it may still be usable for some time. 2. Only a dentist who has actually reviewed the X-ray can assess the complexity of the root canal for that tooth. Sincerel...

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Dealing with Tooth Pain and Mobility After One-Sided Eating

Chewing food on one side only has caused some teeth to become slightly loose and painful? I have been undergoing root canal treatment and had a crown lengthening procedure, so I have been using the other side of my mouth to eat for the past three to four months. Recently, I have ...


Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for a check-up to see if there is any fracture in the other tooth. If not, please be sure to adjust your eating habits by chewing slowly and thoroughly. You may switch to liquid foods (high-calorie, high-nutrition options ...

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Can I Get a Refund for My Dentures That Fell Out Twice in a Month?

The denture has fallen out twice in one month? I have a tooth that has undergone a root canal treatment. I used dental floss to clean it, and it fell out twice within a month. Can I request a refund? Or can I ask that dental office to redo it since it has fallen out twice, once o...


Dr. Lin Jiayong Reply:
Hello, it is recommended that you return to your original clinic to discuss possible solutions, including remaking the dentures or exploring other treatment options such as crown lengthening, orthodontic treatment, or connecting two dentures. Sincerely, Lin Chia-Yung, Department ...

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Dealing with Tooth Pain and Mobility After One-Sided Eating

Chewing food on one side only has caused some teeth to feel loose and painful? I have been undergoing root canal treatment and had a crown lengthening procedure, so I have been using the other side of my mouth to eat for the past three to four months. Recently, I have noticed tha...


Dr. Huang Tingfang Reply:
Hello, there are many reasons that can cause gum pain and loose teeth, so it is difficult to determine the exact cause based solely on your description. During this treatment period, it is advisable to avoid consuming hard or overly chewy foods, maintain good oral hygiene, schedu...

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Challenges in Finding Nerve During Root Canal Treatment: What to Do Next?

Root canal treatment cannot locate the nerve? Hello Doctor: I have been experiencing pain in my lower seventh tooth since September and went to see a dentist, who diagnosed it as a cavity. I underwent crown lengthening and then root canal therapy. However, due to calcification in...


Dr. Lin Jiayong Reply:
Hello: Since three microscopic root canal treatments have already been performed, it indicates that it is difficult to locate the nerve canal of that tooth. It is recommended to discuss with the original dentist whether to refer to a medical center for further management or to co...

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Motorcycle Accident Leads to Gum Injury and Dental Treatment

Gum tissue excision due to injury from a motorcycle accident? Hello Doctor, I had an accident in mid-August due to slippery roads and fell onto a large manhole cover. After falling, I quickly got my motorcycle upright and rode home. However, when I got home, I noticed that the gu...


Dr. Zhu Guanyu Reply:
Hello, based solely on your description, it is difficult to provide clear answers to these four questions. I recommend consulting a dentist who has more information about your oral condition. However, in brief: 1. The impact on quality of life after undergoing crown lengthening i...

[Read More] Motorcycle Accident Leads to Gum Injury and Dental Treatment


Essential Care Tips for Your New Dental Bridge and Crown

Just got dentures? Hello, doctor. I just had two connected crowns (the penultimate one and three others) placed last week. One of the crowns was made this way because the dentist indicated that the tooth structure was not ideal. I would like to ask if I need to use a floss thread...


Dr. Zeng Guanghui Reply:
1. For two adjacent dentures, it is recommended to use a dental bridge flosser daily to clean the gaps between the dentures. 2. If there is a black line at the edge of a newly placed precious metal crown, it may be due to thin gingival margins allowing the metal edge to show th...

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Understanding Crown Lengthening and Temporary Dental Crowns

Orthodontic crown lengthening procedure Eight years ago, I underwent crown lengthening surgery before getting a dental crown. Recently, my crown has been damaged and needs to be replaced. After removing the old crown, the silver filling from the crown lengthening procedure done y...


Dr. Huang Tingfang Reply:
Dear Ms. Anonymous: Hello! (Orthodontic crown lengthening procedure) is necessary when the decay is too deep, exposing the tooth root. If there is further decay, we need to assess whether the tooth root is long enough. Please communicate more with your dentist! Thank you! Wishing...

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Understanding Dental Issues: Diagnosing Oral Pain After Root Canal Treatment

Oral issues I have a question: Several years ago, I had root canal treatment on my upper front teeth and received a crown. However, due to some issues, the tooth became loose, so I underwent another root canal treatment and received a temporary crown. During the process, one of t...


Dr. Zeng Guanghui Reply:
Tooth fracture led to a crown lengthening procedure to facilitate future crown restoration. However, two weeks post-surgery, there is swelling on the inside, which needs to be evaluated to determine if there is inflammation or infection in the surrounding gums, or if there is a c...

[Read More] Understanding Dental Issues: Diagnosing Oral Pain After Root Canal Treatment


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