Concerns After Getting Fixed Dentures: Gaps and Next Steps
After the installation of fixed dentures? Hello, doctor. I just had my fixed dentures placed, and on the very first day, I noticed that there is a gap between the dentures and my natural teeth. The dentist did not give me a trial fitting period and bonded them without my consent....
Dr. Qiu Qiongyao Reply:
Ms. Lai: Hello, please seek assistance from the local dental association for coordination and assessment. The administrative staff of the association can relay the matter to the association's president for resolution. The Hualien Hospital of the Ministry of Health and Welfar...[Read More] Concerns After Getting Fixed Dentures: Gaps and Next Steps
Post-Dental Implant Bone Grafting: Common Concerns and Questions
Issues After Bone Grafting for Dental Implants Hello Doctor: I was born without my second molar (position 35), and now at 32 years old, due to the absence of the tooth for a long time, my neighboring teeth have tilted, leaving insufficient space for dental implants. Therefore, I ...
Dr. Zeng Guanghui Reply:
(1) The wound from the 35 dental implant grafting shows white granulation tissue, with a pink base underneath, and the junction is quite distinct. This may indicate displacement or exposure of the regenerative membrane placed with the grafting material. It is recommended to retur...[Read More] Post-Dental Implant Bone Grafting: Common Concerns and Questions
Do Misaligned Canines Lead to Cavities? Exploring Dental Bridge Options
If the canine teeth are misaligned and there is a risk of cavities, is it necessary to get a dental bridge? Hello Dr. Tseng: I would like to ask about my situation: I have limited space between my canine teeth, which causes them to be pushed upwards, resulting in misalignment of ...
Dr. Zeng Guanghui Reply:
1. If the alignment of the canine teeth on both sides is severely irregular, it is recommended to consider orthodontic treatment to straighten the teeth, which will facilitate oral hygiene and cleaning between the teeth. If the misalignment is mild and you feel that orthodontic t...[Read More] Do Misaligned Canines Lead to Cavities? Exploring Dental Bridge Options
Choosing the Right Dental Bridge Material: Zirconia vs. Metal Options
Regarding the materials used for dental bridges and inquiries about "hygienic dental bridges." I would like to ask everyone, I am currently getting a dental bridge and initially wanted to have a full zirconia crown, but my dentist recommended a semi-precious metal crown...
Dr. Zeng Guanghui Reply:
1. Considering strength issues, it is recommended to use traditional metal-ceramic crowns, while for the bridge, it is advisable to use a hygienic dental bridge for easier cleaning and maintenance. 2. If a single crown is needed, a full zirconia crown can be used. Dr. Tseng Guang...[Read More] Choosing the Right Dental Bridge Material: Zirconia vs. Metal Options
Concerns About Multiple Panoramic X-Rays and Thyroid Cancer Risk
A panoramic X-ray should be performed during each evaluation? I had a panoramic X-ray taken in March 2021 (while wearing a protective apron), and the doctor recommended orthodontic treatment to close the gap from my missing tooth. Then in April, I had panoramic X-rays taken on tw...
Dr. Lin Jiayong Reply:
Hello: The radiation dose from dental X-rays is indeed very low, and it is common practice to take X-rays prior to treatment at a new clinic to avoid disputes. What you mentioned is standard procedure in dentistry. If you are concerned about the risk of cancer, you can strongly r...[Read More] Concerns About Multiple Panoramic X-Rays and Thyroid Cancer Risk
Understanding the Impact of Darkened Teeth Under a Dental Bridge
Dental bridge and the natural teeth it is anchored to? Several years ago, the dentist placed a three-unit dental bridge at the back of the lower left side, after the last molar was extracted. This bridge is supported by two natural teeth that have been reduced in size. It is a me...
Dr. Lin Jiayong Reply:
Hello: If the natural tooth inside has undergone root canal treatment and has turned black or discolored, this is a natural condition. Please schedule regular follow-ups to check for any other lesions. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry...[Read More] Understanding the Impact of Darkened Teeth Under a Dental Bridge
Managing Multiple Missing Front Teeth: Options and Considerations
Four upper front teeth are missing at once? I am currently preparing for a second root canal treatment, as the fillings from many years ago are extensive, and I am concerned about the viability of my teeth. If I have two missing front teeth on both the left and right sides of my ...
Dr. Lin Jiayong Reply:
Hello: 1. You have already prepared for two root canal treatments, so please maintain confidence and optimism for a successful outcome. If it unfortunately fails and extraction becomes necessary, we will need to assess the healing condition of the site before discussing treatment...[Read More] Managing Multiple Missing Front Teeth: Options and Considerations
How to Address a Damaged Dental Bridge After Adjustment?
The dental bridge has worn down? Hello Doctor, I had a dental bridge placed on March 1, 2021. When it was completed, the doctor adjusted the height but ended up damaging my bridge. The white prosthetic tooth has developed a small black spot, and the doctor did not inform me about...
Dr. Zeng Guanghui Reply:
Hello, Xuan Xuan: The dental bridge you received is likely a metal-ceramic crown, which consists of a metal core covered with a layer of porcelain. It is possible that during the occlusal adjustment, the porcelain surface was ground down, exposing the underlying metal shell. If a...[Read More] How to Address a Damaged Dental Bridge After Adjustment?
Understanding Dental Bridges: How Many Teeth Should You Replace?
Number of units for anterior dental bridge fabrication? Hello Doctor: My left central incisor was extracted due to a fractured root, and the adjacent incisors have undergone root canal treatment but have not been crowned for several years. The doctor suggested a bridge of four to...
Dr. Zeng Guanghui Reply:
Hello JoJo: When creating a dental bridge for the front teeth, it is important to consider the number of supporting teeth. There must be enough supporting teeth to adequately support the edentulous area. Additionally, teeth that have undergone root canal treatment also need to be...[Read More] Understanding Dental Bridges: How Many Teeth Should You Replace?
Understanding Dentures: Nerve Inflammation and Cavities Explained
Regarding dentures and some other issues? Hello, I would like to inquire about issues related to nerve inflammation and cavities after getting dentures. Three years ago, I had dentures done at a clinic, and after returning home due to the pandemic, I discovered that each denture ...
Dr. Lin Jiayong Reply:
Hello: There are many reasons why dentures may not adhere properly, and it is recommended that you consult with your dentist for clarification. Traditional dentures and dental implants each have their own advantages and disadvantages. If you have concerns about your current denta...[Read More] Understanding Dentures: Nerve Inflammation and Cavities Explained
Understanding Denture Impressions: Key Questions and Concerns
Denture impression issues? Hello, doctor. A few days ago, I went to the clinic to have an impression for my dentures, and the dentist used a soft silicone material. I am getting a denture for my lower right tooth; do I also need impressions for both the upper and lower arches? Ad...
Dr. Huang Tingfang Reply:
Dear Mr. Chen, Hello! If it is agar-based, there will be no impact. However, if it is silicone, it will have an effect. Especially if these four dentures are loose, you must inform the dentist first! Take precautions! It is essential to make impressions for both the upper and lo...[Read More] Understanding Denture Impressions: Key Questions and Concerns
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?
Choosing Between Dental Implants and Dentures: A Patient's Dilemma
Dental issues consultation? Hello Doctor: Before I turned 20, I had my lower left molars (possibly wisdom teeth) extracted due to deep cavities. On the right side, I also had one upper and one lower molar extracted because the cavities were too deep to save. Around the age of 20,...
Dr. Zeng Guanghui Reply:
Hello, Dr. Kuo Chao-Ju: To maintain periodontal health, the most important factors are patient and thorough brushing, as well as the use of interdental brushes or dental floss. If there are sensitivity issues with teeth that have exposed roots, it is advisable to return for an ev...[Read More] Choosing Between Dental Implants and Dentures: A Patient's Dilemma
Affordable Dental Solutions for Long-Term Tooth Issues
Long-term dental issues can be a source of frustration? Hello Dr. Tseng, I have the following question: My teeth have deteriorated due to lack of care, resulting in issues with all four corners of my molars, including missing teeth and root canals. After researching, I found that...
Dr. Zeng Guanghui Reply:
Hello Jeff: If there are missing teeth or if a tooth has undergone root canal treatment, gaps in the dental arch can be filled using removable dentures, dental bridges, or dental implants. Removable dentures are more economical, but they do not provide as much biting force. They ...[Read More] Affordable Dental Solutions for Long-Term Tooth Issues
Understanding Apex Surgery: Concerns About Silver Powder and Alternatives
Apicoectomy First: My endodontist did not inform me in advance and used silver powder for retrograde filling, but I have concerns about the silver powder. If I want to remove the silver powder, can the root tip be resected again and filled with other materials, or is extraction t...
Dr. Huang Tingfang Reply:
Dear Mr. Lin Yun, Hello! The use of silver powder for retrograde filling in apical surgery is a commonly employed technique. MTA can also be used, with costs ranging from 5,000 to 10,000 NTD. The longevity depends on the condition of the tooth. When it comes to dental bridges, a...[Read More] Understanding Apex Surgery: Concerns About Silver Powder and Alternatives
Choosing Between Tooth Extraction and Dental Implants: What You Need to Know
Choosing Between Tooth Extraction and Dental Implants Hello, Doctor. Because I did not take good care of my teeth in the past, I have consulted several clinics and I am currently caught between tooth extraction and dental implants. I have had root canal treatment and have undergo...
Dr. Huang Tingfang Reply:
Dear Mr. Koko, Hello! As mentioned, the condition of your teeth is quite serious. If extraction is necessary, there are three options for reconstruction: 1. removable dentures, 2. a fixed bridge with three crowns, or 3. dental implants. You can make a decision based on your budg...[Read More] Choosing Between Tooth Extraction and Dental Implants: What You Need to Know
Understanding Dental Bridges and Crowns: Common Concerns and Solutions
Issues with dental bridges and dental crowns? Hello Doctor, I had a dental bridge with three crowns placed on my lower left molars over a decade ago. Recently, I've been experiencing sensitivity in those teeth as well as in the three upper left molars. Due to using one side ...
Dr. Zeng Guanghui Reply:
Hello Huang Mei: If the teeth that require crowns are severely worn down, causing irreversible inflammation of the nerves, it is recommended to perform root canal treatment before placing the crowns. This will prevent spontaneous pain from occurring after the crowns are placed, w...[Read More] Understanding Dental Bridges and Crowns: Common Concerns and Solutions
Understanding Gum Bumps After Dental Bridge: Treatment and Recovery
Dental bridge with a dental abscess? Hello, a few months ago, a small bump the size of a mung bean appeared on the gum of my dental bridge (which has been in place for 8 years). Since it wasn't painful, I didn't seek treatment. Recently, I visited a dentist who recommen...
Dr. Huang Tingfang Reply:
Dear Mr. Allen, Hello! As mentioned, it should be a fistula, which is associated with chronic inflammation. It is usually painless and often results from deep-seated inflammation where pus drains out. It will only resolve after infection control. Please take care of yourself! Wi...[Read More] Understanding Gum Bumps After Dental Bridge: Treatment and Recovery
Understanding Gum Recession After Dental Implants: Causes and Concerns
Gum recession after dental implant placement? Hello, Director. About 6 or 7 years ago, I had my first dental implant placed (the far left of my four front teeth). Over three years ago, the tooth root next to the implant fractured. The doctor said that because I had the implant, I...
Dr. Huang Tingfang Reply:
Dear Ms. Xiaoyu, Hello! As mentioned, there may be bone loss around the dental implant, which can lead to gum recession. The possible causes could be infection or excessive biting force. It is important to maintain proper oral hygiene around the implant. Take care! Wishing you a...[Read More] Understanding Gum Recession After Dental Implants: Causes and Concerns
Experiencing Tooth Sensitivity After Getting Permanent Dental Bridge?
Sensitivity after getting fixed dentures? I am currently undergoing a molar bridge treatment and have had the provisional crown temporarily cemented for about four days. Usually, I don't feel much discomfort, but I do experience sensitivity when eating hot or cold foods. I d...
Dr. Zeng Guanghui Reply:
Dear Mr. Anonymous, If you experience sensitivity or pain when consuming hot or cold foods after wearing your permanent dental bridge for four days, it is advisable to return for a check-up. This may indicate issues with the fit of the bridge or your bite alignment. Sincerely...[Read More] Experiencing Tooth Sensitivity After Getting Permanent Dental Bridge?