Gum abscess, Dentistry FAQ

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Understanding Gum Abscesses: Causes and Impacts on Adjacent Teeth

Abscesses on both sides of the gums? Hello Doctor: Last year, I developed a pus-filled abscess on my lower second molar. Following your recommendation, I underwent a second root canal treatment. After several sessions of microscopic root canal therapy, the abscess has not recurre...


Dr. Lin Jiayong Reply:
Hello: A periodontal abscess on the lingual side of the gums is usually caused by a bacterial infection, with the source of infection typically being the dental pulp or periodontal tissue. If the physician has performed a CT scan and cannot definitively identify the source of the...

[Read More] Understanding Gum Abscesses: Causes and Impacts on Adjacent Teeth


Understanding Root Canal Cracks: Treatment Options and Long-Term Care

Root canal fracture Hello: Previously, I had a gum abscess and had to remove my dentures to undergo root canal treatment, where a crack was discovered inside. The endodontist advised me not to keep the tooth, as bacteria would likely re-enter. After cleaning, the condition improv...


Dr. Lin Jiayong Reply:
Hello: If the first dentist has informed you that the tooth is unresponsive to treatment, and you have now confirmed that it is indeed undergoing ineffective treatment, it is advisable not to pursue any further out-of-pocket or invasive procedures at this time. Instead, consider ...

[Read More] Understanding Root Canal Cracks: Treatment Options and Long-Term Care


Do You Need a Root Canal for a Painless Gum Abscess?

If there is a gum abscess that is not painful, is root canal treatment necessary? If there is a gum abscess that is not painful, is it necessary to undergo root canal treatment, and should antibiotics and painkillers be taken? Can the abscess be treated directly? Both the tooth a...


Dr. Lin Jiayong Reply:
Hello: The goals of root canal treatment are 1. to maintain the tooth in a non-infected and non-inflamed state within the mouth, and 2. to serve as a support for a crown or other prosthetic restoration. As you mentioned, your tooth is currently in an inflamed and infected state, ...

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Can Wisdom Tooth Roots Continue to Grow for Dental Correction?

Length of wisdom tooth roots Eight years ago, the nerve of my first molar was removed. Recently, I noticed a gum abscess developing around the first molar and I am considering orthodontic treatment to extract the first molar and replace it with a horizontal wisdom tooth. However,...


Dr. Lin Jiayong Reply:
Hello: "However, the orthodontist said that the roots of my wisdom teeth are not long enough for orthodontic treatment." It is recommended to consult 2 to 3 orthodontists, and if they all provide similar opinions, it is advisable to consider alternative treatment plans.

[Read More] Can Wisdom Tooth Roots Continue to Grow for Dental Correction?


Understanding Gum Abscess Between Teeth: Causes and Treatment Options

A gum abscess between the teeth? I have a pus-filled bump on the gum between my upper front tooth and canine. Sometimes, I experience discomfort and a tingling sensation, similar to sensitivity. I would like to ask the doctor if there is a possibility of self-resolution, or what ...


Dr. Zeng Guanghui Reply:
It is likely that the infection is caused by gingivitis. If you clean the spaces between your teeth thoroughly and the abscess does not resolve, it is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Gum Abscess Between Teeth: Causes and Treatment Options


Understanding Gum Abscess Between Upper Teeth: Causes and Treatments

A gum abscess between the teeth? I have a pus-filled bump on the gum between my upper front tooth and canine. Sometimes I experience discomfort and a tingling sensation, similar to sensitivity. I would like to ask the doctor if there is a possibility of self-resolution, or what c...


Dr. Zeng Guanghui Reply:
Hello Mr. Lin: The presence of a pus-filled bump may be due to gum inflammation or infection. It is recommended to maintain good oral hygiene by brushing thoroughly and using mouthwash. If there is no improvement, it is advisable to consult a dentist for further examination. Dr. ...

[Read More] Understanding Gum Abscess Between Upper Teeth: Causes and Treatments


Dealing with Gum Abscess After Root Canal: Can I Switch Dentists?

After a root canal treatment, there is a gum abscess and a change of dentist during the procedure? Yesterday, I had my first root canal treatment on my first molar. It was very painful during the procedure, and the next day I noticed a sizable abscess on my gum, which is painful ...


Dr. Lin Jiayong Reply:
Hello: It is advisable to inform the original physician about the presence of a gum abscess and inquire whether it is necessary to prescribe antibiotics or other anti-inflammatory medications. If the original physician has any doubts, seeking a second or third opinion may be bene...

[Read More] Dealing with Gum Abscess After Root Canal: Can I Switch Dentists?


Understanding Gum Abscess: Connection to Teeth Grinding and Treatment Options

Gingival abscess Hello, doctor. I have symptoms of bruxism at night, which are quite severe. The teeth on the left side of my front teeth show signs of periodontal ligament inflammation. After waking up from my nap yesterday, I noticed a pus-filled bump on that tooth. It doesn&#x...


Dr. Zeng Guanghui Reply:
If teeth grinding causes damage and inflammation to the periodontal ligament, it may lead to a periodontal abscess. Once an abscess occurs, it is advisable to brush the teeth thoroughly and use mouthwash for disinfection. If the abscess does not resolve, it is recommended to cons...

[Read More] Understanding Gum Abscess: Connection to Teeth Grinding and Treatment Options


Understanding Gum Abscess Above Steel Tooth in Children: What to Do?

There is a pus-filled abscess on the gum above the molar? Hello Doctor, my child is 10 years old and has had a steel crown on a decayed primary tooth for two years. Last week during a dental check-up, we found a pus-filled bump above the crown. Since the tooth has undergone root ...


Dr. Lin Jiayong Reply:
Hello: According to your description, the tooth above the molar should be the second premolar in adults, which typically erupts by the age of 13. If both doctors have suggested that you observe the situation, it is best to follow their advice. If there is a need to remove the abs...

[Read More] Understanding Gum Abscess Above Steel Tooth in Children: What to Do?


Understanding Gum Abscess: Causes and Treatment Options in Dentistry

Gum abscess The second molar was extracted around June due to a previous root canal treatment (10 years ago) and a root fracture with bone loss that occurred at the end of last year. Bone grafting was performed after the extraction. Initially, I planned to wait until September fo...


Dr. Lin Jiayong Reply:
Hello: It is recommended to visit a medical center nearby to seek a second or third opinion. After confirmation, you can consider the subsequent treatments for root canal therapy and dental implants.

[Read More] Understanding Gum Abscess: Causes and Treatment Options in Dentistry


Should You Take Your Child to the Dentist for Gum Abscess?

Pediatric Dentistry / Gingival Abscess My daughter is 5 years old and has just discovered two small white spots on her upper gums, and she says they hurt. Should we take her to see a dentist? Thank you.


Dr. Zeng Guanghui Reply:
It is suspected that the process of permanent incisors erupting is occurring. When the edges of the permanent incisors are about to break through the gum tissue, it is advisable to take the child to a dentist for an examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nanto...

[Read More] Should You Take Your Child to the Dentist for Gum Abscess?


Managing Gum Abscesses and Root Canal Treatment Delays in Children

Gingival abscess, root canal treatment? Hello Doctor, my child has a permanent tooth (canine) with an open root apex, resulting in pulp necrosis. Currently, there are two abscesses on the gums. We have visited a major hospital for regenerative pulp therapy, but the root canal tre...


Dr. Lin Jiayong Reply:
If you experience any discomfort during the waiting period, you can seek medical attention immediately for emergency treatment. Please complete the full course of antibiotics and do not stop taking them arbitrarily. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hosp...

[Read More] Managing Gum Abscesses and Root Canal Treatment Delays in Children


Dealing with Gum Abscess After Dental Implant: Causes and Solutions

After dental implant surgery, the gums may develop a pus-filled abscess? Four months after receiving an upper jaw dental implant, I had a prosthesis placed at the clinic. The week after the prosthesis was installed, I noticed a small white pus-filled bump above the implant site o...


Dr. Lin Jiayong Reply:
Hello: Peri-implantitis is indeed a challenging issue that is difficult to eradicate. It is recommended to first use oral antibiotics in conjunction with topical antibiotics to reduce bacterial load and decrease the level of inflammation. Additionally, it is advisable to have a d...

[Read More] Dealing with Gum Abscess After Dental Implant: Causes and Solutions


Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help

Gingival abscess Hello Doctor, following up on my previous issue, this Thursday I will have undergone three root canal treatments on my molar, but I am still experiencing pain. The doctor mentioned that I might need to undergo microscopic root canal therapy, which is quite expens...


Dr. Zeng Guanghui Reply:
Gingival inflammation is caused by an infection of the periodontal tissues surrounding the teeth or may be due to inflammation of the minor salivary glands. It is recommended to consult a dentist or an oral surgeon for further diagnosis and treatment, including X-rays. Dr. Tseng ...

[Read More] Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help


Managing Gum Abscess After Dentures: What You Need to Know

Gum abscess after getting dentures? Hello, doctor. In the past, after I had a dental filling, the material fell out, and the doctor refilled it, but then I developed an abscess. One doctor helped me by grinding down some of the filling, and the abscess went away, but not long aft...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit a medical center to obtain a complete X-ray. Additionally, consult with an endodontist who can explain the pros and cons of root canal treatment based on your specific condition. After that, you can decide whether to proceed with the root c...

[Read More] Managing Gum Abscess After Dentures: What You Need to Know


Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain

Root canal treatment Hello, doctor. Last Monday, a small abscess appeared on the gums next to my molar, and it wasn't very painful, so it didn't go away. Later, I visited a dental clinic on Thursday, and they said it was due to inflammation of the nerve inside the molar...


Dr. Zeng Guanghui Reply:
If a root canal treatment is performed due to an abscess, it indicates that the infection at the root tip has reached a certain extent. Although the initial one or two root canal treatments may have been done, the abscess may not disappear immediately. It may require multiple ses...

[Read More] Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain


Understanding Root Canal Re-treatment: Pain, Cracks, and Recovery Time

Questions about retreatment of root canal? The presence of a gum abscess without tooth pain can be concerning. During the retreatment of a root canal, if a file is placed deeply and there is a sensation of pain similar to being pricked, this could indicate an unusual situation. T...


Dr. Lin Jiayong Reply:
Hello, discomfort during the treatment process does not necessarily indicate that the treatment will fail or that there will be a tooth fracture. It is advisable to relax and complete the treatment, then observe for about six months before discussing whether there is indeed a fra...

[Read More] Understanding Root Canal Re-treatment: Pain, Cracks, and Recovery Time


Dealing with Gum Abscess: What to Do If You Inadvertently Swallow Pus

Gum abscess Hello doctor, I have swelling in my gums near the last tooth in my lower jaw, which is a horizontal wisdom tooth. There was a pus-filled abscess that burst while I was brushing my teeth, and it seems like I ingested some pus. What should I do if I ingested pus, and wh...


Dr. Lin Jiayong Reply:
Hello: Consuming a small amount of pus from oneself is unlikely to cause harm, but it is advisable to promptly identify the cause of the pus and seek active treatment. This is a response from Dr. Lin Chia-yung, Department of Dentistry, Taichung Hospital, Ministry of Health and We...

[Read More] Dealing with Gum Abscess: What to Do If You Inadvertently Swallow Pus


Understanding Gum Abscess: Treatment Options and When to Extract

Gingival abscess Hello, doctor. Due to incomplete development of the tooth's root canal, a gum abscess has formed. I have been receiving root canal treatment and medication at the clinic for some time. Although the abscess is smaller than before, it still cannot be completel...


Dr. Zeng Guanghui Reply:
Consider performing apical surgery to see if the apical region of the tooth can be completely disinfected and then filled. Dr. Tseng Guang-Hui, Nantou Hospital Dental Department.

[Read More] Understanding Gum Abscess: Treatment Options and When to Extract


Understanding Gum Recession: Causes, Concerns, and Care Tips

Gum recession Since childhood, my dental condition has not been very good, and I often have cavities. In 2018, I had a gum abscess, and when I saw a doctor, they only punctured the abscess and prescribed medication. Later, I began to notice that my gums were gradually receding (w...


Dr. Zeng Guanghui Reply:
(1) Chronic gingivitis can lead to gum recession, while injury or inflammation of the periodontal ligament, or excessive occlusal forces, can result in tooth mobility. (2) For young individuals, gum recession is often caused by long-term chronic inflammation of the gums or improp...

[Read More] Understanding Gum Recession: Causes, Concerns, and Care Tips


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