Understanding Peri-Implantitis: Symptoms, Treatment, and Care
Peri-implantitis Hello Dr. Lin, last week I consulted you about the issue of peri-implantitis (the situation is described below). On December 16, an X-ray taken in Hong Kong revealed severe peri-implantitis. On December 21, a CT scan showed that only 2mm of the implant remains, a...
Dr. Lin Jiayong Reply:
Hello: If there is a persistent purulent condition, it is recommended to consult an infectious disease specialist for a prescription of commonly used antibiotics for upper respiratory infections. During the isolation period, invasive dental treatments are not advised. Sincerely, ...[Read More] Understanding Peri-Implantitis: Symptoms, Treatment, and Care
Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions
The tongue repeatedly rubs against the fixed dental bridge? Hello Doctor: I had a missing left lower molar for many years and recently had a dental bridge made using my canine tooth (a total of three crowns). However, since I started wearing the temporary crown and then the ceram...
Dr. Zeng Guanghui Reply:
Due to the prolonged absence of teeth, once dentures are placed to fill the gaps, the tongue may initially feel uncomfortable and restricted in movement. However, as long as there is no inflammation in the gums after the placement, the patient will gradually adapt over time. - Dr...[Read More] Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions
Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have pain in my gums that feels like nerve pain in my teeth, and I'm not sure if it's due to gum swelling. I can't eat anything becaus...
Dr. Zeng Guanghui Reply:
First, check for any inflammation or abscess in the gums. If the gums appear normal but there is still pain, consider the possibility of facial muscle pain or temporomandibular joint (TMJ) issues. If there are no problems in these areas, it may be related to facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Understanding Black or Green Spots on Your Baby's Gums: What to Do?
Black spots on a baby's gums? Hello Doctor: My daughter (1 year and 5 months old) recently developed a green or black spot on the gum of one of her lower incisors. It looks similar to food particles, but the location is deep in the gingival sulcus (clearly visible from the f...
Dr. Zeng Guanghui Reply:
If food debris gets trapped in the gingival sulcus, it can lead to gingival inflammation and pain over time. Therefore, it is important to monitor the gums for signs of inflammation. If any inflammatory symptoms are present, immediate medical attention should be sought. Dr. Tseng...[Read More] Understanding Black or Green Spots on Your Baby's Gums: What to Do?
Persistent Cysts After Apex Surgery: What Are Your Options?
The dental cyst did not resolve after undergoing apicoectomy? Hello, Dr. Lin. Last year, I developed an abscess on my gums. Since it wasn't painful, I delayed seeking treatment for six months, and it eventually changed color to a grayish-black before I decided to see a docto...
Dr. Lin Jiayong Reply:
Hello: The success of the surgery can only be confirmed through X-rays; it is difficult to draw conclusions based solely on changes in the color and texture of the gums or soft tissues. It is recommended to continue follow-up at the original clinic, or you may seek a second or th...[Read More] Persistent Cysts After Apex Surgery: What Are Your Options?
Microsurgical Apicoectomy: What to Expect and Recovery Tips
Microsurgical Apicoectomy Hello, doctor. I have two front teeth with crowns and pins that frequently develop abscesses, leading to cellulitis of the gums. The pins are too long to be removed. The clinic doctor recommended that I go to a major hospital for a microscopic apicoectom...
Dr. Lin Jiayong Reply:
Hello: Currently, the trend in dental treatment leans towards conservative approaches, so it is often recommended to first remove the pins and then perform a re-root canal treatment. An apicoectomy will only be considered if the previous treatment fails. If you plan to visit Nati...[Read More] Microsurgical Apicoectomy: What to Expect and Recovery Tips
Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Cavity in the upper left third molar? Hello, Doctor: I regularly visit the dentist for cleanings and have had issues with cavities for many years, with the upper left third molar being the most severe. Last year, the dentist suggested a root canal, but I refused because I have ne...
Dr. Zeng Guanghui Reply:
If the third molar has extensive decay, and there was a previous filling that has chipped off slightly, resulting in occasional sensitivity or pain, it is advisable to consult a dentist for an examination. An X-ray can be taken to assess the depth of the decay and determine wheth...[Read More] Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Understanding Tooth Sensitivity and Gum Inflammation After Dental Work
Tooth sensitivity or toothache? Hello, I have a deep cavity in my molar that is close to the nerve. After getting it filled, I experience sensitivity and pain when biting down on hard objects, which then leads to gum inflammation and soreness. There is pus when I apply pressure t...
Dr. Zeng Guanghui Reply:
If the filling is very close to the dental nerve, it may cause inflammation of the dental nerve. Therefore, in addition to gingival inflammation, it is also possible that the discomfort is caused by inflammation of the dental nerve. If the symptoms recur, it is advisable to consu...[Read More] Understanding Tooth Sensitivity and Gum Inflammation After Dental Work
Understanding Gum Swelling: Causes, Symptoms, and Dental Anxiety Solutions
The gums (gingiva) are swollen in one area but do not cause spontaneous pain? Hello, doctor. I have a strong fear of visiting the dentist and a fear of pain. It seems that the gum behind my upper front teeth is swollen (it feels swollen when I touch it with my tongue...). Since i...
Dr. Zeng Guanghui Reply:
The inflammation may be due to the gingiva on the lingual side of the upper front teeth. The cause of the inflammation could be accumulated dental plaque or calculus. It is recommended to undergo a dental cleaning treatment to remove the plaque and calculus in order to improve th...[Read More] Understanding Gum Swelling: Causes, Symptoms, and Dental Anxiety Solutions
Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Gingival cyst Since June or July, I have been experiencing sudden pain in my teeth when chewing, as well as tenderness when pressure is applied. I have visited the dentist several times, and the doctor said there was no issue with my teeth. Due to other health concerns, I had an ...
Dr. Zeng Guanghui Reply:
There may be an infection and inflammation of the gums and periodontal tissues surrounding the teeth. It is recommended to consult a dentist for further examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Understanding Gum Issues: Causes and Solutions for Painful Holes
Gingival recession with perforation? Hello, Doctor. This evening while brushing my teeth, I accidentally brushed too hard and caused some bleeding. Initially, I thought it was just a small cut and that it might be due to late-night inflammation. However, I later realized it was q...
Dr. Lin Jiayong Reply:
Hello: If there are polyps in the gums, it is advisable to seek medical examination as soon as possible. Oral gels (ointments) often contain steroids, so it is recommended to use them in small amounts for a short duration. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichu...[Read More] Understanding Gum Issues: Causes and Solutions for Painful Holes
Cleaning Lingual Retainers: Tips for Healthy Gums and Teeth
Cleaning of Lingual Fixed Retainers The lower teeth have a fixed lingual retainer due to orthodontic treatment, and during the dental cleaning, the doctor mentioned that there is more tartar in that area. I am currently trying to use super floss for cleaning (previously, I only b...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about issues with your dental gaps, you might consider using an electric toothbrush and a water flosser. Additionally, if you experience any discomfort, it is advisable to return for a follow-up appointment. Sincerely, Lin Chia-Yung, Department of Dent...[Read More] Cleaning Lingual Retainers: Tips for Healthy Gums and Teeth
Can You Undergo Orthodontics After Root Canal Treatment?
Can orthodontic treatment be performed after root canal therapy? Hello, Doctor. Recently, I've been experiencing pain in my lower left tooth (radiating to the gums). After visiting the dentist, I was told that it's a cavity in my third molar. However, tapping on it does...
Dr. Lin Jiayong Reply:
Hello: 1. An X-ray is required to diagnose whether the first molar also has lesions. 2. If the tooth undergoing root canal treatment has intact dental structure, a temporary crown is not necessary. 3. Yes, if the surrounding tissues of the tooth are healthy, orthodontic treatment...[Read More] Can You Undergo Orthodontics After Root Canal Treatment?
Understanding Gum Pain After Dental Implants: Causes and Solutions
Gum swelling and pain? Hello Doctor, I would like to ask about an issue I have been experiencing. I had a dental prosthesis placed about a year ago (I can't remember the exact time), and I have been able to eat normally since then. However, for the past couple of days, I hav...
Dr. Zeng Guanghui Reply:
It is possible that the tooth receiving the dental prosthesis has periodontal disease or that the dental nerve itself is already inflamed. It is recommended to see a dentist promptly if symptoms persist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Pain After Dental Implants: Causes and Solutions
Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have nerve pain in my teeth, and I'm not sure if it's due to swollen gums. I can't eat anything because any movement causes nerve pain...
Dr. Zeng Guanghui Reply:
It is important to check for any inflammation or swelling of the gums, as well as to examine the teeth for cavities or crown defects. If the oral tissues appear normal but there is still gum tenderness and pain while eating, it may indicate an issue with the facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Understanding Gum Holes: What to Do About Decayed Tooth Roots
There is a hole in the gum? Doctor, I have a tooth that hasn't undergone root canal treatment and has decayed down to just the root. Recently, a hole appeared in the gum above the decayed root, and I can see that it's dark inside. I'm not sure if it's the deca...
Dr. Zeng Guanghui Reply:
It is recommended that if the gums are severely swollen and painful, one should first take antibiotics and anti-inflammatory pain relievers to reduce swelling before consulting a dentist for a cleaning, in order to avoid recurrent infections. Dr. Tseng Guang-Hui, Department of De...[Read More] Understanding Gum Holes: What to Do About Decayed Tooth Roots
Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Swollen and bleeding gums after teeth cleaning? Hello, Doctor. A week ago, I had a dental cleaning (not a deep cleaning), and the day after the cleaning, one of my gums started to hurt. I have been maintaining good oral hygiene in that area, and there has been no bleeding, but it...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it seems there is an infection. It is recommended to apply some oral ointment to the affected area 2 to 3 times a day. When brushing your teeth, please clean that area gently, and you may use an antibacterial mouthwash. If the symptoms persist fo...[Read More] Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Bleeding Gums After Denture Fitting: Causes and Solutions
The gums around the dentures may bleed? Hello Dr. Tseng, In July, I started experiencing bleeding when using dental floss around the gums of my dentures. However, aside from the bleeding, there has been no redness or swelling, and this condition has persisted until today. Durin...
Dr. Zeng Guanghui Reply:
If the edges of the dentures and the junction with the gums are not cleaned properly, plaque can accumulate, leading to gum inflammation and bleeding. If bleeding persists after wearing dentures, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, D...[Read More] Bleeding Gums After Denture Fitting: Causes and Solutions
Why Does My Gums Hurt After Tooth Extraction Without Nerves?
Why does the gums still hurt after the tooth root has been extracted? Hello Doctor: Due to a long-standing fear of dentists, I have developed issues with my upper teeth, resulting in either missing teeth or untreated cavities, which have led to the need for tooth extractions. I a...
Dr. Lin Jiayong Reply:
Hello: The gums themselves are also innervated, so they can still experience pain. Additionally, since there is a significant treatment plan ahead, if you have any questions, you can communicate in detail with your original physician. You may also seek a second or third opinion a...[Read More] Why Does My Gums Hurt After Tooth Extraction Without Nerves?
Understanding Post-Scaling Pain and Recovery Time for Gum Health
Dental calculus removal I just had my dental calculus cleaned today, and the doctor applied an anti-inflammatory ointment. Sometimes I experience sharp nerve pain; is this normal? Initially, after the cleaning and applying the ointment, the pain was quite intense, but it has impr...
Dr. Zeng Guanghui Reply:
If there is more severe gingivitis or even tartar buildup, you may experience sensitivity and pain in your teeth right after a dental cleaning. It is recommended to avoid consuming extremely cold or hot foods for a few days following the cleaning. However, if the sensitivity and ...[Read More] Understanding Post-Scaling Pain and Recovery Time for Gum Health