Concerns About Infection Risks from Unsterilized Dental Tools
Infection due to unsterilized instruments? Today, I went to a dental clinic because of bleeding gums. There was only one doctor in the clinic, and there were no nurses or receptionists present. The reception area was cluttered with newspapers and bills. I entered the examination ...
Dr. Lin Jiayong Reply:
Hello: 1. If there are any questions regarding treatment at the moment, it is advisable to respond immediately. 2. There are many diseases transmitted through blood; if you are very concerned, it is recommended to consult with an infectious disease specialist. 3. There are medica...[Read More] Concerns About Infection Risks from Unsterilized Dental Tools
Bleeding Gums After Flossing with Dental Implants: Is It Normal?
Dental floss, fixed dentures, bleeding? Since I got my second molar crown, I have been using dental floss daily for a month and a half. Initially, my gums bled everywhere, but now there is only one spot where I still see a faint trace of blood after flossing, which is in the gap ...
Dr. Lin Jiayong Reply:
Hello: It is normal to experience bleeding when using dental floss during gum inflammation. The causes of gum inflammation may be due to inadequate cleaning or poorly fitting dentures, which require further examination to determine. Generally, there should be a warranty card for ...[Read More] Bleeding Gums After Flossing with Dental Implants: Is It Normal?
Understanding White Gums: Is It Gingivitis or Oral Leukoplakia?
A single tooth surrounded by a ring of white tissue around the gums? Hello, Doctor. A few days ago, I noticed a white ring around the gums of my lower right last tooth, and I experienced bleeding while brushing my teeth. Concerned that it might be oral leukoplakia, I went to see ...
Dr. Zeng Guanghui Reply:
If there is a white ring around the gums, it may be due to excessive keratinization of the gingival mucosa, but there could be other conditions as well. It is recommended to consult an oral surgeon for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hosp...[Read More] Understanding White Gums: Is It Gingivitis or Oral Leukoplakia?
Understanding Gum Bleeding and Swelling: Causes and Solutions
Gum bleeding and gum swelling? Hello, doctor. For the past month or so, I have been suffering from gum inflammation and bleeding. My gums are slightly swollen on both the inner and outer sides, and I experience bleeding almost every time I brush my teeth or when my gums are press...
Dr. Zeng Guanghui Reply:
If oral hygiene has been properly maintained and the interdental areas are thoroughly cleaned, yet there is still bleeding from the gums, it is advisable to check for any autoimmune issues and to assess whether long-term irregular lifestyle habits may be affecting the immune syst...[Read More] Understanding Gum Bleeding and Swelling: Causes and Solutions
Swelling Between Cheek and Nose: Dental Issues Explained
There is a swelling between the right cheek and the nose? Hello, doctor. I have a few questions to ask. Previously, I underwent root canal treatment on my upper right fourth tooth. However, due to the dentist's oversight during the procedure, the innermost part (likely the a...
Dr. Zeng Guanghui Reply:
After the root canal treatment of the fourth tooth on the right side, there is a swelling in the gum of the third tooth. It is recommended to return to the dentist for a detailed examination to determine if there is an apical infection in the third tooth before deciding on furthe...[Read More] Swelling Between Cheek and Nose: Dental Issues Explained
Unexplained Tooth Sensitivity: Possible Causes and Solutions
The cause of tooth sensitivity cannot be determined? Hello Doctor, I have discomfort in my lower left first molar (tooth #36) that sometimes feels acidic and dull (when there is no discomfort, it feels normal). However, the timing and circumstances are not very consistent; someti...
Dr. Lin Jiayong Reply:
Hello: The main causes of bodily pain are twofold: injury to tissues or organs, or disruption in nerve signal transmission. If you believe the discomfort is caused by injury to the teeth or surrounding tissues, it is recommended that you return to a medical center for a 3D X-ray ...[Read More] Unexplained Tooth Sensitivity: Possible Causes and Solutions
Understanding Wisdom Tooth Extraction Recovery and Related Pain
Wisdom tooth extraction recovery? Hello, Doctor. About three months ago, I had my lower horizontal wisdom tooth and a molar with a cavity extracted. After performing root canal treatment on the molar, the wisdom tooth was removed. The wisdom tooth extraction site stopped hurting ...
Dr. Zeng Guanghui Reply:
Consult a physician to check if the extraction site of your wisdom tooth is inflamed, especially since it has only been a little over a week since the extraction and the wound has not fully healed, which raises the possibility of inflammation or infection. Dr. Tseng Guang-Hui fro...[Read More] Understanding Wisdom Tooth Extraction Recovery and Related Pain
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
Understanding Sensitivity After Root Canal: Resin vs. Silver Fillings
Root canal treatment silver powder When I was younger, my cavities were filled with silver amalgam, and now, after 20-30 years, I have undergone root canal treatment and had resin fillings. After the fillings, I have been experiencing discomfort and a painful, acidic sensation. T...
Dr. Lin Jiayong Reply:
Hello: If you wish to use silver powder for filling, you can directly ask your dentist to remove the resin and replace it with silver powder (the National Health Insurance covers silver powder fillings). Additionally, periodontal issues are rarely caused solely by an allergy to r...[Read More] Understanding Sensitivity After Root Canal: Resin vs. Silver Fillings
Do You Need to Replace Your Dental Crowns? Signs to Watch For
Do dentures need to be redone? Fourteen years ago, due to family pressure about the appearance of my two prominent front teeth, I had two dental crowns placed by an unlicensed dentist. Recently, I have been feeling that the crowns are somewhat loose (though I'm not entirely ...
Dr. Lin Jiayong Reply:
Hello: It has been 14 years since your dentures were made, and due to the gaps, it is advisable to have them redone. It is recommended that you visit a large hospital or medical center for better assurance. If you are in Taipei or New Taipei, you may consider going to National Ta...[Read More] Do You Need to Replace Your Dental Crowns? Signs to Watch For
Understanding Tooth Sensitivity After Filling Cavities: When to Seek Help
Filling a cavity in the front tooth? I went to the dentist on March 13 (Saturday) to get my front tooth cavity treated. The dentist said it was a cavity between the front teeth (in the back), so both teeth were filled, and the doctor left space for dental floss. However, I have n...
Dr. Qiu Qiongyao Reply:
Ms. Jane: Hello, it is recommended that you return for a follow-up examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Tooth Sensitivity After Filling Cavities: When to Seek Help
Persistent Gum Pain: When Teeth Edge Into Gums and No Relief
The gums are constantly being irritated by the edges of the teeth? There is a gap between my gums and teeth that I can slightly push open with my tongue, but soon the teeth return to their original position, causing the edges of the teeth to press against the gums. This is not vi...
Dr. Lin Jiayong Reply:
Hello: If you have already seen two doctors and there are no abnormalities, it is advisable to shift your focus and not dwell on dental issues anymore. If you are still very concerned, please visit a nearby medical center and have an oral surgeon perform a facial CT scan for conf...[Read More] Persistent Gum Pain: When Teeth Edge Into Gums and No Relief
Persistent Pain After Tooth Extraction: Is It Just Inflammation?
The tooth adjacent to the wisdom tooth is inflamed, and after undergoing a root canal treatment (which is not yet completed), the pain remains unbearable? On the lower right side of my cheek, the tooth next to my wisdom tooth has been in increasing pain since I had the wisdom too...
Dr. Huang Tingfang Reply:
Hello Ms. Nan: Based on the symptoms you described, I would recommend that you complete the root canal treatment and maintain good oral hygiene. After that, we can reassess whether the pain has improved to facilitate further evaluation. Thank you for your inquiry.[Read More] Persistent Pain After Tooth Extraction: Is It Just Inflammation?
Addressing Uneven Dental Fillings in Upper Molars: Concerns and Solutions
Filling the interproximal space of a premolar? Hello Doctor, I have a cavity on the side of my upper left premolar, specifically in the interproximal area, which extends into the gum tissue above. The size of the cavity is classified as medium to large. After receiving a composit...
Dr. Lin Jiayong Reply:
Hello, I will answer your three questions as follows. Cavities below the gums are indeed quite challenging to fill with composite resin, as controlling the shape of the margins is particularly difficult (because resin is very moisture-sensitive before it hardens). Therefore, if...[Read More] Addressing Uneven Dental Fillings in Upper Molars: Concerns and Solutions
Post-Wisdom Tooth Extraction: Pain Near Front Teeth Explained
After wisdom tooth extraction, there is pain near the front teeth? On March 17, I had my lower left wisdom tooth extracted. Starting on March 20, I began to feel pain radiating towards my front teeth, and now the area near the front teeth is hurting. However, I have removed the t...
Dr. Lin Jiayong Reply:
Hello: The initial healing of a tooth extraction wound typically takes at least 7 to 10 days. It may be advisable to have the clinic's dentist re-evaluate the pain in your front teeth. It is recommended that you ask the dentist to check the front teeth area during your follo...[Read More] Post-Wisdom Tooth Extraction: Pain Near Front Teeth Explained
Understanding Pain and Potential Issues After Front Tooth Filling
Anterior tooth gap filling Hello, I had two cavities in my front teeth (in the middle between the back teeth) filled on March 13 (Saturday). The dentist left space for flossing, and my bite feels normal. I can use dental floss, but I have noticed that the gums between these two f...
Dr. Lin Jiayong Reply:
Hello: Based on what you mentioned, it is recommended that you return to your original clinic for the dentist to confirm whether this gingival hyperplasia is temporary or will persist for some time. Additionally, you should consider whether you can accept the condition of the gin...[Read More] Understanding Pain and Potential Issues After Front Tooth Filling
Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Periodontal disease treatment Hello, Dr. Tseng. I had an inlay/onlay/overlay placed a week ago, and during my follow-up visit today, I mentioned that the gums around my lower right first molar hurt when touched by my fingertip (accidentally while using dental floss). However, the...
Dr. Zeng Guanghui Reply:
The initial treatment for periodontal disease begins with X-ray examinations to assess the condition of the alveolar bone around the teeth. If periodontal disease or gingivitis is diagnosed, the first step is to perform scaling and provide oral hygiene education. After a period o...[Read More] Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Managing Gum Swelling and Pain: When to See Your Dentist Again
Gum swelling and pain? Hello, Doctor. I started experiencing tooth pain on the 8th, and on the 9th, I noticed significant swelling in the gums near my lower molars, which felt soft to the touch (suspected to contain pus). I visited a dental clinic where the dentist performed a ro...
Dr. Zeng Guanghui Reply:
If there is still gum swelling after root canal treatment, it indicates that there may still be an infection. It is recommended to return for a follow-up appointment for further examination by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Managing Gum Swelling and Pain: When to See Your Dentist Again
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
Recovering from a Dental Injury: When to See a Dentist for Tooth Trauma
Front tooth impact? I have a dental implant for my front tooth (from several years ago). Recently, I fell and injured it, resulting in bruising of the gums and the root of the front tooth. Currently, the front tooth is not loose, but I am unable to bite down on anything, although...
Dr. Zeng Guanghui Reply:
Hello Fanny: After an injury to the front teeth, it is possible to damage the periodontal ligament and gums, and even cause root fracture. However, if the front teeth are not loose after some time but you are unable to eat, it indicates that the periodontal ligament has not fully...[Read More] Recovering from a Dental Injury: When to See a Dentist for Tooth Trauma