Persistent Pain After Dental Filling: Is Something Wrong?
After dental filling, both the gums and teeth are very painful? Hello Doctor, after filling a cavity in my molar, it has been very painful. I noticed that the gap between the filled tooth and the adjacent tooth seems to have disappeared. When I touch the filling material between ...
Dr. Lin Jiayong Reply:
Hello: If the gaps between two teeth are filled without leaving any interproximal space, it can indeed be very uncomfortable. It is recommended to see a dentist to check if a refill is necessary.[Read More] Persistent Pain After Dental Filling: Is Something Wrong?
Urgent Dental Care: Dealing with Gum Issues After Wisdom Tooth Extraction
Gum problems I noticed that the area behind the last molar is easily penetrable with a toothpick after using it today. I suspect it might be due to the wisdom tooth extraction I had before the New Year, which hasn't healed properly. After using the toothpick today, I noticed...
Dr. Zeng Guanghui Reply:
If there is inflammation and swelling of the gums, you should see a dentist immediately. Otherwise, try to keep the area clean and monitor for any discomfort in the gums. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Urgent Dental Care: Dealing with Gum Issues After Wisdom Tooth Extraction
Can Food Stuck Between Teeth Cause Gum Pain After Root Canal?
Can food stuck between teeth cause gum pain? Hello, doctor. Three weeks ago, I had a root canal treatment on one of my teeth. A few days ago, while eating, I accidentally got food stuck in the gap between that tooth and the adjacent one. It took me some time to remove it. The gum...
Dr. Lin Jiayong Reply:
Hello: It is possible that the gums have been injured or scraped by food, leading to gum inflammation. It is advisable to have a physician confirm this for a more accurate assessment.[Read More] Can Food Stuck Between Teeth Cause Gum Pain After Root Canal?
Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Gum laceration Hello: I accidentally punctured my gums with the rounded plastic tip of my toothbrush, which was very painful and caused bleeding. It has not healed for 2 to 3 months and has turned into an abscess. I consulted two different clinics, and they provided conflicting d...
Dr. Qiu Qiongyao Reply:
Mr. Chen: Hello, in response to your inquiries, please find the following information: 1. In root canal treatment, the apex may show a radiolucent area on the X-ray. 2. An ulcer that has not healed for 2-3 months should be further evaluated by an oral surgeon to assess the possib...[Read More] Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
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...[Read More] Can Crown Lengthening and Root Canal Treatment Be Done Together?
Post-Wisdom Tooth Extraction: Understanding Stitch Issues and Pain
Post-operative concerns regarding sutures after wisdom tooth extraction? I would like to ask, my wisdom tooth is in a normal position, but the root is closer to the mandibular nerve, which has caused pain in my jaw and right ear. Therefore, I chose to have it extracted when the w...
Dr. Lin Jiayong Reply:
Hello: "Currently, there is no heat in the face, and the swelling is gradually subsiding," indicating that there should be no signs of infection or inflammation. It is recommended to continue follow-up visits for monitoring, as normal recovery typically occurs within si...[Read More] Post-Wisdom Tooth Extraction: Understanding Stitch Issues and Pain
Effectiveness of Periodontal Flap Surgery Without Bone Graft
Periodontal flap surgery Dear Doctor: After undergoing basic treatment for periodontal disease at the hospital, my doctor mentioned that I need to have periodontal flap surgery, which may require bone grafting. However, the hospital only offers bone grafts from human and bovine s...
Dr. Zeng Guanghui Reply:
If periodontal surgery is performed without the use of bone graft material, and only the periodontal defects are removed, the height of the alveolar bone will decrease, the gums will recede, and the spaces between the teeth will widen. It is advisable to have further discussions ...[Read More] Effectiveness of Periodontal Flap Surgery Without Bone Graft
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...[Read More] Understanding Post-Braces Inflammation and Bone Reshaping in Dentistry
Effective Brushing Techniques for Invisalign Users: What You Need to Know
Brushing Technique Hello, Doctor. I recently started using Invisalign, and since improper cleaning can lead to cavities, I would like to ask you a question. Previously, I brushed my teeth at a 45-degree angle or in a circular motion, brushing two teeth at a time for about 30 stro...
Dr. Lin Jiayong Reply:
Hello: Since you are currently in the orthodontic phase, it is recommended to follow the instructions of your orthodontist. It is especially important to be patient and consistently wear your Invisalign aligners! Do not let gum injuries affect the duration of wear.[Read More] Effective Brushing Techniques for Invisalign Users: What You Need to Know
Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui Reply:
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Gum bleeding I went to the dentist at 2 PM, and they said I had dental plaque. The dentist used a scaler, and it took until almost 5 PM. My gums are still bleeding; is this normal? What can I do to stop the bleeding?
Dr. Zeng Guanghui Reply:
If there is bleeding from the gums after dental treatment, it indicates that the gums are still inflamed, or there may be an underlying coagulation disorder, or the patient may be on anticoagulants due to cardiovascular disease affecting coagulation function. It is recommended to...[Read More] Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It
Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
After having my upper and lower right wisdom teeth extracted, I often bite my cheek? Hello, I had my upper and lower right wisdom teeth removed a long time ago, but occasionally a small growth appears on the inside of my right cheek. I'm not sure how I keep biting it. Could ...
Dr. Lin Jiayong Reply:
Hello: The raised, nipple-like structure on the cheek is commonly the opening of the parotid gland, one of the three major salivary glands. If it is repeatedly bitten, it may become enlarged. It is advisable to consult a physician to confirm this and to explore other methods to r...[Read More] Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
Impact of Desensitizing Toothpaste on Pulp Vitality Testing
Nerve necrosis Hello, doctor. Does long-term use of sensitivity toothpaste affect the results of pulp vitality tests? Could it cause the nerve to feel less sensitive, leading to a misjudgment of localized nerve necrosis? Does localized necrosis of the dental pulp due to caries le...
Dr. Lin Jiayong Reply:
Hello: Desensitizing toothpaste helps to reduce sensitivity in exposed dentin and does not directly cause nerve necrosis. Additionally, the assessment of pulp nerve necrosis should not rely solely on pulp vitality tests. Localized issues in a single tooth are unlikely to cause ge...[Read More] Impact of Desensitizing Toothpaste on Pulp Vitality Testing
Uneven Gum Thickness: Should You Be Concerned?
Gum problems The doctor would like to ask about the gums on both sides of my lower jaw, which appear to have different thicknesses—one side is thicker while the other is thinner. I do not feel any particular sensation when touching them with my tongue or a cotton swab. Is there a...
Dr. Qiu Qiongyao Reply:
Ian: Hello, it is advisable to get checked as it may be an issue of bone hypertrophy, which is mostly benign. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Uneven Gum Thickness: Should You Be Concerned?
Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Is it possible for a tooth that wasn't painful before a dental cleaning to become painful afterward, ultimately requiring root canal treatment? Hello Doctor: Below is my experience during the consultation, and I would appreciate your advice, thank you! Initially, I developed...
Dr. Lin Jiayong Reply:
Hello: I recommend that you first return to Dr. A, as they are most familiar with your original condition. Please update them on your current situation and inquire whether a root canal treatment is necessary.[Read More] Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Understanding the Lifespan of Dental Bridges: What You Need to Know
The lifespan of a dental bridge? I have had my dental bridge for about 8-9 years now. Recently, I read online that the typical lifespan is around 10 years. After reading that, I became very anxious about the possibility of the bridge suddenly falling out, so I often pull and shak...
Dr. Zeng Guanghui Reply:
As long as you brush your teeth thoroughly and have regular dental cleanings, you can prevent gum inflammation and the development of periodontal disease, allowing dental bridges to last a long time. - Dr. Tseng Guang-Hui, Nantou Hospital Dental Department.[Read More] Understanding the Lifespan of Dental Bridges: What You Need to Know
Dealing with Popcorn Shells Stuck in Gums: What to Do?
Popcorn husk got stuck in the gum tissue? I got a popcorn kernel stuck in my gums while eating popcorn last night. I couldn't rinse it out, so I tried to use my toothbrush to remove it, but the entire piece ended up getting pushed further into my gums. Now I can see a dark t...
Dr. Zeng Guanghui Reply:
If you are unable to remove popcorn kernels from between your teeth on your own, you should seek treatment from a dentist to have them removed. This will prevent prolonged irritation that could lead to gum inflammation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospita...[Read More] Dealing with Popcorn Shells Stuck in Gums: What to Do?
Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
It can be painful to tap on the treated tooth after root canal therapy? Hello, Doctor! I had a root canal treatment several years ago, but sometimes when I tap on the treated tooth, it feels sensitive and painful, while at other times it doesn't. When I'm not tapping on...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic where the root canal treatment was performed for follow-up. If a crown is needed, it is safer to have the original treating dentist handle it. For other teeth, long-term X-rays are necessary to confirm whether there is any...[Read More] Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Gum recession and root exposure? Hello Doctor, I had almost a full mouth of dental bridges at a very young age. Last year, I started experiencing issues with my upper teeth, and I also have Class III skeletal malocclusion. In early 2022, I had the dental bridges removed and recei...
Dr. Lin Jiayong Reply:
Hello: Surgical procedures inherently carry many risks and uncertainties, so it is advisable to communicate clearly with you before the operation. 1. If the orthognathic surgery has been successful, it is recommended that you relax, as the most challenging part has been overcome,...[Read More] Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Sudden Tooth Pain After Filling: Causes and Solutions
The filled tooth suddenly hurts for one or two days? I apologize for the inconvenience. A few years ago, I had a cavity filled on the back of a tooth next to my front tooth. The dentist mentioned that that tooth was thinner and very close to the nerve. After the filling, I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic. If there are previous X-rays for comparison, it can be determined whether the decay has indeed reached the dental pulp. If it has reached the pulp, it is advisable to proceed with root canal treatment.[Read More] Sudden Tooth Pain After Filling: Causes and Solutions