Is General Anesthesia Necessary for Dental Treatment? Expert Insights
General anesthesia in dentistry Hello, Director Lin. My three front teeth were originally prosthetic. Last June, I discovered two abscesses and returned to my original clinic for treatment. The dentist performed a root resection, and I returned for follow-up visits several times....
Dr. Lin Jiayong Reply:
Hello: I'm not sure why you need to undergo general anesthesia. Is it due to fear of dental procedures, or is the infection site too deep? Or are there other systemic diseases involved? I recommend that you clarify the reasons. If you have any doubts, it may be advisable to ...[Read More] Is General Anesthesia Necessary for Dental Treatment? Expert Insights
Understanding General Anesthesia for Dental Procedures: Key Considerations
Dental General Anesthesia - Thank you, Director. I would like to ask again? Hello Director Lin, thank you for your response. I apologize for bothering you again. Regarding general anesthesia, I do not have any other systemic diseases, nor am I afraid to the extent that I would re...
Dr. Lin Jiayong Reply:
Hello: Sedation anesthesia is also a type of general anesthesia, differing mainly in depth. It is best to have an anesthesiologist evaluate which type of anesthesia is suitable for you. It is advisable to first discuss with your treating physician the benefits and risks (complica...[Read More] Understanding General Anesthesia for Dental Procedures: Key Considerations
Understanding Post-Wisdom Tooth Extraction Cavities and Healing
There is a cavity after wisdom tooth healing? Hello, doctor. Three weeks ago, I had my upper and lower right wisdom teeth extracted at a large hospital. After the stitches were removed two weeks ago, I noticed that the tissue on my cheek was healing faster, and since the suturing...
Dr. Lin Jiayong Reply:
Hello: You may need to wait about six months. In the meantime, try to keep the area clean to prevent infection. Ask your doctor if it’s possible to use a low-dose antibiotic solution for rinsing your mouth. Plan to return for follow-up appointments every two weeks for cleaning an...[Read More] Understanding Post-Wisdom Tooth Extraction Cavities and Healing
Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Does root canal treatment need to be re-evaluated or redone? Six years ago, I had a severe cavity in one of my teeth that was causing pain, so I underwent a root canal treatment. The dentist mentioned that I would need to come back for a second session, but I only went for the fi...
Dr. Zeng Guanghui Reply:
Hello Miss: During the root canal treatment process, the initial filling material is mostly temporary and cannot last long. Once it falls out, bacteria or dental plaque can invade the root canal, leading to infection and pain. It is recommended to redo the root canal treatment; h...[Read More] Do I Need to Revisit Root Canal Treatment or Just Extract the Tooth?
Dealing with Large Gaps After Dental Implants: Solutions and Considerations
After dental implants, if the gaps between the teeth are too large, it can lead to food trapping? Hello Dr. Tseng, I recently underwent dental implant surgery for three teeth, two of which have a large gap between them and the adjacent teeth, making it easy for food to get stuck....
Dr. Zeng Guanghui Reply:
Dear Mr. Hsiao-Kuang, 1. Generally, dental gaps cannot be filled with resin or other materials. Even if they can be filled, over time, the gums in the gaps are prone to infection and inflammation. 2. If the opposing tooth of the wisdom tooth is no longer present, the opportunity...[Read More] Dealing with Large Gaps After Dental Implants: Solutions and Considerations
Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Alveolar bone leveling procedure The 17th tooth has a bone spur. It was ground down once on March 2 and again on March 17. Now, three months later, there is persistent dull pain in the upper cheek area, which only subsides during sleep. Upon waking, the pain returns and lasts all...
Dr. Lin Jiayong Reply:
Hello: It is recommended to patiently observe until around September 17. During this period, please continue to follow up with both oral surgery and neurology specialists as scheduled and take your medications. If there is still a progression towards deterioration after six month...[Read More] Understanding Alveolar Bone Resurfacing: Causes of Persistent Pain
Antibiotic Concerns for Dental Patients with Heart Valve Disease
Antibiotic Issues in Valvular Heart Disease Hello Doctor, I have valvular heart disease, and my cardiologist advised me to see a dentist and take antibiotics. I took 2 grams of amoxicillin one hour before my appointment. After the visit, I experienced tightness and discomfort in ...
Dr. Lin Jiayong Reply:
Hello: Taking prophylactic antibiotics once is appropriate. If you feel too anxious during tooth extraction, it may lead to severe headaches. If there is still uncontrolled inflammation, redness, and pain 48 hours later, it is advisable to seek medical attention again to check fo...[Read More] Antibiotic Concerns for Dental Patients with Heart Valve Disease
Understanding Post-Dental Surgery Pain: Is It Infection or Trigeminal Neuralgia?
Postoperative infection after dental surgery? The patient underwent a surgical procedure for dental implants in the upper jaw, involving deep incision and gingival curettage on both sides. Postoperatively, the patient experienced persistent dull pain and was subsequently diagnose...
Dr. Lin Jiayong Reply:
Hello: If an infection occurs, it is necessary to confirm whether the implant in area #16 is placed too deeply, which may lead to sinusitis. Additionally, after the root canal treatment, the body also requires time to heal. It is advisable not to be overly anxious. If there are c...[Read More] Understanding Post-Dental Surgery Pain: Is It Infection or Trigeminal Neuralgia?
Understanding Root Canal Treatment: Common Questions and Concerns
Inquiry Consultation Dear Dr. Tseng, Hello. My upper left first molar (hereafter referred to as "the tooth") underwent extensive silver amalgam filling several years ago, and at that time, the filling was very close to the dental pulp. Recently, I have experienced some...
Dr. Zeng Guanghui Reply:
Hello Mr. Kris: 1. Chronic inflammation can lead to nerve damage in the teeth, usually over a prolonged period, and typically does not present with significant pain or discomfort. 2. If there is already an infection at the root of the tooth, delaying treatment may result in th...[Read More] Understanding Root Canal Treatment: Common Questions and Concerns
Post-Wisdom Tooth Extraction: Managing Fever and Discomfort
After wisdom tooth extraction and suture removal? Hello, Doctor! I had my wisdom tooth and an adjacent tooth extracted, and after returning for suture removal, I have been experiencing recurrent fever, chills, body aches, and fatigue for the past three days without improvement. I...
Dr. Lin Jiayong Reply:
Hello: If you have a persistent high fever and fatigue for 48 hours after taking medication, and you are unsure whether it is related to tooth extraction, it is advisable to go directly to a major hospital for examination to check for other sources of infection or any biological/...[Read More] Post-Wisdom Tooth Extraction: Managing Fever and Discomfort
Concerns About Persistent Swelling After Wisdom Tooth Extraction
The swelling after wisdom tooth extraction has not gone down, and I am a bit worried? Hello, Director. I had my lower right wisdom tooth extracted at the clinic on February 22. After the extraction, my cheek was significantly swollen. By March 18, the swelling had decreased, but ...
Dr. Zeng Guanghui Reply:
Dear Mr. Zhong, 1. If the process of tooth extraction involves grinding down the alveolar bone, there is usually a higher risk of postoperative swelling and pain due to the larger wound area, which increases the likelihood of infection. If an X-ray is taken postoperatively to co...[Read More] Concerns About Persistent Swelling After Wisdom Tooth Extraction
Is High CRP Level Linked to Dental Pain and Infection?
Is the elevated CRP level (from 10.62 to 8.90 mg/L) related to tooth pain? Hello, recently due to the need for surgery, I had a CRP level of 10.62 mg/L, and the doctor recommended postponing the surgery. After resting for two weeks, my CRP level was still elevated at 8.9 mg/L. Cu...
Dr. Lin Jiayong Reply:
Hello: If there is a strong suspicion that the elevated CRP is caused by peri-implantitis related to orthodontic implants, you may consider asking the orthodontist to remove the implants to see if there is a reduction in CRP levels. Additionally, it is important to consult with t...[Read More] Is High CRP Level Linked to Dental Pain and Infection?
Understanding Oral Blisters: Causes, Treatment, and Care Tips
There is a blood blister in the mouth? Hello, doctor. I have a question. Whenever I eat salty fried foods like popcorn chicken, I tend to develop blisters in my mouth. I have a few questions: 1. Should I pop the blisters? 2. If I don't pop them, how long will it take for the...
Dr. Zeng Guanghui Reply:
Dear Mr. Nanbao, 1. Generally, blisters will rupture on their own. If the blister is too large or affects eating, it is advisable to consult a dentist. 2. If the blister has ruptured, keep the wound clean; it should heal in about a week. 3. Unless there is pain or infection, ...[Read More] Understanding Oral Blisters: Causes, Treatment, and Care Tips
Can I Change Dentists for a Tooth Filling Within Two Years?
Changing doctors? I had a tooth that was filled about three years ago. Last year, the filling done by my dentist fell out, so I went to another dentist for a replacement. Recently, the filling fell out again, and I wanted to switch to a different dentist. However, when I asked th...
Dr. Lin Jiayong Reply:
Hello: If the tooth is no longer suitable for restoration and the dentist has informed you before the filling, but you still wish to restore the tooth's shape and function after the filling has fallen out, it is recommended to follow the original dentist's advice for tr...[Read More] Can I Change Dentists for a Tooth Filling Within Two Years?
Understanding Tooth Pulp Health: Signs of Possible Necrosis
It is difficult to determine whether the tooth is necrotic? Last year during a dental check-up, it was discovered that my upper right first premolar had a deep cavity. The dentist informed me that the filling would be deep and could be sensitive due to its proximity to the dental...
Dr. Lin Jiayong Reply:
Hello: Sinusitis is not directly related to gingivitis or pulpitis, and there is no need to discuss them together unless a panoramic or CT scan has confirmed that the source of the sinus infection is caused by the pulp or teeth. Otherwise, if the pulp is removed hastily and sinus...[Read More] Understanding Tooth Pulp Health: Signs of Possible Necrosis
Dental Concerns for Elderly Patients: Managing Pain and Medication Compliance
Tooth extraction issues in the elderly? Hello Dr. Lin: My father-in-law is a terminal dialysis patient with multiple chronic conditions. He had a tooth extraction on the morning of March 14, and the dentist prescribed medication afterward. However, no matter what, he refuses to p...
Dr. Lin Jiayong Reply:
Hello: Dialysis is typically performed every 2 to 3 days. It is advisable to inform your nephrologist during your next visit that you have recently had a tooth extraction and that the wound is still painful. Ask whether it is safe to take antibiotics or anti-inflammatory pain med...[Read More] Dental Concerns for Elderly Patients: Managing Pain and Medication Compliance
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
Post-Wisdom Tooth Extraction: Understanding Pain and Healing Issues
Post-operative issues after wisdom tooth extraction? Hello Dr. Lin, I recently had two impacted wisdom teeth extracted at the hospital—one was horizontal and the other was horizontally impacted (embedded in the bone). It has been one month and four days since the extraction, but ...
Dr. Lin Jiayong Reply:
Hello: If the wound continues to heal poorly and becomes a chronic wound, it is recommended to address systemic factors, including whether there is immunosuppression or long-term use of systemic medications. It may be necessary to consult with internal medicine or family medicine...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Healing Issues
Post-Wisdom Tooth Extraction: Understanding Pain and Healing Concerns
Problems After Wisdom Tooth Extraction Hello Dr. Lin, I am currently recovering from the extraction of my right wisdom teeth at a large hospital. The upper right tooth was horizontally impacted, and the lower right tooth was a horizontally impacted tooth (embedded in the gum). It...
Dr. Lin Jiayong Reply:
Hello: Regarding points 1, 2, and 3, since the physician has confirmed it, these should be considered normal phenomena, especially if there was any bone involvement; complete recovery may take about six months. 4. If the inferior alveolar nerve was injured, even after the anesthe...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Healing Concerns
Understanding Post-Wisdom Tooth Extraction Pain and Healing
Post-operative pain issues after wisdom tooth extraction? Hello Dr. Tseng, I recently had my wisdom teeth extracted at the hospital—one was the upper right wisdom tooth and the other was a lower right impacted wisdom tooth (the one that was embedded in the tissue). It has been 22...
Dr. Zeng Guanghui Reply:
Dear Mr. Tu, If the process of wisdom tooth extraction involves scraping the bone, the healing time for the wound is generally longer. During the healing process, the risk of inflammation at the wound site is higher. It may take 1 to 2 months for the bone at the extraction site...[Read More] Understanding Post-Wisdom Tooth Extraction Pain and Healing