Can You Stop Antibiotics for Gingivitis Before It's Fully Healed?
Gingivitis has not fully resolved, but the doctor recommends stopping the antibiotics? Hello Dr. Lin, three weeks ago I visited a doctor due to gingivitis in my lower right second molar and have been taking antibiotics (amoxicillin 500mg, three times a day) until yesterday. Since...
Dr. Lin Jiayong Reply:
Hello: If your physician has advised you to stop taking antibiotics, it is recommended that you refrain from using them. If you are concerned about your immune system and the risk of infections, it is advisable to consult with a physician in internal medicine, infectious diseases...[Read More] Can You Stop Antibiotics for Gingivitis Before It's Fully Healed?
Understanding Post-Wisdom Tooth Extraction Pain: Causes and Remedies
Experiencing tooth pain after wisdom tooth extraction for a period of time? I had my lower right wisdom tooth extracted in early April; it was horizontally impacted, and the doctor mentioned that the roots were quite deep. Recently, for the past two or three days, I've been ...
Dr. Zeng Guanghui Reply:
After the extraction of impacted wisdom teeth, if there is pain near the wound, it may indicate inflammation or infection. It is advisable to return for a follow-up appointment for a thorough examination by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Post-Wisdom Tooth Extraction Pain: Causes and Remedies
White Spots and Painful Bumps on the Back of the Tongue: What to Know
There are white spots and slight discomfort on the back of the tongue's papillae? Hello Doctor, I have recently experienced a sudden tingling sensation in my mouth. Upon looking in the mirror, I noticed that there are lesions on the back of my tongue, both on the midline and...
Dr. Lin Jiayong Reply:
Hello: The image appears to show mild inflammation of the papillary structures on the lingual frenulum. The cause of the inflammation may be due to smoking, betel nut use, or other physical or chemical irritants, or it could simply be a viral infection. It is recommended that you...[Read More] White Spots and Painful Bumps on the Back of the Tongue: What to Know
Post-Dental Implant Bone Grafting: Common Concerns and Questions
Issues After Bone Grafting for Dental Implants Hello Doctor: I was born without my second molar (position 35), and now at 32 years old, due to the absence of the tooth for a long time, my neighboring teeth have tilted, leaving insufficient space for dental implants. Therefore, I ...
Dr. Zeng Guanghui Reply:
(1) The wound from the 35 dental implant grafting shows white granulation tissue, with a pink base underneath, and the junction is quite distinct. This may indicate displacement or exposure of the regenerative membrane placed with the grafting material. It is recommended to retur...[Read More] Post-Dental Implant Bone Grafting: Common Concerns and Questions
Understanding Tooth Nerve Issues: Causes and Solutions for Sensitivity
Dental nerve issues? Hello Doctor, about a year ago, I went rafting and accidentally chipped a small corner off my upper right second incisor, which made that tooth very sensitive, but it was still within tolerable limits, so I didn't pay much attention after getting it fill...
Dr. Zeng Guanghui Reply:
If the chipped front tooth continues to feel painful after being restored, it is likely that the dental nerve has become inflamed. It is advisable to return for a follow-up appointment. If necessary, root canal treatment should be performed, followed by the placement of a crown f...[Read More] Understanding Tooth Nerve Issues: Causes and Solutions for Sensitivity
Managing Persistent Headaches After Wisdom Tooth Extraction: What to Know
Persistent migraine after extraction of the upper right wisdom tooth? I would like to ask about my experience after having my upper right wisdom tooth extracted on April 27. Everything was normal except for some mild discomfort at the extraction site. On April 29, I returned for ...
Dr. Lin Jiayong Reply:
Hello: 1. Could the tension headache be due to the wound not being fully healed? Ans: It's possible. 2. Or could it be due to an infection? However, there are no other symptoms except for this headache... Ans: Infections typically present with other noticeable symptoms, incl...[Read More] Managing Persistent Headaches After Wisdom Tooth Extraction: What to Know
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
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
How to Address Misalignment After 5 Years of Braces Without Tooth Extraction
How to remedy occlusal discrepancies? After wearing braces for five years, my occlusion is misaligned, causing the adjacent tooth (a healthy and intact tooth) to become loose. The dentist has suggested extracting this healthy tooth. Is there a way to remedy this without extractin...
Dr. Zeng Guanghui Reply:
1. If there is looseness or mobility in the teeth while wearing braces, it is important to assess the underlying cause, which could be periodontal disease or long-term occlusal trauma. It is recommended to consult a dentist for evaluation. 2. Looseness in the upper teeth, unless ...[Read More] How to Address Misalignment After 5 Years of Braces Without Tooth Extraction
Pain When Biting After Dental Filling: Is Root Canal Necessary?
Biting down on a filled tooth can cause pain? If a filled tooth hurts when biting down on hard objects, and the dentist previously mentioned that there was a deep cavity exposing the nerve but did not see any bleeding during the procedure, it is possible that the nerve may be irr...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you return to your original clinic for the dentist to adjust your occlusion and continue to monitor for about six months. If the X-ray shows significant chronic pulpitis or periapical inflammation, then proceed with root canal treatment. Thank you! S...[Read More] Pain When Biting After Dental Filling: Is Root Canal Necessary?
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
Understanding Post-Extraction Headaches: Causes and Concerns
Migraine after tooth extraction? The upper right second molar, which I had root canal treatment on 20 years ago in Taiwan due to decay, had one root removed, leaving it with only two roots and a metal crown. A week ago, I experienced some dull pain, but in Belgium, appointments a...
Dr. Lin Jiayong Reply:
Hello: Based on what you described, it is possible that your migraine was triggered by anxiety before and during the tooth extraction procedure. It is recommended that you consult your physician for muscle relaxants (if you are already taking Alzheimer's medication, these sh...[Read More] Understanding Post-Extraction Headaches: Causes and Concerns
Persistent Gum Bump: Causes and Effective Treatment Options
Gum abscess If you have had a gum abscess in the same location for over a year and have seen a doctor multiple times, with the abscess recurring after treatment, it is important to seek further evaluation from a dental specialist, such as an oral surgeon or periodontist. It is ...
Dr. Zeng Guanghui Reply:
If you repeatedly develop dental abscesses in the same area, it is advisable to consult a dentist for an examination to determine if there is nerve necrosis or periodontal disease affecting that tooth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Persistent Gum Bump: Causes and Effective Treatment Options
Should You Stop Taking Medications Before Wisdom Tooth Extraction?
Can wisdom teeth be extracted? If you are taking Emagel (or any medication containing the active ingredient), do you need to stop taking it before having your wisdom teeth extracted? Thank you for your response!
Dr. Zeng Guanghui Reply:
Enmei Hall is a diabetes medication, and to prevent infection at the extraction site, it is essential to maintain good diabetes control. Therefore, it is important to continue taking diabetes medications as prescribed before undergoing wisdom tooth extraction. Dr. Tseng Guang-Hui...[Read More] Should You Stop Taking Medications Before Wisdom Tooth Extraction?
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
How Long Does Wisdom Tooth Extraction Take and What to Expect?
If your wisdom tooth is impacted horizontally and you need to go to the hospital for treatment, the procedure typically takes about 30 minutes to an hour. However, the total time you spend at the hospital may be longer due to pre-operative evaluations and post-operative recovery,...
Dr. Lin Jiayong Reply:
Hello: 1. If your wisdom tooth is only partially erupted and is partially covered by bone or gum tissue, that area can easily trap debris, leading to bacterial infection. Therefore, the dentist recommends that you have the wisdom tooth extracted. If the wisdom tooth is completely...[Read More] How Long Does Wisdom Tooth Extraction Take and What to Expect?
Understanding Hard Bumps Inside the Mouth: Causes and Concerns
Swelling inside the gums? Upon waking, I noticed a lump on the inside of my left cheek (the side near the tongue). It doesn't appear to be inflamed, feels hard when pressed, and is not directly adjacent to any teeth. Two months ago, I had my left impacted wisdom tooth extrac...
Dr. Lin Jiayong Reply:
Hello: If you are already taking antibiotics, there is less concern about acute bacterial infections or cellulitis (deep neck infections). However, it is still advisable to return to the original dentist for a detailed evaluation of the swelling's underlying cause. Sincerely...[Read More] Understanding Hard Bumps Inside the Mouth: Causes and Concerns
Should Wisdom Teeth Be Removed Before Starting Denosumab Treatment?
Is it necessary to have wisdom teeth extracted before using denosumab? I am a patient with a giant cell tumor of bone, and I had surgery on February 3rd. I am planning to start denosumab to reduce the recurrence rate. One of the side effects of denosumab is osteonecrosis of the j...
Dr. Lin Jiayong Reply:
Hello: If your wisdom tooth is only partially erupted and is partially covered by bone or gum tissue, that area can easily accumulate debris, leading to bacterial infection. Therefore, the dentist recommends that you have the wisdom tooth extracted. Bisphosphonate medications can...[Read More] Should Wisdom Teeth Be Removed Before Starting Denosumab Treatment?
Brown Saliva Two Weeks After Wisdom Tooth Extraction: Is It Normal?
Two weeks after wisdom tooth extraction, there is still brown saliva? Two weeks ago, I had my upper left wisdom tooth extracted. The doctor mentioned that it was very close to the sinus and advised me to sneeze with my mouth open. I have been trying to follow this advice because ...
Dr. Lin Jiayong Reply:
Hello: If you still have a fever after 48 hours, it usually indicates an infection. However, since it has been over two weeks since your tooth extraction and you do not have any significant redness, swelling, heat, pain, or bleeding, it is advisable to relax, as wisdom tooth extr...[Read More] Brown Saliva Two Weeks After Wisdom Tooth Extraction: Is It Normal?
Understanding Tooth Pain and Abscess: Causes and Treatment Options
Toothache with the presence of an abscess? Hello Doctor, (1) I had my second molar replanted last June, but recently a pus-filled bump has appeared near my cheek. I went to a major hospital for an examination, and the doctor there diagnosed it as a necrotic nerve. I completed t...
Dr. Zeng Guanghui Reply:
Hello MOLO: 1. The presence of a pus-filled blister around the second molar indicates that the periodontal tissue is still in an inflammatory state, or that the replanted tooth's pulp has not yet undergone root canal treatment. If the blister persists, it is recommended to...[Read More] Understanding Tooth Pain and Abscess: Causes and Treatment Options