Understanding Painful White Spots on Teeth: Causes and Solutions
Dental issues? Hello! I would like to ask about two small white spots that have appeared below my teeth and are painful. Could this be due to the emergence of new teeth, or could it be caused by something else? Thank you for your response!
Dr. Zeng Guanghui Reply:
In the above situation, an X-ray examination is recommended to check for inflammation or infection at the apex of the tooth, or to determine if there are any impacted teeth obstructing the erupted teeth. It is advisable to consult a dentist for further diagnosis and treatment.[Read More] Understanding Painful White Spots on Teeth: Causes and Solutions
Understanding Root Canals: What to Expect When Treating Tooth Pain
Toothache requires a root canal treatment? Hello, doctor. I have pain in the tooth next to my front tooth. It hurts a lot when I tap on it and when I bite down on things. I went to the dentist, and after taking an X-ray, I noticed that the color of my tooth on the X-ray looked di...
Dr. Zeng Guanghui Reply:
The teeth next to the front teeth are experiencing percussion pain and occlusal pain. After taking an X-ray, there should be signs of lesions at the apex of the tooth or an enlarged periodontal ligament space. Therefore, it is recommended to undergo root canal treatment. A small ...[Read More] Understanding Root Canals: What to Expect When Treating Tooth Pain
Understanding Gum Inflammation: Causes, Treatments, and Recovery
Gingivitis Hello Doctor: Since around September, I have felt swelling in the gums between my front teeth. I visited the dentist, who said it was tartar buildup, and they performed a cleaning and scraped out the tartar, which caused a lot of bleeding. However, it seems that there ...
Dr. Zeng Guanghui Reply:
The above situation may be caused by bacterial infection on the surface of dental plaque, leading to gingival inflammation, swelling, and bleeding. After the removal of dental plaque or calculus, the gingival inflammation should gradually improve. If there are still small white s...[Read More] Understanding Gum Inflammation: Causes, Treatments, and Recovery
Understanding Periodontal Surgery: Bone Loss and Regeneration Options
Periodontal surgery Hello: I underwent periodontal surgery at a teaching hospital in 2006. Recently, during an examination at a dental clinic, I was informed that my molar has severe bone loss and needs to be extracted for an implant. Since bone loss requires bone grafting for th...
Dr. Zeng Guanghui Reply:
1. For guided bone regeneration procedures, the prerequisite is that there is no severe infection around the roots of the maxillary molars and that the extent of bone loss is not too large in order to achieve the desired results. 2. If severe bone loss necessitates tooth extracti...[Read More] Understanding Periodontal Surgery: Bone Loss and Regeneration Options
Understanding Tumors and Cysts in Gums: What You Need to Know
Is there a tumor or cyst inside the gums? Hello, my boyfriend has many cavities due to neglecting his dental care for a long time, and many of his teeth are beyond saving. He is currently undergoing dental restoration and getting dentures. Yesterday, the dentist performed surgery...
Dr. Zeng Guanghui Reply:
In general, the situation described indicates that bacterial infection within the root canal has extended to apical periodontitis, leading to resorption and destruction of the alveolar bone. If surgical intervention is performed to remove the infection, followed by retreatment of...[Read More] Understanding Tumors and Cysts in Gums: What You Need to Know
Is It Normal to Experience Pain After a Dental Filling?
Dental filling issues? After visiting the dentist, I was told that I need a root canal. They filled the tooth temporarily for now, and I will return in two weeks for the procedure. However, it has been painful for three days since the filling. Is this normal? Can I take pain reli...
Dr. Huang Zhicheng Reply:
Hello, the term "nerve extraction" refers to root canal treatment. After the nerve is removed, the root canal requires several disinfections and adjustments, after which the symptoms will resolve. Finally, it must be filled with gutta-percha to be considered complete. P...[Read More] Is It Normal to Experience Pain After a Dental Filling?
Is Mild Discomfort Normal After Tooth Extraction One Week Later?
Post-extraction swelling and pain? Hello, doctor! I had a tooth extraction a week ago. The wound has healed and there is no bleeding anymore, but I still feel some swelling and a bit of discomfort, though it's not very painful. Is this normal?
Dr. Huang Zhicheng Reply:
Hello, if the wound has not healed after more than a week and still shows signs of infection, you should return for a follow-up appointment. There are many bacteria and microorganisms in the oral cavity, which raises concerns about a possible wound infection. It seems that there ...[Read More] Is Mild Discomfort Normal After Tooth Extraction One Week Later?
Managing Severe Pain After Root Canal Treatment: What to Do Next
Root canal treatment for a small incisor? I underwent my first root canal treatment on November 30th. After the medication was sealed, I experienced pain that was so severe I couldn't sleep, and painkillers provided no relief. On the evening of December 1st, the doctor only ...
Dr. Zeng Guanghui Reply:
In the above situation, it is recommended to return to the dentist to reopen the periodontal pocket, thoroughly debride the root canal, and change the medication. Additionally, check for any inflammation or infection at the apex of the tooth root.[Read More] Managing Severe Pain After Root Canal Treatment: What to Do Next
Understanding Tongue Bumps After Biting: Causes and Treatments
A sore or bump on the tongue caused by biting it? You may have developed an oral ulcer or a canker sore due to biting your tongue, which can become infected and lead to pus formation. The small, blister-like bumps around the wound could be a sign of irritation or inflammation. It...
Dr. Zeng Guanghui Reply:
The above condition is likely due to mechanical irritation of the epithelial mucosa on the tongue, which has led to inflammation and subsequent infection. It is recommended to consult a dentist for further evaluation and treatment.[Read More] Understanding Tongue Bumps After Biting: Causes and Treatments
Understanding White Oral Lesions After Wisdom Tooth Extraction
Oral leukoplakia, but not resembling vitiligo? I had my wisdom teeth removed, and they didn't stitch it up, allowing it to heal naturally. There is some white tissue on the inside of my cheeks on both sides, but the right side is whiter. It feels smooth to the touch, with no...
Dr. Zeng Guanghui Reply:
The above situation refers to the soft tissue growth during the healing process. As long as there is no wound infection or inflammation, it is considered normal. If there are any concerns, it is advisable to consult a dentist for further evaluation and treatment.[Read More] Understanding White Oral Lesions After Wisdom Tooth Extraction
Post-Wisdom Tooth Extraction: Dealing with Bad Breath and Ear Pain
Extraction of the lower left wisdom tooth? Doctor, I had my lower left wisdom tooth extracted on November 30th. Two days later, I noticed a foul odor when swallowing saliva. I bought mouthwash, but it still smells bad. I observed that the edges of the wound appear white, and I ha...
Dr. Zhang Xiangyuan Reply:
Dear user, Based on your description, after having your lower left wisdom tooth extracted, you noticed an unpleasant odor in your mouth. A few days later, you experienced pain in both ears and swelling and warmth in your cheeks. It is advisable for you to return for a follow-up...[Read More] Post-Wisdom Tooth Extraction: Dealing with Bad Breath and Ear Pain
Managing Pain and Swelling in Lower Left Second Molar After Surgery
Pain in the lower left second molar? Hello Doctor, I had surgery to remove my lower left impacted wisdom tooth on November 18, and my recovery has been good. I had my stitches removed on November 25! However, for the past two days, I have been feeling swelling and pain in my lowe...
Dr. Zeng Guanghui Reply:
The above situation may indicate that this molar has a periodontal infection. It is recommended to consult a dentist for further diagnosis and treatment to determine if there are any pathological changes in the gingiva surrounding the molar.[Read More] Managing Pain and Swelling in Lower Left Second Molar After Surgery
Persistent Abscess After Root Canal: Next Steps for Treatment
A pus-filled abscess has developed after apical surgery? Hello, I would like to ask about a situation where I had a root canal treatment on my front tooth earlier this year and had a crown placed. However, a few months later, a pus-filled bump appeared on my gum, which was not pa...
Dr. Zeng Guanghui Reply:
After apical surgery, if a pus-filled abscess still develops, it is necessary to return to the dentist for a follow-up appointment. An X-ray examination should be conducted to check for a recurrence of apical infection, or to determine if there are signs of infection in the roots...[Read More] Persistent Abscess After Root Canal: Next Steps for Treatment
Why Didn't My Dentist Treat My Cavity During My Visit?
Dental issues Hello, I have a question that I'm confused about. I went to the dentist due to tooth pain, and it was confirmed that a specific tooth had a cavity. However, after the dentist performed a cleaning, they told me to come back for treatment of the painful tooth at ...
Dr. Zeng Guanghui Reply:
If tooth pain is caused by cavities and is accompanied by gum inflammation, the gums often bleed easily after a dental cleaning. In cases where there is bleeding from the gums, filling cavities may be at risk of infection from blood or saliva. Therefore, it is sometimes advisable...[Read More] Why Didn't My Dentist Treat My Cavity During My Visit?
Can Root Canal Treatment Be Done After Crown Placement?
How is root canal treatment performed after getting a dental crown? If you have a missing molar and had three crowns placed, with the adjacent teeth not requiring root canal treatment at the time, but are now experiencing severe pain over a month later, there could be several pot...
Dr. Zeng Guanghui Reply:
The above situation may be due to inflammation around the braces or inflammation of the tooth nerve itself. If the nerve of the tooth is inflamed, a small hole can be made in the braces to perform a root canal treatment. Once the nerve has been removed and the root canal is thoro...[Read More] Can Root Canal Treatment Be Done After Crown Placement?
Understanding Gum Inflammation: Symptoms, Recovery Time, and When to Seek Help
Gum problems Hello, Doctor. A few days ago, I experienced some discomfort in my lower right molar area after biting down on something hard. I went to a clinic for an X-ray, and there were no signs of a cracked tooth. However, the dentist mentioned that I had mild inflammation and...
Dr. Zeng Guanghui Reply:
Gingivitis can present with symptoms of swelling and pain; however, in cases of chronic gingivitis, these symptoms may be less pronounced. If there is redness and discomfort in the gums adjacent to a wisdom tooth after cleaning, and even discomfort under the tongue, it may indica...[Read More] Understanding Gum Inflammation: Symptoms, Recovery Time, and When to Seek Help
Post-Wisdom Tooth Extraction: Neck Pain and Swelling Concerns
Swelling and pain in the neck after wisdom tooth extraction? I had my lower right wisdom tooth extracted on the 6th and was prescribed medication for five days. I stopped taking the medication on the third day because I was no longer in pain. On the 13th, I had my upper right wis...
Dr. Zeng Guanghui Reply:
The above situation may indicate that there is inflammation or infection at the tooth extraction site. It is advisable to consult a dentist for further examination.[Read More] Post-Wisdom Tooth Extraction: Neck Pain and Swelling Concerns
Post-Endodontic Surgery Complications: Understanding Your Options
Post-operative complications of apicoectomy? Hello Doctor: I had a root canal treatment on my front tooth 10 years ago and replaced the crown with two separate all-ceramic crowns three years ago. At that time, an X-ray showed a shadow on tooth 12. The doctor said to monitor it an...
Dr. Zeng Guanghui Reply:
In the above situation, it is recommended to consult an endodontist to evaluate whether a root-end surgery on tooth #12 is necessary to completely eliminate the infection in the interradicular area.[Read More] Post-Endodontic Surgery Complications: Understanding Your Options
Is It Normal to Feel Pain When Biting After Root Canal Treatment?
Is it normal to experience some pain when biting down after completing root canal treatment? Hello, I completed my root canal treatment on November 7th. As the doctor mentioned, it did hurt a bit right after the procedure, but the pain subsided within 1 to 2 days. By November 8th...
Dr. Zeng Guanghui Reply:
After root canal treatment, discomfort while eating for 1-2 days may occur, which could be due to inflammation of the periapical tissues. This should gradually improve within 2-3 days. If the discomfort persists for more than three days, it is advisable to return to the dentist f...[Read More] Is It Normal to Feel Pain When Biting After Root Canal Treatment?
Post-Treatment Questions on Alveolar Abscess Management
Post-treatment questions regarding dental abscess? Hello: Recently, I received treatment for an abscess located above the root of a tooth next to my front tooth (which is a ceramic crown with a metal post bonded to the remaining root). The treatment process involved the following...
Dr. Zeng Guanghui Reply:
A dental abscess, as described above, should undergo incision and drainage along with debridement of the inflamed tissue. Due to significant soft and hard tissue defects post-surgery, collagen may be placed to aid in the growth of soft and hard tissues and promote wound healing. ...[Read More] Post-Treatment Questions on Alveolar Abscess Management