Understanding Treatment Options for Partial Nerve Necrosis in Dentistry
Subsequent treatment for localized nerve necrosis? Hello Doctor, I would like to ask you about the issue of nerve necrosis. You mentioned: "If the dental nerve is only partially necrotic (possibly near the cavity where it has died, but the deeper part of the root canal is no...
Dr. Zeng Guanghui Reply:
If the pulp chamber close to the deep layers of decayed tooth structure has already necrosed, it generally indicates that the infection in the pulp chamber is quite severe or has been present for some time. Even the pulp near the apex of the tooth may become infected, leading to ...[Read More] Understanding Treatment Options for Partial Nerve Necrosis in Dentistry
Understanding Painless Cavities: Why Dead Nerves Don't Hurt
The issue of dental caries? I recently went for a dental check-up, and the X-ray revealed that I have cavities. When the dentist drilled into the tooth, I didn't feel any pain, and the doctor mentioned that the nerve inside the tooth had already died, requiring root canal tr...
Dr. Zeng Guanghui Reply:
If a tooth has cavities and instruments can penetrate deep into the tooth without causing pain, it indicates that the dental nerve has already died, necessitating root canal treatment. Otherwise, the necrotic pulp tissue may become infected, spreading to the alveolar bone and lea...[Read More] Understanding Painless Cavities: Why Dead Nerves Don't Hurt
Post-Root Canal Pain: Causes, Treatment Options, and Hospital Recommendations
It is common to experience soreness after root canal treatment? After my root canal treatment, I experience soreness, and an X-ray examination shows a shadow indicating bacterial infection inside the root canal. The dental clinic advised that I need to remove the original filling...
Dr. Chu Boqin Reply:
Hello, Little Pig: 1. Root canal treatment typically takes about three to four sessions to complete, although it can sometimes be finished in one visit, depending on the dentist's schedule and skill, which can also affect the likelihood of post-operative discomfort. 2. If...[Read More] Post-Root Canal Pain: Causes, Treatment Options, and Hospital Recommendations
Common Causes of Dental Implant Failure and Recovery Time Explained
What are the reasons for dental implant failure? Hello, What are the reasons for dental implant failure? My wife recently underwent dental implant surgery, and two weeks later, it failed due to inflammation and the implant had to be removed. Is this related to her physical cond...
Dr. Wu Jinjun Reply:
Hello, after the implantation of dental implants into the jawbone, it typically takes three to six months for osseointegration to occur. Once stability is achieved, prosthetic teeth can be fabricated to restore occlusal function. The reasons for dental implant failure may include...[Read More] Common Causes of Dental Implant Failure and Recovery Time Explained
Unidentified Oral Lesion After Seafood Meal: Causes and Solutions
Unidentified foreign body in the oral cavity? Hello, Dr. Tseng. Last week, I traveled to Singapore for four days. On the first night, I had dinner at a Chinese restaurant, and I may have eaten some contaminated seafood. Within three minutes, a lump about the size of a peanut appe...
Dr. Zeng Guanghui Reply:
During eating, a sudden blister forms in the mouth, which gradually becomes engorged and then ruptures, resulting in a mouthful of blood. The bleeding improves after applying ice, but a painful ulcer develops at the site of the ruptured blister, affecting future eating and tooth ...[Read More] Unidentified Oral Lesion After Seafood Meal: Causes and Solutions
Common Dental Issues: Bleeding Gums, Yellow Teeth, and Bad Breath
Dental issues Is bleeding while brushing your teeth a sign of periodontal disease? Also, does yellowing of the teeth due to plaque lead to bad breath? Additionally, can a white coating on the tongue cause bad breath? Is it possible to clean the white coating on the tongue?
Dr. Lin Qingye Reply:
Mr. Damiel: Gingival inflammation and bleeding during brushing do not necessarily indicate periodontal disease. There are many causes of halitosis, and not brushing the tongue can also contribute to bad breath. As for the white coating on the tongue, it depends on the situation; ...[Read More] Common Dental Issues: Bleeding Gums, Yellow Teeth, and Bad Breath
Alternatives to Dental Implants for Severe Tooth Decay Treatment
Cavities and dentures? Hello Doctor: I went to a clinic for an X-ray due to tooth pain and discovered that one of my molars (the fifth one counting from the middle) has a more serious issue. The doctor mentioned that there is a crack and that it has decayed down to the nerve. The...
Dr. Lin Qingye Reply:
Hello Miss CHA: If the tooth has decayed to the pulp chamber, then "root canal treatment" is essential; otherwise, it could lead to a more severe infection. Placing a "crown" can help protect the remaining structure. Since I have not seen your X-ray, I cannot ...[Read More] Alternatives to Dental Implants for Severe Tooth Decay Treatment
Understanding Tooth Pain and Facial Swelling: Causes and Solutions
Toothache and facial swelling have occurred? I have a tooth that is severely decayed, with only one wall remaining. I haven't seen a dentist because I'm very scared and feel embarrassed. A couple of days ago, I started experiencing pain when eating, and yesterday when I...
Dr. Lin Qingye Reply:
I believe your teeth are in a state of severe decay and may lead to cellulitis. I recommend that you muster the courage to seek medical attention as soon as possible. As the saying goes, "It's better to endure a short pain than a long one; dental pain must be addressed ...[Read More] Understanding Tooth Pain and Facial Swelling: Causes and Solutions
Understanding Gum Abscess: Causes, Treatments, and Surgical Options
There is a small abscess on the gums? Hello, about six months ago, I discovered a small abscess on the gum of my upper right premolar. It doesn't hurt, sometimes it reduces in size on its own, but it recurs if I stay up late, resembling a pimple with white material inside. I...
Dr. Zeng Guanghui Reply:
1. There is a small abscess on the gum of the upper right premolar that is not painful and sometimes resolves on its own, but recurs after staying up late. Occasionally, it discharges a white substance. After an X-ray, root canal treatment (nerve extraction) was performed, follow...[Read More] Understanding Gum Abscess: Causes, Treatments, and Surgical Options
Understanding Angular Cheilitis: Causes, Symptoms, and Treatment Options
Angular cheilitis? Hello, I would like to ask about an issue with my lips. It started with severe peeling of my lower lip, accompanied by a prickling and burning sensation. After the skin peeled off, I noticed red spots. Soon after, my upper lip also began to peel and develop red...
Dr. Zeng Guanghui Reply:
Ulcerative lesions in the oral mucosa may be caused by recurrent aphthous ulcers (commonly known as canker sores), viral infections (such as herpetic stomatitis), or long-term irritation from physical factors (such as sharp edges of teeth or ill-fitting dentures), or malocclusion...[Read More] Understanding Angular Cheilitis: Causes, Symptoms, and Treatment Options
Understanding Oral Health: Common Dental Issues and Concerns
Oral issues Consulting a doctor: 1. On the inner side of my cheek, approximately where my wisdom teeth are located, there is a raised area resembling a bruise filled with blood. I don't recall biting it, but after noticing it, I punctured it and the blood flowed out, causing...
Dr. Zeng Guanghui Reply:
1. If the wisdom tooth in the inner cheek area is misaligned, it can make oral hygiene difficult, leading to the accumulation of bacteria or food debris, which may cause pericoronitis. The inflamed and swollen gum tissue is prone to being bitten by opposing teeth, resulting in a ...[Read More] Understanding Oral Health: Common Dental Issues and Concerns
Understanding Post-Tooth Extraction Pain and Infection Signs
Tingling sensation Dear Dr. Tseng, I would like to ask again: My wound has been red, swollen, and very painful for the past few days. Is this normal? Today, the wound feels like it’s being pricked with a needle. I noticed a small hole between the extraction site and the molar. ...
Dr. Zeng Guanghui Reply:
Generally, if medications are taken as prescribed and proper oral hygiene is maintained after tooth extraction, there should not be severe redness, swelling, or pain at the extraction site, nor should there be a sharp, stabbing pain. The soft tissue at the extraction site typical...[Read More] Understanding Post-Tooth Extraction Pain and Infection Signs
Post-Wisdom Tooth Extraction: Understanding Pain and Swelling
Wisdom tooth extraction? Hello Doctor: I had my lower right wisdom tooth extracted on May 3rd. It was impacted, and after removing the gauze one hour post-surgery, I noticed that it was still bleeding, so I placed a new gauze to stop the bleeding (the wound felt quite large; the ...
Dr. Zeng Guanghui Reply:
If the impacted wisdom tooth is tilted, the surgical procedure is more complex. It may require the elevation of a soft tissue flap and the tooth may need to be sectioned into smaller pieces. Additionally, some surrounding alveolar bone may need to be removed to completely extract...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Swelling
Understanding Sinus Lift Surgery for Dental Implants: Risks and Benefits
What is sinus elevation surgery? Hello Doctor: I am considering getting dental implants, but the dentists I have consulted have all said that I need to undergo a sinus lift procedure before I can have the implants. What exactly is a sinus lift procedure? I am a diabetic patient, ...
Dr. Wu Jinjun Reply:
Hello: Sinus elevation surgery is a procedure that uses oral and maxillofacial surgical techniques to elevate and augment the membrane at the base of the maxillary sinus, preventing the dental implant from penetrating the sinus during placement. This surgery should be performed b...[Read More] Understanding Sinus Lift Surgery for Dental Implants: Risks and Benefits
Microscopic Root Canal Treatment: A Comprehensive Guide for Patients
Microscopic Root Canal Treatment Hello, about fifteen years ago, I had treatment done on the upper right incisor and the adjacent teeth (teeth 2, 3, and 4) and received a dental prosthesis, but it was not handled well. Tooth 4 started to hurt again three years ago, and an X-ray s...
Dr. Liu Tiancai Reply:
Hello: Your X-ray examination shows a shadow indicating a bacterial infection within the root canal. It is necessary to remove the original filling and undergo retreatment. Microscopic treatment can indeed provide a safer and more reliable therapeutic effect. You may visit Taipei...[Read More] Microscopic Root Canal Treatment: A Comprehensive Guide for Patients
Understanding Post-Wisdom Tooth Extraction Numbness and Pain
After having my wisdom teeth removed, my cheekbone feels numb and painful? I had my wisdom teeth removed on April 11th, and it was a horizontal tooth. There were no stitches after the extraction (but the wound is quite large). The healing process has been okay so far, but since t...
Dr. Chu Boqin Reply:
Hello: 1. There is a five-day period from April 11 to April 16. 2. If there is nerve damage, you would have noticed something was wrong by April 11. 3. Whether the wound needs suturing is subjective; as long as you are concerned about bleeding, you are currently not bleeding. 4. ...[Read More] Understanding Post-Wisdom Tooth Extraction Numbness and Pain
Should You Follow Dental Advice for Asymptomatic Teeth?
If a tooth feels normal and there are no noticeable issues, is it necessary to undergo treatment as per the doctor's advice? Hello Doctor: I have two teeth that have had metal crowns for ten years without any pain. However, my dentist, while treating another tooth, showed me...
Dr. Wu Jinjun Reply:
Hello: Sometimes dental issues arise, but the symptoms may not be obvious, so you may not feel anything. Your dentist has explained the lesions to you using a full-mouth X-ray, which should be based on sound reasoning. I hope your issues can be resolved promptly. If you still hav...[Read More] Should You Follow Dental Advice for Asymptomatic Teeth?
Persistent Mouth Sores: Causes and Effective Treatments Explained
Mouth ulcer? Hello Doctor: My mother's mouth ulcer has persisted for six months and seems to be getting worse recently. She has undergone a biopsy at Taichung Veterans General Hospital, and the doctor mentioned it is a viral infection, advising her to apply an ointment. Howe...
Dr. Zeng Guanghui Reply:
Mouth sores, commonly known as oral ulcers, are primarily caused by the immune system interfering and triggering the body’s antibodies to attack its own oral mucosal epithelial cells, leading to recurrent oral ulcers that result in pain during eating and swallowing. Potential con...[Read More] Persistent Mouth Sores: Causes and Effective Treatments Explained
Persistent Tooth Pain After Dental Cleaning: Causes and Next Steps
Toothache, but the doctor diagnosed it as gingivitis. After dental cleaning, the pain remains severe? Symptom Report: Yesterday, there was no pain in my teeth, but my gums were swollen (this has persisted for about 3 days, and there was bleeding while brushing, feeling swollen). ...
Dr. Zeng Guanghui Reply:
Swelling and pain in the upper gum, along with bleeding during brushing, generally indicate gingivitis or even periodontal disease. After receiving dental cleaning treatment, most symptoms tend to improve. However, if the pain persists, it may be necessary to consider other condi...[Read More] Persistent Tooth Pain After Dental Cleaning: Causes and Next Steps
Understanding Dental Cysts: Surgical Risks and Long-Term Effects
Cyst If a cyst is indicated for surgical removal, potential complications may include infection, bleeding, nerve damage, or recurrence of the cyst. Regarding the tooth on the right side of your front teeth, which was previously injured from a fall, it is not uncommon for issues t...
Dr. Lin Qingye Reply:
Hello Miss Q: The term "dental abscess" likely refers to a periodontal abscess or a periodontal cyst. The former involves a smaller area, while the latter is larger. An abscess requires incision and drainage, whereas a cyst necessitates surgical removal. Based on your d...[Read More] Understanding Dental Cysts: Surgical Risks and Long-Term Effects