Understanding Lip Sores: Causes, Nutritional Deficiencies, and Treatments
Oral mucosal ulcer on the lip? I would like to ask about my father, who recently developed a small ulcer between his lower lip and gums. Every time he eats, the wound gets irritated, and it hasn't healed yet. Is there any way to determine if this condition is caused by a nut...
Dr. Zeng Guanghui Reply:
A hole occurring in the oral mucosa is likely to be a recurrent aphthous ulcer. These recurrent ulcers can easily reoccur after a period of healing and can appear in any part of the oral cavity, including the lips, tongue, floor of the mouth, buccal mucosa, and hard palate. The c...[Read More] Understanding Lip Sores: Causes, Nutritional Deficiencies, and Treatments
Persistent Pain After Root Canal: Seeking Solutions and Expert Recommendations
Unresolvable root canal treatment Hello Dr. Liu, I would like to ask you a question that has been troubling me for a long time. I had a root canal treatment on my front tooth nearly a year ago, but I still experience occasional pain. Two months ago, I underwent the procedure aga...
Dr. Liu Tiancai Reply:
Hello: Root canal treatment is a highly intricate medical procedure. For successful root canal therapy, it is essential to remove all necrotic pulp tissue from the root canal system, achieve complete sterilization, and eliminate any endotoxins. After carefully shaping the root ca...[Read More] Persistent Pain After Root Canal: Seeking Solutions and Expert Recommendations
Understanding Oral Candidiasis: Symptoms, Causes, and Treatment Options
Oral candidiasis For some unknown reason, I have developed the aforementioned condition (just a small white spot, not very painful, but there is bad breath). The primary care physician said it is due to poor oral hygiene and prescribed "Compound Thymol Glycerin Gargle" ...
Dr. Zeng Guanghui Reply:
White lesions on the oral mucosa are commonly seen in conditions such as recurrent aphthous ulcers, leukoplakia, and oral candidiasis. These lesions typically appear white. Recurrent aphthous ulcers, commonly referred to as "canker sores," often occur during periods of ...[Read More] Understanding Oral Candidiasis: Symptoms, Causes, and Treatment Options
Severe Pain During Root Canal Treatment: Causes and Solutions
Severe pain during root canal treatment? Problem Statement: On April 27, I underwent root canal treatment due to acute pulpitis. After the initial opening and removal of the pulp, I experienced severe pain that was unrelieved by the analgesics prescribed by my doctor. Additionall...
Dr. Liu Tiancai Reply:
Hello: Root canal treatment involves the complete removal of inflamed dental pulp, followed by shaping, disinfection, and filling. If the pulp is not completely removed or adequately sterilized, there may be ongoing pain, especially in molars that have multiple canals; if even on...[Read More] Severe Pain During Root Canal Treatment: Causes and Solutions
Understanding Jaw Joint Surgery: Costs, Risks, and Recovery Insights
Temporomandibular joint arthroscopy! Hello, Doctor: I have been experiencing long-term pain in my jaw joint, and I recently underwent an MRI examination. After reviewing the results, my doctor mentioned that the inflammation is quite severe. He believes that medication and physic...
Dr. Wang Cunzhen Reply:
Hello, A1: For temporomandibular joint pain, if an MRI has confirmed disc displacement or perforation, surgical intervention is necessary for treatment. Most of these surgeries are covered by health insurance, although some may require out-of-pocket expenses depending on the spec...[Read More] Understanding Jaw Joint Surgery: Costs, Risks, and Recovery Insights
Understanding Oral Inflammation: Causes, Symptoms, and Nutritional Factors
Oral inflammation Hello Doctor: I often experience oral mucosal lesions that become inflamed. Initially, it wasn't a big deal, but later it turned white and became very painful and uncomfortable, often taking several days to heal. Sometimes it happens when I brush my teeth, ...
Dr. Zeng Guanghui Reply:
Based on the oral symptoms described by this individual, it is likely a case of recurrent aphthous ulcers, commonly known as "canker sores." This type of oral ulcer tends to occur repeatedly in certain individuals, with a higher incidence in females compared to males. G...[Read More] Understanding Oral Inflammation: Causes, Symptoms, and Nutritional Factors
Understanding KEFLEX: Uses, Side Effects, and Dental Applications
The effects of KEFLEK? I had another toothache and went to a nearby clinic for treatment. After describing my pain, the dentist tapped on one of my teeth, which was the most painful, and prepared to administer anesthesia. I asked the doctor if I needed a root canal treatment, to ...
Dr. Liu Tiancai Reply:
Hello! Root canal treatment is an invasive procedure that requires prior communication with the patient regarding its necessity. Typically, X-rays and clinical examinations are needed to confirm that the pulp is irreversibly inflamed. The procedure can only proceed after the pati...[Read More] Understanding KEFLEX: Uses, Side Effects, and Dental Applications
How to Effectively Improve Bad Breath: Tips from Dental Experts
How can I improve bad breath? Doctor: How can I improve bad breath? I always feel like my mouth has a strange odor. Could you please reply quickly? Thank you!
Dr. Zeng Guanghui Reply:
Halitosis is primarily caused by the breakdown of amino acids or fatty acids by Gram-negative anaerobic bacteria in the oral cavity, resulting in the production of volatile sulfur compounds, including hydrogen sulfide, methyl mercaptan, and dimethyl sulfide. These amino acids or ...[Read More] How to Effectively Improve Bad Breath: Tips from Dental Experts
Understanding Tongue Sores: Causes, Symptoms, and When to See a Doctor
Can small pus-filled bumps appear on the tongue? I have a small sore on my tongue that is about 0.5 by 0.5 centimeters. It hurts when my tongue touches the inside of my mouth while speaking, and it also hurts when I eat. Could lack of sleep, high stress, and poor mood contribute ...
Dr. Wu Jinjun Reply:
Hello, Xiao Dianzi: Based on the symptoms you described, it seems you are experiencing recurrent oral ulcers. Many patients visit the dentist due to mouth sores and often report to the doctor that they have been sleeping poorly and feeling stressed, with painful sores in their mo...[Read More] Understanding Tongue Sores: Causes, Symptoms, and When to See a Doctor
Persistent Bad Breath: Is Dental Care the Solution?
Bad breath? I feel very annoyed because my mouth has a persistent odor. It's not due to eating strong-smelling foods, but it keeps occurring throughout the day, no matter when. It's really bothersome... Is seeing a dentist helpful? I previously visited a dentist but did...
Dr. Wu Jinjun Reply:
Hello: There are many causes of halitosis, including oral diseases (such as periodontal disease, cavities, oral infections, and dental plaque), nasal conditions (such as post-nasal drip and sinusitis), as well as gastrointestinal issues (such as gastroenteritis and fecaliths), an...[Read More] Persistent Bad Breath: Is Dental Care the Solution?
Understanding Cavity Treatment: Materials, Longevity, and Safety Concerns
What is the treatment for cavities? Hello Dr. Liu, a few days ago I went to a dental clinic near my home for a teeth cleaning. After the cleaning, the dentist discovered that I had two cavities. During my second visit, he treated one of them by removing the decayed part and filli...
Dr. Liu Tiancai Reply:
Hello! The normal procedure for filling a cavity involves first removing the decayed portion of the tooth, and then filling it with an appropriate material to restore the tooth, which will not regrow. Dental instruments that have not been sterilized may pose a risk of cross-conta...[Read More] Understanding Cavity Treatment: Materials, Longevity, and Safety Concerns
Tooth Extraction and Mitral Valve Prolapse: What You Need to Know
Tooth extraction vs. mitral valve prolapse!? Hello Doctor: I was recently diagnosed with mitral valve prolapse and some regurgitation, which I don't quite understand. The doctor advised me to be cautious about bacterial endocarditis when undergoing tooth extraction or dental...
Dr. Liu Tiancai Reply:
Hello: According to the American Heart Association's guidelines on the prophylactic use of antibiotics for the prevention of heart disease published in 1997, patients with mitral valve prolapse who have associated regurgitation need to take antibiotics prior to certain denta...[Read More] Tooth Extraction and Mitral Valve Prolapse: What You Need to Know
Understanding Bleeding Gums: Causes and Potential Dental Issues
Dental care Bleeding during brushing indicates potential gum disease, such as gingivitis or periodontitis. If not addressed, it may progress to more severe conditions, including tooth loss, systemic infections, or other health issues related to chronic inflammation.
Dr. Yuan Ziming Reply:
1. Bleeding while brushing your teeth indicates gingivitis, and the immediate action required is the removal of tartar. 2. If gingivitis is left untreated, it can progress to periodontitis, which is more complicated and time-consuming to treat.[Read More] Understanding Bleeding Gums: Causes and Potential Dental Issues
Complications After Wisdom Tooth Extraction: What You Need to Know
Aftermath of Wisdom Tooth Extraction~~ Hello, I had my wisdom teeth removed over a month ago, but on the fifth day after the extraction, I developed a purulent discharge and sinusitis. After evaluation, the doctor also found issues with my temporomandibular joint (TMJ). I would l...
Dr. Liu Tiancai Reply:
Hello! Generally speaking, when extracting maxillary molars (including wisdom teeth), one must be aware of the potential complication of maxillary sinusitis. The primary reason for this is that, in most cases, there is a bony structure separating the roots of the maxillary teeth ...[Read More] Complications After Wisdom Tooth Extraction: What You Need to Know
Is Bad Breath After Wisdom Tooth Extraction Normal? Understanding Post-Op Care
Is it normal to experience bad breath after having wisdom teeth removed? Hello, I had a wisdom tooth extraction this past Monday. Although it was only partially erupted, it was angled in such a way that it was biting into the soft tissue of my lower jaw, so the doctor recommended...
Dr. Cao Guoqing Reply:
Hello Mlemily: The presence of bad breath after tooth extraction is not normal. Typically, the pain from the extraction site should decrease over time. As you mentioned, it is likely that you have developed inflammation. This condition is known as alveolar osteitis, which is a co...[Read More] Is Bad Breath After Wisdom Tooth Extraction Normal? Understanding Post-Op Care
Understanding Cheek Swelling: Dental Issues and Treatment Options
Facial swelling? I have a cavity in one of my molars. I previously received treatment and had it filled, but the filling fell out, and I didn't seek treatment until a year later. By then, I had developed a small abscess on my gums, and the root of the tooth has decayed. The ...
Dr. Xu Zhenglong Reply:
Hello Maygo: Based on what you described, this tooth has caused swelling and pain in your cheek, indicating that it has been decayed for a long time and may have led to cellulitis or an apical cyst. It is advisable to take an X-ray and then extract the affected tooth and debride ...[Read More] Understanding Cheek Swelling: Dental Issues and Treatment Options
Understanding Saliva-Transmitted Diseases in Dental Health
Oral infections Hello, doctor. Thank you for your hard work. Could you please tell me which diseases can be transmitted through saliva? Which of these diseases have been confirmed? Do you doctors wear masks during consultations to prevent the transmission of diseases through sali...
Dr. Zeng Guanghui Reply:
During their work, dentists must confront saliva and blood that contain a large number of pathogens. These pathogens can enter broken skin or mucous membranes directly or indirectly through contact with contaminated instruments, leading to infections. In dental practice, there ar...[Read More] Understanding Saliva-Transmitted Diseases in Dental Health
Understanding Secondary Cavities: Causes and Treatment Challenges
Secondary caries The upper right small molar was filled with silver amalgam due to decay. After a year, it experienced pain again, leading to a re-treatment where the decay was excavated and refilled. However, intermittent pain persisted, and ultimately, two-thirds of the tooth f...
Dr. Cao Guoqing Reply:
Hello, Nianzi: If your tooth continues to hurt after being filled with silver amalgam due to decay, it can be diagnosed as pulpitis. There are many causes, but the two main factors are: 1. Bruxism, which can cause overheating and irritate the dental pulp, leading to inflammation....[Read More] Understanding Secondary Cavities: Causes and Treatment Challenges
Understanding Oral Health: What to Do About Painful White Bumps
Help! Hello doctor, today I noticed sudden pain in my cheek and found some granular white spots on the inner side of my left cheek (near the upper teeth). They feel rough to the touch, and my muscles are slightly painful. At the same time, the muscles in my jaw are also painful. ...
Dr. Xu Zhenglong Reply:
Hello, Xiao Hong: Regarding the issue you raised, may I ask if you have a habit of chewing betel nut? If not, the risk of developing oral cancer is somewhat lower. You may be experiencing: 1. An infection caused by friction between your teeth and cheek, such as cellulitis. 2. Par...[Read More] Understanding Oral Health: What to Do About Painful White Bumps
Understanding Gum Boils: Causes, Symptoms, and When to See a Dentist
A pus-filled bump on the gums..? Hello! About one or two months ago, I developed a small abscess on my swollen gums, which causes a slight pain when pressed. I initially thought it was due to heat or a burn causing a blister, but it hasn't subsided yet. I'm unsure what ...
Dr. Wang Cunzhen Reply:
Hello HITOMI: The small abscess near the gums is usually related to the teeth. It may be caused by an infection due to necrosis of the nerves and blood vessels within the dental pulp or by a periodontal disease-related abscess. Regardless of the cause, it requires treatment and s...[Read More] Understanding Gum Boils: Causes, Symptoms, and When to See a Dentist