Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
It has been nearly two weeks since the root canal treatment, and I am still experiencing sharp pain? Hello Doctor: I underwent root canal treatment on my lower left first molar on November 8th of this year. During my third follow-up visit, the doctor mentioned that I could have p...
Dr. Lin Jiayong Reply:
Hello: Periodontal inflammation can only be observed initially to determine the cause of the inflammation. It may be due to an infection in the periodontal tissues, excessive use of the affected tooth, or bacteria from an inadequately cleaned root canal spreading to the periodont...[Read More] Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Apical cyst surgery under sedation anesthesia? Recently, during a dental cleaning, my dentist discovered a sizable cyst at the root of my front tooth, which is almost the same size as the tooth itself. This cyst was not visible on last year's X-ray. Additionally, there is an...
Dr. Lin Jiayong Reply:
Hello: 1. It will not resolve on its own. If there are no discomfort symptoms, the likelihood of malignancy is low; however, it is still advisable to have it removed and examined for accuracy. 2. During the process of tooth development, residual epithelial tissue or repeated infe...[Read More] Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Post-Wisdom Tooth Extraction: Managing Bleeding and Healing Concerns
Post-operative issues after wisdom tooth extraction? I just had my lower right wisdom tooth extracted today, but the area where the wound is located hasn't formed a blood clot. The instructions given at the front desk advised against having a blood clot. I changed the gauze,...
Dr. Lin Jiayong Reply:
Hello: If the doctor has confirmed that there are no issues, it is advisable to relax. The presence of blood clots does not necessarily correlate with future dry socket. However, repeatedly irritating the wound can increase the risk of worsening the injury and infection![Read More] Post-Wisdom Tooth Extraction: Managing Bleeding and Healing Concerns
Understanding Periodontal Disease Treatment: Expert Insights and Options
Questions related to periodontal disease treatment? Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal diseas...
Dr. Zeng Guanghui Reply:
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options
Post-Wisdom Tooth Extraction: Hardness and Pain in the Jaw Area
After having the lower right wisdom tooth extracted, the area around the wound feels hard and is painful? I originally thought it was strange that only the right side felt hard and painful, but when I reached in with both hands, I found that both sides (the outer lower part of th...
Dr. Lin Jiayong Reply:
Hello: It should be the alveolar bone. It is advisable not to frequently touch or pull at the incompletely healed wound to avoid reopening the wound and causing an infection.[Read More] Post-Wisdom Tooth Extraction: Hardness and Pain in the Jaw Area
Understanding Amoxicillin: Is Bitter Taste a Side Effect?
Oral Amoxicillin I had my wisdom teeth removed the day before yesterday, and the doctor prescribed this antibiotic to be taken four times a day. However, today my tongue has started to feel bitter (I am not taking any other medications or supplements). I would like to know if thi...
Dr. Zeng Guanghui Reply:
After wisdom tooth extraction, antibiotics are prescribed. Although the medication may taste bitter, it is recommended to take it to prevent infection and inflammation at the extraction site. The main side effect of antibiotics is allergic reactions, such as itching of the skin. ...[Read More] Understanding Amoxicillin: Is Bitter Taste a Side Effect?
Understanding Post-Wisdom Tooth Extraction Pain and Sensitivity
Wisdom tooth extraction? The lower right wisdom tooth was originally impacted and was extracted around December of last year. However, in the past 1-2 months, I've been experiencing pain when eating or drinking. I've also noticed increased sensitivity when drinking cold...
Dr. Lin Jiayong Reply:
Hello: The causes of pain typically fall into two categories: one is tissue injury, and the other is issues with nerve conduction. Referring to your case, is there any injury in the local extraction area? It would be advisable to have the physician take another X-ray or a CBCT sc...[Read More] Understanding Post-Wisdom Tooth Extraction Pain and Sensitivity
Can Patients Keep Extracted Teeth and Orthodontic Screws?
Can patients take home removed bone screws or extracted teeth? Hello, doctor. 1. I had teeth extracted due to orthodontic treatment and intended to take them with me, but the doctor discarded them without asking. Is it acceptable for a doctor to dispose of extracted teeth witho...
Dr. Lin Jiayong Reply:
Hello: Medical waste does indeed carry a risk of infection, especially items like dental fragments or sharp bone pins. Generally, these items are not intentionally kept for patients but are disposed of directly. If you wish to keep such items as a memento, it is advisable to info...[Read More] Can Patients Keep Extracted Teeth and Orthodontic Screws?
Why Haven't I Received Dental Fillings After Multiple Visits?
Despite multiple visits, the dental filling has not been done? I recently had a toothache, so I went to see a dentist. He told me I had multiple cavities, but after three visits, he still hasn't done any fillings, and the appointment times have been very short. The first vis...
Dr. Zeng Guanghui Reply:
To check for calculus between the teeth in addition to cavities, it is necessary to first perform a thorough dental cleaning. After that, the decayed areas should be cleaned. If the cavities are deep, it may be necessary to place medication for disinfection before a permanent fil...[Read More] Why Haven't I Received Dental Fillings After Multiple Visits?
Understanding Neck and Shoulder Pain Linked to Dental Issues
Shoulder and neck pain? Hello, doctor. I would like to ask if a cavity that has progressed deeply, reaching the nerve, can cause localized or systemic infections, as well as head and neck pain and throat discomfort? Please consider the above issues while excluding neurological pr...
Dr. Lin Jiayong Reply:
Hello: It is advisable to handle the issues separately. First, treat the simpler cavities, and if there is still head and neck pain afterward, you can consult a neurologist for further evaluation. For the sore throat, please see an otolaryngologist to check for any respiratory in...[Read More] Understanding Neck and Shoulder Pain Linked to Dental Issues
Managing Tooth Extraction Without Antibiotics: A Guide for Allergic Patients
There is a long-neglected residual tooth? I have an old residual tooth with a damaged crown, and almost only the root remains. Currently, I have no discomfort, but occasionally, when I stay up late, I develop something similar to acne near the root of the tooth on my jaw, which l...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult a larger medical center's oral surgery department first. Inform the physician about your previous risk of prolonged bleeding and the possibility of developing rashes due to antibiotic allergies. Please ask the physician to assist you with ...[Read More] Managing Tooth Extraction Without Antibiotics: A Guide for Allergic Patients
Persistent Bad Odor from Gums Around Fixed Dentures: What to Do?
There is an unpleasant odor coming from the gums around the fixed dentures? Hello doctor, I have four fixed dentures connected above my front teeth, but only the leftmost one has a persistent bad odor when I brush or use a water flosser, while the other dentures do not have this ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to take an X-ray for diagnosis, as it can at least reveal whether there is an infection in the root of the tooth. Improving oral hygiene is correct and important. If there is still a persistent odor, removing the dentures is indeed a treatment option![Read More] Persistent Bad Odor from Gums Around Fixed Dentures: What to Do?
Concerns About Wisdom Tooth Pain and Oral Health Before Extraction
Oral issues Recently, I have noticed two white spots on the tissue covering my lower left wisdom tooth, which feel slightly painful and have a burning sensation, along with some swelling. It seems somewhat similar to a typical ulcer. Today, September 10th, marks exactly one week ...
Dr. Zeng Guanghui Reply:
It is likely that the wisdom tooth has not fully erupted or is positioned at an angle, causing the surrounding gum tissue to easily accumulate plaque and become inflamed. It is recommended to consult a dentist for the extraction of the wisdom tooth. As long as there is no severe ...[Read More] Concerns About Wisdom Tooth Pain and Oral Health Before Extraction
Understanding Sensitivity After Dental Crown Placement: Causes and Solutions
Recently, the teeth with braces have been experiencing slight sensitivity? Hello Dr. Lin, after my tooth underwent root canal treatment, I did not immediately get a crown. Later, when I started to feel pain after biting something that cracked, I went to get the crown. During the ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic where you received your braces for a reevaluation by the dentist. They can take another X-ray to confirm if there are any issues with the root canal or if the dentures are not fitting properly. If there is general gum infl...[Read More] Understanding Sensitivity After Dental Crown Placement: Causes and Solutions
Understanding Root Canal Treatment: When to Seek Urgent Dental Care
Root canal treatment Hello, Doctor. I would like to ask about my situation. I had my upper right seventh permanent tooth extracted on August 25, and on September 7, I underwent root canal treatment on my lower right fourth permanent tooth. After the procedure, it was only tempora...
Dr. Lin Jiayong Reply:
Hello: It is recommended to call the clinic first and inform them about the persistent swelling and pain, as well as the quick diminishing effect of the pain medication. Inquire if it is possible to arrange an earlier examination to check for any bacterial infection at the extrac...[Read More] Understanding Root Canal Treatment: When to Seek Urgent Dental Care
Understanding Root Canal Treatment: When to Seek Urgent Dental Care
Root canal treatment Hello, Doctor. I would like to ask about my situation. I had my upper right seventh permanent tooth extracted on August 25, and on September 7, I underwent root canal treatment on my lower right fourth permanent tooth. After the procedure, it was only tempora...
Dr. Lin Jiayong Reply:
Hello: It is advisable to call the clinic first and inform them about the swelling and pain, as well as the quick wearing off of the pain medication. Inquire if it is possible to arrange an earlier examination to check for any bacterial infection at the extraction site.[Read More] Understanding Root Canal Treatment: When to Seek Urgent Dental Care
Exploring the Connection Between Mouth Sores, Tooth Pain, and Jaw Discomfort
Are mouth ulcers, tooth pain, and temporomandibular joint (TMJ) pain related to each other? Two years ago, I experienced temporomandibular joint pain and consulted a doctor. I used an occlusal splint, but after more than a year, there was no improvement, so I stopped going. I sti...
Dr. Lin Jiayong Reply:
Hello: For the temporomandibular joint (TMJ) issues, it is recommended to consult an oral surgeon to see if improvements can be made through Botox injections or PRP (platelet-rich plasma) therapy. The mouth sores and lymphadenopathy may be related to immune responses or infection...[Read More] Exploring the Connection Between Mouth Sores, Tooth Pain, and Jaw Discomfort
Managing Gum Injuries: Care Tips for Pain and Bleeding Relief
Management of Gingival Lacerations Hello doctor, after eating crab yesterday, the gum on the inner side of one of my front teeth has been swollen and painful, and there was quite a bit of bleeding. The next day, the gum is still swollen and purple, and I can see a dent where it w...
Dr. Lin Jiayong Reply:
Hello: It is advisable to seek medical attention for wound care to prevent infection, which could lead to bacteremia or sepsis. The wound can be initially disinfected with povidone-iodine, followed by the application of an oral ointment for protection. Prompt medical attention is...[Read More] Managing Gum Injuries: Care Tips for Pain and Bleeding Relief
Do You Need Root Canal Treatment for Gray Teeth?
Is root canal treatment necessary? The teeth in the upper right back area do not hurt, but I have noticed three black spots, and the color of the teeth has changed to a slightly grayish white. I read online that a gray color indicates the need for root canal treatment, so I am ve...
Dr. Qiu Qiongyao Reply:
Ms. Cheng: Hello, the healthy color of teeth is a light shade of yellow. If you see black cavities, it indicates that the tooth has been decayed for a long time and is deep, leading to pulp necrosis and infection, which causes the tooth color to turn gray. It is recommended to vi...[Read More] Do You Need Root Canal Treatment for Gray Teeth?
Is Swelling and Mild Fever After Wisdom Tooth Extraction a Sign of Infection?
Swelling of the face and mild fever after wisdom tooth extraction? I had my lower left wisdom tooth extracted on August 18, and my face was slightly swollen. I went to have the stitches removed on August 25, but the next morning my face was still swollen, and I had a slight fever...
Dr. Lin Jiayong Reply:
Hello: If accompanied by symptoms such as shortness of breath and difficulty swallowing, it is advisable to seek medical attention promptly.[Read More] Is Swelling and Mild Fever After Wisdom Tooth Extraction a Sign of Infection?