Understanding Root Canal Retreatments: When to Save or Extract Your Tooth
Secondary root canal treatment Hello, Doctor. Recently, I visited a dentist due to gum swelling and pain caused by dental calculus. The dentist took X-rays and discovered some inflammation in the root of my lower right first molar. It hurts slightly when tapped with instruments, ...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to consult with the Department of Endodontics at a medical center to obtain a second or third opinion before making a decision. 2. If you insist on not extracting the tooth, please have regular X-rays taken every 3 to 6 months to monitor for any local ...[Read More] Understanding Root Canal Retreatments: When to Save or Extract Your Tooth
Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions
There is a small hole on the buccal gingiva of the second molar, and when pressed, white discharge flows out from there and the interproximal space? Hello, Doctor: After having my wisdom teeth removed at the end of last year, I developed gum inflammation, and soon after, a small ...
Dr. Lin Jiayong Reply:
Hello: First, please confirm whether you are taking any medications for osteoporosis, and if you have undergone any cancer-related radiation therapy or immunotherapy. If so, these factors may affect wound healing. Additionally, long-term use of immunosuppressive medications (such...[Read More] Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions
Persistent Gum Swelling and Pain: What Could Be the Underlying Issue?
The gums are red, swollen, and painful and have not improved? Hello Doctor, my gums have been red, swollen, and painful for almost two weeks now, and they haven't improved. I've already seen the dentist twice, had my teeth cleaned, and took amoxicillin for three days, a...
Dr. Zeng Guanghui Reply:
If there is still redness and swelling after having your teeth cleaned and taking antibiotics for three days, it indicates that the periodontal tissue damage may be severe, or there could be cracks in the tooth structure leading to bacterial infection. It is advisable to return f...[Read More] Persistent Gum Swelling and Pain: What Could Be the Underlying Issue?
Is Swelling Normal After Wisdom Tooth Extraction? A Dental Concern
Swelling of the gums after wisdom tooth extraction? Hello doctor, about 14 days ago I had my horizontal wisdom tooth extracted. I have already had my stitches removed, and the extraction site has healed, but the gum below is still swollen. When I lightly press on my cheek, some s...
Dr. Zeng Guanghui Reply:
The extraction site for the wisdom tooth is likely quite large. Although the stitches have been removed, there is still a possibility of inflammation and infection at the wound site. It is recommended that if symptoms persist, you should return to the dentist for an examination. ...[Read More] Is Swelling Normal After Wisdom Tooth Extraction? A Dental Concern
Assessing Cracks in Molars After Crown and Post Removal: Next Steps
After the removal of the crown and post from the molar? Hello, Doctor. I am seeking treatment because my upper right molar has pus and is loose. It has already undergone root canal treatment. A specialist in endodontics recommended using microscopic root canal therapy, so the cas...
Dr. Zeng Guanghui Reply:
To examine the dark shadows around the teeth, which indicate bone resorption of the jaw, it is necessary to determine whether it is caused by an infection of the tooth's nerve canal, periodontal inflammation (i.e., periodontal disease), or cracks on the tooth surface. This a...[Read More] Assessing Cracks in Molars After Crown and Post Removal: Next Steps
Should I Continue Taking Fleming and Flagyl for Wisdom Tooth Infection?
Please provide the specific content regarding the antibiotic courses for Fleming and Flagyl so I can assist you with the translation? Hello, doctor. I have swelling in the gums around my wisdom tooth, which has affected my ability to chew, so I consulted a dentist abroad. Due to ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to complete the prescribed course of medication. If there is a concurrent surgical treatment, be mindful of the risk of postoperative infections! It is important to avoid the development of antibiotic resistance. Sincerely, Lin Chia-Yung, Department of De...[Read More] Should I Continue Taking Fleming and Flagyl for Wisdom Tooth Infection?
Understanding Root Canal Treatment Issues: Common Concerns and Solutions
Issues related to root canal treatment? Hello, doctor. I had a dental bridge placed on my upper right central incisor, lateral incisor, and premolar two years ago after having the lateral incisor extracted. The central incisor and premolar were reduced in size to accommodate the ...
Dr. Zeng Guanghui Reply:
If pain persists after several sessions of root canal treatment, it is possible that the apex of the tooth root is still in an inflamed state. However, if the root canal has been thoroughly cleaned and pain continues, there may be tiny cracks in the tooth root that are causing re...[Read More] Understanding Root Canal Treatment Issues: Common Concerns and Solutions
Understanding Intentional Replantation: Post-Procedure Discomfort and Care
Intentional replantation surgery Hello, recently I underwent intentional replantation of my lower right first molar, but I still feel uncomfortable two weeks post-surgery. I read that after tooth extraction, it is necessary to remove the pathological tissue around the root apex d...
Dr. Lin Jiayong Reply:
Hello: Since it has only been two weeks, it is difficult to provide a definitive conclusion. I recommend continued observation. If the surgery is successful, significant differences should be evident in the X-rays after about six months. For now, please let the surgeon consider t...[Read More] Understanding Intentional Replantation: Post-Procedure Discomfort and Care
Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help
Gingival abscess Hello Doctor, following up on my previous issue, this Thursday I will have undergone three root canal treatments on my molar, but I am still experiencing pain. The doctor mentioned that I might need to undergo microscopic root canal therapy, which is quite expens...
Dr. Zeng Guanghui Reply:
Gingival inflammation is caused by an infection of the periodontal tissues surrounding the teeth or may be due to inflammation of the minor salivary glands. It is recommended to consult a dentist or an oral surgeon for further diagnosis and treatment, including X-rays. Dr. Tseng ...[Read More] Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help
Understanding Gum Healing After Dental Surgery: What to Expect
Gum healing Hello Doctor: I had an implant for my lower left second molar 10 years ago. Over the past year, my gums have frequently been inflamed and painful. I have seen several doctors who prescribed anti-inflammatory and pain relief medications, but the issue keeps recurring. ...
Dr. Lin Jiayong Reply:
Hello: If the wound does not have a foul odor indicating infection, it typically reaches initial healing within 1 to 2 weeks. However, wound healing and the complete adhesion of the gums to the teeth are two different matters. Particularly, peri-implantitis remains quite challeng...[Read More] Understanding Gum Healing After Dental Surgery: What to Expect
Understanding the Process of Getting Permanent Dentures: What to Expect
The process of getting dentures involves several steps: 1. **Initial Consultation**: The dentist evaluates the patient's oral health, discusses the need Hello Dr. Lin, I lost my temporary denture on March 28, and since I was scheduled to have my permanent denture placed on ...
Dr. Lin Jiayong Reply:
Hello: Typically, denture adhesives contain some organic solvent components (whether temporary or permanent adhesives) that can achieve antibacterial effects. It is recommended to continue monitoring and observing.[Read More] Understanding the Process of Getting Permanent Dentures: What to Expect
Understanding Post-Extraction Symptoms: Can Tooth Removal Affect Brain Health?
Are there any complications after tooth extraction? Hello Doctor, I had severe cavities in my upper first and second molars. Last year, I visited a clinic, and the dentist advised that the cavities were too extensive and recommended extraction. After consideration, I followed the...
Dr. Lin Jiayong Reply:
Hello, 1. The maxillary molar region is indeed closer to the sinuses. If there is a communication with the oral cavity leading to sinusitis, it can indeed cause symptoms such as dizziness and a feeling of pressure in the head. If left untreated, the infection may spread to the ...[Read More] Understanding Post-Extraction Symptoms: Can Tooth Removal Affect Brain Health?
Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain
Root canal treatment Hello, doctor. Last Monday, a small abscess appeared on the gums next to my molar, and it wasn't very painful, so it didn't go away. Later, I visited a dental clinic on Thursday, and they said it was due to inflammation of the nerve inside the molar...
Dr. Zeng Guanghui Reply:
If a root canal treatment is performed due to an abscess, it indicates that the infection at the root tip has reached a certain extent. Although the initial one or two root canal treatments may have been done, the abscess may not disappear immediately. It may require multiple ses...[Read More] Understanding Root Canal Treatment: Managing Gum Abscesses and Dental Pain
Limited Mouth Opening After Wisdom Tooth Extraction: Is It Normal?
Limited mouth opening after extraction of the lower left horizontal wisdom tooth? Before the tooth extraction, I could open my mouth about 48mm. After the extraction, I could only open it about one finger's width. A week later, I was able to open it two fingers' width. ...
Dr. Zeng Guanghui Reply:
If there is an infection or inflammation at the extraction site after wisdom tooth removal, it can affect the ability to open the mouth. However, if there is soreness when biting down, particularly in the area in front of the ear, it may indicate a temporomandibular joint (TMJ) i...[Read More] Limited Mouth Opening After Wisdom Tooth Extraction: Is It Normal?
Is There a Required Waiting Period Between Wisdom Tooth Extraction and Root Canal Treatment?
Is there a need for a time interval between tooth extraction and root canal treatment? Hello Dr. Lin, previously the doctor mentioned that there are signs of cavities in the lower left molar, specifically near the wisdom tooth area. The doctor recommended extracting that wisdom t...
Dr. Lin Jiayong Reply:
Hello: It is advisable to wait until the root canal treatment is completed before proceeding with extraction, unless there are other urgent situations that require immediate tooth removal (such as cellulitis, deep neck infections, or removal of the source of sinusitis infection)....[Read More] Is There a Required Waiting Period Between Wisdom Tooth Extraction and Root Canal Treatment?
Understanding Impacted Tooth Extraction: Pain Management and Recovery Tips
Extraction of impacted wisdom teeth? On March 4th, I went to a major hospital's dental surgery department for an outpatient procedure to extract an impacted tooth (lower canine). The extraction took nearly two hours, involving drilling and tapping, and it was extremely painf...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return for a follow-up examination to confirm whether there is a bacterial infection. If there is none, please inform the physician about the pain situation and request adjustments to the medication or further examinations (such as a CT scan, etc.).[Read More] Understanding Impacted Tooth Extraction: Pain Management and Recovery Tips
Understanding Oral Candidiasis Recovery: Is Redness Normal After Treatment?
Oral candidiasis resolution? Hello, doctor. I recently visited a physician due to an oral candidiasis infection. During my second follow-up appointment, the doctor said I had recovered. However, I have noticed that right after I rinse my mouth, the previously infected area become...
Dr. Lin Jiayong Reply:
Hello, oral candidiasis is usually associated with the patient's compromised immune system, and recurrent episodes are quite common. It is recommended to continue follow-up visits. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and W...[Read More] Understanding Oral Candidiasis Recovery: Is Redness Normal After Treatment?
Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions
Teeth that have undergone root canal treatment may experience pain? Hello, I have two lower molars that underwent root canal treatment but have not been crowned. It has been over a year since the treatment, and recently, when I bite into harder foods (such as meat), I experience ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first return to the original clinic where the root canal treatment was performed to confirm the recovery status after the treatment. If a dentist has already suggested redoing the root canal, it would be advisable to undergo the retreatment before plac...[Read More] Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions
Understanding Impacted Wisdom Teeth: Recovery and Concerns
Horizontal wisdom tooth Hello, doctor. I had my lower right wisdom tooth extracted on February 18, and I am still experiencing difficulty opening my mouth, only able to open it about the width of one finger. Is this a normal phenomenon? How long will it take to recover to normal?...
Dr. Lin Jiayong Reply:
Hello: If you still experience fever, swelling, difficulty swallowing, or shortness of breath more than 48 hours after surgery, it is recommended to consult your original physician for a re-evaluation, or to seek further treatment at a hospital or medical center to prevent the ri...[Read More] Understanding Impacted Wisdom Teeth: Recovery and Concerns
Understanding Wisdom Tooth Extraction Healing: What to Expect
Post-operative issues after wisdom tooth extraction? Hello, doctor. I would like to ask about the healing process of the wisdom tooth extraction site. I had a horizontal wisdom tooth removed 5 days ago, and there is a white layer forming over the blood clot. Will that white layer...
Dr. Lin Jiayong Reply:
Hello: It is advised not to intentionally break or tear the newly formed white tissue. If it falls off, there is no need to worry excessively; just maintain oral hygiene to prevent bacterial infection. If you are still concerned, you may return to your original clinic for the doc...[Read More] Understanding Wisdom Tooth Extraction Healing: What to Expect