Understanding Bumps Near Your Back Teeth: Causes and Treatments
There is a growth inside the cheek near the last tooth on the right side? It seems that sometimes when I eat too quickly, I might accidentally bite this area. Could that be the reason? The same spot on the left side feels slightly raised when I lick it with my tongue. Will this g...
Dr. Lin Jiayong Reply:
Hello: Based on the image you provided, the swelling appears to be caused by an injury to the papilla at the opening of the submandibular gland. However, due to repeated injuries, there may already be a fibrotic condition present. It is recommended to visit a medical facility for...[Read More] Understanding Bumps Near Your Back Teeth: Causes and Treatments
Understanding Gum Pain After Dental Filling: Causes and Solutions
Pain in the gums around the central incisors? After getting a filling for a cavity in my front tooth, I initially didn't feel much discomfort. However, when the dentist tapped on the tooth with considerable force, I started to experience intermittent pain. Over the past few ...
Dr. Zeng Guanghui Reply:
It is possible that the original cavity was very deep and close to the dental pulp, so after the filling, the material is near the pulp, which may cause irritation or even inflammation of the dental nerve. It is recommended that if the pain persists, you should return to the dent...[Read More] Understanding Gum Pain After Dental Filling: Causes and Solutions
Understanding Post-Wisdom Tooth Extraction Headaches: Causes and Solutions
Pain in the temples after wisdom tooth extraction? Hello, doctor. A week ago, I had my lower left wisdom tooth extracted. I have been taking antibiotics, anti-inflammatory medication, and pain relievers on schedule. A few days ago, while the extraction site was still healing, I e...
Dr. Lin Jiayong Reply:
Hello: If the headache persists and is unbearable, it is recommended to go to a larger medical facility for a CT scan to assess the condition of the neurovascular structures. The area around the wisdom tooth extraction site usually involves some damage to the alveolar bone, and i...[Read More] Understanding Post-Wisdom Tooth Extraction Headaches: Causes and Solutions
Managing Gum Swelling and Ulcers During Orthodontic Treatment
Swelling and ulceration of the upper gums? Hello, doctor. I am currently undergoing orthodontic treatment, and I suddenly have swelling in my upper gums. (Is it common for gums to become weak during orthodontic treatment?) My gums have some ulcerations (there are a few small hole...
Dr. Lin Jiayong Reply:
Hello, please use the oral ointment in moderation and do not apply too much! Additionally, pay attention to whether there are widespread blisters or ulcerations on the lips and hard palate, as this may indicate a possible herpes virus opportunistic infection (especially in cases ...[Read More] Managing Gum Swelling and Ulcers During Orthodontic Treatment
Concerns About Amoxicillin Use Before Dental Implant Surgery
Amoxicillin medication issues? Hello Dr. Lin, I would like to ask about my situation. I have scheduled a debridement surgery for peri-implantitis on January 23. During the waiting period, I took 10 capsules of antibiotics from January 10 to January 13 (the clinic provided the med...
Dr. Lin Jiayong Reply:
Hello, since there was more than a week between the first and second doses, there should not be a significant correlation between the two. If you are concerned about the frequent use of the same antibiotic, you can inform your physician and request an alternative broad-spectrum a...[Read More] Concerns About Amoxicillin Use Before Dental Implant Surgery
Concerns About Infection Risks in Dental Hygiene Practices
Infection-related concerns? Hello doctor, I have a rather unusual question. During my dental cleaning today, the cup I used to rinse my mouth accidentally fell into the rinse basin. At the time, I didn't think much of it and continued to use it. However, I later considered w...
Dr. Lin Jiayong Reply:
Hello: Unless the clinic has not properly cleaned and disinfected, if a cup falls into the rinsing basin, it would at most come into contact with the saliva of the previous patient (if there was blood, it should have been very obvious, and you would not have missed it). The trans...[Read More] Concerns About Infection Risks in Dental Hygiene Practices
Two Weeks Post-Wisdom Tooth Extraction: Is My Gums Infected?
It's been almost two weeks since I had my wisdom teeth removed? It has been almost two weeks since I had my horizontal wisdom tooth extracted. The wound does not hurt, but when I brush the tooth in front of it, I feel some swelling and pain. Additionally, the tissue inside m...
Dr. Lin Jiayong Reply:
Hello: If there is no pus or foul odor, it is recommended to continue monitoring the situation. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] Two Weeks Post-Wisdom Tooth Extraction: Is My Gums Infected?
Understanding Peri-Implantitis: Symptoms, Treatment, and Care
Peri-implantitis Hello Dr. Lin, last week I consulted you about the issue of peri-implantitis (the situation is described below). On December 16, an X-ray taken in Hong Kong revealed severe peri-implantitis. On December 21, a CT scan showed that only 2mm of the implant remains, a...
Dr. Lin Jiayong Reply:
Hello: If there is a persistent purulent condition, it is recommended to consult an infectious disease specialist for a prescription of commonly used antibiotics for upper respiratory infections. During the isolation period, invasive dental treatments are not advised. Sincerely, ...[Read More] Understanding Peri-Implantitis: Symptoms, Treatment, and Care
Managing Peri-implantitis: Tips for Patients During Quarantine
Peri-implantitis Hello Dr. Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis. A CT scan on December 21st indicated that only 2mm of the implant remains. Due to various considerations, I decided to return to Taiwan for treatment and am currently i...
Dr. Lin Jiayong Reply:
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted. It is advised to maintain oral hygiene and prevent any further infection or inflammation. After the isolation period, you should dis...[Read More] Managing Peri-implantitis: Tips for Patients During Quarantine
Understanding Failed Root Canal Treatment: Symptoms and Solutions
Retreatment of root canal therapy In November, I experienced pain in my right molar. An X-ray revealed the presence of an instrument inside the tooth along with inflammation, leading to a retreatment of the root canal. During the first visit, the instrument was removed. On the se...
Dr. Lin Jiayong Reply:
Hello: If there is persistent inflammation and swelling, it is advisable to return for follow-up to confirm the source of the infection. The success of the surgery needs to be corroborated by comparing pre-operative and post-operative X-rays; it cannot be concluded solely based o...[Read More] Understanding Failed Root Canal Treatment: Symptoms and Solutions
Post-Wisdom Tooth Extraction Pain: Is It Normal Years Later?
Discomfort persisting for several years after wisdom tooth extraction? Three years after having my lower left wisdom tooth extracted (without stitches), I have noticed that due to frequently staying up late for work and my habit of drinking coffee, I experience a dull pain around...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have a CT scan of the head and neck performed by a neurologist to confirm whether the discomfort is caused by chronic inflammation near the tooth extraction site. This scan can also help determine if the discomfort while drinking is related to a sinus ...[Read More] Post-Wisdom Tooth Extraction Pain: Is It Normal Years Later?
Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Gingival cyst Since June or July, I have been experiencing sudden pain in my teeth when chewing, as well as tenderness when pressure is applied. I have visited the dentist several times, and the doctor said there was no issue with my teeth. Due to other health concerns, I had an ...
Dr. Zeng Guanghui Reply:
There may be an infection and inflammation of the gums and periodontal tissues surrounding the teeth. It is recommended to consult a dentist for further examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Understanding Gum Holes: What to Do About Decayed Tooth Roots
There is a hole in the gum? Doctor, I have a tooth that hasn't undergone root canal treatment and has decayed down to just the root. Recently, a hole appeared in the gum above the decayed root, and I can see that it's dark inside. I'm not sure if it's the deca...
Dr. Zeng Guanghui Reply:
It is recommended that if the gums are severely swollen and painful, one should first take antibiotics and anti-inflammatory pain relievers to reduce swelling before consulting a dentist for a cleaning, in order to avoid recurrent infections. Dr. Tseng Guang-Hui, Department of De...[Read More] Understanding Gum Holes: What to Do About Decayed Tooth Roots
Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Swollen and bleeding gums after teeth cleaning? Hello, Doctor. A week ago, I had a dental cleaning (not a deep cleaning), and the day after the cleaning, one of my gums started to hurt. I have been maintaining good oral hygiene in that area, and there has been no bleeding, but it...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it seems there is an infection. It is recommended to apply some oral ointment to the affected area 2 to 3 times a day. When brushing your teeth, please clean that area gently, and you may use an antibacterial mouthwash. If the symptoms persist fo...[Read More] Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Do I Need Root Canal Treatment? Understanding Tooth Pain and Care
Is root canal treatment necessary? Hello Dr. Tseng, I would like to ask you about a tooth that started throbbing with pain the day after I had my teeth cleaned. It is sensitive to both cold and hot water, and the pain has kept me awake for two nights. Taking Tylenol hasn't h...
Dr. Zeng Guanghui Reply:
After taking medication for three days, the inflammation of the dental nerve may have alleviated and returned to normal. However, it is also possible that the dental nerve is gradually degenerating and dying, with bacteria still present in the nerve tissue. Ultimately, this could...[Read More] Do I Need Root Canal Treatment? Understanding Tooth Pain and Care
Is Root Canal Necessary for Chemically Induced Pulp Necrosis?
Nerve necrosis Hello Doctor: I previously had a cavity filled, but later experienced inflammation due to chemical irritation (from an extremely strong mouthwash). After consulting a doctor, it was confirmed that the dental pulp had necrosed. I decided to observe the situation for...
Dr. Lin Jiayong Reply:
Hello: If pressing on the nose causes pain, it is advisable to undergo root canal treatment; otherwise, bacteria may ascend, posing a risk of infection in patients with compromised immune systems, including the sinuses, sphenoid sinus, and the posterior margin of the orbit. If th...[Read More] Is Root Canal Necessary for Chemically Induced Pulp Necrosis?
Will Delaying Root Canal Treatment Worsen My Dental Condition?
Will the condition worsen during the timeline of root canal treatment? Hello Doctor: I had an X-ray taken of one of my teeth and found a large dark area at the root. Pressing on the lower jaw beneath the tooth also causes pain. The dentist said I need a root canal treatment and a...
Dr. Lin Jiayong Reply:
Hello: If you are experiencing "unbearable pain," it is advisable to return for a follow-up appointment as soon as possible. (Typically, if more than 48 hours have passed after treatment and you are still experiencing swelling, pain, and fever despite taking medication,...[Read More] Will Delaying Root Canal Treatment Worsen My Dental Condition?
Dealing with Post-Extraction Pain: Is Dental Implant the Only Solution?
Shoulder pain? I would like to ask about my situation. Last Wednesday, I had my second molar and a horizontally impacted wisdom tooth extracted. Initially, I only intended to have the second molar removed because I had undergone immediate implant placement a few years ago. Howeve...
Dr. Zeng Guanghui Reply:
Due to the simultaneous extraction of the second and third molars, the area of the extraction wounds is larger, and the duration of inflammation may be prolonged. Therefore, it is recommended to maintain good oral hygiene to prevent infection of the wounds. The first molar is loc...[Read More] Dealing with Post-Extraction Pain: Is Dental Implant the Only Solution?
Impacted Wisdom Tooth: Risks of Floss Fragments and Infection
Wisdom tooth gap Hello, I would like to ask about a situation where the pointed end of a dental floss pick broke off while cleaning between my wisdom tooth and the adjacent tooth. The broken piece has fallen into the gap between the wisdom tooth and the adjacent tooth, and it is ...
Dr. Zeng Guanghui Reply:
If the end of the dental floss breaks off and gets stuck between your teeth, you should see a dentist to have it removed to prevent future gum inflammation or infection. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Impacted Wisdom Tooth: Risks of Floss Fragments and Infection
Ensuring Proper Infection Control in Dental Clinics: Key Concerns and Practices
Infection control issues in dental clinics? Hello, I would like to ask how to determine if a dental clinic has accurate disinfection Standard Operating Procedures (SOPs). I have observed the instruments on both sides of the dental chair (such as mobile phones and suction tips), b...
Dr. Lin Jiayong Reply:
Hello: In the dental department of the hospital, infection control is regularly monitored through internal audits, and there are also periodic external audits conducted by the hospital's infection control team. Any non-compliance issues are tracked for improvement. The healt...[Read More] Ensuring Proper Infection Control in Dental Clinics: Key Concerns and Practices