Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
During traditional or Invisalign orthodontic treatment, not only do the teeth move, but the alveolar bone also shifts as well? Doctor: Hello! I am 22 years old. Currently, my upper dental arch is relatively narrow, and I have a malocclusion with my upper right central incisor and...
Dr. Lin Jiayong Reply:
Hello: Since a lateral cephalometric image is needed to calculate the space ratio of the teeth/arch, it is recommended to consult with a physician who can provide an in-person examination. If there are concerns about the original physician, you can bring the existing images and m...[Read More] Traditional vs. Invisalign: Which Orthodontic Method Best Expands Narrow Arches?
Understanding Roughness on Front Teeth: Causes and Solutions
Rough surface of the teeth? Is the rough feeling on my front tooth due to enamel wear? Could it be caused by using an electric toothbrush, or is it due to excessive consumption of acidic foods and drinks leading to erosion? However, why is it that only one front tooth is noticeab...
Dr. Lin Jiayong Reply:
Hello: 1. It may be caused by misalignment of the teeth (anterior-posterior crossbite) or malocclusion (where a particular incisor bears more occlusal load). 2. Textbooks and literature primarily suggest fluoride products (mouthwash/toothpaste/fluoride varnish) for the prevention...[Read More] Understanding Roughness on Front Teeth: Causes and Solutions
Is Filling Gaps in Front Teeth a Good Solution for Dental Issues?
Front tooth filling, dental gap? Hello, I have had large gaps between my front teeth since childhood, which has caused my upper front teeth to grow poorly, and the teeth on either side are quite small. I have consulted a dentist who mentioned that this is due to missing teeth. Cu...
Dr. Lin Jiayong Reply:
Hello: If the gap between teeth exceeds 2.5 mm or if there is a malocclusion or deep bite, direct resin filling is not recommended.[Read More] Is Filling Gaps in Front Teeth a Good Solution for Dental Issues?
Can Malocclusion Affect Your Sleep Quality?
Can malocclusion affect sleep? Can malocclusion affect sleep? I didn't have any issues when I was younger, but now that I'm older, I do. I personally believe my malocclusion isn't very severe; my lower jaw is slightly shifted to the right.
Dr. Lin Jiayong Reply:
Hello, malocclusion can affect sleep, and individuals will likely be aware of it. Common manifestations include waking up with soreness in the temporomandibular joint, teeth grinding leading to tooth damage and sensitivity, bite marks or bruising on the cheeks or tongue, and in s...[Read More] Can Malocclusion Affect Your Sleep Quality?
Can Malocclusion Affect Your Sleep Quality?
Can malocclusion affect sleep? Can malocclusion affect sleep? I didn't have this issue when I was younger, but it has developed as I've grown older. I personally believe my malocclusion isn't very severe; my lower jaw is slightly shifted to the right.
Dr. Lin Jiayong Reply:
Hello: Malocclusion can affect sleep, and individuals will definitely be aware of it. Common manifestations include waking up with soreness in the temporomandibular joint, teeth grinding leading to dental damage and sensitivity, bite marks or bruising on the cheeks or tongue, and...[Read More] Can Malocclusion Affect Your Sleep Quality?
Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Biting hard objects & occlusal pain Hello Doctor, I would like to consult you regarding an issue. On May 1st, I bit into a small bone from a pig and have since felt subjective pain in my upper right first molar whenever I bite into anything, making it impossible to chew foo...
Dr. Zeng Guanghui Reply:
Hello Ms. Gao: Inability to chew food may be caused by cracked teeth leading to sensitive pulp inflammation, or it could be due to inflammation or injury of the periodontal ligament. There is also a possibility that there is an infection or inflammation at the root apex. It is re...[Read More] Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Can Misalignment Affect Your Sleep Quality? Understanding Dental Impact
Can malocclusion affect sleep? If you are concerned that your malocclusion may affect your sleep, what constitutes malocclusion? Can malocclusion lead to shoulder and neck pain that impacts sleep? I have a slight malocclusion (my lower jaw is slightly shifted to the right 🤏), but...
Dr. Lin Jiayong Reply:
Hello: Occlusal stability refers to the ability of the posterior teeth on both sides to occlude tightly and evenly distribute the occlusal contacts, with a 2mm deviation in the midline of the anterior teeth being acceptable. It is recommended to consult an orthodontist. Additiona...[Read More] Can Misalignment Affect Your Sleep Quality? Understanding Dental Impact
TMJ Fractures After Car Accident: Treatment Options and Concerns
Temporomandibular joint fracture due to a car accident? Hello Doctor, I was in a car accident on September 22, where I sustained fractures in the area of the bilateral mandible and temporomandibular joint (TMJ) (the doctor mentioned that the small fragments on both sides are not ...
Dr. Zeng Guanghui Reply:
1. A joint discussion should be conducted by oral and maxillofacial surgeons and orthodontists to propose possible treatment options for further discussion. 2. If normal occlusion cannot be restored solely through orthodontic means, displacement should be considered. 3. It is rec...[Read More] TMJ Fractures After Car Accident: Treatment Options and Concerns
Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
After having my upper and lower right wisdom teeth extracted, I often bite my cheek? Hello, I had my upper and lower right wisdom teeth removed a long time ago, but occasionally a small growth appears on the inside of my right cheek. I'm not sure how I keep biting it. Could ...
Dr. Lin Jiayong Reply:
Hello: The raised, nipple-like structure on the cheek is commonly the opening of the parotid gland, one of the three major salivary glands. If it is repeatedly bitten, it may become enlarged. It is advisable to consult a physician to confirm this and to explore other methods to r...[Read More] Why Do I Keep Biting My Cheek After Wisdom Tooth Removal?
Why Cavities Can Return Within a Year After Dental Fillings
Cavity recurrence one year after dental filling? Dear Doctor, Last year, I had cavities on both sides of my central incisors, which were treated and filled. Recently, the filling came loose, and upon returning to the clinic, the doctor mentioned that there is a new cavity that ...
Dr. Lin Jiayong Reply:
Hello: The detachment of restorations is often caused by excessive forces (occlusal or lateral forces), in addition to recurrent caries. If there is malocclusion, a habit of biting into apples, bread, or guavas with the anterior teeth, or if there is a tendency to grind teeth at ...[Read More] Why Cavities Can Return Within a Year After Dental Fillings
Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Gum recession and root exposure? Hello Doctor, I had almost a full mouth of dental bridges at a very young age. Last year, I started experiencing issues with my upper teeth, and I also have Class III skeletal malocclusion. In early 2022, I had the dental bridges removed and recei...
Dr. Lin Jiayong Reply:
Hello: Surgical procedures inherently carry many risks and uncertainties, so it is advisable to communicate clearly with you before the operation. 1. If the orthognathic surgery has been successful, it is recommended that you relax, as the most challenging part has been overcome,...[Read More] Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Persistent Pain After Root Canal: Understanding Symptoms and Next Steps
One month after root canal treatment, I am still unable to bite down on anything? Hello Doctor: I underwent root canal treatment on my lower left molar at the beginning of November. It has been almost a month since the procedure, but I still experience pain when applying pressure...
Dr. Lin Jiayong Reply:
Hello: Treatment not being successful is a possible outcome, and observation for about six months may be warranted. If discomfort persists beyond six months, you might consider undergoing another root canal treatment or checking for other issues such as periodontal inflammation, ...[Read More] Persistent Pain After Root Canal: Understanding Symptoms and Next Steps
Post-Tooth Extraction: Understanding Cognitive and Emotional Changes
Abnormal brain activity after tooth extraction? 1. Can tooth extraction lead to the aforementioned brain issues? 2. Could the extraction of two teeth at once have caused damage to the brain? 3. If tooth extraction does not cause any brain damage, what could explain my current...
Dr. Lin Jiayong Reply:
Hello: The symptoms you mentioned are systemic conditions (such as confusion, dementia, cognitive decline, etc.), and since the CT scan has already been performed and is normal, attributing systemic discomfort to a localized outpatient procedure seems a bit far-fetched. After all...[Read More] Post-Tooth Extraction: Understanding Cognitive and Emotional Changes
Understanding Tooth Pain: Causes and Solutions for Discomfort
Toothache I have been experiencing discomfort in my lower teeth for a month now. I have visited three clinics, and they all said it was just inflammation and did not see any cavities. They prescribed painkillers and advised me to avoid hard foods, which I have been following, but...
Dr. Lin Jiayong Reply:
Hello: From both local and systemic perspectives. Common local issues that may cause discomfort in the teeth include dental caries, gingivitis, and periodontal disease. However, if X-rays have been taken and no problems were found, then it is important to consider systemic issues...[Read More] Understanding Tooth Pain: Causes and Solutions for Discomfort
Dealing with Dental Implants: What to Do When Natural Teeth Fail
Natural teeth erupt after dental implants? After implanting one artificial root on the right side and two artificial roots on the left side of the lower jaw, and before the second surgery, the natural teeth in the front of the lower jaw have erupted. The doctor has recommended or...
Dr. Zeng Guanghui Reply:
To determine the cause of the eruption of the lower anterior teeth, it is necessary to assess whether it is due to periodontal disease or malocclusion. If it is periodontal disease, periodontal treatment should be undertaken. If it is due to pre-existing malocclusion, orthodontic...[Read More] Dealing with Dental Implants: What to Do When Natural Teeth Fail
Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Tooth friction in the oral cavity? Due to malocclusion, one of the lower teeth is protruding outward and constantly rubbing against the inner side of the lower lip, causing the mucosa in that area to feel rough when licked by the tongue. I would like to know what potential risks ...
Dr. Zeng Guanghui Reply:
Repeated damage to the mucosa of the lower lip can easily lead to the formation of fibromas over time. It is advisable to consult a dentist to address any protruding teeth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Misaligned Teeth and Oral Health: Do You Need Orthodontic Treatment?
Malocclusion causing oral friction? I would like to consult a doctor. My lower teeth are misaligned, and they repeatedly rub against certain areas on the back of my lower lip, causing the mucosa in those areas to become rough (which I can feel very clearly with my tongue). I rece...
Dr. Lin Jiayong Reply:
Hello: Considering that you are still very young, it is indeed recommended to undergo orthodontic treatment to align your teeth into a straight and even position. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] Misaligned Teeth and Oral Health: Do You Need Orthodontic Treatment?
TMJ Issues and Orthodontics: Can You Proceed with Braces?
Temporomandibular joint issues and orthodontics? Hello, I recently visited a clinic for a consultation regarding orthodontic treatment. However, the orthodontist mentioned that my temporomandibular joint (TMJ) issues are causing my bite to vary with each occlusion. They recommend...
Dr. Lin Jiayong Reply:
Hello, it is recommended to consult a medical center that has both "oral surgery" and "orthodontics." It is advisable to receive treatment at the same medical center to facilitate any potential involvement of an oral surgeon during the orthodontic treatment pr...[Read More] TMJ Issues and Orthodontics: Can You Proceed with Braces?
Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues
What are the causes of gum swelling? Hello, doctor. I have issues with teeth grinding and temporomandibular joint (TMJ) dysfunction. Recently, due to increased work stress, I have been experiencing discomfort in my TMJ and pain in the occlusion of my upper left molars. After an e...
Dr. Lin Jiayong Reply:
Hello: Gum swelling is usually due to gingival inflammation, which can have various causes. Common causes include bacterial infections resulting from periodontal disease or pulpitis. Malocclusion leading to tooth injury is also a possibility. It is advisable to consult a physicia...[Read More] Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues
Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues
Hearing a popping or crackling sound in the ear throughout the day? In February of this year, I started wearing foam earplugs every night for over a month due to noise sensitivity. One night, I forgot to wear them and heard a clicking sound (only in the right ear, on the side wit...
Dr. Lin Jiayong Reply:
Hello: If it is confirmed that the issue is related to temporomandibular joint dysfunction and malocclusion, it is recommended that you consult an oral surgeon at a medical center for a solution. Mild interventions may include joint irrigation, PRP injections, or Michigan occlusa...[Read More] Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues