Understanding Dental Implants: Are They Overextending Bone Structure?
Issues related to dental implants? Hello, Doctor. The image linked shows my dental X-ray. I would like to ask about the upper left maxillary implant: 1. From the image, does it appear that the implant extends beyond my bone structure? 2. If it does extend beyond, is this normal? ...
Dr. Lin Jiayong Reply:
Hello: This platform cannot provide medical diagnoses. If you continue to experience symptoms such as yellow nasal discharge, post-nasal drip, and persistent bad breath, it is recommended that you consult with an oral and maxillofacial surgeon at a medical center.[Read More] Understanding Dental Implants: Are They Overextending Bone Structure?
Understanding Root Canal Treatment Complications: When to Seek Further Care
Root canal treatment The apex of the first upper premolar's root has become inflamed, which has also affected the first upper molar (natural tooth). Both teeth underwent root canal treatment, and after the procedure, crowns were placed. However, within a month, the molar sti...
Dr. Lin Jiayong Reply:
Hello: A root canal that has already been filled and shows no obvious symptoms can indeed be considered for observation only. Repeated re-treatment of the root canal can lead to loss of tooth structure and affect the integrity of the tooth, potentially resulting in conditions suc...[Read More] Understanding Root Canal Treatment Complications: When to Seek Further Care
Understanding Oral Cavity Tumors: Insights on Upper Jaw Issues
Oral tumors, maxillary issues? The patient is inquiring about a swelling in the oral maxilla, described as follows: 1. On January 26, due to exhaustion, the patient fell asleep without brushing their teeth. In the middle of the night, they noticed a swelling in the right upper m...
Dr. Lin Jiayong Reply:
Hello: You have already been evaluated at a major hospital's oral surgery department, and a treatment plan and direction (observation or direct excision) have been established. If you still have concerns, you may seek a second opinion by consulting the oral surgery departmen...[Read More] Understanding Oral Cavity Tumors: Insights on Upper Jaw Issues
Understanding Radiation Exposure from Dental Cone Beam CT Scans
What could be the radiation dose from a dental computed tomography (CT) scan in my case? Hello Dr. Lin, I am currently evaluating orthodontic treatment (the doctor mentioned that it will involve imaging of the temporomandibular joint), but I need to undergo a dental cone beam com...
Dr. Lin Jiayong Reply:
Hello: If there is a need to perform orthognathic surgery in conjunction with oral surgery, or to undergo a procedure that involves the advancement of the maxilla, a comprehensive computed tomography (CT) scan will be required. If there are significant concerns regarding radiatio...[Read More] Understanding Radiation Exposure from Dental Cone Beam CT Scans
Understanding Pain and Swelling After Root Canal Treatment: A Patient's Guide
Root canal treatment for maxillary abscess and pain? Hello Doctor, currently I am undergoing root canal treatment on my right lateral incisor. After the first session, once the anesthesia wore off, the tooth was extremely painful (even more painful than before the root canal trea...
Dr. Lin Jiayong Reply:
Hello: Administering stimulation or medication during treatment may indeed cause the abscess to swell and hurt. It is strongly recommended to complete the treatment of the currently affected tooth first and observe for 1 to 3 months before considering root canal treatment for ano...[Read More] Understanding Pain and Swelling After Root Canal Treatment: A Patient's Guide
Impact of Severe Overbite on Oral Health and Lip Projection
Excessive maxillomandibular discrepancy? Hello, doctor. I have protruding upper teeth, and my maxilla is also longer, which causes my upper lip to protrude significantly. However, I don't have any other dental issues, my pronunciation is more standard than average, and my ch...
Dr. Lin Jiayong Reply:
Hello: "There are no other issues with the teeth, the pronunciation is even more standard than that of the average person, and the chewing function is not affected." If there are concerns about aesthetics, it is advisable to consult an orthodontist to assess the severit...[Read More] Impact of Severe Overbite on Oral Health and Lip Projection
Can Orthodontic Treatment Cause Nerve Damage in Misaligned Teeth?
The probability of nerve damage during orthodontic treatment to reposition teeth? I have a molar baby tooth that never fell out since childhood. When I was a junior in college, I experienced severe tooth pain and went to the dentist. An X-ray revealed that the permanent tooth was...
Dr. Lin Jiayong Reply:
Hello: It should not be the case. "The teeth still hurt when touched, and there is pain when consuming cold or hot foods" indicates that the pulp is still active and in an inflammatory state.[Read More] Can Orthodontic Treatment Cause Nerve Damage in Misaligned Teeth?
Will Teeth Gaps Widen After Upper Jaw Expansion and Tooth Extraction?
After maxillary expansion and the extraction of two molars, will the spaces between the teeth gradually increase once orthodontic treatment is completed? Doctor: Hello! I am undergoing orthodontic treatment. The doctor recommended first performing maxillary expansion and extracti...
Dr. Lin Jiayong Reply:
Hello: Typically, after orthodontic treatment is completed, the vast majority of cases will use retainers to stabilize the teeth and prevent them from shifting in the short term. Retainers can also be placed on the lingual side to avoid affecting aesthetics, and they can be made ...[Read More] Will Teeth Gaps Widen After Upper Jaw Expansion and Tooth Extraction?
Understanding Oral Discomfort: Common Dental Concerns Explained
Oral issues Hello, Doctor. Sometimes after brushing my teeth or using mouthwash, I notice a more pronounced sensation (though I think I've felt this for several years but never paid much attention to it until I started to feel it more when I press with my tongue). I feel lik...
Dr. Zeng Guanghui Reply:
Hello Mr. Lin: It is possible that there is bone proliferation on the inner side of the maxilla. It is recommended to consult a dentist for further examination. Director Tseng Guang-hui, Nantou Hospital Dental Department.[Read More] Understanding Oral Discomfort: Common Dental Concerns Explained
Post-Bone Grafting: Understanding Symptoms and Concerns
Condition after bone meal supplementation? Hello, I recently had bone grafting on my upper right first and second molars, and I underwent a lateral window surgery. It has now been six days since the procedure. When I turn my head or go down stairs at a steep angle, I feel a sensa...
Dr. Zeng Guanghui Reply:
Dear Ms. Makeawe: The surgery for bone grafting in the upper right first and second molars typically involves a maxillary sinus membrane elevation procedure, which may affect the maxillary sinus mucosa and lead to complications in the maxillary sinus. It is recommended to return ...[Read More] Post-Bone Grafting: Understanding Symptoms and Concerns
Understanding Soft Palate Scar Tissue: Treatment Options and Recovery
Soft palate scar tissue mass Hello, Doctor. I underwent a grafting surgery in July of last year, and it seems that the donor site on my upper jaw may have included the soft palate area, resulting in the formation of a scar tissue lump in that region. I would like to know if this ...
Dr. Zeng Guanghui Reply:
Hello Mei: The procedure of harvesting tissue from the maxilla to repair defects in the gums generally allows the maxillary mucosa and the underlying tissues to heal on their own over time. If you notice the formation of a scar or hard lump, it is advisable to return for a follow...[Read More] Understanding Soft Palate Scar Tissue: Treatment Options and Recovery
Persistent Salty Yellow Fluid After Tooth Extraction: Causes and Solutions
After tooth extraction, there has been a continuous discharge of salty yellow fluid from the extraction site? Hello Doctor, I had my upper right second molar extracted on August 5th for orthodontic reasons. During the week following the extraction, I was unaware that I should not...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about the possibility of a communication with the maxillary sinus, it is recommended to obtain a panoramic X-ray or a CT scan. If it is confirmed that there is indeed a rupture of the maxillary sinus, it is advisable to consult with an oral surgeon or ...[Read More] Persistent Salty Yellow Fluid After Tooth Extraction: Causes and Solutions
Can TMJ Disorders Cause Facial Swelling Near the Ears?
Facial swelling and ear congestion? I would like to ask the doctor if temporomandibular joint (TMJ) arthritis can cause swelling in the cheek near the ear. I have seen an otolaryngologist who said it is not parotitis, and I also consulted an oral and maxillofacial surgeon who sug...
Dr. Zeng Guanghui Reply:
Hello Mr. Hsiao-Chu: If the temporomandibular joint is not painful but feels a bit locked, indicating that the mouth cannot fully open without causing facial swelling, it is advisable to consider whether there is an ear canal infection or inflammation/infection in the maxillary a...[Read More] Can TMJ Disorders Cause Facial Swelling Near the Ears?
Discomfort After Biting Hard Foods: Possible Dental Issues Explained
After biting down on something hard, my teeth, gums, and the area near my nose feel uncomfortable? One day, after biting into something hard, I felt a strange sensation in my upper canine and first premolar, as well as in the gums above them extending towards the area near my nos...
Dr. Zeng Guanghui Reply:
Hello Ms. Chen: The apices of the upper molar and the first premolar are located close to the maxillary sinus. If there is inflammation or infection at the root apex of these teeth, it may affect the sinus. It is recommended that if symptoms persist, you should consult a dentist ...[Read More] Discomfort After Biting Hard Foods: Possible Dental Issues Explained
Is Nosebleed After Lower Wisdom Tooth Extraction Normal?
Experiencing a nosebleed the night after having a lower wisdom tooth extracted? Hello doctor, I have heard that there is a possibility of nosebleeds after the removal of upper wisdom teeth. I would like to inquire if it is possible to experience a nosebleed the night after the ex...
Dr. Zeng Guanghui Reply:
Dear Mr. Chiu: The process of extracting the upper wisdom tooth has injured the mucosa of the maxillary sinus; otherwise, it would not cause nosebleeds after tooth extraction. If there is no nosebleed after the extraction, please return for a check-up as soon as possible. Directo...[Read More] Is Nosebleed After Lower Wisdom Tooth Extraction Normal?
Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Periodontal disease and chronic inflammation? Hello Dr. Lin: I have been experiencing blood in my saliva, and in early June of this year, I visited an ENT specialist. The biopsy results indicated chronic benign nasopharyngitis, and the doctor did not recommend any further tests o...
Dr. Lin Jiayong Reply:
Hello: It is indeed possible. The upper molars are close to the maxillary sinuses, and the lower molars are near the throat. If there is severe periodontal inflammation, the nasopharynx may feel uncomfortable. It is advisable to consider treating periodontal disease, and if there...[Read More] Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Concerns About Nighttime Teeth Grinding After Gum Surgery
I have a history of nighttime teeth grinding and recently underwent a flap surgery, and I'm a bit concerned? Dr. Lin: Hello, Doctor. I have a condition of nocturnal bruxism and recently underwent a flap surgery between my lower left molars and premolars, along with bone graf...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you create a maxillary Michigan bite splint to be worn at night, in conjunction with muscle relaxants, to prevent excessive nighttime bruxism that could lead to tooth or root fractures.[Read More] Concerns About Nighttime Teeth Grinding After Gum Surgery
Understanding Maxillary Sinus Odontogenic Keratocyst: Risks and Concerns
Regarding maxillary sinus odontogenic keratocyst? Hello, I have been experiencing discomfort on the left side of my face since last year. After undergoing a biopsy at the hospital, I was diagnosed with a maxillary sinus odontogenic keratocyst. Following decompression treatment, t...
Dr. Lin Jiayong Reply:
Hello: 1. It is advisable to relax for now; you have already undergone the most proactive surgical treatment available, and there is no need to dwell on negative thoughts. 2. After recurrence, it is important to determine whether it is malignant or has spread to other areas. If i...[Read More] Understanding Maxillary Sinus Odontogenic Keratocyst: Risks and Concerns
Understanding Unexplained Bumps on the Upper Jaw: Causes and Solutions
Unexplained protrusion of the maxilla? There was originally a small rough area on the maxilla, which gradually decreased in size and has now turned into a small bump resembling a pimple. I would like to know what this condition might be. Thank you.
Dr. Qiu Qiongyao Reply:
Hello, please visit a dental clinic to check for any hard or soft tissue masses. a. Soft tissue masses may be due to supernumerary teeth or other soft tissue hyperplasia. b. Hard masses may indicate bone hyperplasia or epithelial hyperplasia that requires biopsy for further exami...[Read More] Understanding Unexplained Bumps on the Upper Jaw: Causes and Solutions
Laser Treatment for Upper Jaw Scar Tissue: FAQs and Options
Consultation for laser treatment of maxillary hypertrophic scars? Hello Doctor: Previously, I underwent a gum graft surgery due to gum recession. After recovery, I developed a raised, hard scar in the surgical area on the right maxilla, which has been causing a persistent foreign...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to first discuss the scar issue with the original surgeon who performed the gum grafting. You should inquire about the potential outcomes for the scar, how it may affect the results of the grafting procedure, and what the scar might look like after hea...[Read More] Laser Treatment for Upper Jaw Scar Tissue: FAQs and Options