Understanding Supernumerary Teeth: Risks and Removal Options
Regarding supernumerary teeth? Hello, doctor: I have an extra tooth behind my front tooth (in the maxilla)! Previously, a dental clinic suggested that I go to a provincial hospital for extraction. Is the extraction more complicated, which is why they recommended I go to a larger ...
Dr. Wang Cunzhen Reply:
Hello, Mer maid: The extraction of supernumerary teeth in the anterior region typically requires a minor surgical procedure, and the difficulty level must be determined through clinical judgment and X-ray diagnosis. Since this is a surgical procedure, most general practitioners a...[Read More] Understanding Supernumerary Teeth: Risks and Removal Options
Does Health Insurance Cover Orthodontics for Crouzon Syndrome in Taiwan?
Is orthodontic treatment for Crouzon syndrome covered by health insurance? Hello Doctor: This year, I was diagnosed with Crouzon syndrome at Kaohsiung Medical University Hospital. This is a rare condition, and as a result, I have applied for a major illness card. Since this condi...
Dr. Yang Hui Reply:
Hello Kay: After reviewing your situation, we found that there is no payment code for this procedure in the dental insurance payment standards. We inquired with the Eastern District Health Bureau, and they also do not have clarity on how to process the payment. It would be best f...[Read More] Does Health Insurance Cover Orthodontics for Crouzon Syndrome in Taiwan?
Understanding Sinus Communication Issues After Dental Procedures
The issue of oral cavity communication? Hello Dr. Liu, I would like to ask you a few questions. I underwent intentional replantation surgery on my upper left second molar in late November, and it has been over a month since then. The tooth still feels slightly painful, and I hav...
Dr. Liu Tiancai Reply:
Hello: 1. It is possible for an intentional replantation surgery on the maxillary posterior teeth to result in an oroantral communication during the procedure; however, after the tooth is replanted, the passage between the oral cavity and the maxillary sinus should close, and r...[Read More] Understanding Sinus Communication Issues After Dental Procedures
Challenges in Root Canal Treatment After Dental Trauma: A Patient's Dilemma
Issues related to root canal treatment? Hello, Doctor. I had four anterior teeth restored with crowns ten years ago. This year, I was involved in a car accident that resulted in a fracture of my maxilla. I have undergone fixation, and it has been 6.5 months since the injury. The ...
Dr. Liu Tiancai Reply:
Hello: Whether the root of your front tooth is fractured after the car accident is crucial. If there is no root fracture, even if the root canal has calcified as the doctor mentioned, you can still seek treatment from an endodontist. Even if traditional root canal treatment fails...[Read More] Challenges in Root Canal Treatment After Dental Trauma: A Patient's Dilemma
Understanding Speech Clarity Issues: Tongue or Dental Problems?
Dysarthria Hello, I have a slight speech impediment and often get teased for having a "big tongue." I frequently bite my tongue while speaking and feel that my tongue is not very agile. My upper and lower front teeth do not align properly (the upper teeth are more protr...
Dr. Zeng Guanghui Reply:
Misalignment of teeth in the oral cavity can not only affect occlusion and chewing but also impact pronunciation and speech, as well as tongue movement. Under normal occlusion conditions, the maxillary incisors should slightly overlap the mandibular incisors, creating a horizonta...[Read More] Understanding Speech Clarity Issues: Tongue or Dental Problems?
Understanding Tooth Pain and Its Connection to Headaches and Sinus Issues
Toothache causing temple pain? Hello Dr. Liu, I am experiencing the following symptoms: 1. My upper left second molar underwent root canal treatment three to four years ago, and in mid-August of this year, I started a retreatment (due to frequent floss snagging, an X-ray revea...
Dr. Liu Tiancai Reply:
Hello: It is normal to experience mild pain during root canal treatment, but if the pain persists for 1-2 months, you may consider consulting an endodontist. The apices of the maxillary premolars are often located close to the maxillary sinus, and infections in these teeth can ea...[Read More] Understanding Tooth Pain and Its Connection to Headaches and Sinus Issues
Post-Apex Surgery Questions: Understanding Recovery and Care
Questions after apical surgery! Hello, Doctor: I previously asked you some questions, and I have now completed my apicoectomy! I have a few questions I would like to consult you about: 1. Today is the fourth day post-surgery, why is there still oozing blood from the wound? 2. ...
Dr. Liu Tiancai Reply:
Hello: 1. Bleeding on the fourth postoperative day indicates high pressure within the wound or inflammation. 2. The above phenomenon may be related to the connection between the dental root apex and the maxillary sinus. 3. Ice packs can be applied on the first postoperative day; ...[Read More] Post-Apex Surgery Questions: Understanding Recovery and Care
The Risks of Tooth Extraction: Understanding Sinus Complications
The risks of tooth extraction! I have seen online that tooth extraction can lead to sinusitis! Are the sinuses connected to the teeth? How could this happen? My dentist once told me that if the two are too close, the extraction could tear the "membrane" or even injure t...
Dr. Wang Cunzhen Reply:
Hello, Xiao Guo: What you mentioned is not an exaggeration at all, and it indeed has a high chance of occurring. This is because the maxillary sinuses are located very close to the roots of our upper teeth. It's similar to a neighbor downstairs hammering something into the c...[Read More] The Risks of Tooth Extraction: Understanding Sinus Complications
How to Correct Gaps and Misalignment in Teeth: Costs and Solutions
Please ask your question? Dear Doctor, I have gaps between my teeth and misalignment in my bite. My lower jaw is positioned more forward. What are the methods for correction, and what are the costs associated with each?
Dr. Liu Tiancai Reply:
Hello! The gap in the teeth refers to a space in the central incisors or a gap caused by missing teeth? A gap in the central incisors can indeed affect aesthetics, and orthodontic treatment is recommended. If the gap is due to missing teeth, then considering dentures for restorat...[Read More] How to Correct Gaps and Misalignment in Teeth: Costs and Solutions
Remedies for Failed Root Canal Treatment: What You Need to Know
Remedies for Failed Root Canal Treatment! Hello, Doctor: I underwent root canal treatment on my upper right fifth tooth between November 2002 and March 2003. The process took a long time because an X-ray revealed a dark shadow. Many doctors have diagnosed it, but there are variou...
Dr. Lin Qingye Reply:
Dear Xiao Qiao, 1. In the dental treatment process, X-rays serve as a reference. However, to make a diagnosis, additional assessments are necessary for further evaluation. 2. Since the root canal is located inside the tooth and cannot be directly observed with the naked eye, X-...[Read More] Remedies for Failed Root Canal Treatment: What You Need to Know
Complications After Wisdom Tooth Extraction: What You Need to Know
Aftermath of Wisdom Tooth Extraction~~ Hello, I had my wisdom teeth removed over a month ago, but on the fifth day after the extraction, I developed a purulent discharge and sinusitis. After evaluation, the doctor also found issues with my temporomandibular joint (TMJ). I would l...
Dr. Liu Tiancai Reply:
Hello! Generally speaking, when extracting maxillary molars (including wisdom teeth), one must be aware of the potential complication of maxillary sinusitis. The primary reason for this is that, in most cases, there is a bony structure separating the roots of the maxillary teeth ...[Read More] Complications After Wisdom Tooth Extraction: What You Need to Know
Understanding Oral Palate and Mucosal Issues: When to Seek Help
Issues related to the oral maxilla and mucosa? Hello, could you please tell me if the normal mucosa of the oral maxilla is smooth or rough? I have noticed that my oral maxilla has folds and seems to have slight bony protrusions. Additionally, when I check the mucosa of the oral m...
Dr. Wu Jinjun Reply:
Hello Cardigan: 1. It is normal for the mucosa of the upper jaw to have folds and an uneven surface. 2. It could be due to a viral infection or possibly blockage of the minor salivary gland ducts. 3. You may consult an oral diagnostic specialist or an oral surgeon. 4. It may be r...[Read More] Understanding Oral Palate and Mucosal Issues: When to Seek Help