Missing teeth, Dentistry FAQ

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Is Bridge Implantation a Viable Option for Multiple Missing Teeth?

Is "bridge-type dental implants" (implant + natural teeth for bridge construction) a viable option for patients with multiple missing teeth? I am missing two molars on the right side of my posterior teeth. Currently, I am relying on my wisdom tooth and the adjacent prem...


Dr. Lin Jiayong Reply:
Hello: If the treating physician has examined your oral condition and believes that using dental implants as abutments is not appropriate, it is advisable not to consider this option further. You should carefully use the currently well-functioning dental bridge for now, and if it...

[Read More] Is Bridge Implantation a Viable Option for Multiple Missing Teeth?


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 You Get Fixed Dentures with Missing Upper Molars?

Can fixed dentures be made for patients with missing teeth in the three dental specialties? Condition: In the upper right quadrant, there is a missing second premolar, first molar, and second molar, with a wisdom tooth present. Based on current practices, is it possible to create...


Dr. Zeng Guanghui Reply:
Hello Mr. NGC: If there is sufficient bone volume in the jawbone (referring to the height and thickness of the alveolar bone), dental implants should be considered. This is because if the gap in the dental bridge is greater than three missing teeth, the excessive span can have a ...

[Read More] Can You Get Fixed Dentures with Missing Upper Molars?


Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues

Tooth extraction followed by dental implant surgery with bone grafting, upper teeth stabilization, nighttime bruxism issues, and wearing retainers? Due to a recent issue with a cracked lower left molar, I experienced some discomfort while biting. A CT scan and X-ray revealed a sh...


Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to consult with your physician to see if there is a need to adjust the type or thickness of the wire. 2/3. It is essential to be cautious not to leave the area of the bone graft (PRF) unsupported and to avoid excessive pressure on the device, as this m...

[Read More] Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues


Can I Get Dental Bridges with Swollen Gums and Mouth After Grinding?

Can a dental crown be placed if there are large gum wounds or swelling due to teeth grinding? I have missing teeth in front of my lower left second molar, and the doctor suggested that I get a dental bridge, which means using the two healthy teeth on either side to support two ar...


Dr. Zeng Guanghui Reply:
If you experience swollen and painful gums after tooth grinding, it is recommended to return for a follow-up appointment and have your dentist conduct an examination and treatment. Only after the gums have reduced swelling and inflammation should a dental bridge be placed. Dr. Ts...

[Read More] Can I Get Dental Bridges with Swollen Gums and Mouth After Grinding?


Implants vs. Bridges: Which Dental Solution is Right for You?

Dental implants or dental bridges? Hello, Doctor: I have had two missing molars on the lower left for over fifteen years. My alveolar bone has become quite thin and slightly low, and my wisdom tooth is a bit tilted but healthy. As a result, the opposing upper tooth has slightly d...


Dr. Zeng Guanghui Reply:
1. If the wisdom tooth is to be used as a support for a dental bridge, it should not be excessively tilted; otherwise, the dental bridge will be difficult to clean in the long term, and the occlusal forces may lead to bone loss around the tilted wisdom tooth. If one insists on us...

[Read More] Implants vs. Bridges: Which Dental Solution is Right for You?


Choosing Between Dental Bridges and Implants: Cost-Effective Solutions

Issues with Dental Bridges and Implants Hello, Doctor. I have been experiencing periodontal disease, which has led to inflammation and the extraction of two teeth. Initially, I planned to use the two healthy teeth on the left side and one tooth on the right side (the outermost to...


Dr. Zeng Guanghui Reply:
If the outer tooth is not severely affected by periodontal disease, first try to have a dentist treat it to see if it can be preserved for a traditional dental bridge. If it cannot be saved and needs to be extracted, it will result in three missing teeth. You can ask the dentist ...

[Read More] Choosing Between Dental Bridges and Implants: Cost-Effective Solutions


Managing Tooth Loss During Periodontal Disease Treatment: Key Considerations

During the treatment of periodontal disease, the issue of tooth loss after extraction? Hello, Doctor. I have a few questions: I am 59 years old and undergoing integrated periodontal care at a regional hospital due to severe periodontal disease. Last week, I had subgingival scalin...


Dr. Zeng Guanghui Reply:
1. If there is a gap from missing teeth or opposing teeth for six months to a year before periodontal treatment, it may cause the edentulous area to tilt. 2. When the periodontal condition is relatively stable, consideration can be given to placing a temporary denture. 3. It is m...

[Read More] Managing Tooth Loss During Periodontal Disease Treatment: Key Considerations


Managing Tongue Discomfort After Dental Bridge Placement: Solutions and Tips

Friction between the tongue and teeth? I have had a missing left lower molar for many years and recently had a bridge made using the canine teeth (total of 3 teeth). However, my tongue has been constantly rubbing against it, causing redness, swelling, pain, and even sores, which ...


Dr. Zeng Guanghui Reply:
If the gap from missing teeth remains for too long, the tongue may start to move outward. Once fixed dentures are placed, the tongue may initially feel restricted and may rub against the dentures, requiring some time to adapt. However, if the issue of tongue friction persists aft...

[Read More] Managing Tongue Discomfort After Dental Bridge Placement: Solutions and Tips


Can You Get Removable Dentures If You’re Missing Upper Teeth?

Hello, Doctor? If there are missing upper teeth, is it necessary to use removable dentures instead of fixed prosthetics?


Dr. Lin Jiayong Reply:
Hello: The quality of dentures is not inherently good or bad, as both fixed and removable dentures need to be determined based on the conditions in your mouth (such as the number of missing teeth, the height and thickness of the alveolar bone, the thickness of the gums, oral hygi...

[Read More] Can You Get Removable Dentures If You’re Missing Upper Teeth?


Why Does My Gums Hurt After Tooth Extraction Without Nerves?

Why does the gums still hurt after the tooth root has been extracted? Hello Doctor: Due to a long-standing fear of dentists, I have developed issues with my upper teeth, resulting in either missing teeth or untreated cavities, which have led to the need for tooth extractions. I a...


Dr. Lin Jiayong Reply:
Hello: The gums themselves are also innervated, so they can still experience pain. Additionally, since there is a significant treatment plan ahead, if you have any questions, you can communicate in detail with your original physician. You may also seek a second or third opinion a...

[Read More] Why Does My Gums Hurt After Tooth Extraction Without Nerves?


Understanding Molars Cavities: Extraction vs. Filling Options

Molars cavities Hello, I would like to ask the doctor a question. Today, I went to a clinic near my home for a dental cleaning and X-rays. The dentist mentioned that I need to have my molar extracted due to decay to prevent it from affecting other teeth. I have previously been ad...


Dr. Lin Jiayong Reply:
Hello: The physician may suggest extracting the molars to allow the wisdom teeth to emerge and replace the missing teeth. However, orthodontic treatment may still be necessary to position the teeth appropriately. It is advisable to have a detailed discussion with the physician be...

[Read More] Understanding Molars Cavities: Extraction vs. Filling Options


Understanding the Height of Temporary Dentures: Key Insights for Patients

The height of a temporary denture refers to its vertical dimension or how tall the denture is when placed in the mouth. This measurement is crucial for Hello Dr. Lin, I am having a temporary crown placed on my upper left molar. During the procedure, the dentist asked me if it fel...


Dr. Lin Jiayong Reply:
Hello: Ideally, there should be occlusal contacts on both sides of the teeth, with three occlusal contacts on each tooth. However, adjustments may be necessary based on the patient's individual dental alignment, presence of missing teeth, occlusal habits, and other factors. ...

[Read More] Understanding the Height of Temporary Dentures: Key Insights for Patients


Can Invisalign Help Fill the Gap for Missing Teeth?

Can Invisalign be used to replace missing teeth? Hello, doctor. I previously had a dental examination where X-rays showed that my upper left canine is still a baby tooth and has a deep cavity. Although it was treated before, the inside is black. Additionally, I have an impacted t...


Dr. Lin Jiayong Reply:
Hello: If it involves moving an impacted tooth over a longer distance, it may be quite difficult to achieve the desired results solely with Invisalign. It is recommended to confirm with an orthodontist before making a decision. Sincerely, Lin Chia-Yung, Department of Dentistry, T...

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Is It Safe to Extract a Second Molar Instead of Wisdom Teeth?

Extraction of wisdom teeth turned into extraction of the second molar? Today, I went to have my wisdom teeth removed, and the doctor told me that I could also have my second molar extracted without any significant impact. Since the doctor has more experience, I went ahead with th...


Dr. Lin Jiayong Reply:
Hello: As you mentioned, it may be necessary to see the actual condition to determine if there is any impact, including function, occlusion, aesthetics, and so on. Prior to tooth extraction, there should have been a signed consent form and an explanation of the condition. It is r...

[Read More] Is It Safe to Extract a Second Molar Instead of Wisdom Teeth?


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


Managing Multiple Missing Front Teeth: Options and Considerations

Four upper front teeth are missing at once? I am currently preparing for a second root canal treatment, as the fillings from many years ago are extensive, and I am concerned about the viability of my teeth. If I have two missing front teeth on both the left and right sides of my ...


Dr. Lin Jiayong Reply:
Hello: 1. You have already prepared for two root canal treatments, so please maintain confidence and optimism for a successful outcome. If it unfortunately fails and extraction becomes necessary, we will need to assess the healing condition of the site before discussing treatment...

[Read More] Managing Multiple Missing Front Teeth: Options and Considerations


Understanding TMJ Disorders: Treatment Options Before Orthodontics

Temporomandibular joint disorder (TMJ disorder) Hello Doctor, I have a temporomandibular joint (TMJ) disorder with audible sounds, and I can only fit three fingers in my mouth. This has been an issue for over ten years, starting after a cold during college. I have a need for orth...


Dr. Huang Tingfang Reply:
Dear Mr. Zhang, Hello! Essentially, any movement during an X-ray can affect the clarity of the image, which in turn can impact the diagnosis. It is important to ensure the stability of the temporomandibular joint before proceeding with any corrections. Wishing you all the best! ...

[Read More] Understanding TMJ Disorders: Treatment Options Before Orthodontics


Choosing Between Dental Implants and Dentures: A Patient's Dilemma

Dental issues consultation? Hello Doctor: Before I turned 20, I had my lower left molars (possibly wisdom teeth) extracted due to deep cavities. On the right side, I also had one upper and one lower molar extracted because the cavities were too deep to save. Around the age of 20,...


Dr. Zeng Guanghui Reply:
Hello, Dr. Kuo Chao-Ju: To maintain periodontal health, the most important factors are patient and thorough brushing, as well as the use of interdental brushes or dental floss. If there are sensitivity issues with teeth that have exposed roots, it is advisable to return for an ev...

[Read More] Choosing Between Dental Implants and Dentures: A Patient's Dilemma


Affordable Dental Solutions for Long-Term Tooth Issues

Long-term dental issues can be a source of frustration? Hello Dr. Tseng, I have the following question: My teeth have deteriorated due to lack of care, resulting in issues with all four corners of my molars, including missing teeth and root canals. After researching, I found that...


Dr. Zeng Guanghui Reply:
Hello Jeff: If there are missing teeth or if a tooth has undergone root canal treatment, gaps in the dental arch can be filled using removable dentures, dental bridges, or dental implants. Removable dentures are more economical, but they do not provide as much biting force. They ...

[Read More] Affordable Dental Solutions for Long-Term Tooth Issues


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