Occlusion, Dentistry FAQ - Page 12

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Understanding Recent Dental Occlusion Issues While Speaking

Occlusal issues Doctor, I would like to ask: I didn't have any issues with my teeth colliding while speaking before, but recently my teeth have been colliding when I talk. What could be the problem?


Dr. Huang Zhicheng Reply:
Hello: You may have a temporomandibular joint (TMJ) disorder. The masticatory muscles are also related to articulation; when the occlusal muscles become fatigued, articulation can become uncoordinated, leading to dental collisions. It is advisable to consult a dentist to check fo...

[Read More] Understanding Recent Dental Occlusion Issues While Speaking


Can Your Front Teeth Tear Food After Dental Crowns?

Incisor closure I have crowns on my back molars, and after the procedure, my front teeth cannot close properly. The doctor said I can only use the back teeth to chew food. Is it possible for the front teeth to tear food?


Dr. Zhang Xiangyuan Reply:
Dear user, based on your description, it seems that after getting a crown on your molars, you are experiencing difficulty in closing your front teeth. I recommend that you consult your dentist for an evaluation of your occlusion. They can assess and compare the changes in your bi...

[Read More] Can Your Front Teeth Tear Food After Dental Crowns?


Understanding Tooth Sensitivity and Root Canal Treatment Options

Tooth sensitivity and root canal treatment? Hello, Doctor! I originally had a sensitivity issue with my front teeth, and it's a long story. On the night of November 25, I experienced hyponatremia and was admitted to the emergency room, then spent three days in the intensive ...


Dr. Zeng Guanghui Reply:
The lower front teeth may have been subjected to excessive force, affecting the periodontal ligaments and potentially impacting the dental pulp nerves within the teeth, leading to symptoms of tooth sensitivity. If the dental examination shows no cracks, as long as excessive occlu...

[Read More] Understanding Tooth Sensitivity and Root Canal Treatment Options


Understanding Hard Bone Swelling on Teeth: Causes and Treatments

The bone growth on the tooth is hard? Hello Dr. Tseng, I have a hard swelling in the bone above my upper right tooth. What could be the cause, and is it serious? What treatment options are available? Thank you.


Dr. Zeng Guanghui Reply:
The above situation is generally indicative of alveolar bone hyperplasia, which may be due to congenital factors or repeated stimuli over time. In severe cases, it could affect occlusion. It is recommended to consult an oral surgeon to evaluate whether surgical removal of the hyp...

[Read More] Understanding Hard Bone Swelling on Teeth: Causes and Treatments


Understanding Wisdom Tooth Pain After Dental Filling: Causes and Solutions

Wisdom tooth restoration? Doctor, a few days ago I went to the dentist, and the dentist said that my wisdom tooth had a cavity. After treating it, they filled it again, but after a day or two, I experienced significant pain when I bit down on the filled area. I returned for a fol...


Dr. Zhang Xiangyuan Reply:
Dear user, based on your description, it seems that your wisdom tooth has undergone filling and treatment for cavities. After the filling, you are experiencing occlusal pain. It is advisable to consult your dentist to check if an adjustment to your occlusion is necessary and to a...

[Read More] Understanding Wisdom Tooth Pain After Dental Filling: Causes and Solutions


Understanding Pain in Upper Left Molars: Causes and Solutions

Pain in the left posterior molar? Hello, doctor. I have pain in the occlusion of my upper left molars, but the noticeable pain is in the last molar. It doesn't hurt all the time; it comes and goes. Sometimes it happens when I just wake up, and other times it occurs after not...


Dr. Zeng Guanghui Reply:
The above situation is more likely indicative of a crack or fracture in the second molar. It is recommended to consult a dentist for further evaluation and treatment.

[Read More] Understanding Pain in Upper Left Molars: Causes and Solutions


Understanding Bite Issues After Jaw Surgery: What to Expect

Occlusal issues, inability to maintain a bite? Hello, doctor. I had orthognathic surgery due to a bite issue, and the occlusion was adjusted during the procedure. It has been three months post-surgery, and I am unable to bite through soft foods; I can only consume liquids. Althou...


Dr. Huang Zhicheng Reply:
Hello, prior to surgery, an assessment of the occlusion should be conducted. The current occlusal space should be evaluated once the surgical results have stabilized (you have been post-operative for 3 months and should be healed). Then, orthodontic treatment can be used to prope...

[Read More] Understanding Bite Issues After Jaw Surgery: What to Expect


How to Address Misaligned Teeth After a Head Injury

Shoulder pain? If something fell and hit your head, causing your mouth to appear misaligned and your teeth to be out of their normal arrangement, what should you do?


Dr. Huang Zhicheng Reply:
Hello, if your chin has suffered a heavy impact, you should see a dentist to check if the temporomandibular joint (TMJ) is injured or inflamed, which could lead to malocclusion. Medication or wearing a bite splint can help alleviate the symptoms. Wishing you safety and good healt...

[Read More] How to Address Misaligned Teeth After a Head Injury


Can Orthodontics Close Gaps and Reduce Need for Implants?

Orthodontic closure of edentulous spaces? Can orthodontic treatment close some gaps from missing teeth, such as the upper right canine OXOO, upper right canine XXOOOXXO, and lower left canine, as well as the lower right canine OOOX? If orthodontics can reduce the need for maxilla...


Dr. Zeng Guanghui Reply:
Please consult a dentist for further evaluation of the dental clinic planning. If there are no issues with malocclusion and there are simply spaces due to missing teeth, dental implants may be considered. However, if there are malocclusion issues, orthodontic treatment is recomme...

[Read More] Can Orthodontics Close Gaps and Reduce Need for Implants?


Can Root Canal Treatment Be Done After Crown Placement?

How is root canal treatment performed after getting a dental crown? If you have a missing molar and had three crowns placed, with the adjacent teeth not requiring root canal treatment at the time, but are now experiencing severe pain over a month later, there could be several pot...


Dr. Zeng Guanghui Reply:
The above situation may be due to inflammation around the braces or inflammation of the tooth nerve itself. If the nerve of the tooth is inflamed, a small hole can be made in the braces to perform a root canal treatment. Once the nerve has been removed and the root canal is thoro...

[Read More] Can Root Canal Treatment Be Done After Crown Placement?


Understanding Tooth Root Residue: Options for Dental Correction and Concerns

Root remnants Doctor, I have four molars that have cavities, causing my adjacent teeth to tilt forward over time, resulting in a slight indentation on my right cheek. I often bite my mouth, and my healing ability seems poor. My upper front teeth are slightly misaligned, leaning t...


Dr. Huang Zhicheng Reply:
Hello, I think it would be best for you to wear the occlusal splint for at least three months to allow the joint to relax. After ensuring there is no malocclusion and you are not frequently biting your cheeks, you can proceed with orthodontic treatment to align your teeth. If the...

[Read More] Understanding Tooth Root Residue: Options for Dental Correction and Concerns


Understanding Oral Cavity Lesions: Causes and Dental Concerns

Oral ulceration? Hello, I initially experienced a gritty sensation in the upper palate of my mouth, accompanied by a sore throat. After about a week, the gritty feeling and sore throat gradually improved, but I noticed a hole approximately 1 cm wide and 0.5 cm high on the inner g...


Dr. Zeng Guanghui Reply:
The above condition may indicate gingival inflammation and hyperplasia; it is recommended to consult a dentist for further evaluation and treatment.

[Read More] Understanding Oral Cavity Lesions: Causes and Dental Concerns


Understanding Pain While Chewing with New Dental Braces: Causes and Solutions

Experiencing sharp pain while chewing with new braces can make it difficult to eat? Dear Dr. Chang, It has been two months since I had my metal fixed orthodontic appliance (the second to last tooth on the lower right jaw) redone (old replaced with new). Since the day after the p...


Dr. Zhang Xiangyuan Reply:
Dear online user, based on your description, it is recommended that you consult with an orthodontist to examine your braces and the adjacent teeth for any abnormalities, and to determine if any additional treatment or intervention is necessary. It is also important to assess whet...

[Read More] Understanding Pain While Chewing with New Dental Braces: Causes and Solutions


Understanding Retained Baby Teeth: Causes and Treatment Options

Retained primary teeth? Doctor, I would like to ask: I have not lost my primary incisors, and there are no permanent teeth below them. They have been painful and have required ongoing treatment for a long time. In March of this year, I had the teeth extracted, leaving a gap. What...


Dr. Zhang Xiangyuan Reply:
Dear netizen, based on your description, there is no permanent tooth present below the extracted primary incisor. For the vacant space, it is recommended that you consult a dentist for an evaluation. Depending on the actual conditions (size of the gap, alignment of the teeth, occ...

[Read More] Understanding Retained Baby Teeth: Causes and Treatment Options


8 Years in Braces: Addressing Dental Space Issues and Concerns

I have been wearing braces for 8 years? Hello, I got braces in my second year of junior high (now I'm in my third year of college). At that time, I had two extra teeth extracted. Last year, the doctor said there wasn't enough space in my upper teeth and recommended extr...


Dr. Zeng Guanghui Reply:
Due to insufficient space for tooth alignment, it is generally necessary to extract four premolars (two from the upper jaw and two from the lower jaw) to achieve proper alignment. If there are impacted wisdom teeth, they should also be extracted. After that, orthodontic brackets ...

[Read More] 8 Years in Braces: Addressing Dental Space Issues and Concerns


Can I Avoid Extracting Healthy Teeth During Orthodontic Treatment?

Orthodontics Hello, Doctor. I would like to ask about my current orthodontic treatment. I have a fixed appliance on my upper teeth, but the lower teeth have not been treated yet. My doctor mentioned that I need to extract two premolars, but I would prefer to remove a decayed seco...


Dr. Zhang Xiangyuan Reply:
Dear netizen, Based on your description, you are considering tooth extraction due to orthodontic treatment. The decision to extract a premolar or a decayed second molar should be based on the overall occlusion and the impact on the treatment plan. It is recommended that you dis...

[Read More] Can I Avoid Extracting Healthy Teeth During Orthodontic Treatment?


Is It Too Late for Braces at 16? Understanding Dental Correction Timing

About orthodontics? Hello, doctor. I would like to ask you a question. I am 16 years old and have been wanting to get braces to straighten my teeth. I feel that my front teeth are quite large, and I think it affects my appearance a bit; I feel like I have a slight overbite, but i...


Dr. Zeng Guanghui Reply:
At 16 years old, with prominent front teeth and a slight overbite, it is advisable to consult an orthodontist for further evaluation to determine if orthodontic treatment is appropriate. If the upper and lower jawbones are still in the growth and development phase, different type...

[Read More] Is It Too Late for Braces at 16? Understanding Dental Correction Timing


Understanding Dental Crowns: Longevity and Durability Concerns

Denture issues I am currently undergoing dental restoration, and the outer layer is made of ceramic. During the try-in, I found that the three restored teeth are too low, so the dentist took them back to the lab to add an additional layer. Can this dental prosthesis be secure, an...


Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, your dentures are currently temporarily bonded. During the fitting process, if any abnormalities are detected, the dentist can make adjustments or send them back to the dental lab for repairs. Areas with insufficient occlusion will b...

[Read More] Understanding Dental Crowns: Longevity and Durability Concerns


Understanding Retruded Chin: Causes, Concerns, and Treatment Options

Retreating chin Hello, Doctor: I recently noticed that my chin seems to be receding more than before, making my face look somewhat like a fish's head. Should I see a dentist, a temporomandibular joint (TMJ) specialist, or a plastic surgeon? Additionally, I have a slight over...


Dr. Huang Zhicheng Reply:
Hello, based on your description, it seems that there is insufficient development of the mandible, resulting in a Class II malocclusion, which may cause anterior displacement of the articular disc. This can lead to clicking sounds when opening and closing the mouth due to frictio...

[Read More] Understanding Retruded Chin: Causes, Concerns, and Treatment Options


Persistent Pain After Root Canal and Crown: What Are Your Options?

After root canal treatment, the placement of a crown may still result in discomfort or pain? Two years ago, I suddenly experienced severe pain in my lateral incisor. I underwent root canal treatment and had a dental crown placed (all-ceramic), but after the crown was placed, I st...


Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, it seems that the tooth which underwent root canal treatment two years ago is still experiencing pain and symptoms. It is advisable for you to consult the treating dentist to evaluate whether a retreatment or other interventions are ...

[Read More] Persistent Pain After Root Canal and Crown: What Are Your Options?


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