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
Understanding Tooth Issues After Wisdom Tooth Extraction
Tooth issues: molars? Hello Dr. Lin! I recently had my upper right and lower right wisdom teeth extracted in March, and now I feel like my upper right first molar is too high when I bite down, as if something is pressing against my teeth. When I had the stitches from the lower wi...
Dr. Lin Jiayong Reply:
Hello: Based on what you described, "I have been eating with my left side and then shifting to the right," it seems that there are two or more centric occlusions, leading to instability and imbalance on both sides. Some individuals may experience symptoms such as cheek ...[Read More] Understanding Tooth Issues After Wisdom Tooth Extraction
Alternative Solutions for Front Tooth Repair Beyond Resin Fillings
Incisal restoration issues? Good afternoon, Doctor. I would like to ask the following question: My upper front tooth (tooth #11) sustained a chip due to a sports injury 20 years ago. At that time, the dentist assessed that it did not require a dental implant or crown, so they fil...
Dr. Lin Jiayong Reply:
Hello: It is possible that changes in occlusion over the past 20 years have caused the resin used for the lower jaw restoration to no longer withstand the occlusal forces. If the teeth are still deemed viable upon evaluation, root canal treatment (due to a previous injury) can be...[Read More] Alternative Solutions for Front Tooth Repair Beyond Resin Fillings
Will My Face Shape Change If My Wisdom Tooth Grows Forward?
The second molar has decayed, leaving only the tooth root? Hello doctor, I would like to ask if the extraction of the lower left second molar, along with the presence of an already partially erupted wisdom tooth, will affect the shape of my face and mouth if the wisdom tooth cont...
Dr. Lin Jiayong Reply:
Hello: A single crooked tooth may not affect the facial shape or mouth shape, but it can impact occlusion and even the temporomandibular joint. It is advisable to consult an orthodontist to determine if it can be repositioned to replace the second molar![Read More] Will My Face Shape Change If My Wisdom Tooth Grows Forward?
Temporary Dental Crowns and Misalignment: Is Midline Separation a Solution?
Temporary dental crown, malocclusion? Hello, doctor. Recently, I went to a dental clinic for dental implants, and the dentist created a temporary dental bridge with 10 units connected together, which has led to temporomandibular joint disorder (TMJ). Other dentists have suggested...
Dr. Lin Jiayong Reply:
Hello: It can be tried, after all, it is a temporary dental crown. It is necessary to test it until the occlusion feels smoother before replacing it with a permanent tooth.[Read More] Temporary Dental Crowns and Misalignment: Is Midline Separation a Solution?
Is It Normal to See Implant Screw Shadows on Dental Crowns?
Is it normal for the surface of the implant screw to be visible on the dental crown? Last November, I completed the installation of three dental crowns for the lower left posterior area. However, I have repeatedly experienced issues with occlusion, leading to multiple adjustments...
Dr. Zeng Guanghui Reply:
Hello Ms. He: It is likely that the absorption of the hard tissue around the implant has led to the exposure of the implant screw. It is recommended to return for a follow-up appointment with the implant dentist for an examination and to assess whether a regenerative surgery for ...[Read More] Is It Normal to See Implant Screw Shadows on Dental Crowns?
Is It Normal to Feel Pain After Getting a Fixed Dental Crown?
It is normal to experience some discomfort or pain when biting down after getting a fixed dental prosthesis, such as a crown or bridge, especially if it was recently placed. This can be due to several factors, including adjustment of the bite, inflammation of the surrounding gums...
Dr. Zeng Guanghui Reply:
If you experience pain when biting after getting fixed dentures, it is advisable to return for an examination to check if it is due to high occlusion or inflammation at the gum margins of the dentures. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Is It Normal to Feel Pain After Getting a Fixed Dental Crown?
Can Wisdom Teeth Undergo Root Canal Treatment? Expert Insights Explained
Can wisdom teeth undergo root canal treatment? Hello Doctor: I previously had treatment for my upper right wisdom tooth due to cavities, but it has started to hurt again recently. I visited two clinics, and both said that it can only be extracted. Is it true that a wisdom tooth c...
Dr. Lin Jiayong Reply:
Hello: If both dentists have examined the case and recommended extraction, the chances of successful root canal treatment are likely very low. If you really do not want to have it extracted and wish to seek a third opinion, it is advisable to visit a medical center, where it may ...[Read More] Can Wisdom Teeth Undergo Root Canal Treatment? Expert Insights Explained
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
Are Healthy Teeth Sacrificed for Dental Bridges? Expert Insights
Healthy teeth are sacrificed? A dental bridge requires the reduction of adjacent healthy teeth to support the prosthetic tooth when one tooth is missing. If the adjacent teeth are healthy, with no cavities, periodontal disease, or gingival inflammation, and after the reduction, o...
Dr. Zeng Guanghui Reply:
If the teeth feel slightly loose when biting together after grinding, it may be due to the treated teeth being more sensitive to hot and cold. Additionally, before the dental bridge is placed, the ground teeth are in occlusion without the protection of a crown. If the discomfort ...[Read More] Are Healthy Teeth Sacrificed for Dental Bridges? Expert Insights
Understanding Dental Crown Issues: Loose Teeth and Bite Pain After Treatment
Teeth are slightly worn and have minor mobility; there is mild discomfort when biting with braces? Hello, Doctor. About three years ago, I had a cavity in my upper right first molar, which underwent root canal treatment and was filled. Recently, the crown cracked, and my dentist ...
Dr. Zeng Guanghui Reply:
If there is soreness during the occlusion process from the canine to the first molar bridge, it is advisable to check whether the adhesive is properly bonded and to assess if the occlusion is too high. It is recommended to return for a follow-up appointment for further examinatio...[Read More] Understanding Dental Crown Issues: Loose Teeth and Bite Pain After Treatment
Addressing Dental Concerns: Polishing, Wear, and Enamel Safety
Inquiry Consultation Dr. Chiu, Hello: I have noticed that part of the incisal edge of my right central incisor feels rough to the touch. I would like to ask you: Q1. In your opinion, can I visit a dentist to "polish (not directly grind)" the rough areas of the incis...
Dr. Qiu Qiongyao Reply:
Hello, regarding your inquiry, here are the responses: 1. Polishing is possible, but if the area is too large, it may shorten. 2. Not necessarily. Please seek evaluation at the outpatient clinic. 3. It depends on the depth; please have it assessed at the outpatient clinic. Hualie...[Read More] Addressing Dental Concerns: Polishing, Wear, and Enamel Safety
Do You Need a Crown After Root Canal Treatment? Understanding Risks and Recommendations
Root canal treatment Hello, Doctor. About a year ago, I had a dental examination and discovered that one of my lower front teeth had developed a pus pocket due to nerve damage from an impact during my high school years. However, the tooth itself is intact. Based on the recommenda...
Dr. Lin Jiayong Reply:
Hello: If a dentist assesses that the structure of the tooth is still strong and intact, a tooth that has undergone root canal treatment does not necessarily require a crown. It is advisable to continue monitoring the situation! If a crown is needed later, it can be done at that ...[Read More] Do You Need a Crown After Root Canal Treatment? Understanding Risks and Recommendations
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
Understanding Rough Edges on Your Front Teeth: Expert Answers to Common Concerns
Inquiry Consultation Dear Dr. Tseng, I have some questions regarding my upper right central incisor and upper right lateral incisor. Although the incisal edges appear smooth and without any visible chips, they feel rough to the touch. Here are my questions: Q1. Does the rough a...
Dr. Zeng Guanghui Reply:
1. It is normal for the incisal edges of the upper incisors to be uneven; however, prolonged occlusal wear may cause them to become flat. 2. If the incisal edges of the upper incisors become thin due to long-term occlusal wear, they are more susceptible to fracture when biting ha...[Read More] Understanding Rough Edges on Your Front Teeth: Expert Answers to Common Concerns
Understanding Tooth Wear: Should You File Down Sharp Cusps?
Regarding tooth grinding? Dear Dr. Lin, Hello. I have a question regarding my upper right second molar. Among its four cusps, the outermost cusp is more prominent and sharper, while the four cusps of the same tooth on the upper left side are relatively flat and not very sharp. ...
Dr. Lin Jiayong Reply:
Hello: 1. Considering your age, it is more likely that the uneven occlusion on both sides is caused by factors rather than being a congenital asymmetry. 2. It is advisable not to arbitrarily grind down your teeth if you are not experiencing any discomfort at the moment.[Read More] Understanding Tooth Wear: Should You File Down Sharp Cusps?
Is It Normal for Dentures to Struggle with Chewing Even Noodles?
Is it normal for a complete denture to make it difficult to bite through even a piece of thread? Recently, my father just received his removable complete dentures about 10 days ago. After putting them in, he can't even bite through a piece of white bread with his front teeth...
Dr. Zeng Guanghui Reply:
If the height and width of the edentulous ridge are insufficient, or if the ridge has severely atrophied, the stability of complete dentures may be compromised. When wearing the dentures, they may shift during eating, making it difficult to chew properly. It is recommended to ret...[Read More] Is It Normal for Dentures to Struggle with Chewing Even Noodles?