Understanding Dental Pain: Insights on Silver Fillings and Treatment Options
Inquiry Consultation Dear Dr. Lin, Thank you very much for your personal responses and guidance in the articles "<a href='https://adoctor.tw/article/179496'>#179496 Follow-up Questions</a>" and "<a href='https://adoctor.tw/article/179...
Dr. Lin Jiayong Reply:
Hello: Q1: This still requires clinical observation and X-rays for confirmation; a diagnosis cannot be made arbitrarily. Q2: If there are fixed or removable dentures in the mouth, the internal crowns may also contain metal components, not just dental filling materials. Typica...[Read More] Understanding Dental Pain: Insights on Silver Fillings and Treatment Options
Understanding Tooth Sensitivity After Cavity Filling: Causes and Solutions
Tooth decay filling occlusal pain? Hello, doctor. About a year ago, after getting a cavity filled in December, I have been experiencing pain when biting food. I consulted a doctor who said it was an occlusion issue and helped me grind down my teeth a bit. After three months, ther...
Dr. Lin Jiayong Reply:
Hello: If there was pain before the filling, it may be necessary to consider the possibility of pulpitis. If there was no pain prior to the filling and pain occurred afterwards, it is advisable to use a different material for the filling to rule out any allergic or sensitivity re...[Read More] Understanding Tooth Sensitivity After Cavity Filling: Causes and Solutions
Understanding Jaw Alignment Issues During Orthodontic Treatment
When the mouth is relaxed, it feels uneven compared to when it is clenched tightly? I would like to consult a doctor. I am currently undergoing orthodontic treatment and have noticed that my dental midline is different when I clench my teeth compared to when my mouth is relaxed. ...
Dr. Lin Jiayong Reply:
Hello: If you are still in the orthodontic treatment period, it is essential to inform your orthodontist of all concerns. While not all issues may be resolved through orthodontics, they are related to the final treatment outcome and overall satisfaction to some extent. Additional...[Read More] Understanding Jaw Alignment Issues During Orthodontic Treatment
Understanding Tooth Pain: Causes and Solutions for Discomfort
Toothache I have been experiencing discomfort in my lower teeth for a month now. I have visited three clinics, and they all said it was just inflammation and did not see any cavities. They prescribed painkillers and advised me to avoid hard foods, which I have been following, but...
Dr. Lin Jiayong Reply:
Hello: From both local and systemic perspectives. Common local issues that may cause discomfort in the teeth include dental caries, gingivitis, and periodontal disease. However, if X-rays have been taken and no problems were found, then it is important to consider systemic issues...[Read More] Understanding Tooth Pain: Causes and Solutions for Discomfort
Understanding Apex Cysts: When to Monitor or Consider Surgery
Apical cyst Hello, doctor. Recently, I have been experiencing mild discomfort and sensitivity in my lower front teeth, so I visited a dental clinic. The dentist performed X-rays, pulp vitality tests, and a CT scan, which revealed a cyst between my lower front teeth. The electric ...
Dr. Lin Jiayong Reply:
Hello: The greatest risk of surgery is the potential loss of teeth that have developed on the cyst. If the physician assesses that observation is advisable, then surgery should not be hastily performed. Otherwise, the loss of lower front teeth would require extensive reconstructi...[Read More] Understanding Apex Cysts: When to Monitor or Consider Surgery
Should You Remove Your Upper Wisdom Tooth? Dental Crown Concerns Explained
Whether to extract wisdom teeth in relation to opposing teeth and issues after crown procedures? Hello Doctor, I am a 22-year-old college student. I have only had my lower left wisdom tooth extracted, and the upper left one has not been removed yet. After several consultations, i...
Dr. Lin Jiayong Reply:
Hello, if the upper left wisdom tooth currently shows no signs of disease, it is advisable to simply observe it. If there are no indications for extraction or surgery, invasive or irreversible treatments should be avoided. Additionally, if the tooth is erupting at a normal angle,...[Read More] Should You Remove Your Upper Wisdom Tooth? Dental Crown Concerns Explained
Dealing with Dental Implants: What to Do When Natural Teeth Fail
Natural teeth erupt after dental implants? After implanting one artificial root on the right side and two artificial roots on the left side of the lower jaw, and before the second surgery, the natural teeth in the front of the lower jaw have erupted. The doctor has recommended or...
Dr. Zeng Guanghui Reply:
To determine the cause of the eruption of the lower anterior teeth, it is necessary to assess whether it is due to periodontal disease or malocclusion. If it is periodontal disease, periodontal treatment should be undertaken. If it is due to pre-existing malocclusion, orthodontic...[Read More] Dealing with Dental Implants: What to Do When Natural Teeth Fail
Can I Still Use Autogenous Wisdom Tooth Transplant After 6 Years?
The upper left first molar was extracted about 6 years ago. Is it still possible to use an autogenous tooth transplant? Hello, doctor. About six years ago, my upper left first molar was extracted because it cracked due to biting on something hard. At that time, the dentists mostl...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have a detailed discussion with an oral surgeon, as it is necessary to consider not only the complete extraction of the lower left wisdom tooth but also the successful completion of root canal treatment for that tooth. Additionally, the size, shape, an...[Read More] Can I Still Use Autogenous Wisdom Tooth Transplant After 6 Years?
Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Tooth friction in the oral cavity? Due to malocclusion, one of the lower teeth is protruding outward and constantly rubbing against the inner side of the lower lip, causing the mucosa in that area to feel rough when licked by the tongue. I would like to know what potential risks ...
Dr. Zeng Guanghui Reply:
Repeated damage to the mucosa of the lower lip can easily lead to the formation of fibromas over time. It is advisable to consult a dentist to address any protruding teeth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Addressing Oral Discomfort from Misaligned Teeth: Risks and Solutions
Solutions for Loose Dentures: What to Do When They Don't Fit Right
The denture has been reattached but the occlusion is not tight? Due to the tooth extraction, the adjacent dental crown came off. After removing the cotton and returning home, I realized that the bite is not tight and feels awkward. This morning, I visited a nearby dental clinic t...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first return to the original dental clinic to confirm, as previous X-rays can help determine if the dental crown is loose or if there have been any changes in occlusion. Additionally, if it is necessary to remove the dental crown, it is advisable to wa...[Read More] Solutions for Loose Dentures: What to Do When They Don't Fit Right
Impacts of Missing Molars: Should You Consider Dental Implants?
Molar tooth loss Today, I had my upper second molar extracted. After consulting with the dentist about whether I need an implant, the dentist said it wasn't necessary. However, I started to wonder if not replacing the missing tooth would affect the occlusion with my lower te...
Dr. Lin Jiayong Reply:
Hello: If the lower teeth are in contact with the upper first molar, they will not move upward anymore. There are reasons for tooth extraction, so it is important to trace back to the underlying cause of why you need to have a tooth extracted. Additionally, not every problematic ...[Read More] Impacts of Missing Molars: Should You Consider Dental Implants?
Misaligned Teeth and Oral Health: Do You Need Orthodontic Treatment?
Malocclusion causing oral friction? I would like to consult a doctor. My lower teeth are misaligned, and they repeatedly rub against certain areas on the back of my lower lip, causing the mucosa in those areas to become rough (which I can feel very clearly with my tongue). I rece...
Dr. Lin Jiayong Reply:
Hello: Considering that you are still very young, it is indeed recommended to undergo orthodontic treatment to align your teeth into a straight and even position. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] Misaligned Teeth and Oral Health: Do You Need Orthodontic Treatment?
Understanding Gum Issues with New Dentures: Causes and Solutions
New dentures with gingival sulcus bruising? The location is the lower right second molar (periodontal health before treatment). After the initial placement of the prosthesis, there was discomfort in occlusion, leading to metal exposure and an unusual bite. Approximately three mon...
Dr. Zeng Guanghui Reply:
The gums feeling painful and inflamed after getting braces may be due to inadequate cleaning, an issue with the bite, or the edges of the braces pressing against the gums. It is advisable to return to the dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentist...[Read More] Understanding Gum Issues with New Dentures: Causes and Solutions
Understanding Dental Pain in Elderly: Dentures vs. Gum Issues
Elderly patients experiencing tooth pain may be uncertain whether the issue is related to their removable dentures or gum problems? Hello Dr. Tseng, my father is 84 years old and has a history of diabetes. Last August, he had two teeth extracted and received a full upper denture,...
Dr. Zeng Guanghui Reply:
If you feel discomfort after getting dentures, it may be due to pressure points caused by the dentures themselves, or poor conditions of the gums, such as severe gum atrophy, which can lead to instability of the dentures and make them prone to dislodging. It is advisable to seek ...[Read More] Understanding Dental Pain in Elderly: Dentures vs. Gum Issues
Impact of Uneven Tooth Grinding on Bite Function and Dental Health
Malocclusion If a dentist has reduced the size of a filled molar significantly, and has also reduced the size of other molars, resulting in an uneven bite where one side is not making proper contact while the other side is tightly occluded, will the chewing ability of the teeth b...
Dr. Lin Jiayong Reply:
Hello: In most cases, it is necessary for both sides to have an even occlusion; otherwise, prolonged unilateral occlusion can lead to joint inflammation or wear. It is advisable to return to the original clinic to consult with the dentist regarding any follow-up treatment plans (...[Read More] Impact of Uneven Tooth Grinding on Bite Function and Dental Health
Should I Extract My Upper Right 2nd Molar for Wisdom Tooth Growth?
Upper right seventh tooth, second molar? I would like to ask about my upper right seventh tooth, which has severe decay due to being misaligned and difficult to clean. I underwent root canal treatment about a year ago, and now only about one-third of the tooth remains. The dentis...
Dr. Lin Jiayong Reply:
Hello: If the physician believes there is a risk of infection and the tooth is severely damaged, it is recommended to extract tooth number 7. As for whether the wisdom tooth can be moved forward to replace the extracted tooth's position, it is best to consult with an orthodo...[Read More] Should I Extract My Upper Right 2nd Molar for Wisdom Tooth Growth?
Understanding Dental Filling Materials: Nanocomposite vs. Traditional Resin
Questions about dental filling materials? Hello Doctor: My second molar has been diagnosed with resin aging and some softening, which may indicate a cavity, so it needs to be refilled. The dental clinic I visited suggested that I pay out of pocket for a filling using nanohybrid r...
Dr. Lin Jiayong Reply:
Hello: Different dental filling materials have various indications, including tooth morphology, occlusion status, local and systemic diseases, aesthetics, and economic considerations. It is recommended to follow the advice of your treating physician, as they can assess your oral ...[Read More] Understanding Dental Filling Materials: Nanocomposite vs. Traditional Resin
TMJ Issues and Orthodontics: Can You Proceed with Braces?
Temporomandibular joint issues and orthodontics? Hello, I recently visited a clinic for a consultation regarding orthodontic treatment. However, the orthodontist mentioned that my temporomandibular joint (TMJ) issues are causing my bite to vary with each occlusion. They recommend...
Dr. Lin Jiayong Reply:
Hello, it is recommended to consult a medical center that has both "oral surgery" and "orthodontics." It is advisable to receive treatment at the same medical center to facilitate any potential involvement of an oral surgeon during the orthodontic treatment pr...[Read More] TMJ Issues and Orthodontics: Can You Proceed with Braces?
Can Wisdom Teeth Replace Problematic Molars? A Dental Dilemma
Impacted wisdom teeth can lead to inflammation of the gums around the second molars? The doctor mentioned that there is a high probability that the wisdom tooth will not erupt, which has led to inflammation of the gums around my lower left second molar. Therefore, the doctor reco...
Dr. Lin Jiayong Reply:
Hello, It is advisable to discuss with an orthodontist first. Sometimes, the position of the wisdom teeth is very deep, and even if the second molar is extracted, it may not be easy to bring the wisdom teeth out. Additionally, the shape of the wisdom teeth may not necessarily m...[Read More] Can Wisdom Teeth Replace Problematic Molars? A Dental Dilemma
Can Wisdom Teeth Replace Severely Decayed Molars?
Wisdom tooth filling for the second molar? Hello, doctor. Previously, I had severe cavities in the second molars on both sides of my upper jaw, and I underwent root canal treatment for them. Recently, I noticed that my wisdom teeth have started to emerge, with a part of them alre...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first schedule an appointment with a general dentist. Even if the cavity is extracted to create space, there is no guarantee that the wisdom tooth will erupt in the desired position (and if it does, it will require a significant amount of time and mone...[Read More] Can Wisdom Teeth Replace Severely Decayed Molars?