Occlusion, Dentistry FAQ - Page 6

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Understanding Post-Filling Pain: Is It Normal After Deep Cavity Treatment?

Post-operative occlusal pain after deep cavity restoration? Two weeks ago, a doctor discovered deep decay in the second molar on the right side. There were no pain or sensitivity symptoms before the filling. After cleaning, the doctor covered the nerve with a material before fill...


Dr. Zeng Guanghui Reply:
If a layer of medication is applied to the nerve and the teeth still experience sensitivity and pain, it indicates that the dental pulp inflammation has become more severe. If the pain persists or there is spontaneous pain, it is recommended to undergo root canal treatment. Dr. T...

[Read More] Understanding Post-Filling Pain: Is It Normal After Deep Cavity Treatment?


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?


Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues

What are the causes of gum swelling? Hello, doctor. I have issues with teeth grinding and temporomandibular joint (TMJ) dysfunction. Recently, due to increased work stress, I have been experiencing discomfort in my TMJ and pain in the occlusion of my upper left molars. After an e...


Dr. Lin Jiayong Reply:
Hello: Gum swelling is usually due to gingival inflammation, which can have various causes. Common causes include bacterial infections resulting from periodontal disease or pulpitis. Malocclusion leading to tooth injury is also a possibility. It is advisable to consult a physicia...

[Read More] Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues


Can Dental Grinding Cause Misalignment? Understanding Your Bite Issues

Teeth grinding by the dentist has resulted in malocclusion? Three months ago, I experienced pain when biting down at an angle on my upper left first molar, but it didn't hurt when I didn't bite. After an X-ray, the dentist found no cavities and thought it was an occlusi...


Dr. Lin Jiayong Reply:
Hello: Generally, young individuals have at least two occlusions: one is the resting occlusion (where the facial muscles are relaxed and there is a gap between the upper and lower teeth), and the other is the maximal intercuspation (where the upper and lower teeth are tightly cle...

[Read More] Can Dental Grinding Cause Misalignment? Understanding Your Bite Issues


Is Tooth Extraction Necessary After Failed Root Canal Treatment?

It seems that the second root canal treatment has failed. Should I consider tooth extraction? I would like to ask about my upper right second molar, which has undergone root canal treatment twice. The dentist filled it with resin or a filling material after the root canal, but I ...


Dr. Lin Jiayong Reply:
Hello: If there is a risk of infection in that tooth, which could potentially lead to sinusitis, it is advisable to have it extracted. If the tooth no longer has any functional occlusion and you are facing financial difficulties, you may consider postponing the placement of dentu...

[Read More] Is Tooth Extraction Necessary After Failed Root Canal Treatment?


Understanding Pain in Upper Left Molar: Causes and Solutions

Pain in the occlusion of the upper left molar? Hello, recently the upper left molar has started to hurt again when I bite down (it hurts when I press on the molar with my hand). The pain has progressed from mild discomfort to significant pain when biting (it doesn't hurt whe...


Dr. Zeng Guanghui Reply:
Pain in the upper left molar during occlusion may be due to acute gingivitis, or even a periodontal abscess. It is also possible that there is a crack in the tooth or dental caries. It is recommended to consult a dentist for further treatment. Dr. Tseng Guang-Hui, Department of D...

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


Will a Root Canal Tooth Continue to Grow After Extraction?

Can a tooth that has undergone root canal treatment still grow? Recently, I had my lower right second molar extracted due to severe periodontal disease. Do I need a dental prosthesis? The corresponding upper second molar has undergone root canal treatment and has a crown. I am co...


Dr. Lin Jiayong Reply:
Hello: If you have already undergone root canal treatment and had a crown placed, the chances of elongation are lower. However, considering that both sides of the occlusion need to bear equal force, it is still advisable to take a comprehensive approach in planning. Sincerely, Li...

[Read More] Will a Root Canal Tooth Continue to Grow After Extraction?


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


How to Address Misalignment After 5 Years of Braces Without Tooth Extraction

How to remedy occlusal discrepancies? After wearing braces for five years, my occlusion is misaligned, causing the adjacent tooth (a healthy and intact tooth) to become loose. The dentist has suggested extracting this healthy tooth. Is there a way to remedy this without extractin...


Dr. Zeng Guanghui Reply:
1. If there is looseness or mobility in the teeth while wearing braces, it is important to assess the underlying cause, which could be periodontal disease or long-term occlusal trauma. It is recommended to consult a dentist for evaluation. 2. Looseness in the upper teeth, unless ...

[Read More] How to Address Misalignment After 5 Years of Braces Without Tooth Extraction


Pain When Biting After Dental Filling: Is Root Canal Necessary?

Biting down on a filled tooth can cause pain? If a filled tooth hurts when biting down on hard objects, and the dentist previously mentioned that there was a deep cavity exposing the nerve but did not see any bleeding during the procedure, it is possible that the nerve may be irr...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you return to your original clinic for the dentist to adjust your occlusion and continue to monitor for about six months. If the X-ray shows significant chronic pulpitis or periapical inflammation, then proceed with root canal treatment. Thank you! S...

[Read More] Pain When Biting After Dental Filling: Is Root Canal Necessary?


The Connection Between Teeth Alignment and Allergic Rhinitis

The relationship between orthodontics and the nose? Hello, doctor. Is there a relationship between dental orthodontics and allergic rhinitis? I have had malocclusion and severe crowding since childhood, along with significant post-nasal drip. Recently, I saw news reports suggesti...


Dr. Lin Jiayong Reply:
Hello: The second maxillary premolar and the first maxillary molar are located very close to the maxillary sinus. If there is inflammation in the teeth, it can indeed affect the sinus, leading to nasal symptoms. It is recommended to visit a nearby medical facility for an X-ray to...

[Read More] The Connection Between Teeth Alignment and Allergic Rhinitis


Persistent Pain After Tooth Extraction: Is It Just Inflammation?

The tooth adjacent to the wisdom tooth is inflamed, and after undergoing a root canal treatment (which is not yet completed), the pain remains unbearable? On the lower right side of my cheek, the tooth next to my wisdom tooth has been in increasing pain since I had the wisdom too...


Dr. Huang Tingfang Reply:
Hello Ms. Nan: Based on the symptoms you described, I would recommend that you complete the root canal treatment and maintain good oral hygiene. After that, we can reassess whether the pain has improved to facilitate further evaluation. Thank you for your inquiry.

[Read More] Persistent Pain After Tooth Extraction: Is It Just Inflammation?


Why Is My Dental Crown Too High? Seeking Solutions for Misalignment

I have braces, but my bite is misaligned, and the doctor wants me to adjust for a week first? Hello, Doctor. Today I had silver metal crowns placed at the clinic on my lower left first and second molars. I informed the dentist at the time that the first molar crown was too high a...


Dr. Huang Tingfang Reply:
Hello, regarding the issue of ill-fitting dentures, I recommend that you communicate thoroughly with your original dentist. I believe there will be a solution and options available. Thank you!

[Read More] Why Is My Dental Crown Too High? Seeking Solutions for Misalignment


Concerns About Replacing Upper Front Teeth: Expert Advice Needed

Issues with dentures for the upper four incisors? As a child, I didn't like brushing my teeth, which led to severe cavities. By middle school, I had a total of four upper front teeth, two on each side, that underwent root canal treatment about 20-23 years ago. A significant ...


Dr. Lin Jiayong Reply:
Hello: Because your description is not very clear, and the issues are quite detailed and complex, I suggest that you consult with a dentist who has actually examined your dental condition for clarification. From your description, it seems that you have seen at least three dentist...

[Read More] Concerns About Replacing Upper Front Teeth: Expert Advice Needed


Can Dental Fillings Affect Bite Height and Tooth Recovery?

Dental restoration angle Hello, a few days ago I experienced pain after a dental filling. The dentist mentioned that the filling was too high, so they reduced the height of the filled tooth significantly, and it seems they also worked on other natural teeth. Now, I feel that the ...


Dr. Lin Jiayong Reply:
Hello: The occlusal height of a person is influenced by many factors, not just the shape or angle of the teeth. Recently restored or adjusted occlusion requires time for adaptation. However, if other natural teeth are injured, it is necessary to observe the pulp response of the a...

[Read More] Can Dental Fillings Affect Bite Height and Tooth Recovery?


Jaw Pain and Misalignment: Understanding TMJ Issues and Wisdom Teeth

Issues related to mandibular pain and malocclusion? Hello, doctor. Recently, I've been experiencing soreness in my lower jaw and temporomandibular joint (TMJ). I've been trying hard to relax and haven't been eating very hard foods (I generally prefer soft foods). T...


Dr. Huang Tingfang Reply:
Dear Miss Qiao Qiao, Hello! If the wisdom teeth are horizontally impacted, they need to be extracted. If they cause pain, they should also be removed! Malocclusion is related to the temporomandibular joint (TMJ) as well. Sometimes, grinding your teeth during sleep can significan...

[Read More] Jaw Pain and Misalignment: Understanding TMJ Issues and Wisdom Teeth


Understanding Supernumerary Teeth: Is My Case Unique?

I would like to confirm if it is a case of supernumerary teeth? I have five lower front teeth, and currently, they do not affect my occlusion or other functions. All five have successfully transitioned to permanent teeth, although they slightly crowd the canines, which is not vis...


Dr. Lin Jiayong Reply:
Hello: To confirm the presence of supernumerary teeth, a full-mouth X-ray is required for verification, along with long-term observation and follow-up. If you are concerned about other tumors or hyperplastic tissues, it is advisable to visit a medical facility for an X-ray examin...

[Read More] Understanding Supernumerary Teeth: Is My Case Unique?


Tooth Loss Consequences: Should You Consider Dental Implants?

Tooth loss without replacement? Seven or eight years ago, I had a cavity in my lower left horizontal wisdom tooth, which led to the erosion of my lower left second molar, causing it to fracture. At that time, the dentist said that it was not possible to place a crown, so I left i...


Dr. Lin Jiayong Reply:
Hello: 1. The upper left second molar is expected to grow downward, but the chance of it fully erupting is low unless there is a severe periodontal issue. 2. No, if there is already insufficient space, the approach is to first perform root canal treatment on the upper left second...

[Read More] Tooth Loss Consequences: Should You Consider Dental Implants?


Does Wisdom Tooth Extraction Affect the Height or Alignment of Other Teeth?

Will extracting wisdom teeth affect other teeth? About a week ago, I had my horizontal wisdom tooth extracted at the clinic. During the extraction, the crown of my second molar came off and was kept by the doctor. After seven days, I had my stitches removed, and the crown was rea...


Dr. Huang Tingfang Reply:
Dear Mr. Chuang, Hello! It appears that the original dentures are about to fall out, and they have become ill-fitting just one week after placement, which is uncommon. There is slight movement of the teeth. Is there a possibility of periodontal disease? I plan to conduct a more ...

[Read More] Does Wisdom Tooth Extraction Affect the Height or Alignment of Other Teeth?


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


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