Occlusion, Dentistry FAQ - Page 8

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Understanding Gum Bleeding After Dental Crown Placement: Causes and Solutions

Gum bleeding Hello Dr. Huang, I would like to ask a question. After my root canal treatment, I had a new crown placed on tooth #26 (upper left first molar). Since the new crown was placed, I do not experience pain when biting down, but I have noticed that the gums around the new...


Dr. Huang Tingfang Reply:
Dear Alston, Hello! You still need to get an X-ray to check for periodontal disease or root issues. Take care! Wishing you peace and success in everything! Sincerely, Dr. Huang Ting-Fang, Dentistry

[Read More] Understanding Gum Bleeding After Dental Crown Placement: Causes and Solutions


Post-Wisdom Tooth Extraction: Addressing Pain and Discomfort in Molars

Three months after having my wisdom teeth removed, I am experiencing tightness and pain in the four anterior molars? Hello Doctor: I had my lower left wisdom tooth extracted on January 8, 2020. The wisdom tooth was growing straight up, so the clinic's dentist used forceps fo...


Dr. Lin Jiayong Reply:
Hello: Your description is quite detailed and indicates that the healing of the extraction site or the condition of the adjacent teeth may be affecting your daily life. Therefore, I recommend that you visit a medical center for a dental cone beam computed tomography (CBCT) scan t...

[Read More] Post-Wisdom Tooth Extraction: Addressing Pain and Discomfort in Molars


Understanding Swelling and Displacement of Front Teeth: Causes and Concerns

Swelling and displacement of the incisors? Hello, I would like to inquire about the following issue: My upper second incisor was filled two years ago. After the filling, it did not react much to cold or heat, but it was more sensitive to tapping (not to the point of pain). The de...


Dr. Lin Jiayong Reply:
Hello: If a dentist has confirmed that the tooth is not loose, it is advisable not to worry too much. Short-term acute gingivitis can cause gum swelling, a feeling of tooth mobility, and even slight occlusal abnormalities, which are all expected. These issues will resolve once th...

[Read More] Understanding Swelling and Displacement of Front Teeth: Causes and Concerns


Understanding Oral Mucosal Friction Keratosis: Causes and Solutions

White line on the inner side of the oral cavity? Dear Dr. Lin, I have a raised white line on the left side of my oral cavity, while the right side is unaffected. After researching related information, I believe it may be "oral mucosal frictional keratosis," which is ca...


Dr. Lin Jiayong Reply:
Hello: 1. It will not disappear. 2. If there are no accompanying pain or inflammatory conditions, there is no need to worry. However, if there is keratosis on only one side, it is important to consider whether there is an imbalance in bilateral occlusion, as this could lead to te...

[Read More] Understanding Oral Mucosal Friction Keratosis: Causes and Solutions


Dealing with Front Tooth Impact: Is Tooth Reduction Necessary?

Incisal impact Yesterday, I bumped my front tooth, and it still hurts the next day. I went to the dental clinic for an examination and an X-ray. The dentist said there were no cracks, but the pain was due to gum inflammation. The dentist not only applied medication but also reduc...


Dr. Zeng Guanghui Reply:
The front tooth was hit and is very painful. An X-ray showed no fractures, which may indicate that the periodontal ligament has been injured, causing the pain. Grinding the teeth may be a way to adjust the occlusion between the upper and lower teeth. It is advisable to avoid exce...

[Read More] Dealing with Front Tooth Impact: Is Tooth Reduction Necessary?


Understanding Oral Bumps: Causes and When to Seek Dental Care

Small flesh-colored nodules in the oral cavity? Dear Dr. Lin, Hello. During lunch today, I noticed a small fleshy bump deep on the left side of my mouth, approximately at the occlusion point of my upper and lower wisdom teeth (which I have both had removed). I touched and presse...


Dr. Lin Jiayong Reply:
Hello: 1. It may be a simple gingival swelling caused by acute gingivitis. 2. It is recommended to seek medical attention to confirm whether there are any other symptoms; if not, it can provide more peace of mind. Thank you!

[Read More] Understanding Oral Bumps: Causes and When to Seek Dental Care


Understanding Periodontal Ligament Inflammation: Common Questions Answered

Periodontal ligament inflammation After reading the report on periodontal ligament inflammation, I have a few questions: 1. Is periodontal membrane inflammation the same as periodontal ligament inflammation? 2. If there is no mobility in the teeth, does that mean there is no pe...


Dr. Huang Tingfang Reply:
Dear Mr. Yao, Hello! Regarding periodontal ligament inflammation, it is mostly caused by external forces, such as trauma, leading to inflammation and swelling of the periodontal membrane. Occlusal forces (like bruxism) can also contribute to this condition. Adjusting the occlusi...

[Read More] Understanding Periodontal Ligament Inflammation: Common Questions Answered


Understanding Persistent Oral Pain: Causes and Diagnostic Approaches

Oral issues? Hello Dr. Tseng, I have been experiencing oral symptoms for six months now. Currently, I still have a burning pain on the left side of my oral mucosa, and there is slight discomfort in the occlusion of my teeth. My tongue also has a mild abnormal taste sensation. Occ...


Dr. Zeng Guanghui Reply:
If a CT scan and MRI of the head and neck have been performed and no abnormalities were found in the brain, but there is still a burning pain in the oral mucosa, it may be related to an autoimmune issue. It is recommended to consult an immunologist for further evaluation.

[Read More] Understanding Persistent Oral Pain: Causes and Diagnostic Approaches


Should You Replace Missing Second Molars? Key Considerations for Dental Health

Should the second molar with a unidirectional missing tooth be restored? The lower left wisdom tooth has already been extracted, and the second molar has been missing for a year; the upper left wisdom tooth has also been removed, and the second molar has just completed root canal...


Dr. Huang Tingfang Reply:
Dear Ms. Gigi, Hello! Regarding the missing second molar, should it be restored? In fact, before the development of dental implants, when a second molar was extracted, it was often not replaced with a prosthetic. Dental implants can maintain the integrity of the dental arch and ...

[Read More] Should You Replace Missing Second Molars? Key Considerations for Dental Health


Is It Normal for Adjacent Teeth to Be Worn Down After Filling?

After getting a dental filling, I noticed that the edge of the adjacent tooth has been worn down? Hello Doctor: Last Friday (April 26), I visited a new dentist to fill the second-to-last tooth on the lower left side. However, today I noticed that the surface of the last tooth on ...


Dr. Lin Jiayong Reply:
Hello: During a comprehensive occlusal adjustment, it is indeed possible to adjust adjacent teeth. However, it is advisable to discuss this with your dentist beforehand.

[Read More] Is It Normal for Adjacent Teeth to Be Worn Down After Filling?


Emergency Care for Exposed Root Canal Filling and Crown Options

Regarding the exposure of the cavity due to the dislodgment of root canal filling materials and subsequent management? Hello, Doctor. I would like to ask if there are any emergency measures needed if the filling falls out and exposes the cavity during root canal treatment? The tr...


Dr. Zeng Guanghui Reply:
1. If the temporary filling falls out during root canal treatment and exposes the cavity, you should return for a re-treatment of the temporary filling. 2. The flexibility of all-ceramic crowns is still not as good as that of all-metal crowns, but they have higher hardness. If th...

[Read More] Emergency Care for Exposed Root Canal Filling and Crown Options


Timing for Temporary Dentures After Tooth Extraction: Key Considerations

The time required for denture fabrication and the extraction of wisdom teeth? Hello, I had my upper second premolar extracted on October 11, and I will need to have my lower same-side horizontal wisdom tooth extracted in the future. I have a few questions: 1. When should I have...


Dr. Huang Tingfang Reply:
Dear Ms. Ch虫虫, Hello! 1. After the extraction of the upper second premolar, dentures can be made in about a month! There is no need to create a temporary denture because it may cause pain due to pressure on the healing site. 2. Approximately one month! 3. (Can I extract my...

[Read More] Timing for Temporary Dentures After Tooth Extraction: Key Considerations


Understanding Tooth Fractures: Root Canal Treatment and Recovery

Fractured anterior tooth, root canal treatment? Hello, Doctor! Recently, I had a tooth fracture while eating, and after visiting the dental clinic, it was confirmed that I need a root canal treatment and a crown. I would like to ask you a question! My root canal treatment has bee...


Dr. Zhu Guanyu Reply:
Dear Feixue, Hello, due to the prolonged healing time required for periapical lesions, it is possible to experience percussion pain even after root canal treatment. Thank you for your letter. Wishing you peace and health, Dr. Kuan-Yu Chu Director, Department of Dentistry T...

[Read More] Understanding Tooth Fractures: Root Canal Treatment and Recovery


Concerns About Missing Baby Teeth: What Parents Should Know

Missing primary teeth Dear Dr. Tseng, Hello! My eldest child just turned 3 years old. While brushing his teeth, I accidentally discovered that the last primary tooth on the upper right side has not erupted. I have taken him to see a doctor, who mentioned that there are no signs ...


Dr. Zeng Guanghui Reply:
It is possible for molars to erupt later than expected, and the cause can only be determined through X-rays. It is recommended to consult a pediatric dentist at a major hospital for further diagnosis.

[Read More] Concerns About Missing Baby Teeth: What Parents Should Know


Understanding Frequent Tongue Biting: Causes and Concerns

The frequency of biting one's tongue? Hello, doctor. I have some questions regarding biting my tongue, thank you. Last September and October, I bit my tongue while having dinner, and the wound was quite deep, bleeding continuously for 1 to 2 hours without stopping. I had to ...


Dr. Zhu Guanyu Reply:
Hello: May I ask if you have any missing molars? Or is there any malocclusion? Or abnormal tongue growth? It is advisable to seek medical examination to find the cause of frequently biting your tongue. Thank you for your message! Wishing you peace and health. Sincerely, Dr. Kuan-...

[Read More] Understanding Frequent Tongue Biting: Causes and Concerns


Understanding Root Canal Treatment: Is Nerve Removal Necessary for Dental Crowns?

Fractured front tooth? Hello, Doctor. Last night, a part of my front tooth broke, and it looks shorter compared to the other upper tooth when facing someone. When I turn my back, I can feel the gap with my tongue. I visited the dentist this afternoon and told the doctor that drin...


Dr. Zhu Guanyu Reply:
Hello: The issues you raised can be summarized as related to whether root canal treatment is necessary. It is advisable to visit a reliable dental clinic for a comprehensive diagnosis before establishing a treatment plan. Thank you for your message! Wishing you peace and health. ...

[Read More] Understanding Root Canal Treatment: Is Nerve Removal Necessary for Dental Crowns?


Unusual Ear Noise When Clenching Teeth: Is It TMJ Related?

Abnormal sounds in the left ear when biting down? One day, I woke up and noticed that when my teeth are clenched, I hear a sound in my left ear similar to the noise of hitting an empty barrel. I have never experienced this before, and it has been 4 days. After researching online,...


Dr. Huang Tingfang Reply:
Dear Mr. Ad: Hello! Based on what you described, it is possible that you are experiencing internal derangement of the temporomandibular joint (TMJ), which involves changes in the position of the articular fossa, condyle, and meniscus. Please do not worry; maintaining a regular li...

[Read More] Unusual Ear Noise When Clenching Teeth: Is It TMJ Related?


Understanding Jaw Pain: Causes and Solutions for Teeth Grinding Issues

Temporomandibular joint pain? Hello Doctor, I have a problem with nighttime bruxism, so I started wearing an occlusal splint about a year ago. After wearing it for about six to seven months, I began to experience a clicking sensation in one of my temporomandibular joints (TMJ)....


Dr. Huang Tingfang Reply:
Dear Ms. Aye, Hello! As mentioned, although you are very young, you are experiencing severe teeth grinding, and the vertical dimension of your occlusion is too low, resulting in increased bite force. You will need occlusal reconstruction, and the occlusal splint for treatment ne...

[Read More] Understanding Jaw Pain: Causes and Solutions for Teeth Grinding Issues


Understanding Jaw Pain: Is It Trigeminal Neuralgia?

Pain in the occlusion of the lower right molars? Hello doctor, recently I have started experiencing pain when biting down on my lower right molars. This issue began around early November, and I visited my family dentist at that time. The dentist said that there were no visible ca...


Dr. Huang Tingfang Reply:
Dear Mr. A-Ho, Hello! (Pain in the lower right molar during occlusion) The biggest concern is a possible tooth fracture, which may not be visibly apparent in the early stages. A thorough examination is necessary, and if needed, root canal treatment may be required. Please commun...

[Read More] Understanding Jaw Pain: Is It Trigeminal Neuralgia?


Understanding Bite Issues After Root Canal Treatment: Causes and Solutions

Root canal treatment for dental occlusion issues? Hello Dr. Huang: I had a root canal treatment on my lower right molar at the end of November last year, but I have gradually noticed that the occlusion of my lower right teeth feels higher. I asked my dentist about it, and he said...


Dr. Huang Tingfang Reply:
Dear Ms. Valis, Hello! As mentioned, it is indeed quite special; essentially, during root canal treatment, there may be edema at the apex, which can cause an increased occlusal sensation in the tooth, or there may be periodontal disease. Please communicate more with your physic...

[Read More] Understanding Bite Issues After Root Canal Treatment: Causes and Solutions


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