Understanding Periodontal Disease Treatment: Standards and Procedures
Periodontal disease treatment What is the standard medical procedure for periodontal disease? Are there different treatment approaches for gingivitis and periodontitis based on their severity? Is routine dental cleaning covered by general health insurance effective?
Dr. Zeng Guanghui Reply:
First, use ultrasound to remove calculus and plaque from the gums, and ensure proper oral hygiene practices such as correct brushing and flossing. Then, mechanically remove the calculus and plaque from the roots below the gum line, and smooth the root surfaces. Observe the treatm...[Read More] Understanding Periodontal Disease Treatment: Standards and Procedures
Understanding White Coating on the Left Side of the Tongue
White patches on the left side of the tongue? It seems that since middle school, there has been a white coating on the left side of my tongue. I haven't paid much attention to it until recently when I noticed it again. I can brush it off with a toothbrush (it requires a bit ...
Dr. Zeng Guanghui Reply:
It is likely to be tongue coating, which is primarily formed by a film of epithelial cells from the tongue, food debris, and oral bacteria adhering to the rough surface of the tongue, gradually accumulating over time. It is recommended to maintain good oral hygiene, drink plenty ...[Read More] Understanding White Coating on the Left Side of the Tongue
Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Apical cyst Due to an X-ray finding, there is a sizable periapical cyst (a round structure resembling a small ball) at the apex of my front tooth, which may be about the same size as the tooth root. It is asymptomatic, and this tooth has no cavities, has never undergone root cana...
Dr. Zeng Guanghui Reply:
1. If the periapical cyst is caused by the necrosis of the nerve of the affected incisor, the cyst should gradually disappear after root canal treatment of that tooth. However, if the cyst is caused by an impacted supernumerary tooth, the cyst will not resolve even if the incisor...[Read More] Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained
Oral mucosa I apologize for the inconvenience, but I have a soft lump on the mucous membrane of my left oral cavity. This soft lump has an ulcer, and it hurts when I touch it with my tongue. There is also redness and swelling around the lump, and it is painful when I apply oral o...
Dr. Zeng Guanghui Reply:
It is possible that there is inflammation of the salivary glands within the left oral mucosa, leading to obstruction of saliva secretion. It is recommended to consult an oral surgeon for further examination. Director Tseng Guang-Hui, Nantou Hospital Dental Department.[Read More] Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained
Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Apical cyst surgery under sedation anesthesia? Recently, during a dental cleaning, my dentist discovered a sizable cyst at the root of my front tooth, which is almost the same size as the tooth itself. This cyst was not visible on last year's X-ray. Additionally, there is an...
Dr. Lin Jiayong Reply:
Hello: 1. It will not resolve on its own. If there are no discomfort symptoms, the likelihood of malignancy is low; however, it is still advisable to have it removed and examined for accuracy. 2. During the process of tooth development, residual epithelial tissue or repeated infe...[Read More] Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Bitter Taste and Bad Odor After Wisdom Tooth Extraction: What to Know
After wisdom tooth extraction, there is a strong bitter taste in the mouth and an unpleasant odor? Hello doctor, I had my lower left wisdom tooth extracted on the 21st, and on the 23rd, I started experiencing a very bitter taste, even dreaming about eating bitter foods. I only be...
Dr. Lin Jiayong Reply:
Hello: Oral wounds typically exude blood or gingival crevicular fluid accompanied by saliva, which is often dark red or bright red. Purulent discharge would appear yellow-green and have an unpleasant odor. Additionally, it may also reflect the color of antibiotic powder. Medicati...[Read More] Bitter Taste and Bad Odor After Wisdom Tooth Extraction: What to Know
Understanding the Role of Occlusal Splints in Jaw Pain Relief
What is the function of an occlusal splint? Hello Doctor: 1. If the temporomandibular joint pain is not caused by grinding or clenching, will a bite splint still be helpful? 2. Can leaving the mouth open while sleeping also cause tension in the joint muscles?
Dr. Zeng Guanghui Reply:
1. To determine the cause of temporomandibular joint (TMJ) pain, whether it is due to the joint capsule itself or other wear and tear, or if it is caused by excessive contraction of the surrounding masticatory muscles, it is recommended to consult an oral and maxillofacial surgeo...[Read More] Understanding the Role of Occlusal Splints in Jaw Pain Relief
Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
I have seen several specialists for my toothache? Three years ago, I had a crown placed on my first molar, along with a post. After the crown was done, I developed a dental abscess between the first and second molars, but it resolved on its own. Since last year, I've been ex...
Dr. Lin Jiayong Reply:
Hello: It is advisable to consult at the same medical center, as they can consolidate information from various specialties and follow the physician's recommendations from that hospital. Otherwise, running around to different places may not help identify the true cause of the...[Read More] Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
Should You Remove an Extra Tooth Penetrating the Sinus?
Should the upper gum teeth that penetrate the sinus be extracted? Hello Doctor: I have a noticeable supernumerary tooth that can be palpated within the gum of my upper left jaw. A CT scan revealed that this tooth penetrates the maxillary sinus, but I have no discomfort. Recently,...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult the oral surgery department at a medical center for confirmation. If the tooth is close to the sinus, it is highly likely that general anesthesia will be required for extraction, and it may also involve a referral to an otolaryngologist. Theref...[Read More] Should You Remove an Extra Tooth Penetrating the Sinus?
Understanding Periodontal Disease Treatment: Expert Insights and Options
Questions related to periodontal disease treatment? Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal diseas...
Dr. Zeng Guanghui Reply:
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options
Understanding Indentations on the Tongue: When to Seek Dental Advice
There is a groove along the edge of the tongue? Hello doctor, yesterday I noticed a ring that was transparent, and when I woke up in the morning, it changed to just a ring that looked different from the surrounding area. I don't feel any discomfort or pain. Should I see a do...
Dr. Zeng Guanghui Reply:
It is recommended to consult a dentist or an oral surgeon for further examination. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.[Read More] Understanding Indentations on the Tongue: When to Seek Dental Advice
Understanding Sinus Cysts: Causes, Treatment, and Recurrence Risks
About nasal sinus cysts? Hello, about two years ago, I visited Mackay Memorial Hospital due to swelling and pain on the left side of my face, along with post-nasal drip on the left side. After examination, I was diagnosed with a sinus cyst. Four years prior, I had undergone treat...
Dr. Lin Jiayong Reply:
Hello: 1. If the cystic area is too large, it may be necessary to first place a drain to reduce the size of the area that will be surgically removed later, minimizing the extent of sacrifice to the bone and surrounding tissues during the surgical procedure. 2. If the drainage and...[Read More] Understanding Sinus Cysts: Causes, Treatment, and Recurrence Risks
Understanding Oral Mucosa: What Do Red Bumps in Your Mouth Mean?
Oral mucosa Hello, I have noticed that for the past couple of months, there are two slightly raised red areas in my mouth, one on each side towards the upper part. They are not painful and I don't feel anything. Is this normal? I have screenshots for you to take a look!
Dr. Zeng Guanghui Reply:
It is recommended to have a thorough examination by a dentist during your visit. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Oral Mucosa: What Do Red Bumps in Your Mouth Mean?
Choosing the Right Dentist for Dental Implants: What You Need to Know
Dental implant issues Hello, doctor. After researching online and consulting with a friend's dentist, it is generally recommended to seek dental implants from specialists in periodontology, oral surgery, prosthodontics, oral pathology, or orthodontics. If I choose a family d...
Dr. Zeng Guanghui Reply:
For simpler dental implants, such as when the bone condition is good, a dentist trained in implantology should be competent to perform the procedure. However, if there is significant bone resorption in the jaw, it may be necessary to use bone grafting materials, and it is advisab...[Read More] Choosing the Right Dentist for Dental Implants: What You Need to Know
Understanding Gum and Oral Mucosa Bleeding: Causes and Care
Bleeding of the gums and buccal mucosa? Hello, Doctor. I have noticed a patch of broken skin on the gum of my upper right tooth and the buccal mucosa on the same side of my face for the past couple of days. However, it is not painful. If I rinse vigorously or wipe it with tissue,...
Dr. Zeng Guanghui Reply:
First, ensure proper oral hygiene by brushing your teeth thoroughly. If there is no improvement after 10 days, it is advisable to consult a dentist for a detailed examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum and Oral Mucosa Bleeding: Causes and Care
Burned Tongue: Causes, Symptoms, and Relief Tips
Burned tongue? A few days ago, I burned my tongue and it seems like a blister has formed. I even scraped it with my teeth, and now the area where the burn occurred is very painful, and even my left ear is hurting (it feels like it's inside the lower jaw). Please help me, doc...
Dr. Lin Jiayong Reply:
Hello: It is recommended to apply oral ointment to the wound on the tongue. If you have ear pain, it is advisable to take anti-inflammatory pain relievers first. If the symptoms do not improve after three days, it is best to see a doctor for further evaluation.[Read More] Burned Tongue: Causes, Symptoms, and Relief Tips
Dealing with Persistent Dental Implant Inflammation: What Are Your Options?
Dental implants have been persistently inflamed? Hello, doctor. I have had my dental implant for 11 years, but I have been experiencing peri-implantitis around the implant, which has been inflamed. I have to undergo flap surgery almost every year and visit the hospital for cleani...
Dr. Lin Jiayong Reply:
Hello: If you really want to have it removed, it is advisable to firmly inform the original clinic and the original dentist, especially since it primarily involves cost issues (the cost of the original dental implant and the cost of removing the implant, etc.), which must be clea...[Read More] Dealing with Persistent Dental Implant Inflammation: What Are Your Options?
Managing Tooth Extraction Without Antibiotics: A Guide for Allergic Patients
There is a long-neglected residual tooth? I have an old residual tooth with a damaged crown, and almost only the root remains. Currently, I have no discomfort, but occasionally, when I stay up late, I develop something similar to acne near the root of the tooth on my jaw, which l...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult a larger medical center's oral surgery department first. Inform the physician about your previous risk of prolonged bleeding and the possibility of developing rashes due to antibiotic allergies. Please ask the physician to assist you with ...[Read More] Managing Tooth Extraction Without Antibiotics: A Guide for Allergic Patients
Gum Pain When Eating: Understanding Your Dental Symptoms
Gum pain while eating? Hello, doctor. About four to five years ago, I started experiencing symptoms where my gums in a specific area would hurt after eating certain foods (such as nuts). The condition would improve after using dental floss to remove food particles from between my...
Dr. Lin Jiayong Reply:
Hello: When using dental floss, it is recommended not to apply too much force to avoid causing injury. You may apply a small amount of oral ointment to the uncomfortable gum area. If there is no improvement after 1 to 2 weeks, it is advisable to visit a medical center for further...[Read More] Gum Pain When Eating: Understanding Your Dental Symptoms
Post-Wisdom Tooth Extraction Concerns: Healing and Care Tips
Post-operative issues after wisdom tooth extraction? Hello, Doctor. I had my upper wisdom tooth extracted in the oral surgery department on September 9th. I used collagen due to concerns about the connection between the oral cavity and the sinus, and the sutures used were non-dis...
Dr. Lin Jiayong Reply:
Hello: Due to the alveolar bone remodeling after the extraction of the incisors, it typically takes about 3 to 6 months for complete recovery. However, if you are concerned about the possibility of a sinus communication issue, it is advisable to continue follow-up visits within t...[Read More] Post-Wisdom Tooth Extraction Concerns: Healing and Care Tips