Recovery Time and Considerations After Microscopic Apicoectomy Surgery
Microsurgical Apicoectomy Hello Dr. Tseng: I had a CT scan that showed a 2 cm shadow, and the doctor said that all three of my front teeth need to be extracted and bone grafting will be required. How long after undergoing apicoectomy can I return to work? (My job is in civil engi...
Dr. Zeng Guanghui Reply:
1. Microscopic apicoectomy combined with bone grafting may result in swelling and pain at the surgical site during the first week. Starting from the second week, as long as oral hygiene is maintained, normal eating can resume. 2. It is essential to monitor the healing of the bone...[Read More] Recovery Time and Considerations After Microscopic Apicoectomy Surgery
Understanding Tooth Pain and Mobility: Common Dental Concerns Explained
Toothache and tooth mobility issues? Hello Dr. Lin, I sometimes experience tooth pain, specifically in the lower right molar area. About a year ago, I visited a dentist, and after eating small foods (like sesame seeds), I would feel pain. An X-ray showed no issues, and there wer...
Dr. Lin Jiayong Reply:
Hello, considering your age and the situation you described, there is a high likelihood that it is caused by nocturnal bruxism and tension-related clenching (during relaxation, the upper and lower teeth do not make direct contact). I recommend consulting an oral surgeon for confi...[Read More] Understanding Tooth Pain and Mobility: Common Dental Concerns Explained
Should You Remove Wisdom Teeth? Evaluation and Cost Considerations
Evaluation of whether wisdom teeth need to be extracted and issues related to out-of-pocket expenses? Hello, doctor. Currently, all four of my wisdom teeth have erupted, but the lower right one has not fully emerged. My dentist recommended extraction to prevent inflammation due t...
Dr. Lin Jiayong Reply:
Hello: 1. At 26 years old, the likelihood of the wisdom teeth having enough space to fully erupt due to skeletal growth is very low. Therefore, it is recommended to extract the lower right wisdom tooth. For the upper right and lower left wisdom teeth, the decision should be based...[Read More] Should You Remove Wisdom Teeth? Evaluation and Cost Considerations
Understanding Oral Burns: Causes, Symptoms, and Treatment Options
Oral burn? In the past few days, I have developed a hole in my inner gum. I'm not sure how it happened, but I remember that one day I drank hot soup, and after burning myself, a wound appeared. I applied some oral ointment, but it seems like the hole has gotten a bit larger ...
Dr. Zeng Guanghui Reply:
It may be an oral mucosal burn, leading to mucosal damage and pain. However, if there are irregular lifestyle habits or significant emotional stress, it can cause immune system dysregulation, resulting in oral mucosal ulcers. Generally, after maintaining proper oral hygiene and a...[Read More] Understanding Oral Burns: Causes, Symptoms, and Treatment Options
Managing Peri-implantitis: Tips for Patients During Quarantine
Peri-implantitis Hello Dr. Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis. A CT scan on December 21st indicated that only 2mm of the implant remains. Due to various considerations, I decided to return to Taiwan for treatment and am currently i...
Dr. Lin Jiayong Reply:
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted. It is advised to maintain oral hygiene and prevent any further infection or inflammation. After the isolation period, you should dis...[Read More] Managing Peri-implantitis: Tips for Patients During Quarantine
Post-Wisdom Tooth Extraction: Understanding Bleeding and Nasal Symptoms
Issues After Wisdom Tooth Extraction Hello, Doctor. I had my upper left wisdom tooth extracted on December 1st and had my stitches removed on the 9th. It has been about 20 days since then. Initially, I only experienced mild soreness and discomfort, and the doctor advised me that ...
Dr. Lin Jiayong Reply:
Hello: If you are very concerned about the issue of oral sinus communication, it is advisable to visit a medical center's oral and maxillofacial surgery department for a CT scan. If it does occur, prompt surgical repair is necessary; if not, you will feel more at ease after ...[Read More] Post-Wisdom Tooth Extraction: Understanding Bleeding and Nasal Symptoms
Understanding Gum Issues: Causes and Solutions for Painful Holes
Gingival recession with perforation? Hello, Doctor. This evening while brushing my teeth, I accidentally brushed too hard and caused some bleeding. Initially, I thought it was just a small cut and that it might be due to late-night inflammation. However, I later realized it was q...
Dr. Lin Jiayong Reply:
Hello: If there are polyps in the gums, it is advisable to seek medical examination as soon as possible. Oral gels (ointments) often contain steroids, so it is recommended to use them in small amounts for a short duration. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichu...[Read More] Understanding Gum Issues: Causes and Solutions for Painful Holes
How Long Should You Wait to Brush Teeth After Drinking Alcohol?
Drinking Alcohol and Brushing Teeth Hello, Director Lin! I would like to ask how long after drinking 58-degree sorghum liquor should I wait before brushing my teeth? Or is it better to brush my teeth before drinking? Thank you for your answer, Director.
Dr. Lin Jiayong Reply:
Hello: It is recommended to rinse your mouth with water for about 1 minute after consuming acidic beverages. Once the oral pH balance is restored, you can proceed to brush your teeth. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Wel...[Read More] How Long Should You Wait to Brush Teeth After Drinking Alcohol?
Understanding Oral Lesions: Should You Worry About Pre-Cancerous Changes?
Buccal mucosa..? Hello, doctor! I have a habit of smoking and chewing betel nut. Recently, while brushing my teeth, I noticed a small, hard, and thickened lump on the inner right cheek near the middle of my upper and lower molars. I've also become sensitive to spicy foods, a...
Dr. Qiu Qiongyao Reply:
Mr. Ren: Hello, it is recommended that you go to the oral surgery department for a cancer screening. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Oral Lesions: Should You Worry About Pre-Cancerous Changes?
Understanding Wisdom Tooth Extraction Scars: What to Expect
Wisdom tooth extraction suturing? Hello Doctor, I would like to ask you a question. Twenty years ago, I had my lower left wisdom tooth extracted at a clinic, and the procedure involved stitches due to the size of the incision. I know there were three stitches, but I didn't c...
Dr. Lin Jiayong Reply:
Hello: The healing status of wounds can vary from person to person. Some individuals may have a predisposition to keloids, and the oral mucosa is constantly exposed to thermal stimuli from food. Additionally, factors such as medication side effects, tobacco, alcohol, betel nut, a...[Read More] Understanding Wisdom Tooth Extraction Scars: What to Expect
Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have nerve pain in my teeth, and I'm not sure if it's due to swollen gums. I can't eat anything because any movement causes nerve pain...
Dr. Zeng Guanghui Reply:
It is important to check for any inflammation or swelling of the gums, as well as to examine the teeth for cavities or crown defects. If the oral tissues appear normal but there is still gum tenderness and pain while eating, it may indicate an issue with the facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Swollen and bleeding gums after teeth cleaning? Hello, Doctor. A week ago, I had a dental cleaning (not a deep cleaning), and the day after the cleaning, one of my gums started to hurt. I have been maintaining good oral hygiene in that area, and there has been no bleeding, but it...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it seems there is an infection. It is recommended to apply some oral ointment to the affected area 2 to 3 times a day. When brushing your teeth, please clean that area gently, and you may use an antibacterial mouthwash. If the symptoms persist fo...[Read More] Post-Teeth Cleaning: Dealing with Gum Pain and Bleeding
Understanding Dental Issues After a Car Accident: Tightness in Lower Teeth
Dental fracture due to a car accident? Hello, doctor. I was in a car accident where I broke my teeth and fractured my jaw. I went to the dentist and had the broken upper teeth extracted, and they used a dental splint to stabilize the entire upper arch. The lower teeth that were i...
Dr. Zeng Guanghui Reply:
There may be a fracture in the mandibular joint area, which is causing limited mouth opening. It is recommended to consult an oral and maxillofacial surgeon for further evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Dental Issues After a Car Accident: Tightness in Lower Teeth
Understanding Oral Lumps: What Could Be Causing Your Symptoms?
There is a flexible tissue on the left side of the oral cavity? Hello Dr. Lin, a few days ago while I was licking the inside of my mouth, I noticed a piece of tissue (not sure if it's muscle) near the lower left close to the frenulum that feels hard and somewhat elastic when...
Dr. Lin Jiayong Reply:
Hello: The photo does not appear to show oral cancer, but rather a typical frenum. However, due to its location being too close to the upper edge, it may cause periodontal issues with adjacent teeth. It is recommended to seek active treatment at a hospital. Sincerely, Lin Chia-Yu...[Read More] Understanding Oral Lumps: What Could Be Causing Your Symptoms?
Understanding Tooth Decay: Why Your Filling Fell Out and Treatment Pain
The dental filling fell out, and the treatment process was quite uncomfortable? Hello, Doctor. I recently discovered a small cavity in my tooth where a previous filling had come off. I went for a consultation three days after noticing it, and I have a few questions. 1. I had a ...
Dr. Lin Jiayong Reply:
Hello: If you are at the same clinic, please ask the physician to retrieve the previous X-rays for comparison with the current ones. This will help determine whether the condition was not detected previously or if it is a new issue that has developed in the past month. The necess...[Read More] Understanding Tooth Decay: Why Your Filling Fell Out and Treatment Pain
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
Understanding Dentures: Common Issues and Care Tips for Seniors
Removable dentures 1. Why are elderly individuals unable to chew hard foods? Can this be improved? 2. My 80-year-old grandfather removes his upper and lower dentures before bedtime and finds food debris inside the dentures. Is this common with removable dentures? 3. My grandf...
Dr. Lin Jiayong Reply:
Hello: Aging of the human body is a normal phenomenon. Even natural teeth are not recommended to intentionally bite hard objects, let alone dentures. The support and force exerted by dentures rely on the oral mucosa and gingival tissue, which naturally cannot be as strong as natu...[Read More] Understanding Dentures: Common Issues and Care Tips for Seniors
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?
Dealing with Post-Extraction Pain: Is Dental Implant the Only Solution?
Shoulder pain? I would like to ask about my situation. Last Wednesday, I had my second molar and a horizontally impacted wisdom tooth extracted. Initially, I only intended to have the second molar removed because I had undergone immediate implant placement a few years ago. Howeve...
Dr. Zeng Guanghui Reply:
Due to the simultaneous extraction of the second and third molars, the area of the extraction wounds is larger, and the duration of inflammation may be prolonged. Therefore, it is recommended to maintain good oral hygiene to prevent infection of the wounds. The first molar is loc...[Read More] Dealing with Post-Extraction Pain: Is Dental Implant the Only Solution?