Dealing with Gum Bone Spurs: Which Dental Specialist to See?
Osteophyte on the inner side of the upper right gum? Doctor, I live near Chang Gung Memorial Hospital in Kaohsiung. Should I go to the oral surgery department or the periodontology department for treatment? I have this sharp, hard protrusion on my gums that feels like a small bon...
Dr. Qiu Qiongyao Reply:
Hello: Both departments are available. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Dealing with Gum Bone Spurs: Which Dental Specialist to See?
Understanding Dental Crown Issues: Expert Answers to Common Concerns
Braces issues Hello Doctor: Over a year ago, I had issues with the metal crowns on two of my central incisors and the left lateral incisor bridge, which had black margins at the gums. I went to the clinic to have them remade. The right central incisor had not been crowned since I...
Dr. Lin Jiayong Reply:
Hello: Since the current issue is only the fracture of the right central incisor, it is recommended to focus on reconstructing that tooth (simplifying the problem makes it easier to achieve the goal). We can see if it is possible to reattach the post and crown; if not, I suggest ...[Read More] Understanding Dental Crown Issues: Expert Answers to Common Concerns
How to Keep Your Teeth Clean When You Can't Open Your Mouth Wide
It is important not to open your mouth too wide while eating. To ensure your teeth are clean after a meal, you can follow these steps: 1. Rinse your mouth with water to remove food particles. 2. Use dental floss to clean between your teeth. 3. Brush your teeth with fluoride too...
Dr. Qiu Qiongyao Reply:
Hello: Since cleaning can be quite challenging, it is advisable to limit the intake of sweets and snacks. Focus on consuming whole foods and drink plenty of water. Be sure to brush your teeth after meals. If you are experiencing discomfort in your teeth or if it has been three mo...[Read More] How to Keep Your Teeth Clean When You Can't Open Your Mouth Wide
Post-Wisdom Tooth Extraction: Understanding Pain and Healing Concerns
Problems After Wisdom Tooth Extraction Hello Dr. Lin, I am currently recovering from the extraction of my right wisdom teeth at a large hospital. The upper right tooth was horizontally impacted, and the lower right tooth was a horizontally impacted tooth (embedded in the gum). It...
Dr. Lin Jiayong Reply:
Hello: Regarding points 1, 2, and 3, since the physician has confirmed it, these should be considered normal phenomena, especially if there was any bone involvement; complete recovery may take about six months. 4. If the inferior alveolar nerve was injured, even after the anesthe...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Healing Concerns
Understanding Tongue Blood Blisters: Causes and Treatment Options
Small blisters on the tongue? Hello, doctor. I woke up on January 1st and noticed a sore in my left oral cavity (which should heal in two to three days). However, I also developed a small blister near the left side of my tongue, close to my wisdom tooth. I found on Google that so...
Dr. Zeng Guanghui Reply:
Hello Miss Huang Xiaoxin: There is a small blister on the left side of your tongue. If it does not heal on its own, it is recommended to consult a dentist or an otolaryngologist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Tongue Blood Blisters: Causes and Treatment Options
Understanding TMJ Disorders After Facial Injury: Symptoms and Solutions
I have developed temporomandibular joint disorder due to an impact injury? Hello Doctor, On December 6, 2023, I was playing basketball and someone accidentally hit my left cheek (possibly near the jaw area). Since then, I have experienced a clicking sensation when I open my mout...
Dr. Zeng Guanghui Reply:
Dear Mr. Avi, 1. Any external force that can cause displacement of the temporomandibular joint (TMJ) cartilage, or even tearing of the joint head, can lead to inflammation and pain in the TMJ. 2. If you experience difficulty opening or closing your mouth, or if you feel pain in ...[Read More] Understanding TMJ Disorders After Facial Injury: Symptoms and Solutions
Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?
Even after undergoing microscopic root canal treatment and having a crown placed, pain may still persist? Hello doctor, my second to last lower left molar underwent root canal treatment at the end of June. The dentist mentioned that the tooth was calcified and could not be cleane...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for treatment, including occlusal adjustment, replacement of the crown, redoing the root canal, or periodontal treatment, among others. The tooth itself, in addition to the dental pulp nerves, also has surrounding nerves t...[Read More] Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?
Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?
Even after undergoing microscopic root canal treatment and having a crown placed, pain may still persist? Hello doctor, my second to last lower left molar underwent root canal treatment at the end of June. The dentist mentioned that the tooth was calcified and could not be thorou...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for treatment, including occlusal adjustment, replacement of the dental crown, redoing the root canal, or periodontal therapy, among others. Besides the dental pulp nerves, the nerves surrounding the tooth can also respond...[Read More] Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?
Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Numbness at the tip of the tongue and bleeding from a hole after teeth cleaning? Hello, due to pain near my wisdom tooth, I visited a dental clinic for treatment. During the teeth cleaning process, I bled quite a bit (my wisdom tooth is horizontal). The next day, I started experi...
Dr. Lin Jiayong Reply:
Hello: During the teeth cleaning process, the dentist may have applied a local anesthetic to the gums or inside the mouth, which can cause a tingling sensation. The dental cleaning instrument is quite large and is unlikely to touch the nerve beneath the wisdom teeth. To determine...[Read More] Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Tooth sensitivity after crown placement? Hello, doctor. I had a root canal treatment on my upper right premolar about seven to eight years ago, and it was capped afterward. However, in the past six months, I have developed a habit of grinding my teeth, which has caused wear and i...
Dr. Zeng Guanghui Reply:
Ms. Anonymous: If the upper premolar that has been re-braced has already undergone root canal treatment, there should not be any sensitivity or pain. However, if gum recession has caused larger gaps between the teeth, making it easier for food to get stuck, in addition to maintai...[Read More] Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
Inquiry about the issue of unexplained necrotic teeth? Hello Dr. Lin, I have a tooth that experienced severe pain in 2019. Recently, both cold and electric pulp tests at the clinic and medical center indicated that the tooth is non-responsive. Lately, there has been sensitivity a...
Dr. Lin Jiayong Reply:
Hello: If periapical periodontitis has already occurred, it is recommended to prioritize root canal treatment. If there is no improvement, consider combining it with periodontal surgery. There are many causes of pulp necrosis, including bacterial infection, but more commonly due ...[Read More] Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
Understanding Bite Discomfort After Temporary Dentures: Key Insights
Sudden changes in bite alignment? Hello, Doctor. While waiting for the implant to integrate with the bone, I was wearing a temporary denture (fitted in a clear retainer, which only covers 3/4 of my teeth, leaving three molars on one side uncovered). Recently, after removing the r...
Dr. Lin Jiayong Reply:
Hello: I'm not quite clear on your question, but I recommend discussing any overly detailed concerns with your implant and orthodontic specialists. However, I can provide some information: the vertical height of the posterior teeth must differ by at least 4mm between the upp...[Read More] Understanding Bite Discomfort After Temporary Dentures: Key Insights
Understanding Pinkish Teeth: Causes and Solutions for Dental Sensitivity
The teeth appear light pink? Hello, Doctor. My upper front tooth (tooth number 11) had a chip due to external force a long time ago. It was initially restored with composite resin, but due to a deeper and heavier bite, the resin would not last long and would fall off. After consi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe for about a month. If it is a "reversible" pulpitis, the symptoms will gradually decrease, and once asymptomatic, the all-ceramic crown can be cemented. However, if there is concern that cementing the all-ceramic crown may lead to &qu...[Read More] Understanding Pinkish Teeth: Causes and Solutions for Dental Sensitivity
Understanding Fixed Dental Braces: Treatment Options and Concerns
Could you please provide more specific questions regarding orthodontic treatment? Hello, I would like to ask about my mother's dental situation. She previously had a fixed dental bridge, where the upper and lower rows of teeth are connected, and each of her natural teeth was...
Dr. Zeng Guanghui Reply:
Hello Ms. Saki: Fixed braces involve reducing the size of the original teeth to accommodate the braces or bridges, which makes them more convenient to use. However, if proper oral hygiene is not maintained, particularly in cleaning the gaps between the braces and the junctions wi...[Read More] Understanding Fixed Dental Braces: Treatment Options and Concerns
Understanding Dental Implants: Crown Materials and Fixation Methods Explained
Materials for dental crowns in implants and methods for securing dentures? Hello, doctor. Due to a missing lateral incisor, I underwent dental implant surgery in April of this year (using Swedish Astra and bone graft material), which cost NT$100,000. I just had the crown installe...
Dr. Lin Jiayong Reply:
Hello: Q1: There should be a possibility to switch to all-ceramic, but the dentist initially choosing metal-ceramic likely has their reasons. It is advisable to discuss this clearly with them. The chance of converting from a cemented to a screw-retained restoration is very low,...[Read More] Understanding Dental Implants: Crown Materials and Fixation Methods Explained
Is Discomfort Normal After Getting New Dental Implants?
Just finished a root canal and had the permanent dentures placed? The lower left molar had a root canal treatment on April 26, and a temporary crown was placed on May 5. During a follow-up visit on May 19, I mentioned that it was uncomfortable when I pressed my tongue against the...
Dr. Lin Jiayong Reply:
Hello: Dentures are considered foreign objects in the body, and it does take time to adapt to them. The adaptation period varies from person to person, just as some people can wear contact lenses all day while others cannot tolerate them at all. It is perfectly fine to seek a sec...[Read More] Is Discomfort Normal After Getting New Dental Implants?
Persistent Pain After Microscopic Root Canal Treatment: What to Do?
Persistent symptoms after microscopic root canal treatment? Hello Doctor: I underwent root canal treatment on my lower left molar last November, but I have continued to experience dull pain and am unable to chew food properly. In January of this year, I transferred to a microspec...
Dr. Lin Jiayong Reply:
Hello: Tooth pain is primarily divided into two aspects: pulp and periodontal issues. If the pulp has been cleaned thoroughly, it is necessary to consider whether there is inflammation or an infection source in the periodontal area. Cracks often occur at the junction of the tooth...[Read More] Persistent Pain After Microscopic Root Canal Treatment: What to Do?
Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Gum laceration Hello: I accidentally punctured my gums with the rounded plastic tip of my toothbrush, which was very painful and caused bleeding. It has not healed for 2 to 3 months and has turned into an abscess. I consulted two different clinics, and they provided conflicting d...
Dr. Qiu Qiongyao Reply:
Mr. Chen: Hello, in response to your inquiries, please find the following information: 1. In root canal treatment, the apex may show a radiolucent area on the X-ray. 2. An ulcer that has not healed for 2-3 months should be further evaluated by an oral surgeon to assess the possib...[Read More] Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Post-Wisdom Tooth Extraction: Persistent Jaw Pain and Recovery Tips
Post-operative issues after wisdom tooth extraction (cheek and jaw pain) On February 21, I had my upper and lower right wisdom teeth extracted. The procedure went smoothly and quickly, and both teeth had an out-of-pocket collagen component! After taking three days' worth of ...
Dr. Lin Jiayong Reply:
Hello: If the tooth socket bone was reshaped during the extraction of the wisdom tooth, complete healing of the bone may take about 6 months before there is no sensation. A common and bothersome complication after the extraction of the mandibular wisdom tooth is facial numbness. ...[Read More] Post-Wisdom Tooth Extraction: Persistent Jaw Pain and Recovery Tips
Understanding Root Canal Treatment: Addressing Pain and Complications
Root canal treatment I have longer and more difficult-to-access tooth roots. The clinic does not have a microscope for root canal treatment, so the doctor put in a lot of effort to complete the procedure on my upper right first molar. That tooth itself does not hurt, but I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult the original clinic's dentist to take an X-ray of the lower right first molar to confirm whether there is an issue with that tooth. For teeth that have already completed treatment, it is advisable to simply monitor them, as excessive...[Read More] Understanding Root Canal Treatment: Addressing Pain and Complications