Exploring the Connection Between Saliva and Periodontal Disease Treatment Options
Periodontal disease treatment Dear Doctor, it seems that periodontal disease, dental plaque, and calculus can only be treated through surgical and mechanical methods such as scaling. Is there no better way to effectively eradicate these issues? Why do some individuals who follow ...
Dr. Zeng Guanghui Reply:
The pathogenic factor of periodontal disease is dental plaque. A normal oral cavity is not a sterile environment; however, when the quantity of bacteria in dental plaque increases, particularly with the presence of specific periodontal pathogenic bacteria, it can trigger an infla...[Read More] Exploring the Connection Between Saliva and Periodontal Disease Treatment Options
Managing Gum Growth Issues After Wisdom Tooth Extraction
Issues with gum growth after wisdom tooth extraction? Hello, I have been troubled by this issue for many years, so I would like to seek your advice. I had all four of my wisdom teeth extracted during my college years, and due to the sutured wounds, the gum tissue where the lower ...
Dr. Zhu Guanyu Reply:
Hello, based on your description, there are three possible scenarios: 1. Inflammatory response at the extraction site, 2. Periodontal or apical periodontitis of the anterior teeth, 3. A combination of both. Please visit a dental clinic or hospital dental department for further ex...[Read More] Managing Gum Growth Issues After Wisdom Tooth Extraction
Understanding Crown Movement: Causes and Solutions for Dental Issues
The dental crown has been in place for less than a month? I had a crown placed on my lower right molar, but the day after it was installed, I felt it was loose. I returned to the original clinic for a check-up, and the dentist assured me that the crown was securely bonded. Howeve...
Dr. Huang Tingfang Reply:
Dear Anonymous Miss: Hello! As mentioned, the periodontal condition of this tooth is not very good. Please communicate more with your doctor! Thank you! Wishing you well! Sincerely, Dr. Huang Ting-Fang, Dentistry.[Read More] Understanding Crown Movement: Causes and Solutions for Dental Issues
Understanding Tooth Pain After Filling: Is It a Cracked Tooth?
Molar cavity filling? I previously had a cavity filled, but I experience pain when eating at a certain point. The dentist refilled it, but I still feel pain while eating. Now, even using dental floss causes pain in my gums, and I also feel pain when I come into contact with cold ...
Dr. Zhu Guanyu Reply:
Hello, Miss. Tooth pain is usually examined for cavities, dental nerves, and periodontal issues. Once these teeth are ruled out, other sources of pain must be considered, such as the temporomandibular joint, bruxism, salivary glands, facial nerves, tooth wear, and hypersensitivit...[Read More] Understanding Tooth Pain After Filling: Is It a Cracked Tooth?
Optimal Treatment Sequence for Dental Issues: Extraction, Orthodontics, and Prosthetics
I would like to inquire about the treatment sequence? Hello Dr. Zhu, Due to not having a crown placed after a root canal treatment a long time ago, my molars are now in a chaotic state, with some being long and others short. Long-term one-sided chewing has caused facial asymmet...
Dr. Zhu Guanyu Reply:
Dear Ms. Wu, Hello. If there are many teeth that need to be addressed simultaneously, it will involve a comprehensive treatment plan for the entire mouth. Typically, this plan is developed through discussions among specialists from different fields, such as orthodontists and pro...[Read More] Optimal Treatment Sequence for Dental Issues: Extraction, Orthodontics, and Prosthetics
Understanding Jaw Pain: When Chewing Becomes a Challenge
It's impossible to take a bite of a hamburger and get all the ingredients in one go? Hello Dr. Zhu^^ Although I used a more humorous title, I feel that this issue has become serious. It's said that a hamburger cannot be bitten in one bite, but in reality, my mouth canno...
Dr. Zhu Guanyu Reply:
Dear Student Li, Hello, based on your description of symptoms, it sounds very much like a temporomandibular joint (TMJ) disorder. The reduced mouth opening and the "clicking" sound when opening your mouth are typical symptoms of TMJ dysfunction. However, an accurate di...[Read More] Understanding Jaw Pain: When Chewing Becomes a Challenge
Sensitivity After Dental Filling: Why Cold Foods Cause Discomfort
After getting a dental filling, experiencing prolonged sensitivity to cold substances is common? A few days ago, I went to get a cavity filled, and the dentist mentioned that my last molar (excluding the wisdom tooth) had a deep cavity due to impaction. After the filling, for two...
Dr. Zhu Guanyu Reply:
Dear Mr. Lu, Hello, if your tooth became sensitive after being cleaned and filled due to decay, and the symptoms are becoming increasingly bothersome, it is important to first rule out pain originating from other teeth or periodontal tissues. As for whether root canal treatment ...[Read More] Sensitivity After Dental Filling: Why Cold Foods Cause Discomfort
Understanding the Frequency of Root Canal Treatments: Is It Normal?
The number of sessions required for root canal treatment? Hello, Doctor: I would like to ask you about root canal treatment, thank you. My lower left molar had a small piece break off after it was filled previously, and I didn't address it for a while. Later, I experienced p...
Dr. Huang Tingfang Reply:
Dear Ms. Anita, Hello! The root canal treatment for molars is actually quite challenging (3-4 roots). It is important to locate all the root canals and clean the internal canal thoroughly, as each individual's anatomy varies! Please communicate frequently with your dentist....[Read More] Understanding the Frequency of Root Canal Treatments: Is It Normal?
Persistent Gum Growth: What to Do About Your Dental Concern?
There is a growth on my gum that has been present for six months? There is a growth in the gum between my lower right molar, which has undergone root canal treatment, and the tooth in front of it. The growth resembles the color of the gum and has a slight white tint. It feels lik...
Dr. Huang Tingfang Reply:
Dear Miss in Japan, Hello! (There is a growth on my gum that has been present for six months and is slightly swollen.) It is essential to determine whether this is caused by periodontal disease or pulp disease, which requires an X-ray for diagnosis. However, this appears to be a...[Read More] Persistent Gum Growth: What to Do About Your Dental Concern?
Assessing the Feasibility of Extracting Upper Molars for Orthodontics
The feasibility of extracting upper molars for orthodontic treatment? I would like to ask about my situation. I have protruding teeth and I am considering orthodontic treatment to improve it. After consulting several clinics, they all mentioned that I would need to extract teeth ...
Dr. Zhu Guanyu Reply:
Hello, In orthodontic treatment, space analysis must undergo various clinical examinations to be accurately determined. These include intraoral examinations, impressions, full-mouth X-rays, and cephalometric analysis, among others, to provide the patient with the most suitable ...[Read More] Assessing the Feasibility of Extracting Upper Molars for Orthodontics
Impact of Delayed Follow-Up on Root Canal Treatment Outcomes
The duration of root canal treatment is typically less than an hour? Hello, Doctor. Today I had my second session of root canal treatment (medication change) and I was scheduled for a follow-up appointment in one week. However, the receptionist could only book me for a follow-up ...
Dr. Huang Tingfang Reply:
Dear Anonymous Miss: Hello! Please trust the professionals! Some medications need to be changed every three days, while others may need to be changed every two weeks. Please communicate more with your physician! Thank you! Wishing you safety! Sincerely, Dr. Huang Ting-Fang, Denti...[Read More] Impact of Delayed Follow-Up on Root Canal Treatment Outcomes
Understanding Heat Sensitivity After Root Canal Treatment: Causes and Solutions
Experiencing a burning sensation in the gums when consuming hot beverages? Dear Doctor: After undergoing root canal treatment on three anterior teeth, I experience a burning sensation when drinking hot beverages. What could be the issue? Some dentists suggest that the root canal ...
Dr. Huang Tingfang Reply:
Dear Ms. QQ: Hello! Teeth that have undergone root canal treatment usually need to be monitored for a period of time to observe any changes. Please communicate frequently with your dentist! Thank you! Wishing you well! Sincerely, Dr. Huang Ting-Fang, Dentistry.[Read More] Understanding Heat Sensitivity After Root Canal Treatment: Causes and Solutions
Understanding Post-Braces Tooth Pain: Causes and Solutions
Experiencing sudden bite pain a few months after getting braces? Hello Doctor: Regarding the fourth tooth from the left in the upper row, after undergoing root canal treatment, I did not have a crown placed for protection. Six months ago, my dentist discovered a crack and promptl...
Dr. Zhu Guanyu Reply:
Hello, if a tooth still experiences occlusal issues after root canal treatment, there are usually several reasons: 1. Occlusal interference from restorations, 2. Persistent underlying pathology, 3. Presence of cracks in the tooth, 4. Periodontal issues. If any of these factors ar...[Read More] Understanding Post-Braces Tooth Pain: Causes and Solutions
Should You Extract Both Wisdom Teeth and a Cavity Tooth?
Is it necessary to extract all of them? Hello! I had a root canal treatment on my upper left second molar, but it has decayed again before I could get a crown. I also have a horizontally impacted wisdom tooth that can only be seen on an X-ray. The issue is that some doctors recom...
Dr. Huang Tingfang Reply:
Dear Miss Hsiao-Ting, Hello! If the horizontal wisdom tooth is located beneath the root of the second molar, it may not need to be extracted, as this would require more bone disruption. Please communicate more with your dentist. Thank you! Wishing you safety! Sincerely, Dr. H...[Read More] Should You Extract Both Wisdom Teeth and a Cavity Tooth?
Understanding Membrane Blood Blisters Under the Tongue: Causes and Care
Sublingual mucosal hematoma? Hello, Doctor. This afternoon, I noticed a blood clot on the underside of my tongue. After researching online, I found images of a mucocele that resemble my symptoms, and my blood clot is about the size of a fingernail. Some people suggested that if I...
Dr. Zeng Guanghui Reply:
The above condition may be due to sublingual mucosal inflammation or damage to the sublingual mucosal microvasculature, leading to blood retention beneath the mucosa. If the swelling does not resolve on its own within a few days, it is advisable to seek medical attention promptly...[Read More] Understanding Membrane Blood Blisters Under the Tongue: Causes and Care
Understanding Root Canal Treatment: Addressing Pain and Healing Concerns
Regarding root canal treatment? Hello: A month ago, I had a sore at the gum line of my front tooth and the adjacent lateral incisor. After healing, a small scar remained, with a red outer ring and a whitish center, but it doesn't hurt. Subsequently, the front tooth and later...
Dr. Huang Tingfang Reply:
Dear Ms. V: Hello! As mentioned, it is indeed nerve necrosis, which has led to the "mouth ulcers." After root canal treatment, it will improve! The teeth in the lower front often feel very sensitive and painful; a clinical examination is necessary to determine the cause...[Read More] Understanding Root Canal Treatment: Addressing Pain and Healing Concerns
Understanding Root Canal Treatment: Addressing Pain and Healing Concerns
Regarding root canal treatment? Hello: A month ago, I had a sore at the gum line of my front tooth and the adjacent lateral incisor. After healing, a small scar remained, with a red outer ring and a whitish center, but it doesn't hurt. Subsequently, my front tooth and latera...
Dr. Huang Tingfang Reply:
Dear Ms. V, Hello! As mentioned, the "mouth sore" at the upper edge of the gums of your front teeth and adjacent incisors may be a fistula, which is associated with chronic inflammation. It should resolve after successful root canal treatment, so please be patient! The...[Read More] Understanding Root Canal Treatment: Addressing Pain and Healing Concerns
TMJ Issues and Chewing Sugar-Free Gum: Pros and Cons Explained
Temporomandibular joint (TMJ) occlusion & chewing gum Hello Dr. Kuan-Yu, I have not been diagnosed with any occlusal temporomandibular joint issues. My jaw opens and closes smoothly, and I have never experienced pain. However, when I open my mouth wide, such as when making t...
Dr. Zhu Guanyu Reply:
Hello, there are many factors that can contribute to temporomandibular joint (TMJ) issues. If the problem is related to the muscles, it is advisable to allow the masticatory muscles to relax and rest. If the issue involves mouth opening or abnormalities of the articular disc or f...[Read More] TMJ Issues and Chewing Sugar-Free Gum: Pros and Cons Explained
Dealing with Tooth Pain: Solutions for Front Teeth Issues
The front tooth and the tooth directly below it? Hello, a few months ago, a small piece of enamel chipped off in the middle of my front tooth (when I run my tongue over it, it feels like a groove, but the tooth's appearance doesn't show any missing pieces; the damage is...
Dr. Lin Jiayong Reply:
Hello: Damage to the enamel alone typically does not cause pain. If you are experiencing significant pain, it is highly likely that the dental nerve is affected. I recommend that you undergo a detailed examination. Wishing you safety and good health.[Read More] Dealing with Tooth Pain: Solutions for Front Teeth Issues
Understanding Tooth Weakness After Braces: Concerns and Solutions
Feeling of weakness during orthodontic treatment? Hello Doctor: I just had braces installed two weeks ago, and I had my first premolars extracted on both sides, along with bone screws placed near the first molars. Today marks the 12th day, and my teeth still feel very weak, makin...
Dr. Zeng Guanghui Reply:
After having the upper braces installed, the first premolars on both sides were extracted, and bone screws were placed on both sides. In the early stages of orthodontic treatment, the teeth began to move slowly, and there was a sensation of soreness and weakness when biting down....[Read More] Understanding Tooth Weakness After Braces: Concerns and Solutions