Understanding Oral Lichen Planus: Concerns About Biopsy and Healing
Oral lichen planus, oral mucosal ulcers, tongue ulcers? Hello Doctor: I was recently diagnosed with possible oral lichen planus, with reticular and ulcerative forms. The doctor recommended a biopsy for further confirmation, but I am concerned that the biopsy site may heal poorly ...
Dr. Zeng Guanghui Reply:
Oral lichen planus is recommended for biopsy because some studies suggest it may be a warning sign of oral cancer. Additionally, if a tongue ulcer does not improve after two weeks, it is advisable to consult an oral surgeon or an otolaryngologist to evaluate the need for a biopsy...[Read More] Understanding Oral Lichen Planus: Concerns About Biopsy and Healing
Understanding Spontaneous Pain in Sensitive Teeth: Causes and Treatments
Spontaneous pain in sensitive teeth? Hello, Director. I have experienced pain in my upper left tooth when exposed to cold, and I sought medical attention. At that time, Dr. A assessed that improper use of an electric toothbrush caused gum recession. After using resin, there was s...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you consult a dental specialist at a medical center for a second opinion, as the symptoms you described are very indicative of acute pulpitis (pain with cold and heat / spontaneous pain / intolerable pain). After ruling out other causes (such as brux...[Read More] Understanding Spontaneous Pain in Sensitive Teeth: Causes and Treatments
Persistent Oral Discomfort: Understanding Causes and Solutions
Oral discomfort Hello, Director Lin: I have been experiencing discomfort on the inner right side of my mouth for about 5 to 6 years. Initially, I thought it was related to my wisdom teeth, so I had them removed approximately 3 years ago, but the discomfort persists. I constantly ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to perform a neck and head X-ray to confirm whether there is inflammation or foreign body infection in that area. Additionally, it is important to rule out the presence of overly deep dental implants or unsuitable crowns/bridges. Psychogenic factors such ...[Read More] Persistent Oral Discomfort: Understanding Causes and Solutions
Persistent Gum Pain After Tooth Extraction: What to Do?
Persistent swelling and pain in the gums after tooth extraction? A month ago, I had a tooth extraction for a front tooth in preparation for a dental bridge. However, the root has been persistently swollen and painful for a month. I have returned for follow-up visits twice, and th...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult a dental specialist at a medical center in the area for a second or third opinion to confirm the condition of the wound.[Read More] Persistent Gum Pain After Tooth Extraction: What to Do?
Understanding Cysts Near Wisdom Teeth: Causes and Concerns
Blister near the wisdom tooth? There is an unerupted wisdom tooth that has some decay, and next to it, a bubble-like growth has suddenly appeared. It is not painful. I would like to know what this could be.
Dr. Lin Jiayong Reply:
Hello: It is advisable to have impacted and decayed wisdom teeth extracted.[Read More] Understanding Cysts Near Wisdom Teeth: Causes and Concerns
Understanding Tongue Pain: Causes and When to Seek Dental Help
Tongue pain? Hello, Doctor. I do not smoke, drink alcohol, or chew betel nut. Two days ago, after waking up, I noticed that when I intentionally move my tongue or make any deliberate actions with it, I experience pain, primarily on the right side of the tongue. Pressing on the ri...
Dr. Lin Jiayong Reply:
Hello: It could be caused by nighttime bruxism, tension from clenching, or sleep apnea, as well as having a large tongue that is positioned too far back, among other possible reasons. If you have a good night's sleep, you should not wake up with pain or discomfort in your to...[Read More] Understanding Tongue Pain: Causes and When to Seek Dental Help
Understanding Occasional Tooth Pain: Causes and Concerns
Dull toothache? Hello, doctor! I occasionally experience a dull pain in my lower left first molar. There is no redness or swelling, but sometimes I feel a sharp pain when yawning. When I bite down hard, I feel a sharp pain on the side of the tooth, but not towards the back. Press...
Dr. Lin Jiayong Reply:
Hello: It is advisable to first investigate potential causes in the lower left area (after all, the upper left molar has already undergone root canal treatment). This includes checking if there is an excessively deep dental implant in the lower left that may be affecting the prop...[Read More] Understanding Occasional Tooth Pain: Causes and Concerns
Can You Use Oral Gel After Wisdom Tooth Extraction?
Mouth ulcer after wisdom tooth extraction? After having both upper and lower wisdom teeth extracted on the same side, I noticed that three days later, the area near the extraction site started to break down, making it difficult to eat. Can I apply an over-the-counter oral gel (li...
Dr. Zeng Guanghui Reply:
Applying oral ointment can alleviate the pain symptoms of mouth ulcers. As long as the extraction site is kept clean, it will not affect the wound. - Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Can You Use Oral Gel After Wisdom Tooth Extraction?
Understanding Hard Bumps Under Teeth: Is It Bone Growth?
Oral issues? I have a hard bump below my tooth that doesn't hurt when I lick it with my tongue. It doesn't hurt when I press on it with my hand, but it causes a slight pain in the tissue at the root of that tooth. Here is the image link: https://imgur.com/a/dbK6Eke, sho...
Dr. Lin Jiayong Reply:
Hello: It does seem to be caused by osteophyte formation, but an X-ray is still needed for a definitive diagnosis. It is advisable to seek medical consultation for a more accurate assessment.[Read More] Understanding Hard Bumps Under Teeth: Is It Bone Growth?
Do You Need a Follow-Up After Cavity Treatment with Medication?
Dental cavity medication? Hello, Doctor. I recently had a cavity treated, and since it was quite large, the dentist said to place medication and observe for a few weeks. I haven't experienced any pain so far. If everything feels fine after the observation period, do I need t...
Dr. Lin Jiayong Reply:
Hello: The initial recommendation is to observe for one month. If there are no symptoms confirmed, temporary filling with resin or silver powder can be considered. Further observation will determine if root canal treatment or a crown for protection is necessary.[Read More] Do You Need a Follow-Up After Cavity Treatment with Medication?
Managing Pain After Wisdom Tooth Extraction: Tips for Relief
After the extraction of a horizontal wisdom tooth, there is swelling and pain in the gums near the inside of the mouth close to the tooth? Hello, doctor. I had my lower left horizontal wisdom tooth extracted on May 13, 2023 (Saturday) in the afternoon. After the anesthesia wore o...
Dr. Zeng Guanghui Reply:
Hello Mr. Andy: If the extraction site is very painful after having your wisdom teeth removed, it may indicate that the wound is large and possibly that the jawbone has been affected. It is recommended that if the pain is severe, you should return for a follow-up appointment to c...[Read More] Managing Pain After Wisdom Tooth Extraction: Tips for Relief
Post-Wisdom Tooth Extraction: Understanding Healing and Complications
Post-operative issues after wisdom tooth extraction? Hello, doctor. I had my horizontal wisdom tooth extracted four days ago and opted for collagen placement at my own expense. The stitches have not been removed yet, but today I noticed a deep cavity at the wound site, with a whi...
Dr. Lin Jiayong Reply:
Hello: Typically, collagen is not absorbed within four days. It is advisable to have the physician check again during the follow-up appointment when the stitches are removed.[Read More] Post-Wisdom Tooth Extraction: Understanding Healing and Complications
Understanding Pain After Wisdom Tooth Extraction: What to Expect
Pain after wisdom tooth extraction? Hello Doctor, I had severe inflammation of my wisdom tooth a week before extraction (swollen gums, facial swelling, and inability to bite down). After taking antibiotics for a week, the swelling decreased, but there was still mild pain. I then ...
Dr. Lin Jiayong Reply:
Hello: If the pain has reached a level that prevents you from sleeping, it is advisable to return for a follow-up appointment. Please have the doctor confirm that there is no bacterial infection and consider increasing the anti-inflammatory and pain relief medication. Otherwise, ...[Read More] Understanding Pain After Wisdom Tooth Extraction: What to Expect
Understanding Gum Pain After Root Canal Treatment: Causes and Solutions
The location of the pain is somewhat subtle? I have a tooth that has already undergone root canal treatment and has a post placed in it. Before getting a crown (which has been delayed for almost three years), I experienced gum pain after a dental cleaning. The pain mainly occurs ...
Dr. Zeng Guanghui Reply:
Hello Ms. Amo: If your gums continue to hurt after a dental cleaning, it is important to consider whether there are ongoing issues with your gums. It is recommended to consult with a dentist or a periodontist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, ...[Read More] Understanding Gum Pain After Root Canal Treatment: Causes and Solutions
Understanding Post-Crown Sensitivity: Causes and Solutions
After getting a dental crown, you may experience discomfort in your bite? Hello, doctor. I have a molar that initially became severely inflamed, and I followed my dentist's advice to undergo root canal treatment. During the treatment process, I occasionally experienced sympt...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you temporarily refrain from switching to a full ceramic crown. Please discuss with your original dentist the possibility of using a temporary crown for at least three months to confirm that the soreness, numbness, and throbbing pain you mentioned ar...[Read More] Understanding Post-Crown Sensitivity: Causes and Solutions
Dealing with Oral Discomfort After Orthodontic Treatment: Solutions Explored
After orthodontic treatment, the teeth may scrape against the oral mucosa? Dear Dr. Tseng, Before orthodontic treatment, the alignment of my upper teeth was comfortable. However, after completing the treatment, one of my upper teeth (the one next to the front tooth) has a rough ...
Dr. Zeng Guanghui Reply:
Hello Ms. Deb: If you frequently experience discomfort from friction on the inner mucosa of your lower lip, you should consider whether the alignment of your incisors is off. It is recommended that if you have periodontal disease, you should first treat the periodontal condition ...[Read More] Dealing with Oral Discomfort After Orthodontic Treatment: Solutions Explored
Understanding Dental Injuries After a Car Accident: Symptoms and Solutions
Dental injury due to a car accident? It has been two weeks since the car accident. There is a crack on the back surface of my front tooth. Eating and drinking hot or cold items does not cause pain, but I have noticed a small protrusion on the gum near the front tooth, which cause...
Dr. Zeng Guanghui Reply:
Hello, Anonymous: It is likely that the teeth were impacted, resulting in injury to the periodontal ligament or inflammation of the dental pulp. If symptoms do not improve after one or two weeks, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, D...[Read More] Understanding Dental Injuries After a Car Accident: Symptoms and Solutions
Dealing with Gum Abscess After Root Canal: Can I Switch Dentists?
After a root canal treatment, there is a gum abscess and a change of dentist during the procedure? Yesterday, I had my first root canal treatment on my first molar. It was very painful during the procedure, and the next day I noticed a sizable abscess on my gum, which is painful ...
Dr. Lin Jiayong Reply:
Hello: It is advisable to inform the original physician about the presence of a gum abscess and inquire whether it is necessary to prescribe antibiotics or other anti-inflammatory medications. If the original physician has any doubts, seeking a second or third opinion may be bene...[Read More] Dealing with Gum Abscess After Root Canal: Can I Switch Dentists?
Understanding Tooth Injuries After a Car Accident: Causes and Concerns
Dental injury from a car accident? Hello, doctor. Last week, I was in a car accident and hit my front tooth. When I shine a strong light on it, I can see a crack, but I don't feel pain when eating cold food. However, my gums have a burning sensation. What could be the reason...
Dr. Lin Jiayong Reply:
Hello: It may be a laceration or localized hematoma caused by trauma to the gums. It is recommended to return for a follow-up appointment for the physician to monitor and observe the condition![Read More] Understanding Tooth Injuries After a Car Accident: Causes and Concerns
How to Prevent Food Trapping in Upper Molars and Relieve Gum Pain
Food impaction The upper left first and second molars are prone to food trapping, causing gum pain. Flossing is easy, but I'm unsure how to improve the situation. The second molar had a cavity that has been filled, but the two molars feel uneven, with the second molar being ...
Dr. Lin Jiayong Reply:
Hello: The defect in the second molar may be able to be restored with a new crown to regain its complete shape and prevent food from getting trapped. The height discrepancy between the two teeth may require consideration for correcting to an appropriate occlusal height. Before th...[Read More] How to Prevent Food Trapping in Upper Molars and Relieve Gum Pain