Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui Reply:
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Understanding Persistent Pain After Microscopic Root Canal Treatment
Microscopic Root Canal Treatment Hello Doctor: I completed root canal treatment at the end of November last year, but I have been experiencing persistent dull pain, pain when tapping, and pain when biting down on food. Therefore, I switched to another clinic for microscopic root ...
Dr. Lin Jiayong Reply:
Hello: Since the root canal treatment was completed in January, it is recommended to observe for at least three months before deciding on any more aggressive treatments (such as apicoectomy, flap regeneration, or extraction followed by dental implants). It may also be beneficial ...[Read More] Understanding Persistent Pain After Microscopic Root Canal Treatment
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
Understanding Jaw Pain: Is It Temporomandibular Joint Disorder?
Temporomandibular joint disorder (TMJ disorder) Two weeks ago, I woke up one morning and noticed that when my teeth were clenched, I experienced pain in front of my left ear, which radiated to the area around my left temple. I initially thought that resting for a few days would h...
Dr. Lin Jiayong Reply:
Hello: If you have already seen two doctors who provided similar diagnoses, it is advisable to follow their recommendations. However, if you are still very concerned, it is suggested that you visit an oral and maxillofacial surgery department at a medical center to determine if a...[Read More] Understanding Jaw Pain: Is It Temporomandibular Joint Disorder?
Understanding Dental Fillings: Symptoms of Resin Loss and When to Seek Help
Inquiry Consultation Dear Dr. Tseng, A few days ago, while eating dumplings, I bit into a slightly hard white object and spat it out. I'm unsure if it was a fragment of bone from the dumpling filling or if it might be a piece of resin that has come off from my dental fillin...
Dr. Zeng Guanghui Reply:
1. It is possible to experience sensitivity and pain when consuming hot or cold foods. 2. If the area of the dental filling's resin has a shallow detachment, it may be completely asymptomatic. 3. If there are noticeable symptoms, it is advisable to monitor the situation; how...[Read More] Understanding Dental Fillings: Symptoms of Resin Loss and When to Seek Help
Why Cavities Can Return Within a Year After Dental Fillings
Cavity recurrence one year after dental filling? Dear Doctor, Last year, I had cavities on both sides of my central incisors, which were treated and filled. Recently, the filling came loose, and upon returning to the clinic, the doctor mentioned that there is a new cavity that ...
Dr. Lin Jiayong Reply:
Hello: The detachment of restorations is often caused by excessive forces (occlusal or lateral forces), in addition to recurrent caries. If there is malocclusion, a habit of biting into apples, bread, or guavas with the anterior teeth, or if there is a tendency to grind teeth at ...[Read More] Why Cavities Can Return Within a Year After Dental Fillings
Post-Wisdom Tooth Extraction: Odor and Gum Height Concerns
One week after wisdom tooth extraction, there is still an odor at the wound site and the gum tissue is elevated? I had my upper wisdom tooth extracted a week ago, and I have finished taking the anti-inflammatory medication. Although there is no pain anymore, there is still an unu...
Dr. Lin Jiayong Reply:
Hello: If the smell is unpleasant, or if there is pus or yellow nasal discharge, it is advisable to return for a follow-up appointment to have the physician confirm whether there is a bacterial infection. You may also need to obtain anti-inflammatory medication.[Read More] Post-Wisdom Tooth Extraction: Odor and Gum Height Concerns
Why Cavities Can Persist Even After Dental Fillings: What You Need to Know
Cavities have been filled, but there are still cavities present? Hello Doctor, I recently underwent invisible orthodontic treatment, and my primary dentist took care of all my cavities before starting. However, one day I noticed what I suspected to be a cavity because of some bla...
Dr. Lin Jiayong Reply:
Hello: If the decay is very close to the nerve and you insist on removing all of it thoroughly, there is a significant chance that it may lead to the need for subsequent root canal treatment. Based on the principle of conservatism, some dentists may suggest preserving the deeper ...[Read More] Why Cavities Can Persist Even After Dental Fillings: What You Need to Know
Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Is it possible for a tooth that wasn't painful before a dental cleaning to become painful afterward, ultimately requiring root canal treatment? Hello Doctor: Below is my experience during the consultation, and I would appreciate your advice, thank you! Initially, I developed...
Dr. Lin Jiayong Reply:
Hello: I recommend that you first return to Dr. A, as they are most familiar with your original condition. Please update them on your current situation and inquire whether a root canal treatment is necessary.[Read More] Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Post-Wisdom Tooth Extraction: Managing Pain and Food Trapping Issues
Post-operative issues after wisdom tooth extraction? Hello Doctor: I mainly want to ask about the situation after wisdom tooth extraction. Is it normal for the extraction site to become inflamed and swollen again the day after I had food debris cleaned out and pus drained, even t...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe for six months after extraction. If the healing of the wound is not ideal and it remains difficult to clean, you may consider consulting a periodontist to see if flap surgery or alveolar bone reshaping can be performed. Immediately after extrac...[Read More] Post-Wisdom Tooth Extraction: Managing Pain and Food Trapping Issues
Understanding Root Canal Treatment: Symptoms, Diagnosis, and Next Steps
Root canal treatment Hello, Doctor! I had a root canal treatment on my upper right second molar a year ago. Last Saturday, after doing a rapid test, I accidentally poked my right nostril, causing some bleeding. Initially, the tooth experienced occasional sharp pain, but after tak...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe for a few months. If the pain subsides, you may consider getting a dental crown for protection. If the X-ray examination reveals any issues, then consider whether to extract the tooth.[Read More] Understanding Root Canal Treatment: Symptoms, Diagnosis, and Next Steps
Understanding Oral Ulcer Healing Time: What to Expect and When to Worry
Calculation of Healing Time for Oral Ulcers Hello, Doctor! Description of my condition: About 7 days ago, I started to have an ulcer on the inner side of my lower lip (I can't recall the exact date, but I remember it started small and then grew larger). Currently, it is al...
Dr. Lin Jiayong Reply:
Hello: If you have already been examined by two physicians who both indicated that there are no issues, it is advisable to simply observe for now. Wound healing takes time and is related to individual circumstances (such as systemic diseases, nutrition, immunity, lifestyle, etc.)...[Read More] Understanding Oral Ulcer Healing Time: What to Expect and When to Worry
Can Dental Implants Affect Healthy Teeth? Understanding Treatment Options
Dental implants, damaged healthy teeth? Hello, I have a dental implant that is too long and needs to be reduced, but the dentist filed it down too much, causing pain when I bite. Can this tooth still be treated? Will it recover? The dentist said I need a root canal treatment. Is ...
Dr. Zeng Guanghui Reply:
If a tooth is experiencing sensitivity and requires a root canal, it is recommended to place a crown after the procedure to protect the tooth and prevent it from becoming brittle. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Can Dental Implants Affect Healthy Teeth? Understanding Treatment Options
Understanding Lingual Nerve Damage After Dental Procedures
Lingual nerve injury Hello, doctor. My lower right molar (not the wisdom tooth) had a filling that cracked due to a previous cavity. I went in for a dental filling, and when the doctor administered the first injection of anesthesia, I felt some pain at first, but then suddenly my...
Dr. Lin Jiayong Reply:
Hello: It is recommended that during your next dental visit, you ask the dentist not to administer anesthesia. If the lingual nerve is not directly severed, it will eventually recover over time, so there is no need to worry excessively![Read More] Understanding Lingual Nerve Damage After Dental Procedures
Understanding and Managing Temporomandibular Joint Disorder Symptoms
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: My symptoms include daily unilateral tinnitus, unilateral ear pain, ear itching, migraines, occasional eye pain, and unilateral occipital pain. These symptoms have persisted for over six months. I wear a bite guard whi...
Dr. Zeng Guanghui Reply:
If the cause of tinnitus or ear noise is due to temporomandibular joint disorder, it is recommended to consult an oral and maxillofacial surgeon for examination. However, if the cause of tinnitus or ear noise cannot be determined, it is advisable to seek evaluation from a neurolo...[Read More] Understanding and Managing Temporomandibular Joint Disorder Symptoms
Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
It can be painful to tap on the treated tooth after root canal therapy? Hello, Doctor! I had a root canal treatment several years ago, but sometimes when I tap on the treated tooth, it feels sensitive and painful, while at other times it doesn't. When I'm not tapping on...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic where the root canal treatment was performed for follow-up. If a crown is needed, it is safer to have the original treating dentist handle it. For other teeth, long-term X-rays are necessary to confirm whether there is any...[Read More] Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
Sudden Tooth Pain After Filling: Causes and Solutions
The filled tooth suddenly hurts for one or two days? I apologize for the inconvenience. A few years ago, I had a cavity filled on the back of a tooth next to my front tooth. The dentist mentioned that that tooth was thinner and very close to the nerve. After the filling, I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic. If there are previous X-rays for comparison, it can be determined whether the decay has indeed reached the dental pulp. If it has reached the pulp, it is advisable to proceed with root canal treatment.[Read More] Sudden Tooth Pain After Filling: Causes and Solutions
Understanding Dental Cysts: Causes, Treatment, and Care Tips
Dental cyst After undergoing root canal treatment and having a crown placed on my tooth, I experienced pain when pressing on it. I visited a clinic for treatment, and since there were no nerves inside, the doctor treated it as periodontal disease. However, within a week, I still ...
Dr. Lin Jiayong Reply:
Hello: If the cyst is benign, there is usually no need for excessive concern. However, to ensure that there are no malignant changes, it is common to surgically remove it and perform a biopsy. Since you have a heart condition, it is advisable to seek treatment at a medical center...[Read More] Understanding Dental Cysts: Causes, Treatment, and Care Tips
Understanding Temporary Dental Fillings: When to Seek Permanent Solutions
The dental filling was only a temporary restoration? Hello Doctor: Recently, I planned to visit the dentist to fill three cavities. One is on the upper left canine, which is the only tooth that has been filled with composite resin. The other two are located behind the upper front...
Dr. Zeng Guanghui Reply:
Hello Ms. Alice: If the back teeth have deeper cavities, a temporary filling is usually used to fill the cavity temporarily. After observing for a period of time without any sensitivity or pain, a permanent filling can then be placed. The temporary filling material is generally a...[Read More] Understanding Temporary Dental Fillings: When to Seek Permanent Solutions
Understanding Gum Grafting Surgery: Key Questions and Considerations
Gum graft surgery Hello, I have a few questions for the doctor: 1. Can gum graft surgery be performed when the gums are inflamed? I have had inflammation for nearly two months after a dental cleaning, and despite taking antibiotics and anti-inflammatory painkillers, there has b...
Dr. Lin Jiayong Reply:
Hello: It is recommended to visit the periodontal department at a medical center, where you can detail your concerns and consult with a physician. The considerations for the area where the gum graft will be performed vary in terms of aesthetics, function, and tooth protection, am...[Read More] Understanding Gum Grafting Surgery: Key Questions and Considerations