Navigating Conflicting Dental Treatment Recommendations: What to Do?
What should I do when there are different treatment recommendations? Hello. In mid-November, I felt discomfort around the root of my first premolar and went to Clinic A for an examination. The dentist performed a teeth cleaning (during the process, the dentist mentioned that my b...
Dr. Lin Jiayong Reply:
Hello: According to what you mentioned, Clinic A did not provide you with a follow-up treatment plan. Clinic B suggested that you undergo further periodontal treatment. The attending physician at Hospital C stated that you can choose to proceed or not. In other words, it is optio...[Read More] Navigating Conflicting Dental Treatment Recommendations: What to Do?
Persistent Head and Cheek Pain After Wisdom Tooth Extraction: What to Know
After having my wisdom teeth removed, I have persistent headaches and cheekbone pain? Hello Doctor, I had my upper right wisdom tooth (non-horizontal) extracted on Monday (11/28). I took the anti-inflammatory pain medication and antibiotics prescribed by the doctor for two days p...
Dr. Lin Jiayong Reply:
Hello: If the pain persists for more than one month, it is advisable to consult a neurologist for a systematic evaluation (as the localized symptoms you described, such as nasal congestion, sinusitis, and the extraction site, have not shown significant worsening).[Read More] Persistent Head and Cheek Pain After Wisdom Tooth Extraction: What to Know
Why Is My Root Canal Treatment Causing More Pain? Common Concerns Explained
Root canal treatment Why did my doctor perform root canal treatment only once, and now my nerve hurts even more? My friends and my previous experiences suggest that it usually takes about five or six sessions to achieve complete success. Is it possible that the doctor is mishandl...
Dr. Zeng Guanghui Reply:
During root canal treatment, all infected tissue and bacteria within the root canal are thoroughly cleaned, and disinfecting medication is placed. After that, special materials are used to fill the canal. If the treatment has only been performed once, it is advisable to consult y...[Read More] Why Is My Root Canal Treatment Causing More Pain? Common Concerns Explained
Understanding Post-Root Canal Sensations: Is It Normal?
Root canal treated tooth It has been over a week since the root canal filling, and the area below the root canal tooth should be the alveolar bone or just beneath it. If I apply pressure while using skincare products on my chin, I notice that the tooth that underwent root canal t...
Dr. Lin Jiayong Reply:
Hello: Since the treatment was completed only about a week ago, it is not possible to determine success or failure based on subjective feelings. It is recommended to have follow-up visits once a month and to take X-rays. A definitive conclusion regarding the need for re-treatment...[Read More] Understanding Post-Root Canal Sensations: Is It Normal?
Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Apical cyst Due to an X-ray finding, there is a sizable periapical cyst (a round structure resembling a small ball) at the apex of my front tooth, which may be about the same size as the tooth root. It is asymptomatic, and this tooth has no cavities, has never undergone root cana...
Dr. Zeng Guanghui Reply:
1. If the periapical cyst is caused by the necrosis of the nerve of the affected incisor, the cyst should gradually disappear after root canal treatment of that tooth. However, if the cyst is caused by an impacted supernumerary tooth, the cyst will not resolve even if the incisor...[Read More] Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained
Oral mucosa I apologize for the inconvenience, but I have a soft lump on the mucous membrane of my left oral cavity. This soft lump has an ulcer, and it hurts when I touch it with my tongue. There is also redness and swelling around the lump, and it is painful when I apply oral o...
Dr. Zeng Guanghui Reply:
It is possible that there is inflammation of the salivary glands within the left oral mucosa, leading to obstruction of saliva secretion. It is recommended to consult an oral surgeon for further examination. Director Tseng Guang-Hui, Nantou Hospital Dental Department.[Read More] Understanding Oral Mucosa Issues: Soft Lump and Painful Ulcers Explained
Does Wisdom Tooth Filling Affect Adjacent Teeth? Understanding Post-Procedure Pain
Wisdom tooth restoration? Hello, Doctor. My teeth were originally without any sensitivity, and I would go for a dental cleaning when it was time. The dentist said that my upper right wisdom tooth had a cavity, and it was quite deep. They first filled it with medication for disinf...
Dr. Lin Jiayong Reply:
Hello: "After returning home, I used a dental mirror to check the appearance of all my teeth, and everything seems fine. The cavity in my upper right wisdom tooth is also gone. The dentist prescribed anti-inflammatory medication and antibiotics for me." It is advised to...[Read More] Does Wisdom Tooth Filling Affect Adjacent Teeth? Understanding Post-Procedure Pain
Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
It has been nearly two weeks since the root canal treatment, and I am still experiencing sharp pain? Hello Doctor: I underwent root canal treatment on my lower left first molar on November 8th of this year. During my third follow-up visit, the doctor mentioned that I could have p...
Dr. Lin Jiayong Reply:
Hello: Periodontal inflammation can only be observed initially to determine the cause of the inflammation. It may be due to an infection in the periodontal tissues, excessive use of the affected tooth, or bacteria from an inadequately cleaned root canal spreading to the periodont...[Read More] Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Apical cyst surgery under sedation anesthesia? Recently, during a dental cleaning, my dentist discovered a sizable cyst at the root of my front tooth, which is almost the same size as the tooth itself. This cyst was not visible on last year's X-ray. Additionally, there is an...
Dr. Lin Jiayong Reply:
Hello: 1. It will not resolve on its own. If there are no discomfort symptoms, the likelihood of malignancy is low; however, it is still advisable to have it removed and examined for accuracy. 2. During the process of tooth development, residual epithelial tissue or repeated infe...[Read More] Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Bitter Taste and Bad Odor After Wisdom Tooth Extraction: What to Know
After wisdom tooth extraction, there is a strong bitter taste in the mouth and an unpleasant odor? Hello doctor, I had my lower left wisdom tooth extracted on the 21st, and on the 23rd, I started experiencing a very bitter taste, even dreaming about eating bitter foods. I only be...
Dr. Lin Jiayong Reply:
Hello: Oral wounds typically exude blood or gingival crevicular fluid accompanied by saliva, which is often dark red or bright red. Purulent discharge would appear yellow-green and have an unpleasant odor. Additionally, it may also reflect the color of antibiotic powder. Medicati...[Read More] Bitter Taste and Bad Odor After Wisdom Tooth Extraction: What to Know
Dealing with Pain After Wisdom Tooth Extraction: Is Another Tooth the Problem?
After wisdom tooth extraction, chewing continuously bites into the wound/gum? Hello doctor, I had my lower right wisdom tooth extracted, but the day after, I noticed that when I chew or close my mouth, the upper right wisdom tooth is poking into the gum near the extraction site, ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return for a follow-up appointment to have the doctor assess whether the sharp edge of the upper right wisdom tooth needs to be filed down. After the healing of the lower right wound, a decision can be made regarding the extraction of the upper right w...[Read More] Dealing with Pain After Wisdom Tooth Extraction: Is Another Tooth the Problem?
Understanding Tooth Pain After Root Canal Treatment: What to Expect
Post-root canal treatment tooth pain? Hello Doctor: Two days ago, I visited the dentist and was informed that my first molar requires root canal treatment. However, due to its location being far back, only two of the roots were cleaned. To address the other two roots, a microscop...
Dr. Lin Jiayong Reply:
Hello: If the root canal treatment has not yet been completed, experiencing pain is normal. It is recommended to continue attending follow-up appointments to treat the remaining two root canals.[Read More] Understanding Tooth Pain After Root Canal Treatment: What to Expect
Do You Need Another Root Canal? Understanding Tooth Pain After Treatment
Root canal treatment Two years ago, I had a root canal treatment. There is no pain when biting down, but I experience pain when tapping on the side of the tooth. Do I need to undergo another root canal treatment?
Dr. Qiu Qiongyao Reply:
Dear Sir/Madam, Thank you for your inquiry. Based on your description, we would like to respond as follows: 1. A retreatment of the root canal can be performed using microscopic endodontic techniques. 2. Apicoectomy is also an option for addressing the issue, along with mana...[Read More] Do You Need Another Root Canal? Understanding Tooth Pain After Treatment
Understanding the Role of Occlusal Splints in Jaw Pain Relief
What is the function of an occlusal splint? Hello Doctor: 1. If the temporomandibular joint pain is not caused by grinding or clenching, will a bite splint still be helpful? 2. Can leaving the mouth open while sleeping also cause tension in the joint muscles?
Dr. Zeng Guanghui Reply:
1. To determine the cause of temporomandibular joint (TMJ) pain, whether it is due to the joint capsule itself or other wear and tear, or if it is caused by excessive contraction of the surrounding masticatory muscles, it is recommended to consult an oral and maxillofacial surgeo...[Read More] Understanding the Role of Occlusal Splints in Jaw Pain Relief
Post-Root Canal Treatment: Dealing with Persistent Tooth Pain
Post-Root Canal Treatment Issues I have a molar that underwent root canal treatment at Clinic A. At that time, I reported to the dentist that the tooth had a noticeable percussion pain, but the dentist said the treatment was completed and that I should return for a crown. However...
Dr. Lin Jiayong Reply:
Hello: If you have doubts about the treatment plan from the physician at Clinic A, it is advisable to request a referral to the endodontics department at a medical center for evaluation. This will help determine if there are any other issues related to the root canal and whether ...[Read More] Post-Root Canal Treatment: Dealing with Persistent Tooth Pain
Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
I have seen several specialists for my toothache? Three years ago, I had a crown placed on my first molar, along with a post. After the crown was done, I developed a dental abscess between the first and second molars, but it resolved on its own. Since last year, I've been ex...
Dr. Lin Jiayong Reply:
Hello: It is advisable to consult at the same medical center, as they can consolidate information from various specialties and follow the physician's recommendations from that hospital. Otherwise, running around to different places may not help identify the true cause of the...[Read More] Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
Understanding Gum Disease: Is Scaling Enough for Tooth Pain?
Dental cleaning and periodontal disease? Doctor, I sometimes experience tooth pain, so I went to the dentist. He diagnosed me with periodontal disease but only performed a dental cleaning without any other treatment. He mentioned that I need to undergo deep cleaning three times. ...
Dr. Lin Jiayong Reply:
Hello: If you have doubts about the treatment at the clinic, you can consult the periodontology department at a medical center for a second opinion. Once you agree, you can then proceed with periodontal treatment. Periodontal disease cannot be resolved solely by taking anti-infla...[Read More] Understanding Gum Disease: Is Scaling Enough for Tooth Pain?
Should You Consider 3D Tooth Restoration for Large Cavities?
If you have previously undergone extensive dental fillings for cavities, would you recommend reopening and refilling them? I have a lower back tooth that had extensive decay filled about 6 to 7 years ago, but recently, for the past few months, I've occasionally felt a dull s...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to perform 3D dental sculpting to reinforce teeth with extensive defects. This not only restores normal occlusal function but also protects the dental pulp from excessive physical and chemical stimuli. 2. Do not associate "having undergone 3D dent...[Read More] Should You Consider 3D Tooth Restoration for Large Cavities?
Post-Wisdom Tooth Extraction: Understanding Swelling and Nerve Sensation Issues
Swelling of the gums three months after wisdom tooth extraction? Hello Doctor, I had my lower left wisdom tooth extracted on August 11, and since then, I've been experiencing a slight tingling sensation. I found information online suggesting that this might be due to nerve i...
Dr. Lin Jiayong Reply:
Hello: It has been over four months, and it may not be closely related to the tooth extraction site. It is recommended to follow the general management for gum swelling and pain and visit a nearby dental clinic for evaluation.[Read More] Post-Wisdom Tooth Extraction: Understanding Swelling and Nerve Sensation Issues
Understanding Dental Crowns: When to Consider Root Canals
Fabrication of dental crowns Hello, Doctor. I am currently in the process of making a dental bridge for my upper front teeth. I have already had the left upper and right central incisors root-canaled, and the right central incisor was also treated during the process of reshaping ...
Dr. Zeng Guanghui Reply:
1. If three of the four front teeth have undergone root canal treatment and one has not, discomfort or pain in the untreated tooth during the temporary crown fitting may be due to poor marginal adaptation of the temporary crown or irritation of the dental pulp from occlusal force...[Read More] Understanding Dental Crowns: When to Consider Root Canals