Understanding Root Canal Treatment Complications: When to Seek Further Care
Root canal treatment The apex of the first upper premolar's root has become inflamed, which has also affected the first upper molar (natural tooth). Both teeth underwent root canal treatment, and after the procedure, crowns were placed. However, within a month, the molar sti...
Dr. Lin Jiayong Reply:
Hello: A root canal that has already been filled and shows no obvious symptoms can indeed be considered for observation only. Repeated re-treatment of the root canal can lead to loss of tooth structure and affect the integrity of the tooth, potentially resulting in conditions suc...[Read More] Understanding Root Canal Treatment Complications: When to Seek Further Care
Understanding Tooth Decay: When to Fill Cavities and Manage Pain
Direct restoration of cavities? Because sometimes I feel a slight pain in my teeth when eating, I went to see a doctor. The doctor said there is a small cavity in a deeper area that is not very visible. If that area is drilled out, it would remove too much healthy tooth structure...
Dr. Zeng Guanghui Reply:
Hello Ms. Anonymous: If the cavity is very deep, even if it is filled, the filling may be very close to the dental pulp, and you may still experience sensitivity or pain when exposed to hot or cold foods. It is recommended to return for a check-up, and if necessary, consider root...[Read More] Understanding Tooth Decay: When to Fill Cavities and Manage Pain
Concerns About Persistent Lump After Wisdom Tooth Extraction: What to Do?
I'm concerned about a hard lump that hasn't gone away for a long time after having my wisdom teeth removed? Hello Dr. Chiu, I had my lower right wisdom tooth extracted at the clinic on February 22. After the extraction, my cheek was very swollen. By March 18, the swelli...
Dr. Qiu Qiongyao Reply:
Hello: Regarding your questions, here are my suggestions. Q: 1) What should I do next? Should I return to the medical center for drainage? Can medication speed up the disappearance of the lump? A: (1) You need to return to the oral surgery (dentistry) department to monitor the...[Read More] Concerns About Persistent Lump After Wisdom Tooth Extraction: What to Do?
Understanding Temporary Crowns and Porcelain Veneers: Common Concerns
Temporary crown, all-ceramic crown Hello Doctor: Recently, I had two upper front teeth and two lateral incisors made as all-ceramic crowns. The front teeth underwent root canal treatment, while the lateral incisors were made for aesthetic reasons. Today, I just had temporary dent...
Dr. Zeng Guanghui Reply:
Dear students with mild anxiety: 1. Due to the thickness of the dental crown, you may initially feel that your lips are pressing against your upper front teeth. 2. The thickness of the crown on the upper front teeth may also give you the sensation that your lower teeth are catch...[Read More] Understanding Temporary Crowns and Porcelain Veneers: Common Concerns
Chronic Pain in Jaw Muscles After Wisdom Tooth Extraction: Causes and Solutions
Pain in the muscles behind the wisdom teeth for many years? About four years ago, I had my lower left horizontal wisdom tooth extracted. Since then, the muscle tissue in the posterior area has been swollen and painful, possibly due to prolonged mouth opening during the extraction...
Dr. Lin Jiayong Reply:
Hello: It is recommended to visit the oral and maxillofacial surgery department or the temporomandibular joint (TMJ) clinic at a medical center. Inform the physician about this condition to determine if a CT scan of the head and neck is necessary or if a referral to neurology is ...[Read More] Chronic Pain in Jaw Muscles After Wisdom Tooth Extraction: Causes and Solutions
Post-Wisdom Tooth Extraction Care: Common Concerns and Tips
Post-operative issues after wisdom tooth extraction? Hello Doctor, I recently had four wisdom teeth extracted. I have a few questions: 1. Is it safe to use the lowest setting on a water flosser to rinse out the extraction sites 13 days post-surgery? I can't remove the food ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to gently rinse manually for safety. The color of the newborn's gum tissue may differ from the surrounding areas. You may ask the doctor to prescribe antihistamines to avoid sneezing, which could affect wound healing.[Read More] Post-Wisdom Tooth Extraction Care: Common Concerns and Tips
Concerns About Persistent Swelling After Wisdom Tooth Extraction
The swelling after wisdom tooth extraction has not gone down, and I am a bit worried? Hello, Director. I had my lower right wisdom tooth extracted at the clinic on February 22. After the extraction, my cheek was significantly swollen. By March 18, the swelling had decreased, but ...
Dr. Zeng Guanghui Reply:
Dear Mr. Zhong, 1. If the process of tooth extraction involves grinding down the alveolar bone, there is usually a higher risk of postoperative swelling and pain due to the larger wound area, which increases the likelihood of infection. If an X-ray is taken postoperatively to co...[Read More] Concerns About Persistent Swelling After Wisdom Tooth Extraction
Is High CRP Level Linked to Dental Pain and Infection?
Is the elevated CRP level (from 10.62 to 8.90 mg/L) related to tooth pain? Hello, recently due to the need for surgery, I had a CRP level of 10.62 mg/L, and the doctor recommended postponing the surgery. After resting for two weeks, my CRP level was still elevated at 8.9 mg/L. Cu...
Dr. Lin Jiayong Reply:
Hello: If there is a strong suspicion that the elevated CRP is caused by peri-implantitis related to orthodontic implants, you may consider asking the orthodontist to remove the implants to see if there is a reduction in CRP levels. Additionally, it is important to consult with t...[Read More] Is High CRP Level Linked to Dental Pain and Infection?
Understanding Oral Blisters: Causes, Treatment, and Care Tips
There is a blood blister in the mouth? Hello, doctor. I have a question. Whenever I eat salty fried foods like popcorn chicken, I tend to develop blisters in my mouth. I have a few questions: 1. Should I pop the blisters? 2. If I don't pop them, how long will it take for the...
Dr. Zeng Guanghui Reply:
Dear Mr. Nanbao, 1. Generally, blisters will rupture on their own. If the blister is too large or affects eating, it is advisable to consult a dentist. 2. If the blister has ruptured, keep the wound clean; it should heal in about a week. 3. Unless there is pain or infection, ...[Read More] Understanding Oral Blisters: Causes, Treatment, and Care Tips
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
Understanding Discomfort After Root Canal Treatment: What to Do?
Discomfort after root canal treatment? Hello, Director Lin. Two years ago, I underwent root canal treatment on my right front tooth. Although the pain has subsided since the treatment, I have been experiencing a troubling phenomenon for the past two years. I often feel discomfort...
Dr. Lin Jiayong Reply:
Hello: If the tooth has a crown covering it, it may be due to gingival inflammation. It is recommended to perform a crown lengthening procedure and then remake the crown. You may consult with the endodontics or prosthodontics department for further evaluation.[Read More] Understanding Discomfort After Root Canal Treatment: What to Do?
Persistent Lump After Wisdom Tooth Extraction: What to Do Next?
It has been two months since my wisdom tooth extraction, and there is still a lump? Hello, Director Lin. I had my lower right wisdom tooth extracted at the clinic on February 22. After the extraction, my cheek was very swollen. By March 18, the swelling had decreased but was stil...
Dr. Lin Jiayong Reply:
Hello, 1. Medication can indeed have an anti-inflammatory effect. 2. Alternating hot and cold compresses can improve circulation. 3. It may be the process of bone remodeling. 4. Observe for about six months; if it is still swollen by the end of August this year, it is recommended...[Read More] Persistent Lump After Wisdom Tooth Extraction: What to Do Next?
Understanding Persistent Hard Growth in the Upper Jaw: Dental Insights
There is a hard lump on the upper jaw? Hello, Doctor. Last March, I discovered a hard, flesh-colored lesion in my upper jaw, approximately 0.1-0.2 mm in size. It is painless and does not itch. It has not disappeared and feels solid; when I touch it with a cotton swab, it does not...
Dr. Zeng Guanghui Reply:
Hello Ms. Aa: I apologize for not being able to provide a detailed response. I recommend visiting a medical center for further examination or treatment in the oral surgery or otolaryngology department. Dr. Tseng Guang-Hui from Nantou Hospital's dental department.[Read More] Understanding Persistent Hard Growth in the Upper Jaw: Dental Insights
Effective Daily Cleaning Methods for Managing Periodontal Disease
Daily Cleaning Methods for Periodontal Disease Hello, Director Zeng. I have currently completed the first phase of periodontal treatment, which included subgingival scaling, and I have scheduled follow-up appointments. The dentist mentioned that for deeper pockets, I could use in...
Dr. Zeng Guanghui Reply:
Hello Mr. Huang: It is recommended to perform routine cleaning of the periodontal pockets using standard brushing techniques and dental floss or interdental brushes. If using a water flosser to clean between teeth, it is advised not to use it forcefully on deep pockets. If oral h...[Read More] Effective Daily Cleaning Methods for Managing Periodontal Disease
Can Old Dental Bridges Be Removed for Repairs?
Can dentures be removed for maintenance after many years of use? At around 60 years old, a fixed bridge prosthesis was placed. Recently, there has been an increase in pain in that area. Is it possible to remove it for inspection and repair?
Dr. Zeng Guanghui Reply:
Dear Mr. Wu Chikun: To check the marginal fit of the fixed dental bridge, as poor fit can lead to plaque accumulation or food impaction, which may cause gingival inflammation. If such conditions are present, you may consider having a new dental bridge fabricated. Sincerely, ...[Read More] Can Old Dental Bridges Be Removed for Repairs?
Understanding Tooth Sensitivity After Fillings and Wisdom Teeth Eruption
Dental filling, tooth eruption Hello, Doctor: At the beginning of March, my dentist discovered a small cavity in one of my lower right canine teeth, so they filled it. After the filling, it was still somewhat painful, but it gradually improved over the course of a week and return...
Dr. Lin Jiayong Reply:
Hello: The discomfort associated with dental sensitivity after filling can last up to six months according to the longest documented literature. The growth of wisdom teeth requires an assessment of the height and width of the alveolar bone to estimate whether they can grow normal...[Read More] Understanding Tooth Sensitivity After Fillings and Wisdom Teeth Eruption
Understanding and Treating Liang's Premolars: A Guide for Parents
Liang's small molar My daughter, a high school sophomore, has been experiencing tooth pain intermittently. Sometimes it hurts, and other times it doesn't, and she is unable to bite down on hard foods. We took her to the dentist for an examination, and they said there ar...
Dr. Zeng Guanghui Reply:
Hello Mr. Moz: The Liang's premolars refer to premolars that have developmental abnormalities, resulting in small tooth-like projections on their surfaces. These projections contain dental nerves and are susceptible to inflammation and pain due to thermal stimuli or chewing ...[Read More] Understanding and Treating Liang's Premolars: A Guide for Parents
Best Alcohol-Free Medicinal Mouthwashes for Gum Health
Alcohol-free medicated mouthwash recommendations? Hello Dr. Tseng, I completed the first phase of periodontal treatment (subgingival scaling) at the end of February and am currently under observation. Although I have been consistently using a water flosser and mouthwash (Bai Li...
Dr. Zeng Guanghui Reply:
Hello Mr. Huang: 1. If the gingival inflammation is caused by periodontal disease, mouthwash can only serve as an adjunctive measure. The key is to thoroughly clean the dental plaque and calculus, which will naturally improve the gingival inflammation. If you really want to use...[Read More] Best Alcohol-Free Medicinal Mouthwashes for Gum Health
Understanding Tooth Sharpness: Questions About Dental Care and Tongue Health
Inquiry Consultation Hello Dr. Tseng: My lower left and right second molars, as well as my lower left first premolar, seem to have become sharper or rougher due to long-term wear. Occasionally, when my tongue touches these teeth, I feel a sharper sensation. I would like to ask Dr...
Dr. Zeng Guanghui Reply:
Hello Mr. Kris: 1. It is recommended to see a dentist for further examination. 2. It is possible that long-term irritation from scraping has led to hyperplasia of the tongue tissue. 3. If you frequently scrape your tongue, it is advisable to consult a dentist to smooth out any sh...[Read More] Understanding Tooth Sharpness: Questions About Dental Care and Tongue Health
Understanding Tooth Wear: Concerns About Sharp Molars and Tongue Health
Inquiry for consultation? Hello Dr. Lin, I have some questions and would like to seek your opinion or advice. My lower left and right second molars, particularly the areas closer to the tongue, have become sharper or rougher due to long-term wear. Here are my inquiries: Q1. As ...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit the same medical center and make appointments with both the otolaryngology department and the oral surgery department to confirm whether there are any lesions on your tongue. If both doctors indicate that there are no lesions, you can feel ...[Read More] Understanding Tooth Wear: Concerns About Sharp Molars and Tongue Health