Post-Wisdom Tooth Extraction: Gum Swelling and Jaw Discomfort Explained
After the extraction of the lower right wisdom tooth, the gums of the two molars in front of the wisdom tooth are swollen. When moving the head during sleep, there is a sensation of looseness in the right side of the mandible? Hello, after having my lower right wisdom tooth extra...
Dr. Lin Jiayong Reply:
Hello: It is normal for the gums around the extraction site to be red, swollen, and bleeding; however, if there is a foul odor or pus, you should return for a follow-up appointment immediately. Opening your mouth too wide during the extraction can indeed lead to temporomandibular...[Read More] Post-Wisdom Tooth Extraction: Gum Swelling and Jaw Discomfort Explained
Understanding Tooth Pain: Causes and Solutions for Discomfort
Toothache I have been experiencing discomfort in my lower teeth for a month now. I have visited three clinics, and they all said it was just inflammation and did not see any cavities. They prescribed painkillers and advised me to avoid hard foods, which I have been following, but...
Dr. Lin Jiayong Reply:
Hello: From both local and systemic perspectives. Common local issues that may cause discomfort in the teeth include dental caries, gingivitis, and periodontal disease. However, if X-rays have been taken and no problems were found, then it is important to consider systemic issues...[Read More] Understanding Tooth Pain: Causes and Solutions for Discomfort
Two Weeks Post-Wisdom Tooth Extraction: Is My Gums Infected?
It's been almost two weeks since I had my wisdom teeth removed? It has been almost two weeks since I had my horizontal wisdom tooth extracted. The wound does not hurt, but when I brush the tooth in front of it, I feel some swelling and pain. Additionally, the tissue inside m...
Dr. Lin Jiayong Reply:
Hello: If there is no pus or foul odor, it is recommended to continue monitoring the situation. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] Two Weeks Post-Wisdom Tooth Extraction: Is My Gums Infected?
Should My Child Get a Crown for Cavities in Baby Teeth?
Direct placement of crowns on decayed primary teeth? My daughter is currently 5 years and 7 months old. An X-ray revealed cavities in her molars, and the doctor mentioned that since the decay is from the side, there is a high chance that a root canal will be necessary. The doctor...
Dr. Qiu Qiongyao Reply:
Dear Miss Rong: Hello, in response to your inquiry, please find the following information: 1. It is advisable to consult another dental office to understand the situation better before making a decision. 2. Theoretically, if there is no swelling or pain in the teeth and it i...[Read More] Should My Child Get a Crown for Cavities in Baby Teeth?
Black Lines on Gums After Car Accident: Dental Concerns Explained
After the car accident, a black line was found on the impacted gum area? About a month ago, I was in a car accident, and two of my upper right front teeth were fractured, leaving one-third of them remaining. Due to a laceration in my mouth, during the dressing change, I noticed a...
Dr. Lin Jiayong Reply:
Hello: It is recommended to take X-rays at 1, 3, and 6 months after a car accident or trauma to check for any signs of nerve necrosis. Since the accident just occurred, it is important to allow the body to rest and recover, so please do not be too anxious. Sincerely, Lin Chia-Yun...[Read More] Black Lines on Gums After Car Accident: Dental Concerns Explained
Persistent Sensitivity After Root Canal Treatment: What to Do Next?
Six months after root canal treatment, there is still sensitivity when touching the tooth? Hello, Doctor. I had a traditional root canal treatment on my upper right third molar at the end of July this year. During the treatment, medication was placed and observed, then medication...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about a possible crack in the tooth root, it is recommended to take a CBCT scan for confirmation. If there is no fracture, you can continue to have the endodontist monitor and treat the tooth. However, if a fracture is confirmed, extraction is indeed a...[Read More] Persistent Sensitivity After Root Canal Treatment: What to Do Next?
Recovery Time and Considerations After Microscopic Apicoectomy Surgery
Microsurgical Apicoectomy Hello Dr. Tseng: I had a CT scan that showed a 2 cm shadow, and the doctor said that all three of my front teeth need to be extracted and bone grafting will be required. How long after undergoing apicoectomy can I return to work? (My job is in civil engi...
Dr. Zeng Guanghui Reply:
1. Microscopic apicoectomy combined with bone grafting may result in swelling and pain at the surgical site during the first week. Starting from the second week, as long as oral hygiene is maintained, normal eating can resume. 2. It is essential to monitor the healing of the bone...[Read More] Recovery Time and Considerations After Microscopic Apicoectomy Surgery
Effective Solutions for Tooth Wear: Protecting Your Molars
Tooth wear Hello, doctor. My molars are worn down in the middle, and the outer edges are sharp. If I don't use sensitivity toothpaste, I feel uncomfortable, and biting down on hard food causes pain. I'm worried about further wear and the potential high costs involved. I...
Dr. Lin Jiayong Reply:
Hello: If you have a habit of nighttime teeth grinding or clenching due to stress, it is recommended to start using an occlusal splint along with muscle relaxants to alleviate physiological tooth wear. If you frequently consume acidic foods or have gastroesophageal reflux, it is ...[Read More] Effective Solutions for Tooth Wear: Protecting Your Molars
Understanding Tooth Pain and Mobility: Common Dental Concerns Explained
Toothache and tooth mobility issues? Hello Dr. Lin, I sometimes experience tooth pain, specifically in the lower right molar area. About a year ago, I visited a dentist, and after eating small foods (like sesame seeds), I would feel pain. An X-ray showed no issues, and there wer...
Dr. Lin Jiayong Reply:
Hello, considering your age and the situation you described, there is a high likelihood that it is caused by nocturnal bruxism and tension-related clenching (during relaxation, the upper and lower teeth do not make direct contact). I recommend consulting an oral surgeon for confi...[Read More] Understanding Tooth Pain and Mobility: Common Dental Concerns Explained
Managing Post-Surgical Pain and Complications After Apex Surgery
Post-operative inflammation after apicoectomy? Dear Doctor, I have a lateral incisor that was treated for cavities by an unlicensed dentist (dental technician) when I was 14 years old (1994) and had a crown placed. In 2014, due to the presence of an abscess and the adjacent heal...
Dr. Zeng Guanghui Reply:
1. Apicoectomy requires prior assessment of the root length to determine if it is sufficient. If the root length is adequate and there is still an apical lesion after root canal treatment, this surgery may be considered. 2. Apicoectomy is generally considered when the results of ...[Read More] Managing Post-Surgical Pain and Complications After Apex Surgery
Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions
The tongue repeatedly rubs against the fixed dental bridge? Hello Doctor: I had a missing left lower molar for many years and recently had a dental bridge made using my canine tooth (a total of three crowns). However, since I started wearing the temporary crown and then the ceram...
Dr. Zeng Guanghui Reply:
Due to the prolonged absence of teeth, once dentures are placed to fill the gaps, the tongue may initially feel uncomfortable and restricted in movement. However, as long as there is no inflammation in the gums after the placement, the patient will gradually adapt over time. - Dr...[Read More] Understanding Tongue Irritation with Fixed Dental Bridges: Causes and Solutions
Understanding Deep Cavities in Lower Second Molars: Treatment Options Explained
Cavity behind the second lower molar? Previously, my lower right wisdom tooth was removed due to its inclination, which led to cavities in the second molar. The decay has extended below the gum line. After consulting multiple hospitals, they indicated that the cavity is deep and ...
Dr. Lin Jiayong Reply:
Hello: 1. To determine whether the cavity will continue to progress towards the pulp, if the decay is already arrested, it may still be usable for some time. 2. Only a dentist who has actually reviewed the X-ray can assess the complexity of the root canal for that tooth. Sincerel...[Read More] Understanding Deep Cavities in Lower Second Molars: Treatment Options Explained
Common Dental Filling Questions: When to Repair and What to Watch For
Questions about dental fillings? Hello, Doctor. I have a few questions to ask: 1. I have a resin filling on the occlusal surface that has developed small wear holes over the years. The orthodontist believes it can be filled or just the small holes can be filled directly; howeve...
Dr. Lin Jiayong Reply:
Hello: 1. If there is no impact on aesthetics or function, and both doctors have advised against active intervention, it is recommended to simply monitor the situation. 2. If X-rays have been taken and confirmed to be normal, and you do not subjectively experience any swelling, p...[Read More] Common Dental Filling Questions: When to Repair and What to Watch For
Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have pain in my gums that feels like nerve pain in my teeth, and I'm not sure if it's due to gum swelling. I can't eat anything becaus...
Dr. Zeng Guanghui Reply:
First, check for any inflammation or abscess in the gums. If the gums appear normal but there is still pain, consider the possibility of facial muscle pain or temporomandibular joint (TMJ) issues. If there are no problems in these areas, it may be related to facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Understanding Oral Burns: Causes, Symptoms, and Treatment Options
Oral burn? In the past few days, I have developed a hole in my inner gum. I'm not sure how it happened, but I remember that one day I drank hot soup, and after burning myself, a wound appeared. I applied some oral ointment, but it seems like the hole has gotten a bit larger ...
Dr. Zeng Guanghui Reply:
It may be an oral mucosal burn, leading to mucosal damage and pain. However, if there are irregular lifestyle habits or significant emotional stress, it can cause immune system dysregulation, resulting in oral mucosal ulcers. Generally, after maintaining proper oral hygiene and a...[Read More] Understanding Oral Burns: Causes, Symptoms, and Treatment Options
Understanding Tooth Nerve Pain: Causes and Treatment Options
Tooth nerve pain Hello doctor, today I visited two dentists and neither found any cavities or trauma, but the nerve activity in my teeth has inexplicably decreased (nerve vitality was tested). Is it really necessary to proceed to root canal treatment? Are there other possibilitie...
Dr. Zeng Guanghui Reply:
Decreased dental nerve activity indicates degeneration of the dental nerve. It is recommended to undergo root canal treatment to prevent potential necrosis of the dental nerve, which could lead to the development of dental abscesses. As for whether it is trigeminal neuralgia, it ...[Read More] Understanding Tooth Nerve Pain: Causes and Treatment Options
Understanding Tooth Sensitivity After Dental Fillings: A Patient's Concern
Filling the left molar? I have been getting my teeth cleaned every six months regularly. I was informed that I needed to have a filling on the right side, which has been an issue for 10 years. On the day of the appointment, they first treated the deeper cavity on the right side. ...
Dr. Zeng Guanghui Reply:
The left molar has been filled after a cavity, and although the cavity was not very deep, there is a feeling of soreness afterward. It is possible that there is gum recession at the tooth neck or a shallower tooth crack. It is recommended that if the soreness persists, a follow-u...[Read More] Understanding Tooth Sensitivity After Dental Fillings: A Patient's Concern
Understanding Tooth Pain and Root Canal Treatment: What to Expect
Toothache, root canal treatment? Hello, Doctor. I would like to ask you about a situation. Initially, I had no pain in my teeth, but during a dental cleaning, it was discovered that I had a cavity in my upper left molar. The dentist filled it at that time, but the next day, I sta...
Dr. Lin Jiayong Reply:
Hello: 1. Discomfort after the completion of root canal treatment will gradually subside within about one week. 2. It is recommended to directly inform the dentist that you do not wish to proceed with dentures at this time. 3. It is strongly advised not to extract teeth arbitrari...[Read More] Understanding Tooth Pain and Root Canal Treatment: What to Expect
Impact of Delayed Appointments on Root Canal Treatment Outcomes
The interval time during the root canal treatment process? Hello, Doctor. A few days ago, I experienced severe tooth pain and urgently sought an appointment with Dr. A, who was available for same-day registration. After examination, it was determined that I needed root canal trea...
Dr. Lin Jiayong Reply:
Hello: If you really prefer to have Dr. B handle your case, it is recommended that you inform Dr. B of all the relevant details, and then proceed with the treatment at Dr. B's office. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health an...[Read More] Impact of Delayed Appointments on Root Canal Treatment Outcomes
Understanding Failed Root Canal Treatment: Symptoms and Solutions
Retreatment of root canal therapy In November, I experienced pain in my right molar. An X-ray revealed the presence of an instrument inside the tooth along with inflammation, leading to a retreatment of the root canal. During the first visit, the instrument was removed. On the se...
Dr. Lin Jiayong Reply:
Hello: If there is persistent inflammation and swelling, it is advisable to return for follow-up to confirm the source of the infection. The success of the surgery needs to be corroborated by comparing pre-operative and post-operative X-rays; it cannot be concluded solely based o...[Read More] Understanding Failed Root Canal Treatment: Symptoms and Solutions