pain, Dentistry FAQ - Page 46

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How to Address Misalignment After 5 Years of Braces Without Tooth Extraction

How to remedy occlusal discrepancies? After wearing braces for five years, my occlusion is misaligned, causing the adjacent tooth (a healthy and intact tooth) to become loose. The dentist has suggested extracting this healthy tooth. Is there a way to remedy this without extractin...


Dr. Zeng Guanghui Reply:
1. If there is looseness or mobility in the teeth while wearing braces, it is important to assess the underlying cause, which could be periodontal disease or long-term occlusal trauma. It is recommended to consult a dentist for evaluation. 2. Looseness in the upper teeth, unless ...

[Read More] How to Address Misalignment After 5 Years of Braces Without Tooth Extraction


Pain When Biting After Dental Filling: Is Root Canal Necessary?

Biting down on a filled tooth can cause pain? If a filled tooth hurts when biting down on hard objects, and the dentist previously mentioned that there was a deep cavity exposing the nerve but did not see any bleeding during the procedure, it is possible that the nerve may be irr...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you return to your original clinic for the dentist to adjust your occlusion and continue to monitor for about six months. If the X-ray shows significant chronic pulpitis or periapical inflammation, then proceed with root canal treatment. Thank you! S...

[Read More] Pain When Biting After Dental Filling: Is Root Canal Necessary?


Understanding Wisdom Tooth Extraction Recovery and Related Pain

Wisdom tooth extraction recovery? Hello, Doctor. About three months ago, I had my lower horizontal wisdom tooth and a molar with a cavity extracted. After performing root canal treatment on the molar, the wisdom tooth was removed. The wisdom tooth extraction site stopped hurting ...


Dr. Zeng Guanghui Reply:
Consult a physician to check if the extraction site of your wisdom tooth is inflamed, especially since it has only been a little over a week since the extraction and the wound has not fully healed, which raises the possibility of inflammation or infection. Dr. Tseng Guang-Hui fro...

[Read More] Understanding Wisdom Tooth Extraction Recovery and Related Pain


Can You Fill a Tooth Within a Tooth to Prevent Pain?

Can a tooth within a tooth be filled? Sometimes my premolars hurt when I eat. I went to the dentist today, and the doctor said there is a cavity in the dentin of my premolar. An X-ray showed that there doesn't seem to be any inflammation. The doctor mentioned that if there w...


Dr. Zeng Guanghui Reply:
If the wear on the teeth is too severe, it may lead to inflammation of the dental pulp, resulting in spontaneous pain, which may require root canal treatment. It is advisable to consult a dentist for further evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospita...

[Read More] Can You Fill a Tooth Within a Tooth to Prevent Pain?


Persistent Pain After Wisdom Tooth Extraction: Understanding Alveolar Osteitis

It has been nearly two months since my wisdom tooth extraction, and it still hasn't healed? Hello, doctor. After having my upper right wisdom tooth extracted on February 18, everything seemed normal during the recovery. I had the stitches removed a week later, but I experien...


Dr. Lin Jiayong Reply:
Hello: If you have been seen at two different clinics with differing diagnoses, it is recommended to visit a medical center's oral and maxillofacial surgery department for a facial cone beam computed tomography (CBCT) scan to confirm if there are any other issues. If the gum...

[Read More] Persistent Pain After Wisdom Tooth Extraction: Understanding Alveolar Osteitis


Understanding Post-Extraction Headaches: Causes and Concerns

Migraine after tooth extraction? The upper right second molar, which I had root canal treatment on 20 years ago in Taiwan due to decay, had one root removed, leaving it with only two roots and a metal crown. A week ago, I experienced some dull pain, but in Belgium, appointments a...


Dr. Lin Jiayong Reply:
Hello: Based on what you described, it is possible that your migraine was triggered by anxiety before and during the tooth extraction procedure. It is recommended that you consult your physician for muscle relaxants (if you are already taking Alzheimer's medication, these sh...

[Read More] Understanding Post-Extraction Headaches: Causes and Concerns


Understanding Sensitivity After Root Canal: Resin vs. Silver Fillings

Root canal treatment silver powder When I was younger, my cavities were filled with silver amalgam, and now, after 20-30 years, I have undergone root canal treatment and had resin fillings. After the fillings, I have been experiencing discomfort and a painful, acidic sensation. T...


Dr. Lin Jiayong Reply:
Hello: If you wish to use silver powder for filling, you can directly ask your dentist to remove the resin and replace it with silver powder (the National Health Insurance covers silver powder fillings). Additionally, periodontal issues are rarely caused solely by an allergy to r...

[Read More] Understanding Sensitivity After Root Canal: Resin vs. Silver Fillings


Do You Need to Replace Your Dental Crowns? Signs to Watch For

Do dentures need to be redone? Fourteen years ago, due to family pressure about the appearance of my two prominent front teeth, I had two dental crowns placed by an unlicensed dentist. Recently, I have been feeling that the crowns are somewhat loose (though I'm not entirely ...


Dr. Lin Jiayong Reply:
Hello: It has been 14 years since your dentures were made, and due to the gaps, it is advisable to have them redone. It is recommended that you visit a large hospital or medical center for better assurance. If you are in Taipei or New Taipei, you may consider going to National Ta...

[Read More] Do You Need to Replace Your Dental Crowns? Signs to Watch For


Understanding Post-Root Canal Tooth Pain: Causes and Solutions

Tooth pain after root canal treatment? Hello Doctor: Two months ago, I had a root canal treatment and received a dental crown. There were no issues during or after the procedures, and I did not experience any pain. However, recently, that tooth has started to hurt. 1. The pain be...


Dr. Zeng Guanghui Reply:
1. If there is wear on the teeth, whether on the occlusal surface or the buccal surface, it can lead to sensitivity to hot and cold. 2. If cold and hot stimuli are avoided, this sensitivity may gradually return to normal; however, teeth that have undergone root canal treatment an...

[Read More] Understanding Post-Root Canal Tooth Pain: Causes and Solutions


Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions

Tooth pain after root canal treatment? Hello Doctor: Two months ago, I had a root canal treatment and received a dental crown, and there were no issues or pain after the procedures. However, in the past few days, I suddenly started experiencing pain in that tooth. 1. It began a f...


Dr. Zeng Guanghui Reply:
1. If there is wear on the teeth, whether on the occlusal surface or the buccal surface, it can lead to sensitivity to hot and cold stimuli. 2. If cold and hot stimuli are avoided, this sensitivity may gradually return to normal; however, teeth that have undergone root canal trea...

[Read More] Understanding Tooth Pain After Root Canal Treatment: Causes and Solutions


Should You Ignore a Dental Cyst After Root Canal Treatment?

I have a dental abscess that has been present for almost six months? I had a root canal treatment at a dental clinic near my home, and after a while, a dental abscess developed. Since it wasn't painful, I delayed going to see a dentist. When I finally went, the doctor asked ...


Dr. Zeng Guanghui Reply:
It is possible that after root canal treatment, there is still chronic inflammation at the apex of the tooth root, or there may be a crack in the root itself, leading to the formation of a fistula on the buccal side, resulting in a dental abscess that is not painful. If the absce...

[Read More] Should You Ignore a Dental Cyst After Root Canal Treatment?


Is It Normal to Feel Pain After Getting a Crown?

After receiving a dental crown? After the procedure, it was initially normal without pain, but after a while, I occasionally experience pain when drinking sweet or hot beverages. Is this normal?


Dr. Lin Jiayong Reply:
Hello: After getting dentures, it is recommended that you have a check-up in about six months. If possible, an X-ray should be taken to ensure everything is normal. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

[Read More] Is It Normal to Feel Pain After Getting a Crown?


Discomfort After Dental Filling: Do You Need Root Canal Treatment?

Discomfort when biting down on a filled tooth? Hello. The first lower right molar was previously filled with resin a few years ago. After some time, I experienced discomfort when biting down on things at the filling site. I visited the dentist, who suggested that the filling migh...


Dr. Zeng Guanghui Reply:
If you have already had a resin filling and then switched to a silver filling but still experience sensitivity and discomfort, it is possible that the original cavity was extensive and close to the nerve. If the discomfort persists, it is recommended to return for a follow-up app...

[Read More] Discomfort After Dental Filling: Do You Need Root Canal Treatment?


Understanding White Bumps Inside the Lip: Causes and Concerns

White bumps inside the lips? There is a small white bump, approximately 0.1 cm in size, located on the inner mucosa of the lower lip, close to the outer lip area. It is painless and there is no surrounding redness. Initially, I thought it was a canker sore, but after biting it, i...


Dr. Zeng Guanghui Reply:
A small white bump measuring 0.1 cm on the inner side of the lower lip may be a mucous cyst, possibly caused by inflammation of the lower lip mucosal salivary cyst or disrupted salivary secretion. It is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui...

[Read More] Understanding White Bumps Inside the Lip: Causes and Concerns


Persistent Gum Pain: When Teeth Edge Into Gums and No Relief

The gums are constantly being irritated by the edges of the teeth? There is a gap between my gums and teeth that I can slightly push open with my tongue, but soon the teeth return to their original position, causing the edges of the teeth to press against the gums. This is not vi...


Dr. Lin Jiayong Reply:
Hello: If you have already seen two doctors and there are no abnormalities, it is advisable to shift your focus and not dwell on dental issues anymore. If you are still very concerned, please visit a nearby medical center and have an oral surgeon perform a facial CT scan for conf...

[Read More] Persistent Gum Pain: When Teeth Edge Into Gums and No Relief


Persistent Pain After Tooth Extraction: Is It Just Inflammation?

The tooth adjacent to the wisdom tooth is inflamed, and after undergoing a root canal treatment (which is not yet completed), the pain remains unbearable? On the lower right side of my cheek, the tooth next to my wisdom tooth has been in increasing pain since I had the wisdom too...


Dr. Huang Tingfang Reply:
Hello Ms. Nan: Based on the symptoms you described, I would recommend that you complete the root canal treatment and maintain good oral hygiene. After that, we can reassess whether the pain has improved to facilitate further evaluation. Thank you for your inquiry.

[Read More] Persistent Pain After Tooth Extraction: Is It Just Inflammation?


Addressing Uneven Dental Fillings in Upper Molars: Concerns and Solutions

Filling the interproximal space of a premolar? Hello Doctor, I have a cavity on the side of my upper left premolar, specifically in the interproximal area, which extends into the gum tissue above. The size of the cavity is classified as medium to large. After receiving a composit...


Dr. Lin Jiayong Reply:
Hello, I will answer your three questions as follows. Cavities below the gums are indeed quite challenging to fill with composite resin, as controlling the shape of the margins is particularly difficult (because resin is very moisture-sensitive before it hardens). Therefore, if...

[Read More] Addressing Uneven Dental Fillings in Upper Molars: Concerns and Solutions


Dealing with Pain from Lower Left Molars Scraping Tongue: Solutions and Insights

If the inner edge of the lower left molar is scraping against the base of the tongue and causing pain, what should be done? Hello Dr. Lin, I appreciate your help. I have been experiencing pain for the past two months due to the inner edges of my lower left first and second molars...


Dr. Lin Jiayong Reply:
Hello: 1. Yes, the edges can become sharp due to wear from years of chewing. 2. Yes, cavities are multifactorial and are not caused "solely" by grinding teeth. 3. Physically, one can use an occlusal splint or a silicone night guard to prevent teeth grinding, while chemi...

[Read More] Dealing with Pain from Lower Left Molars Scraping Tongue: Solutions and Insights


Can Wisdom Teeth Be Safely Ground Down Instead of Extracted?

When extracting wisdom teeth, if the wisdom teeth are fused with the bone, they may be difficult to remove? Hello, doctor. The day before yesterday, I went to have my upper right wisdom tooth extracted. I visited the first dental clinic, but halfway through the procedure, the den...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you continue to have X-rays taken for monitoring (at least once a month) to confirm the healing status of the wound. If there are any other complications or sequelae, timely intervention can be provided. Sincerely, Lin Chia-Yung, Department of Dentis...

[Read More] Can Wisdom Teeth Be Safely Ground Down Instead of Extracted?


Post-Wisdom Tooth Extraction: Persistent Bone Pain and Discomfort

A month after having my wisdom teeth removed, I started experiencing bone pain? I had my upper and lower left wisdom teeth extracted at the end of October last year. The lower wisdom tooth was positioned over the front teeth, so the gum had to be incised to remove the tooth in pi...


Dr. Lin Jiayong Reply:
Hello: If you have already been examined at a large hospital and no issues were found, it is recommended to relax and wait for the wound to heal (the tooth extraction was on March 18, and the wound will take at least one week to appear more normal). If there are issues with your ...

[Read More] Post-Wisdom Tooth Extraction: Persistent Bone Pain and Discomfort


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