Understanding Recurrent Inflammation After Root Canal Treatment
Recurrent root canal inflammation? I would like to inquire about a tooth for which I am considering getting an implant. Last year, I had a dental crown placed, but over the past year, I have experienced recurrent pain when biting and had to have it opened twice. The last time it ...
Dr. Zeng Guanghui Reply:
Hello Mr. Jas: If a tooth undergoes root canal treatment but has a small crack that frequently causes gum inflammation, and the inflammation recurs, it is advisable to consider extracting the tooth and then exploring options for dental implants or other forms of prosthetics. Dire...[Read More] Understanding Recurrent Inflammation After Root Canal Treatment
Understanding Jaw Issues After Ankle Injury: A Patient's Journey
Swallowing saliva, wisdom tooth issues? Hello Doctor, On September 11th of this year, I sprained my left ankle while carrying four large bags of trash at my rental place in Banqiao. I missed the last two steps and fell. I went to an orthopedic doctor and had two X-rays, which c...
Dr. Zeng Guanghui Reply:
Hello Ms. Caroline: If the discomfort in your temporomandibular joint persists, it is recommended to return to the oral surgeon for further evaluation. If you are experiencing pain in your temples, it could also be a migraine issue, so it is advisable to consult a neurologist for...[Read More] Understanding Jaw Issues After Ankle Injury: A Patient's Journey
Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Numbness at the tip of the tongue and bleeding from a hole after teeth cleaning? Hello, due to pain near my wisdom tooth, I visited a dental clinic for treatment. During the teeth cleaning process, I bled quite a bit (my wisdom tooth is horizontal). The next day, I started experi...
Dr. Lin Jiayong Reply:
Hello: During the teeth cleaning process, the dentist may have applied a local anesthetic to the gums or inside the mouth, which can cause a tingling sensation. The dental cleaning instrument is quite large and is unlikely to touch the nerve beneath the wisdom teeth. To determine...[Read More] Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Tooth sensitivity after crown placement? Hello, doctor. I had a root canal treatment on my upper right premolar about seven to eight years ago, and it was capped afterward. However, in the past six months, I have developed a habit of grinding my teeth, which has caused wear and i...
Dr. Zeng Guanghui Reply:
Ms. Anonymous: If the upper premolar that has been re-braced has already undergone root canal treatment, there should not be any sensitivity or pain. However, if gum recession has caused larger gaps between the teeth, making it easier for food to get stuck, in addition to maintai...[Read More] Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Pain When Pressing on Tooth After Filling: What You Need to Know
Pain upon pressure after filling a cavity between the teeth? Hello Dr. Lin! In mid-August, after moving, I found a new dentist, Dr. A, near my new home for a routine teeth cleaning. During the visit, she discovered a cavity in the interproximal area of my lower right second molar...
Dr. Lin Jiayong Reply:
Hello: 1. To determine if cavities have been completely cleaned, X-rays can be taken as evidence. 2. If there are indeed residual caries, the tooth itself has some resistance (the dental pulp's vitality will activate immune mechanisms). 3. It is advisable to seek treatment f...[Read More] Pain When Pressing on Tooth After Filling: What You Need to Know
Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
Inquiry about the issue of unexplained necrotic teeth? Hello Dr. Lin, I have a tooth that experienced severe pain in 2019. Recently, both cold and electric pulp tests at the clinic and medical center indicated that the tooth is non-responsive. Lately, there has been sensitivity a...
Dr. Lin Jiayong Reply:
Hello: If periapical periodontitis has already occurred, it is recommended to prioritize root canal treatment. If there is no improvement, consider combining it with periodontal surgery. There are many causes of pulp necrosis, including bacterial infection, but more commonly due ...[Read More] Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
Post-Wisdom Tooth Extraction: When to Seek Dental Care?
Post-operative issues after wisdom tooth extraction? After having your wisdom teeth removed, if the area next to the extraction site was sutured with absorbable stitches and you notice that the stitches seem to have broken two days post-surgery, along with pain and some bleeding ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return for a follow-up visit to check if additional sutures are needed and to apply medication for disinfection.[Read More] Post-Wisdom Tooth Extraction: When to Seek Dental Care?
Gum Pain Without Dental Issues: Seeking Answers for Persistent Discomfort
Gum pain with normal teeth? Over a year ago, I started experiencing pain when pressing on a specific spot on my gum related to one of my teeth. It doesn't hurt or show any redness or swelling when not pressed. I have seen many dentists and had X-rays done, all of which showe...
Dr. Lin Jiayong Reply:
Hello: "It won't hurt if you don't press it." "Many dentists and X-rays show that the teeth are normal." It is recommended to just observe and not to intentionally press on the gums. If you still feel discomfort, consider going to a medical center fo...[Read More] Gum Pain Without Dental Issues: Seeking Answers for Persistent Discomfort
Dealing with Gum Discomfort After Dental Work: What to Do Next?
Gum discomfort? Hello Doctor, around early September when I had my braces removed, I discovered a secondary cavity in my lateral incisor. It was excavated and filled; the cavity was deep but not yet reaching the nerve. After the filling, I have had no issues with chewing, but occ...
Dr. Zeng Guanghui Reply:
Hello Ms. An: If you are experiencing inflammation and pain in your gums, it may be due to the filling being positioned below the gum line, which is putting pressure on the gums. It is recommended to adjust the filling or consider surgical removal of the gum tissue. Please return...[Read More] Dealing with Gum Discomfort After Dental Work: What to Do Next?
Is Tooth Extraction Necessary If Pain Has Resolved?
If there is no pain, is it possible to avoid tooth extraction? Hello, doctor. I would like to ask you about the pain in my lower right second tooth. I visited Dentist A, who diagnosed me with periodontal disease and recommended periodontal treatment. They performed a cleaning and...
Dr. Zeng Guanghui Reply:
Hello Ms. Hsieh: If there is severe periodontal defect, you may consider undergoing scaling followed by the use of antibiotics and analgesics to alleviate inflammation and pain. However, if the inflammation and pain do not fully improve, it is recommended to consider tooth extrac...[Read More] Is Tooth Extraction Necessary If Pain Has Resolved?
Understanding Gum Discomfort After Dental Work: What to Do Next?
Gum discomfort? Hello, Doctor. Around early September, when I had my braces removed, I discovered a secondary cavity in my lateral incisor. It was excavated and filled; the cavity was deep but not reaching the nerve. After the filling, I have had no issues with chewing, but occas...
Dr. Zeng Guanghui Reply:
Hello Ms. An: If you are experiencing inflammation and pain in your gums, it may be due to the filling being positioned below the gum line, which is putting pressure on the gums. It is recommended to adjust the filling or consider surgical removal of the gum tissue. Please return...[Read More] Understanding Gum Discomfort After Dental Work: What to Do Next?
Understanding Mouth Ulcers: Treatment and Healing Progress
Mouth ulcer issues? 1. I noticed my mouth ulcer on November 1, 2023. My family visited a traditional Chinese medicine practitioner who prescribed a powder medication for the ulcer. I applied it during the day, and it helped significantly. At night, I used an oral patch called &qu...
Dr. Lin Jiayong Reply:
Hello: The photo link is not accessible. It is recommended to seek an in-person medical examination instead![Read More] Understanding Mouth Ulcers: Treatment and Healing Progress
Understanding Periodontal Ligament Inflammation: Causes and Treatments
Periodontal ligament inflammation Hello, Doctor. Two weeks ago, I visited the clinic due to an unpleasant odor between teeth 25 and 26, and I experienced bleeding when using dental floss. The dentist discovered that the filling on tooth 25 had come off, so it was refilled. Howeve...
Dr. Zeng Guanghui Reply:
Hello, Miss Anonymous: 1. Periodontal ligament inflammation is generally caused by excessive occlusal forces or trauma to the teeth. If the location of the cavity is very close to the dental pulp, it is still possible for the tooth to feel sore even after filling, and it may con...[Read More] Understanding Periodontal Ligament Inflammation: Causes and Treatments
Can Gum Recession Occur Within a Week? Understanding Dental Health Risks
Is it possible for gum recession to occur within a week? Hello, Doctor. I am 26 years old and have been using an electric toothbrush for the past ten years (I had orthodontic treatment and removed my braces seven years ago). I regularly have dental cleanings and check-ups, and my...
Dr. Zeng Guanghui Reply:
Hello Ms. Yu: Generally, excessive force while brushing teeth over a long period can lead to gum recession or injuries such as ulcers. It is recommended to change your brushing technique and use the Bass method. If you are using an electric toothbrush, it is advisable to apply ge...[Read More] Can Gum Recession Occur Within a Week? Understanding Dental Health Risks
Metal Dental Crown Issues: Poor Fit and Ongoing Discomfort
The metal dentures do not fit properly against the gums? Hello, Doctor! I have a molar that is half decayed, so I had a metal crown placed on it. The week after getting it, I felt very uncomfortable; food debris keeps getting stuck in the gaps of that tooth, and I feel that the c...
Dr. Lin Jiayong Reply:
Hello: It is generally recommended to observe for at least one month. If discomfort persists, you may consider undergoing root canal treatment followed by capping the entire tooth with a crown. Regarding costs, it is advisable to have the procedure done at the same clinic to rece...[Read More] Metal Dental Crown Issues: Poor Fit and Ongoing Discomfort
Post-Wisdom Tooth Extraction: Managing Gum Discomfort and Swelling
Discomfort in the gums after wisdom tooth extraction? It has been three weeks since my wisdom tooth extraction. A week ago, I returned to the clinic because of a bony protrusion from the alveolar bone, which was smoothed down. I felt discomfort in my gums while the bone was being...
Dr. Lin Jiayong Reply:
Hello: If you are experiencing symptoms such as dysphagia or difficulty breathing while swallowing, it is advisable to return for a follow-up appointment as soon as possible to identify the underlying cause. If you no longer trust your original clinic, you may seek an examination...[Read More] Post-Wisdom Tooth Extraction: Managing Gum Discomfort and Swelling
Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars
Dental implant root canal Recently, I have experienced swelling and pain when biting down on my upper second premolar prosthesis (which has been in use for 10 years). There is also pain when pressing on the buccal gingiva. An X-ray shows a shadow between the prosthesis and the mo...
Dr. Lin Jiayong Reply:
Hello: 1/2 It is suggested to change your perspective. The originally problematic tooth has been preserved for an additional 10 years due to root canal treatment and the protection of a crown. 3/4 If you want to confirm the success rate of a second root canal, it is advisable to ...[Read More] Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars
Understanding Gum Issues: When to Seek Dental Care for Swelling
Gum issues On the first day, I felt something unusual above crowns 2 and 3, but there was no swelling or pain. By the seventh day, the gums around teeth 1, 2, and 3 were swollen, particularly at the junction of teeth 2 and 3, which was painful when pressed. Eating does not cause ...
Dr. Zeng Guanghui Reply:
Hello Mr. Anonymous: If your gums are persistently swollen, it indicates that there is inflammation or infection in the gums, and you should seek treatment from a dentist as soon as possible. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Issues: When to Seek Dental Care for Swelling
Understanding Oral Health: Managing Red Spots and White Lesions
Oral issues On October 30, 2023, I noticed a red area on the inner corner of my mouth. It's not very large, but it's red enough to be noticeable, though not as red as blood. There is a small white spot in the middle that seems to heal and then reappear. I've experi...
Dr. Lin Jiayong Reply:
Hello: If a wound repeatedly fails to heal completely after two weeks or more than a month, it is advisable to seek medical attention. Please have a physician examine it to rule out any other underlying conditions for safety. Simply using an oral ointment only provides a corticos...[Read More] Understanding Oral Health: Managing Red Spots and White Lesions
Understanding Root Canal Treatment: Temporary Fillings and Follow-Up Care
Root canal treatment filling materials and follow-up appointment schedule? Dear Doctor, I had root canal treatment on my lower left first molar, where most of the nerve was removed and medication was placed. However, it seems that some nerve in the root was not located, so it ha...
Dr. Lin Jiayong Reply:
Hello: During the root canal treatment process, it is indeed necessary to use a temporary filling material. If a permanent filling is used, it will be impossible to confirm the original pathway of the nerve and the entry point. As long as the temporary filling is not completely l...[Read More] Understanding Root Canal Treatment: Temporary Fillings and Follow-Up Care