Understanding Toothpaste Ingredients: Long-term Effects on Oral Health
Regarding toothpaste ingredients? Hello, Director Zeng. I have seen some information suggesting that chlorhexidine can kill both good and bad bacteria, and long-term use may lead to an imbalance of bacterial species, worsening periodontal conditions. I would like to ask you: 1....
Dr. Zeng Guanghui Reply:
Hello Mr. Huang, 1. Some mouthwashes may contain chemical agents that can kill bacteria. Short-term use can help reduce oral bacteria, but long-term use may also affect the normal flora of the mouth. IPMP is a plant extract that contains antibacterial and antioxidant properties....[Read More] Understanding Toothpaste Ingredients: Long-term Effects on Oral Health
Understanding Periodontal Disease and Tooth Restoration Options
Questions about periodontal disease, tooth fractures, and bone grafting for dental implants? Hello, Dr. Tseng. Six months ago, I experienced pain in my second molar and swelling of the gums. The dentist diagnosed me with moderate to severe periodontal disease and suspected nerve ...
Dr. Zeng Guanghui Reply:
Hello Mr. Barry: 1. You may consider consulting a periodontist. 2. The decision to use bone graft material after tooth extraction depends on the morphology of the alveolar bone and the severity of the defects. If the alveolar bone remains intact after extraction, immediate bon...[Read More] Understanding Periodontal Disease and Tooth Restoration Options
Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Gum issues Hello Doctor: About two years ago, I noticed that two of my lower front teeth had small triangular gaps in the gums (less than 1mm). Additionally, I felt that the triangular gum area between two other teeth was quite loose and not well-adapted, which made me suspect th...
Dr. Lin Jiayong Reply:
Hello: The health and aesthetics of soft and hard tissues do not always equate. If there is no periodontal disease, cavities, or severe misalignment of teeth, but there is still a desire to improve the black triangle areas between the gums, it is advisable to consult with a perio...[Read More] Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Gum issues Hello Doctor: About two years ago, I noticed that two of my lower front teeth had small triangular gaps in the gums (less than 1mm). Additionally, the triangular gum area between two other teeth feels very loose and not well-adapted, leading me to suspect that I might ...
Dr. Lin Jiayong Reply:
Hello: The health and aesthetics of soft and hard tissues do not always equate. If there is no periodontal disease, cavities, or severe misalignment of teeth, but there is still a desire to improve the black triangle areas between the gums, it is advisable to consult with a perio...[Read More] Understanding Gum Issues: Causes and X-ray Insights for Dental Health
Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?
Root issues? Hello Doctor, a couple of days ago I suddenly noticed something near the root of my tooth that looks like either a hole or a small bump. I would like to ask if this is an apical abscess or just a simple oral ulcer? In the first image, I want to inquire about the area...
Dr. Lin Jiayong Reply:
Hello: It is recommended to consult the periodontology department at a medical center directly. The issue may be caused by periapical inflammation or an abscess leading to a gum laceration, or it could be due to deep bacterial accumulation in the periodontal pockets around the ro...[Read More] Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?
Can Bonding a Dental Bridge to Adjacent Teeth Prevent Loosening?
Loose dental bridge? If the foundation is poor and the dental bridge is loose, can it be bonded to the adjacent natural tooth to reduce movement?
Dr. Zeng Guanghui Reply:
Dear Mr. Hsu Ren-Hsin: It is not advisable to proceed in that manner. You should start with periodontal treatment to improve the condition of periodontal destruction and the support of the dental bridge. If the periodontal damage is too severe to be improved through periodontal t...[Read More] Can Bonding a Dental Bridge to Adjacent Teeth Prevent Loosening?
Can Improper Teeth Cleaning Cause Loose Dental Crowns?
A fixed dental prosthesis became loose due to dental cleaning? Hello: I have a fixed upper denture with eight teeth connected, which has been in place for about 23 years. Since my original dentist has retired, I changed clinics for a dental cleaning. About a week after the cleani...
Dr. Zeng Guanghui Reply:
Dear Miss Qin Qin: It is recommended to return for an examination to determine the cause of the looseness of the dentures. If the periodontal condition of the supporting teeth is still acceptable, the dental bridge can be removed and re-cemented. Dr. Tseng Guang-Hui, Department o...[Read More] Can Improper Teeth Cleaning Cause Loose Dental Crowns?
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
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 Gum Abscesses: Causes and Impacts on Adjacent Teeth
Abscesses on both sides of the gums? Hello Doctor: Last year, I developed a pus-filled abscess on my lower second molar. Following your recommendation, I underwent a second root canal treatment. After several sessions of microscopic root canal therapy, the abscess has not recurre...
Dr. Lin Jiayong Reply:
Hello: A periodontal abscess on the lingual side of the gums is usually caused by a bacterial infection, with the source of infection typically being the dental pulp or periodontal tissue. If the physician has performed a CT scan and cannot definitively identify the source of the...[Read More] Understanding Gum Abscesses: Causes and Impacts on Adjacent Teeth
Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
Pain upon pressure after root canal treatment? Hello, it has been a year and a half since my root canal treatment (I have not yet had a crown placed). During this time, I occasionally experience pain (dull pain, throbbing pain) when pressure is applied to that tooth, so I tend to...
Dr. Zeng Guanghui Reply:
Hello Ms. Lee: If there is still tenderness upon pressure after root canal treatment, but no cracks are found upon examination, it may be due to periodontal issues or ongoing inflammation at the root apex. It is recommended to return for a follow-up examination, and if necessary,...[Read More] Understanding Post-Root Canal Pain: Is It Periodontal Ligament Inflammation?
Tooth Extraction for Infected Second Molar: What You Need to Know
Extraction of the second molar abscess? Currently, I only have one remaining second molar (all other molars are gone). Due to poor healing after periodontal flap surgery, I frequently experience abscesses, and X-rays show that the bone support has been compromised, causing the to...
Dr. Lin Jiayong Reply:
Hello: If possible, it is recommended to return to the original periodontist for assistance with the extraction. If you are concerned about the size of the cavity, collagen can be placed first. If you are considering a future dental implant, it is advisable to inform the dentist ...[Read More] Tooth Extraction for Infected Second Molar: What You Need to Know
Should I Repeat Phase One of Periodontal Treatment?
Periodontal disease treatment I recently completed the first phase of periodontal surgery at a regional hospital and am waiting for the second phase and bone grafting. However, I experienced gum inflammation and visited a clinic for evaluation. The clinic doctor assessed that the...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult with your original hospital, but if you have other reasons for wanting to switch to a clinic for treatment, you will have to accept the treatment plan provided by the clinic physician.[Read More] Should I Repeat Phase One of Periodontal Treatment?
Swollen Gums After Teeth Cleaning: Causes and Solutions
After teeth cleaning, the gums may become swollen? I was diagnosed with mild periodontal disease at a dental clinic a month ago. Yesterday afternoon, I returned for a dental cleaning treatment. That evening, while brushing my teeth, I noticed that my gums were painful. Today, alt...
Dr. Lin Jiayong Reply:
Hello: If you are experiencing severe gum swelling and pain, it is advisable to return to the clinic for a physician to prescribe simple anti-inflammatory and analgesic medications to help you through the acute inflammatory phase.[Read More] Swollen Gums After Teeth Cleaning: Causes and Solutions
Persistent Bad Breath: When It's Not Just Oral Hygiene Issues
There is bad breath, but it doesn't seem to be an oral issue? Hello, Doctor: I have had a problem with bad breath since my student days. In recent years, I have been very diligent about dental hygiene due to treatment for periodontal disease, and I have received recognition ...
Dr. Lin Jiayong Reply:
Hello: If you have been taking medications for chronic conditions for a long time, it is advisable to take out the medication leaflet and read it carefully, as many medications can cause taste abnormalities or lead to unusual odors as side effects. Additionally, you may consider ...[Read More] Persistent Bad Breath: When It's Not Just Oral Hygiene Issues
Understanding Gum Issues: Red Spots and Bleeding While Brushing
Issues between the teeth and the gums? Hello, Doctor. Tonight while brushing my teeth, I noticed two spots that look a bit red between my teeth and gums, and there seems to be some bleeding, but I don't taste any blood. I would like to ask if this could be periodontal diseas...
Dr. Zeng Guanghui Reply:
Hello Ms. Mei: Based on the description above, it seems more like chronic gingivitis, where brushing can easily cause bleeding, but there is no significant discomfort. It is recommended to maintain a regular schedule and avoid staying up late, ensure proper oral hygiene, and have...[Read More] Understanding Gum Issues: Red Spots and Bleeding While Brushing
Understanding Tooth Sensitivity and Pain After Biting Hard Objects
After biting down on chopsticks, there is a dull pain and sensitivity to hot and cold? Hello, Doctor: Twenty years ago, my upper right incisor was struck by my lower right canine while biting into food, causing significant pain and slight mobility with some inward displacement. A...
Dr. Zeng Guanghui Reply:
Hello Miss MiMi: 1. Generally, it may just be an injury to the periodontal ligament, but if there is a tooth fracture, it could affect the dental pulp. 2. If the tooth continues to be sensitive to hot and cold, it may indicate pulpitis; it is recommended to consult with a dental ...[Read More] Understanding Tooth Sensitivity and Pain After Biting Hard Objects
Root Canal Treatment vs. Wisdom Tooth Extraction: What You Need to Know
Issues related to root canal treatment and wisdom tooth extraction? Hello Doctor: I have been struggling with discomfort in my dental occlusion recently. I first visited a dentist who suggested that it might be a periodontal issue. I took two courses of antibiotics (three days ea...
Dr. Lin Jiayong Reply:
Hello: Tooth extraction and root canal treatment are both irreversible invasive procedures. It is advisable to first identify the underlying cause before proceeding. If pain can be managed with medication, it is best to control it with drugs initially. If you prefer to avoid extr...[Read More] Root Canal Treatment vs. Wisdom Tooth Extraction: What You Need to Know
Understanding Root Canal Treatment: Managing Pain and Swelling After Procedure
Root canal treatment Hello, doctor. I would like to ask a question. I previously had a root canal treatment on one of my teeth, so I have some understanding of the experience. Now, I have another tooth that has a problem. I went to a different dental clinic, and the doctor said I...
Dr. Lin Jiayong Reply:
Hello: Please finish taking the medication prescribed by your doctor as scheduled. Additionally, you can seek emergency treatment at a nearby dental clinic or hospital (which accepts walk-in appointments). Also, contact your original clinic by phone to schedule a follow-up visit ...[Read More] Understanding Root Canal Treatment: Managing Pain and Swelling After Procedure
Understanding Chronic Pulpitis: Symptoms, Treatment, and Management
Chronic pulpitis issues? Hello, Doctor! I apologize for the lengthy message. During my middle school years, I had a cavity filled, and everything was fine until I graduated from high school. However, in my freshman year of college, I suddenly experienced pain (sharp pain) when bi...
Dr. Lin Jiayong Reply:
Hello: I recommend that you visit a local medical center and consult with a prosthodontist, where you can have X-rays taken for confirmation and receive an accurate diagnosis. If it is simply pulpitis, there are indeed reversible and irreversible forms. If it has progressed to ap...[Read More] Understanding Chronic Pulpitis: Symptoms, Treatment, and Management