Swelling Below Lower Canine Tooth: Causes and Solutions
Swelling beneath the gums of the lower canine teeth? Four days ago, I visited the dentist, who diagnosed me with mild periodontal disease. They performed a dental cleaning and advised me to have regular cleanings and follow-up appointments for monitoring. After the cleaning, my g...
Dr. Zeng Guanghui Reply:
There is some swelling and pain below the outer side of the lower canine tooth, along with a small white spot. This may indicate an infection or inflammation at the apex of the canine root. It is recommended to consult a dentist for further diagnosis and treatment. Dr. Tseng Guan...[Read More] Swelling Below Lower Canine Tooth: Causes and Solutions
Understanding Large Gaps Between Teeth: Is It a Dental Concern?
Gaps between teeth? Hello Doctor, I have noticed that the gaps between my upper right fourth and fifth teeth seem particularly large. Food tends to get stuck there, and when I use dental floss, it feels like it goes right into the gums without any resistance. I have been seeing t...
Dr. Lin Jiayong Reply:
Hello, at your age (21 years old), if you have larger gaps between your teeth, it is usually related to the alignment of your teeth and the shape of the teeth themselves. If your dentist has already taken X-rays and confirmed that there are no issues (such as periodontal disease ...[Read More] Understanding Large Gaps Between Teeth: Is It a Dental Concern?
Understanding Gum Recession, Tooth Mobility, and Sensitivity Issues
Gum recession, tooth mobility, tooth sensitivity? Hello, Doctor. I apologize for bothering you with a few questions. 1. I only feel a slight discomfort and aching sensation in my last tooth on the right side when I eat ice or drink cold water. It seems like I have had this issu...
Dr. Qiu Qiongyao Reply:
Hello, in response to your questions: Question 1. Yes, it is advisable to seek treatment. Question 2. It is better to get dentures done early! Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Understanding Gum Recession, Tooth Mobility, and Sensitivity Issues
Understanding Pain in Upper Left Molar: Causes and Solutions
Pain in the occlusion of the upper left molar? Hello, recently the upper left molar has started to hurt again when I bite down (it hurts when I press on the molar with my hand). The pain has progressed from mild discomfort to significant pain when biting (it doesn't hurt whe...
Dr. Zeng Guanghui Reply:
Pain in the upper left molar during occlusion may be due to acute gingivitis, or even a periodontal abscess. It is also possible that there is a crack in the tooth or dental caries. It is recommended to consult a dentist for further treatment. Dr. Tseng Guang-Hui, Department of D...[Read More] Understanding Pain in Upper Left Molar: Causes and Solutions
Can Gum Wounds Heal When in Contact with Dental Resin?
Will a gum wound not heal if it is directly in contact with the filling resin? Hello Dr. Lin, I have three questions I would like to ask you. First, I apologize for taking your time and thank you for your help. Please take a look at this photo: https://i.imgur.com/zS8TYRu.jpg. Th...
Dr. Lin Jiayong Reply:
Hello: There is no bonding strength between the gums and the resin, so they will quickly lose adhesion to each other. (The resin monomer used for dental fillings is not the same as cyanoacrylate glue; there is a significant difference between the two.) The dental resins available...[Read More] Can Gum Wounds Heal When in Contact with Dental Resin?
Understanding Tooth Pain with No X-Ray Abnormalities: Possible Causes
Toothache but X-ray shows no abnormalities? Hello, Doctor. To explain, this tooth is a crown that has been in place for seven to eight years. A few months ago, it came off due to eating, but it was reattached. Currently, the last tooth on the lower right side has been experiencin...
Dr. Lin Jiayong Reply:
Hello: The episodes of trigeminal neuralgia cannot be managed solely with general painkillers; specific medications prescribed by a neurologist are necessary for control. If both periapical radiographs show no abnormalities, the best solution may be to remove the dental crown. If...[Read More] Understanding Tooth Pain with No X-Ray Abnormalities: Possible Causes
Understanding Gum Numbness After Dental Treatment: Causes and Remedies
Numbness of the gums? Several years ago, I had a tooth that underwent root canal treatment, and recently it suddenly started to swell and become inflamed. I went to see a dentist, who applied a paste (which contained small fragments resembling orange peel fibers) to that tooth. H...
Dr. Zeng Guanghui Reply:
A tooth that has undergone root canal treatment may suddenly swell and become inflamed, which could be due to periodontal inflammation or a possible crack in the tooth itself. Although applying a propolis-like ointment has reduced the swelling, it is still advisable to monitor fo...[Read More] Understanding Gum Numbness After Dental Treatment: Causes and Remedies
Will a Root Canal Tooth Continue to Grow After Extraction?
Can a tooth that has undergone root canal treatment still grow? Recently, I had my lower right second molar extracted due to severe periodontal disease. Do I need a dental prosthesis? The corresponding upper second molar has undergone root canal treatment and has a crown. I am co...
Dr. Lin Jiayong Reply:
Hello: If you have already undergone root canal treatment and had a crown placed, the chances of elongation are lower. However, considering that both sides of the occlusion need to bear equal force, it is still advisable to take a comprehensive approach in planning. Sincerely, Li...[Read More] Will a Root Canal Tooth Continue to Grow After Extraction?
Understanding Tooth Pain from Sticky Foods: Causes and Solutions
Sticky foods can cause toothache? Hello Doctor, I have a healthy tooth without any fillings, but recently when I eat sticky foods, I experience a sensation similar to the surface of the tooth being pulled, which is painful. However, there is no pain during normal chewing or when ...
Dr. Zeng Guanghui Reply:
It appears that there may be a crack in the tooth itself, or the periodontal tissue surrounding the tooth may be inflamed. It is advisable to consult a dentist for further evaluation and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Tooth Pain from Sticky Foods: Causes and Solutions
Can You Stop Antibiotics for Gingivitis Before It's Fully Healed?
Gingivitis has not completely resolved, but the doctor recommends stopping the antibiotics? Hello Dr. Tseng, two weeks ago I visited the doctor for gingivitis of my lower right second molar and have been taking antibiotics (amoxicillin 500mg) until yesterday. During my follow-up ...
Dr. Zeng Guanghui Reply:
If gingivitis is severe, in addition to scaling to clean the inflamed tissue below the gums, antibiotics can be taken to help kill bacteria or suppress periodontal pathogens. However, if the inflammation does not improve after a period of antibiotic use, it is necessary to consul...[Read More] Can You Stop Antibiotics for Gingivitis Before It's Fully Healed?
Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Nerve necrosis Hello Doctor: For the past two days, I've been experiencing pain in the area where I had a filling done a month ago, to the point where I couldn't sleep even after taking four painkillers. I went to see a dentist the next day, and they tested my teeth wit...
Dr. Lin Jiayong Reply:
Hello: As you mentioned, root canal treatment has already begun. The part where the tooth is drilled needs to wait until the dentist has thoroughly cleaned the internal root canals before sealing it. For now, it can only be temporarily filled, so please use it with caution. This ...[Read More] Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Can Flap Surgery Cure Bad Breath from Periodontal Disease?
Halitosis due to periodontal disease? I have been troubled by this issue for a long time. I brush my teeth three times a day with an electric toothbrush, use dental floss, clean my tongue, and use mouthwash, but there has been no improvement. My family dentist said it is due to b...
Dr. Zeng Guanghui Reply:
If periodontal disease is severe and has resulted in a significant loss of alveolar bone, it is recommended to undergo flap surgery, and subsequent prognosis will require further evaluation by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Can Flap Surgery Cure Bad Breath from Periodontal Disease?
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
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
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 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
Persistent Gum Bump: Causes and Effective Treatment Options
Gum abscess If you have had a gum abscess in the same location for over a year and have seen a doctor multiple times, with the abscess recurring after treatment, it is important to seek further evaluation from a dental specialist, such as an oral surgeon or periodontist. It is ...
Dr. Zeng Guanghui Reply:
If you repeatedly develop dental abscesses in the same area, it is advisable to consult a dentist for an examination to determine if there is nerve necrosis or periodontal disease affecting that tooth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Persistent Gum Bump: Causes and Effective Treatment Options
Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Periodontal disease treatment Hello, Dr. Tseng. I had an inlay/onlay/overlay placed a week ago, and during my follow-up visit today, I mentioned that the gums around my lower right first molar hurt when touched by my fingertip (accidentally while using dental floss). However, the...
Dr. Zeng Guanghui Reply:
The initial treatment for periodontal disease begins with X-ray examinations to assess the condition of the alveolar bone around the teeth. If periodontal disease or gingivitis is diagnosed, the first step is to perform scaling and provide oral hygiene education. After a period o...[Read More] Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Water Laser Periodontal Treatment vs. Flap Surgery: Key Differences Explained
Water laser periodontal treatment Hello, Doctor: During my visit to the clinic, the doctor mentioned that my periodontal disease is currently in a moderate to severe state and suggested the use of a new technique called "water laser periodontal therapy." I would like to...
Dr. Zeng Guanghui Reply:
In cases of moderate to severe periodontal disease, in addition to traditional flap surgery for periodontal treatment, there is also laser periodontal therapy available. However, traditional periodontal treatment should be the primary consideration. It is recommended to consult w...[Read More] Water Laser Periodontal Treatment vs. Flap Surgery: Key Differences Explained
Recovering from a Dental Injury: When to See a Dentist for Tooth Trauma
Front tooth impact? I have a dental implant for my front tooth (from several years ago). Recently, I fell and injured it, resulting in bruising of the gums and the root of the front tooth. Currently, the front tooth is not loose, but I am unable to bite down on anything, although...
Dr. Zeng Guanghui Reply:
Hello Fanny: After an injury to the front teeth, it is possible to damage the periodontal ligament and gums, and even cause root fracture. However, if the front teeth are not loose after some time but you are unable to eat, it indicates that the periodontal ligament has not fully...[Read More] Recovering from a Dental Injury: When to See a Dentist for Tooth Trauma