Periodontal, Dentistry FAQ - Page 19

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Understanding Gum Swelling and Nerve Pain: A Dental Dilemma

Gingival swelling and neuropathic pain? Hello Doctor: I have seen three dentists, and they all have different opinions, while my gums continue to ache (I am currently abroad and do not have a regular dentist). The first dentist took an X-ray and found an abscess beneath the gums;...


Dr. Huang Tingfang Reply:
Dear Ms. Sophia, Hello! The X-ray shows a white mass, which actually makes me feel more at ease. The gums continue to ache subtly; this is generally indicative of a periodontal abscess or a periapical abscess, which requires clinical evaluation. Please communicate more with your...

[Read More] Understanding Gum Swelling and Nerve Pain: A Dental Dilemma


Understanding Chronic Gingivitis: Symptoms and Dental Care Tips

Chronic gingivitis I would like to ask the doctor, if I often feel that the tissue behind my teeth is slightly swollen, but it is not very noticeable externally, could it be chronic gingivitis? I don't experience bleeding while brushing, and there is not much pain; I can eat...


Dr. Huang Tingfang Reply:
Dear Ms. Vivi, Hello! Essentially, maintaining oral hygiene is quite effective for chronic gingivitis. If there is still some swelling in the gum tissue, an X-ray should be taken to check for any severe periodontal disease or bone issues. Please communicate more with your dentis...

[Read More] Understanding Chronic Gingivitis: Symptoms and Dental Care Tips


Sensitivity After Dental Filling: Why Cold Foods Cause Discomfort

After getting a dental filling, experiencing prolonged sensitivity to cold substances is common? A few days ago, I went to get a cavity filled, and the dentist mentioned that my last molar (excluding the wisdom tooth) had a deep cavity due to impaction. After the filling, for two...


Dr. Zhu Guanyu Reply:
Dear Mr. Lu, Hello, if your tooth became sensitive after being cleaned and filled due to decay, and the symptoms are becoming increasingly bothersome, it is important to first rule out pain originating from other teeth or periodontal tissues. As for whether root canal treatment ...

[Read More] Sensitivity After Dental Filling: Why Cold Foods Cause Discomfort


Persistent Gum Growth: What to Do About Your Dental Concern?

There is a growth on my gum that has been present for six months? There is a growth in the gum between my lower right molar, which has undergone root canal treatment, and the tooth in front of it. The growth resembles the color of the gum and has a slight white tint. It feels lik...


Dr. Huang Tingfang Reply:
Dear Miss in Japan, Hello! (There is a growth on my gum that has been present for six months and is slightly swollen.) It is essential to determine whether this is caused by periodontal disease or pulp disease, which requires an X-ray for diagnosis. However, this appears to be a...

[Read More] Persistent Gum Growth: What to Do About Your Dental Concern?


Understanding Gum Issues: When to Seek Dental Care for Your Father

Gum issues Hello Doctor: My father occasionally experiences a discharge between his gums and teeth, which has a salty taste. The affected tooth has previously undergone root canal treatment and has a crown placed on it. The dentists who have treated him for the fixed prosthesis h...


Dr. Zeng Guanghui Reply:
Fluid exuding from between the gums may indicate inflammation within the periodontal pockets. This is typically caused by the presence of dental plaque in the gingival sulcus, leading to an inflammatory response. It is advisable to consult a dentist for further evaluation.

[Read More] Understanding Gum Issues: When to Seek Dental Care for Your Father


Understanding Persistent Tooth Pain After Root Canal Treatment

Tooth pain after root canal treatment? The upper left molar underwent root canal treatment two years ago and has been experiencing intermittent pain since then. The discomfort is described as a dull ache, particularly when biting down, with a sensation of pressure and pain near t...


Dr. Huang Tingfang Reply:
Dear Ms. DN, Hello! Based on what you've described, it sounds quite uncomfortable. Although it's common for teeth that have undergone root canal treatment to sometimes feel abnormal (such as experiencing pain near the gums, discomfort when using dental floss, and occas...

[Read More] Understanding Persistent Tooth Pain After Root Canal Treatment


Post-Wisdom Tooth Extraction: Sensitivity and Exposed Bone Concerns

Exposed upper jawbone after wisdom tooth extraction? Hello, doctor. Two weeks ago, I had my wisdom teeth (both upper and lower on the right side) extracted and the stitches removed. However, I've noticed sensitivity in the two molars in front of the extracted wisdom teeth wh...


Dr. Huang Tingfang Reply:
Dear Anonymous, Hello! After the extraction of wisdom teeth, exposure of the maxillary bone usually heals gradually, but it still requires monitoring. Additionally, if you experience sensitivity when biting down on the two anterior molars, please be aware that it could be a sig...

[Read More] Post-Wisdom Tooth Extraction: Sensitivity and Exposed Bone Concerns


How to Identify the Source of Your Toothache: A Guide

How to identify which tooth is causing the pain? The molar area only experiences pressure pain when chewing food, and there is no pain during normal activities. There is also no pain when clenching the teeth forcefully. I have previously seen a dentist who tapped on each tooth in...


Dr. Zeng Guanghui Reply:
The possible causes of the above condition may include periodontal disease, subtle cavities, or even cracks in the teeth. It is recommended to consult a dentist for further evaluation and treatment, and X-rays may be taken if necessary.

[Read More] How to Identify the Source of Your Toothache: A Guide


Understanding Gum Issues: Treatment, Symptoms, and Recovery Insights

Gum issues Hello Doctor: I have long-term irregular sleeping patterns and experience significant stress. Recently, I was diagnosed with mild periodontal disease. After treatment, I have noticed the following: (1) Occasionally, when I skip using dental floss for a few days (about ...


Dr. Zeng Guanghui Reply:
(1) Periodontal disease is an inflammatory response caused by bacteria in the oral cavity affecting the gums or periodontal tissues. The first step is to thoroughly remove dental plaque from the mouth by brushing and flossing regularly. Maintaining a normal lifestyle, avoiding la...

[Read More] Understanding Gum Issues: Treatment, Symptoms, and Recovery Insights


Bleeding Gums After Brushing: Causes and Solutions for Dental Health

After waking up and rinsing my mouth, I noticed bleeding from my upper gums? Every time I brush my teeth, I pay attention to whether there are any food particles left in the gaps between my front teeth, and I use dental floss to remove them when necessary. However, I sometimes ap...


Dr. Zhu Guanyu Reply:
Hello, Gum bleeding is often associated with periodontal disease or gingivitis. It can also occur mildly in the week following a thorough dental cleaning, especially after the removal of significant tartar buildup. Additionally, factors such as immunity and overall resistance p...

[Read More] Bleeding Gums After Brushing: Causes and Solutions for Dental Health


Should I Follow My Dentist's Advice for a 4-Tooth Bridge?

Issues in the Fabrication of Dental Bridges Hello Doctor: I have been experiencing periodontal disease for a long time, which has caused significant looseness in my two lower front teeth. Recently, during a dental visit, it was decided to extract these two front teeth and create ...


Dr. Zeng Guanghui Reply:
If someone is born with congenital tooth agenesis and has only two wider front teeth on both the upper and lower jaws, when considering the extraction of these two front teeth due to periodontal disease, the decision should be made whether to place two artificial teeth in the ori...

[Read More] Should I Follow My Dentist's Advice for a 4-Tooth Bridge?


Understanding Tooth Sensitivity After Dental Filling: When to Seek Further Treatment

Sensitivity to hot and cold after dental filling? Hello Doctor, I have a cavity in my molar that is quite deep and close to the nerve. When the filling material was placed, I felt a lot of sensitivity. After the procedure, when I drink water that isn't very cold, my tooth st...


Dr. Zeng Guanghui Reply:
The filled tooth still feels sensitive, which may indicate inflammation of the dental nerve. Additionally, experiencing pain in the gums while using dental floss could suggest inflammation of the gum tissue between the teeth. If the pain persists, it may be necessary to consider ...

[Read More] Understanding Tooth Sensitivity After Dental Filling: When to Seek Further Treatment


Is It Tooth Pain or Trigeminal Neuralgia? Understanding Your Symptoms

Is it a dental issue or trigeminal neuralgia? Hello Doctor, I have been experiencing pain in the upper right back teeth for two years, making it difficult to chew on that side due to sharp pain. Over these two years, I have visited the dentist four times. My wisdom teeth are stil...


Dr. Huang Tingfang Reply:
Dear Ms. Han Han, As mentioned, the pain is quite severe! To diagnose trigeminal neuralgia, it is essential to rule out dental factors. If there are significant cavities, periodontal disease, or ulcers, these should be addressed first, as this may alleviate the pain. Trigeminal ...

[Read More] Is It Tooth Pain or Trigeminal Neuralgia? Understanding Your Symptoms


Understanding Gum Lumps: Causes and Treatment Options

There is a lump in the gum area? Hello Doctor, I previously had a car accident that caused my front tooth to break. Recently, I have noticed a lump at the root of my gum that hurts when pressed. I underwent root canal treatment, but the hard lump has not reduced in size. I have b...


Dr. Zeng Guanghui Reply:
A traumatic injury to the front tooth can lead to inflammation and infection of the dental pulp. If the infection spreads to the jawbone, it may result in a periodontal abscess. Typically, root canal treatment is acceptable to attempt to eliminate the source of infection, along w...

[Read More] Understanding Gum Lumps: Causes and Treatment Options


Understanding Gum Recession Surgery: Is It the Same as Gum Removal?

Gingival recession surgery After I had my wisdom teeth removed, the gums around my last two teeth became elevated. I have periodontal disease and often experience swelling and pain, so I go to the clinic for dental cleanings. The doctor suggested a gum recession surgery, but I co...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit a larger hospital to seek treatment from a periodontist.

[Read More] Understanding Gum Recession Surgery: Is It the Same as Gum Removal?


Post-Surgery Tooth Mobility After Periodontal Surgery: What to Do?

After periodontal surgery, there may be mobility in the teeth? Due to severe periodontal disease, I underwent multiple dental cleanings at the hospital without improvement. Therefore, the doctor recommended a gingival flap surgery to clean the dental calculus. I had the stitches ...


Dr. Huang Tingfang Reply:
Dear Mr. clever0705, Hello! As mentioned, your periodontal disease is quite severe, and your dentist is being proactive in providing surgical treatment to thoroughly clean the deep dental calculus. Please discuss the treatment plan with your dentist and communicate openly. Thank...

[Read More] Post-Surgery Tooth Mobility After Periodontal Surgery: What to Do?


Understanding Post-Braces Tooth Pain: Causes and Solutions

Experiencing sudden bite pain a few months after getting braces? Hello Doctor: Regarding the fourth tooth from the left in the upper row, after undergoing root canal treatment, I did not have a crown placed for protection. Six months ago, my dentist discovered a crack and promptl...


Dr. Zhu Guanyu Reply:
Hello, if a tooth still experiences occlusal issues after root canal treatment, there are usually several reasons: 1. Occlusal interference from restorations, 2. Persistent underlying pathology, 3. Presence of cracks in the tooth, 4. Periodontal issues. If any of these factors ar...

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


Understanding Persistent Gum Swelling: Causes and Solutions

The gums are repeatedly swollen, but there is no pain? Hello Doctor: I have a cavity in the upper left molar that was treated between October and November. Due to the depth of the cavity, the nerve was killed with medication, and the tooth was filled (the cavity was on the outer ...


Dr. Huang Tingfang Reply:
Dear Ms. Rita, Hello! It seems that there may be an issue with the root canal. If there is root canal inflammation, surgical treatment may be necessary; if there is inadequate filling, retreatment may be required; and if there is a root fracture, extraction might be needed. Diag...

[Read More] Understanding Persistent Gum Swelling: Causes and Solutions


Swelling and Pain in the Upper Left Gum: Possible Causes and Solutions

Pain and swelling on the inner side of the upper left jaw? Hello, doctor. Two days ago, I had a filling done on my upper left second to last tooth. During the procedure, anesthesia was administered in three areas. The next day, I noticed swelling in the gum tissue on the inner si...


Dr. Zeng Guanghui Reply:
The above situation may be related to the site of anesthesia injection. It is recommended to return for a follow-up appointment with a dentist to check for possible periodontal infection or localized swelling caused by the anesthesia.

[Read More] Swelling and Pain in the Upper Left Gum: Possible Causes and Solutions


Implant vs Bridge: Can You Get Implants After 20 Years of Tooth Loss?

Dental implants or dental bridges (Is it possible to get dental implants after 20 years of tooth loss?) Hello, my lower right first molar has been missing for 20 years, and I have been using the second molar and second premolar to support a dental bridge. Recently, I experienced ...


Dr. Huang Tingfang Reply:
Dear Mr. Jerry, Hello! Regarding your situation: If the second molar is experiencing mobility at grade 1, a crown can still be placed, but a bridge is not advisable. For the first molar, bone grafting and dental implant are recommended. However, if the mobility of the second mol...

[Read More] Implant vs Bridge: Can You Get Implants After 20 Years of Tooth Loss?


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