Periodontal, Dentistry FAQ - Page 2

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Comprehensive Dental Care: X-Rays, Sensitivity, and Treatment Options

Dental examination / Dental demineralization / Root canal Hello, Doctor: 1. I would like to ask if general dental clinics provide full-mouth X-rays, or where I can get a comprehensive examination of my oral health. The dental clinics I visit usually only take X-rays when there i...


Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to have a panoramic X-ray taken at a medical center every three years, and the X-ray images are generally uploaded, which you can access through the health insurance mobile app to view your radiographic images. 2/3. A simple description of symptoms can...

[Read More] Comprehensive Dental Care: X-Rays, Sensitivity, and Treatment Options


Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?

Even after undergoing microscopic root canal treatment and having a crown placed, pain may still persist? Hello doctor, my second to last lower left molar underwent root canal treatment at the end of June. The dentist mentioned that the tooth was calcified and could not be cleane...


Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for treatment, including occlusal adjustment, replacement of the crown, redoing the root canal, or periodontal treatment, among others. The tooth itself, in addition to the dental pulp nerves, also has surrounding nerves t...

[Read More] Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?


Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?

Even after undergoing microscopic root canal treatment and having a crown placed, pain may still persist? Hello doctor, my second to last lower left molar underwent root canal treatment at the end of June. The dentist mentioned that the tooth was calcified and could not be thorou...


Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for treatment, including occlusal adjustment, replacement of the dental crown, redoing the root canal, or periodontal therapy, among others. Besides the dental pulp nerves, the nerves surrounding the tooth can also respond...

[Read More] Why Does My Tooth Still Hurt After Microscopic Root Canal Treatment?


Understanding the Link Between Gum Disease and Mouth Ulcers

Periodontal disease and mouth ulcers? Doctor, I have periodontal disease. Is there a connection between periodontal disease and mouth ulcers? I have a habit of smoking and I often get mouth ulcers. Smoking affects the healing of mouth ulcers, but they usually heal in about three ...


Dr. Qiu Qiongyao Reply:
Hello: 1. Oral ulcers often arise from staying up late or work-related stress. 2. Adjusting your daily routine can help improve the condition. 3. If your work prevents you from maintaining a regular schedule, it is recommended to take B vitamins along with probiotics for a period...

[Read More] Understanding the Link Between Gum Disease and Mouth Ulcers


Understanding Aggressive Periodontitis: Treatment Options and Prognosis

Treatment and Prognosis of Aggressive Periodontitis Hello, Doctor. On November 18th in the afternoon, while eating lunch, I experienced discomfort in my teeth (specifically in the upper and lower first molars on the right side) after chewing on pork rib cartilage. By November 22n...


Dr. Zeng Guanghui Reply:
Dear Mr. Ri Hai, 1. Aggressive periodontitis refers to the rapid destruction and resorption of the alveolar bone surrounding the teeth, with the damage extending beyond the inflammation of the periodontal ligament. If it is merely inflammation of the periodontal ligament, anti-i...

[Read More] Understanding Aggressive Periodontitis: Treatment Options and Prognosis


Understanding Tooth Pain: Causes and Solutions for Dental Discomfort

Experiencing pain when lightly pushing the tongue against the edges of the teeth? Hello Doctor, I have a habit of teeth grinding, which seems to have damaged many of my healthy teeth. My upper left molar originally had issues with bleeding when using dental floss between it and t...


Dr. Lin Jiayong Reply:
Hello: If you are currently receiving treatment for dentures at Clinic A, it is recommended to continue monitoring at Clinic A. If you still experience discomfort after 1 to 3 months, you can request a referral from Clinic A to consult with the endodontics or periodontics departm...

[Read More] Understanding Tooth Pain: Causes and Solutions for Dental Discomfort


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


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 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


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 Recession: Symptoms, Causes, and Treatment Options

Gum recession I would like to consult a doctor. Due to poor oral hygiene during my childhood, I have noticed persistent gum recession over the past few years. Compared to before, my teeth appear significantly longer, and my gums have become increasingly sensitive. Occasionally, t...


Dr. Zeng Guanghui Reply:
Hello Ms. Wu: If your gums still show signs of inflammation after a dental cleaning, it indicates that there may still be plaque or tartar attached to the root surface beneath the gums, or that periodontal pockets may still be present. It is recommended that you return for a foll...

[Read More] Understanding Gum Recession: Symptoms, Causes, and Treatment Options


Understanding the Soft Feel of Your New Porcelain Dental Crown

All-ceramic crown Hello Doctor, I recently had a connected porcelain crown placed on my upper four teeth, and it has been permanently bonded. I would like to ask why the sensation when my tongue touches the inner side feels soft, somewhat like chewing gum sticking to the roof of ...


Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the clinic for a detailed discussion with the original physician, including the reasons for the connection of the four teeth, the condition of the periodontal and pulpal tissues, the structural condition of the teeth themselves, and whether t...

[Read More] Understanding the Soft Feel of Your New Porcelain Dental Crown


Persistent Pain Between Teeth: Causes and Treatment Options

Pain between the teeth? Hello, doctor. I have been experiencing pain between my second to last tooth and the third tooth on the upper left side for a month now. I have seen a dentist two or three times during this period, and X-rays showed no cavities, only gum inflammation. Init...


Dr. Lin Jiayong Reply:
Hello: It is recommended to schedule another appointment with the periodontal department at a medical center to report symptoms of gum bleeding and bad odor. Additionally, there are symptoms of gum pain and headaches. Please have them check for any interproximal caries; if none a...

[Read More] Persistent Pain Between Teeth: Causes and Treatment Options


Understanding Unilateral Chewing Pain: Causes and Solutions

Unilateral chewing Hello Dr. Lin, I have been chewing on one side for several years, and recently the side that I haven't been using suddenly developed gum inflammation. After taking antibiotics and painkillers for a week, it has healed. I then tried to use the other side (t...


Dr. Lin Jiayong Reply:
Hello: "I had a dental check-up, and the X-rays showed no abnormalities. My gums are also normal. The dentist ground down a bit of my tooth and advised me to continue monitoring. I used Sensodyne and Parodontax, but they don't seem to help." It is recommended to go...

[Read More] Understanding Unilateral Chewing Pain: Causes and Solutions


Discomfort After Dental Crown Placement: Causes and Solutions

Discomfort in the gums after crown placement? Hello Dr. Lin, I had a full porcelain crown placed at the dental clinic. Originally, I only had the old crown removed and replaced with the new one without any additional treatment. For the first two days after the placement, it felt ...


Dr. Lin Jiayong Reply:
Hello: Injuries to the soft tissues in the oral cavity typically heal within 1 to 2 weeks. Applying topical antibiotics and corticosteroid ointments can help alleviate discomfort. Is it possible that the dentures are too large or not fitting properly? >> It is recommended t...

[Read More] Discomfort After Dental Crown Placement: Causes and Solutions


Common Post-Root Canal Questions: Crowns, Pain, and Treatment Options

Post-endodontic complications 1. Is it necessary to place a temporary crown after root canal treatment before fitting a permanent crown? 2. Can an impression be taken on the same day after the cavity is filled following the completion of root canal treatment? 3. After the dentist...


Dr. Zeng Guanghui Reply:
Dear Miss Troubled by Teeth, 1. If there are no periodontal issues after root canal treatment, a permanent crown can be placed. However, if there are still periodontal problems, it may be advisable to first use a temporary crown to protect the tooth. 2. A permanent crown that is...

[Read More] Common Post-Root Canal Questions: Crowns, Pain, and Treatment Options


Understanding Tongue Scraping and Tooth Pain: Dental Concerns Explained

The tongue feels slightly scraped, and there is tooth pain? Hello, I currently have periodontal issues and have undergone dental implants. Recently, I've noticed that my tongue feels a bit scraped, and my teeth occasionally hurt; sometimes even a light touch causes pain. I a...


Dr. Zeng Guanghui Reply:
Hello Ms. Hui: If you experience pain or an unusual taste in your mouth, it may be a sign of periodontal disease. You should return for a follow-up appointment and have a thorough examination by your dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Tongue Scraping and Tooth Pain: Dental Concerns Explained


Understanding Bone Grafting and Periodontal Surgery After Dental Implants

Inquire about periodontal surgery related to dental implants and the issue of bone grafting materials? Hello, I have been receiving dental implants at Hospital A for the past ten years. A few months ago, the crown on my implant fell off, so I went to Hospital B to get a replaceme...


Dr. Zeng Guanghui Reply:
Ms. Eva: If you have just undergone a bone graft procedure, it is advisable to schedule a follow-up appointment to discuss the extent and details with your dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Bone Grafting and Periodontal Surgery After Dental Implants


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