Periodontal, Dentistry FAQ - Page 26

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Dealing with Painful Loose Tooth After Wisdom Tooth Extraction

Loosening and pain of the teeth adjacent to the wisdom tooth? Hello, Doctor. About six months ago, I had my horizontally impacted wisdom tooth removed from the lower left side. Recently, the adjacent molar has become quite loose and very painful. The dentist said it needs to be e...


Dr. Zeng Guanghui Reply:
The above situation is likely a periodontal tissue infection. If the bone destruction around the gums is not severe, periodontal treatment can be initiated to see if the tooth can be saved. However, if there is significant periodontal destruction, extraction may be necessary, fol...

[Read More] Dealing with Painful Loose Tooth After Wisdom Tooth Extraction


Understanding White Spots on Gums: Causes and Concerns

Slight leukoplakia of the gums? Doctor, I’m sorry to bother you, but I would like to ask about some white spots that have appeared on the gum area of my lower front teeth. They are not pus and they don’t hurt, and they are only located behind the front teeth. What could this be? ...


Dr. Zeng Guanghui Reply:
There are white patches on the gums of the lower front teeth, which are not painful and do not have pus. They are located behind the front teeth and may indicate chronic inflammation or infection of the periodontal tissue. It is advisable to consult a dentist for further examinat...

[Read More] Understanding White Spots on Gums: Causes and Concerns


Impacts of Delayed Orthodontic Treatment After Tooth Extraction

What are the effects of not immediately correcting supernumerary teeth after their extraction? Hello Doctor, I will be going abroad for work for two years starting on February 28, so I originally scheduled an intensive extraction of my wisdom teeth and supernumerary teeth, follow...


Dr. Zeng Guanghui Reply:
The misalignment of the incisors is due to the presence of supernumerary teeth. Initially, the plan was to correct the crooked incisors and place crowns to make them appear straight. However, the supernumerary teeth are impinging on the adjacent teeth. If considering re-orthodont...

[Read More] Impacts of Delayed Orthodontic Treatment After Tooth Extraction


Understanding Oral Pain: Causes and Solutions for Toothache

Oral pain I have pain on the right side of my mouth, and when I look in the mirror, the tissue behind my lower molars appears white. It hurts when I touch or press on it. If possible, I would like to send you a photo for your review.


Dr. Zeng Guanghui Reply:
Pain on the right side of the face in the oral cavity, with the tissue behind the lower molars appearing white and painful to touch or pressure, may indicate inflammation or infection of the gums or periodontal tissue. It is advisable to consult a dentist for further evaluation a...

[Read More] Understanding Oral Pain: Causes and Solutions for Toothache


Understanding Gum Swelling and Bleeding: Signs of Periodontal Disease?

Bleeding gums and chronic swelling? Hello Doctor: I currently have a tooth with swollen gums (both internally and externally). I have been observing it for a while (about several months). Initially, I only noticed bleeding while brushing and a slight swelling, but there was no pa...


Dr. Zeng Guanghui Reply:
Swollen gums that bleed are usually caused by the accumulation of dental plaque or tartar in the oral cavity, leading to an inflammatory response in the gums or periodontal tissues. If dental plaque or tartar cannot be adequately removed, supplementing with vitamin C or using den...

[Read More] Understanding Gum Swelling and Bleeding: Signs of Periodontal Disease?


Managing Wisdom Tooth Extraction Recovery and Dental Sensitivity Issues

Wisdom tooth extraction wounds, cavities, and sensitive teeth..? Hello, doctor! Last month, I asked you about my situation. After being hospitalized in the emergency department (intensive care unit), I experienced weakness in my front teeth, which became sensitive, and my upper l...


Dr. Zeng Guanghui Reply:
After having wisdom teeth extracted, it takes about 2-3 months for the gum tissue or bone to fully heal and integrate. Any cavities in the teeth in front of the wisdom teeth should be filled, and the surrounding gum tissue should be cleaned thoroughly to naturally improve gum inf...

[Read More] Managing Wisdom Tooth Extraction Recovery and Dental Sensitivity Issues


Gum Pain or Nerve Pain? Understanding Your Dental Symptoms

Is it gum pain or nerve pain? I have recently been experiencing bleeding while brushing my teeth, and I feel that my gums are inflamed and swollen. This has progressed to tooth pain, and I'm unsure whether it's gum pain or nerve pain. The area of pain is quite extensive...


Dr. Zeng Guanghui Reply:
Bleeding while brushing your teeth, along with swollen and inflamed gums, may indicate gingival inflammation. This condition can progress to tooth pain, potentially caused by plaque buildup leading to superficial gum infection. Over time, the infection can extend to the periodont...

[Read More] Gum Pain or Nerve Pain? Understanding Your Dental Symptoms


Understanding Gum Ligament Injuries: When to Seek Further Dental Care

Gingival ligament injury Hello, I have been experiencing pain in my tooth gap and saw a doctor who said it was a ligament injury. Initially, there was no pain until the next day during lunch, but it started hurting again at dinner and has been painful for two days now. I took the...


Dr. Zeng Guanghui Reply:
The above situation may indicate a more severe case of inflammation and infection of the gums and periodontal ligaments. It is recommended to consult a dentist for further diagnosis and treatment.

[Read More] Understanding Gum Ligament Injuries: When to Seek Further Dental Care


Persistent Tooth Pain After Root Canal Treatment: What to Do?

Post-endodontic tooth pain Doctor, I had a root canal treatment and the day after, my tooth still hurts. I went to see the dentist, and he mentioned that the medication might have been placed too deeply. He then re-treated the tooth with medication, but even today, that tooth sti...


Dr. Huang Zhicheng Reply:
Hello, during the process of root canal treatment, the periodontal membrane outside the root apex may experience localized temporary inflammation, which can cause pain when biting or touching. After a few sessions of medication change, this should alleviate. Wishing you peace and...

[Read More] Persistent Tooth Pain After Root Canal Treatment: What to Do?


Do I Need to Extract a Tooth with Infected Roots After a Root Canal?

If the tooth has been treated with root canal therapy but there are still bacteria present in the root, is it necessary to extract the tooth? I had a root canal a few years ago, but a recent X-ray revealed that the previous treatment was not done properly, and there is bacteria i...


Dr. Zeng Guanghui Reply:
The tooth root has been previously filled, but it has been found that there is new decay. The extent of the decay needs to be assessed; if it is not extensive, the decayed area can be cleaned out and refilled. However, if the bacteria within the decayed area are not addressed, th...

[Read More] Do I Need to Extract a Tooth with Infected Roots After a Root Canal?


Understanding Dental Trauma: Concerns About Lower Teeth After an Accident

Impact to the lower teeth? Doctor, I have a question. My lower teeth were impacted in a car accident almost two months ago. They don't hurt now, but when I wiggle them with my hand, there's a slight movement. I haven't been using my front teeth to eat lately, so tr...


Dr. Zeng Guanghui Reply:
The above situation may be caused by inflammation of the periodontal ligament surrounding the tooth due to trauma, which could potentially damage the nerves inside the tooth. If there is no pain, it is possible that the nerve inflammation has gradually resolved, but it may also i...

[Read More] Understanding Dental Trauma: Concerns About Lower Teeth After an Accident


Understanding Periodontal Disease: Managing Pain and Treatment Options

Periodontal disease issues? Hello Doctor, I recently underwent a periodontal comprehensive care plan and have completed five sessions. The main problematic teeth were not extracted. Half a month ago, the full-mouth treatment was completed, but I am experiencing significant issues...


Dr. Zeng Guanghui Reply:
The periodontal integrated care plan has been completed, and the plaque or calculus that originally caused the gingival inflammation has been completely removed. The gingival inflammation should have improved; however, tooth mobility or gingival recession cannot be fully restored...

[Read More] Understanding Periodontal Disease: Managing Pain and Treatment Options


Can Periodontal Disease Be Treated? Options for Your Mother's Dental Health

Treatment of periodontal disease? Doctor, my mother is in her 40s and has periodontal disease. She has already lost several teeth and her gums don't look very healthy. Is there still a chance for her to achieve a complete recovery? Will it require a significant amount of mon...


Dr. Zeng Guanghui Reply:
In the above situation, it is important to promptly seek treatment from a dentist for periodontal disease. Otherwise, the continuous growth of dental plaque or calculus in the mouth will exacerbate the periodontal condition. Receiving periodontal treatment can prevent the remaini...

[Read More] Can Periodontal Disease Be Treated? Options for Your Mother's Dental Health


Understanding Tooth Sensitivity and Root Canal Treatment Options

Tooth sensitivity and root canal treatment? Hello, Doctor! I originally had a sensitivity issue with my front teeth, and it's a long story. On the night of November 25, I experienced hyponatremia and was admitted to the emergency room, then spent three days in the intensive ...


Dr. Zeng Guanghui Reply:
The lower front teeth may have been subjected to excessive force, affecting the periodontal ligaments and potentially impacting the dental pulp nerves within the teeth, leading to symptoms of tooth sensitivity. If the dental examination shows no cracks, as long as excessive occlu...

[Read More] Understanding Tooth Sensitivity and Root Canal Treatment Options


Is Bleeding While Flossing a Sign of Gum Disease?

Bleeding while flossing? Hello, Doctor: I have plaque on my teeth, and the teeth near the gums feel rough. I have not been using dental floss, and a doctor previously told me that I have periodontal disease. I experience tooth pain and sensitivity, and when there is a lot of plaq...


Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, you have noticed bleeding gums. It is recommended that you maintain your daily oral hygiene (brushing and flossing) and also schedule regular check-ups with your dentist for examinations and cleanings. If you find that certain areas ...

[Read More] Is Bleeding While Flossing a Sign of Gum Disease?


Understanding Wisdom Tooth Pain After Dental Filling: Causes and Solutions

Wisdom tooth restoration? Doctor, a few days ago I went to the dentist, and the dentist said that my wisdom tooth had a cavity. After treating it, they filled it again, but after a day or two, I experienced significant pain when I bit down on the filled area. I returned for a fol...


Dr. Zhang Xiangyuan Reply:
Dear user, based on your description, it seems that your wisdom tooth has undergone filling and treatment for cavities. After the filling, you are experiencing occlusal pain. It is advisable to consult your dentist to check if an adjustment to your occlusion is necessary and to a...

[Read More] Understanding Wisdom Tooth Pain After Dental Filling: Causes and Solutions


Understanding Root Canals: What to Expect When Treating Tooth Pain

Toothache requires a root canal treatment? Hello, doctor. I have pain in the tooth next to my front tooth. It hurts a lot when I tap on it and when I bite down on things. I went to the dentist, and after taking an X-ray, I noticed that the color of my tooth on the X-ray looked di...


Dr. Zeng Guanghui Reply:
The teeth next to the front teeth are experiencing percussion pain and occlusal pain. After taking an X-ray, there should be signs of lesions at the apex of the tooth or an enlarged periodontal ligament space. Therefore, it is recommended to undergo root canal treatment. A small ...

[Read More] Understanding Root Canals: What to Expect When Treating Tooth Pain


Root Canal Treatment and Orthodontics: Common Concerns and Answers

Root canal treatment and orthodontics? Hello, Doctor. I will be undergoing root canal treatment and orthodontics, and I have two questions: 1) Regarding root canal treatment: After the placement of the post and the crown, will there be a gap between the crown and the actual too...


Dr. Huang Zhicheng Reply:
Hello, 1. The dental braces are precisely cast to fit snugly with the teeth, which minimizes the risk of harboring plaque. However, it is still important to maintain good oral hygiene, as while the tooth roots do not decay, plaque and tartar can lead to periodontal disease if n...

[Read More] Root Canal Treatment and Orthodontics: Common Concerns and Answers


Understanding Periodontal Surgery: Bone Loss and Regeneration Options

Periodontal surgery Hello: I underwent periodontal surgery at a teaching hospital in 2006. Recently, during an examination at a dental clinic, I was informed that my molar has severe bone loss and needs to be extracted for an implant. Since bone loss requires bone grafting for th...


Dr. Zeng Guanghui Reply:
1. For guided bone regeneration procedures, the prerequisite is that there is no severe infection around the roots of the maxillary molars and that the extent of bone loss is not too large in order to achieve the desired results. 2. If severe bone loss necessitates tooth extracti...

[Read More] Understanding Periodontal Surgery: Bone Loss and Regeneration Options


Concerns About Loose Front Tooth: Itching and Pain Symptoms Explained

Slight mobility of the left incisor with mild itching and pain? Hello Doctor, I previously inquired about the issue of my front teeth being loose due to pressure on December 7th. At that time, my front teeth weren't itchy, but now they are slightly itchy. I am currently wait...


Dr. Zeng Guanghui Reply:
In the above situation, it is important to consider whether there is gingivitis or periodontal disease affecting the front teeth, which may be due to misalignment of the incisors that makes it difficult to effectively clean the plaque around them, leading to gum inflammation. It ...

[Read More] Concerns About Loose Front Tooth: Itching and Pain Symptoms Explained


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