Managing Severe Pain After Root Canal Treatment: What to Do Next
Root canal treatment for a small incisor? I underwent my first root canal treatment on November 30th. After the medication was sealed, I experienced pain that was so severe I couldn't sleep, and painkillers provided no relief. On the evening of December 1st, the doctor only ...
Dr. Zeng Guanghui Reply:
In the above situation, it is recommended to return to the dentist to reopen the periodontal pocket, thoroughly debride the root canal, and change the medication. Additionally, check for any inflammation or infection at the apex of the tooth root.[Read More] Managing Severe Pain After Root Canal Treatment: What to Do Next
Understanding Tooth Mobility and Gum Recession: Key Dental Concerns
Loose front teeth and gum recession issues? I have noticed slight mobility in my front teeth. The doctor said that due to my misaligned teeth, I am experiencing gum recession around my front teeth, which is causing the mobility. Additionally, during my last dental cleaning, I dis...
Dr. Zeng Guanghui Reply:
The possible cause of the above situation is poor dental alignment, which makes it difficult to completely remove dental plaque, leading to chronic gingivitis and even periodontal disease, resulting in gum recession and tooth mobility. The upper left first premolar has gum recess...[Read More] Understanding Tooth Mobility and Gum Recession: Key Dental Concerns
Gum Bleeding and Oral Sores: Are They Related?
Gum and oral issues? I have noticed slight bleeding from the gums on the upper right side after brushing my teeth for two consecutive days, and I have also developed pus on the inside of my lips. This has been happening for almost a week. Are these two issues related?
Dr. Zhang Xiangyuan Reply:
Dear netizen, Based on your description, you have noticed bleeding from the upper right gum and the appearance of a pus-filled bump on the inside of your lip over the past week. It is advisable to consult a dentist to check for any periodontal inflammation. If the pus-filled bu...[Read More] Gum Bleeding and Oral Sores: Are They Related?
Understanding Gum Inflammation: Why Is My Tooth So Painful?
Tooth inflammation? My teeth hurt a lot, and the doctor said I have gum inflammation, but can it really be this painful? I've already seen the doctor three times.
Dr. Zhang Xiangyuan Reply:
Dear user, based on your description, if you are experiencing tooth pain, it is advisable to consult a dentist to examine your periodontal health and check for any inflammation in the gums, as well as to assess each individual tooth for any abnormalities that may require further ...[Read More] Understanding Gum Inflammation: Why Is My Tooth So Painful?
Morning Gum Pain: Possible Causes and Solutions for Your Dental Health
Gum pain upon waking up in the morning? Hello Doctor, recently I've been experiencing slight pain in my gums on both the left and right sides upon waking up in the morning. Sometimes the pain goes away quickly after I get up, while other times it lasts for a short period. I ...
Dr. Zhang Xiangyuan Reply:
Dear online user: Based on your description, experiencing pain in the gums on the left side upon waking up, which sometimes lasts for a short period, it is advisable to consult a dentist. The source of gum pain could be due to periodontal inflammation or other dental-related issu...[Read More] Morning Gum Pain: Possible Causes and Solutions for Your Dental Health
Jaw Injury from Car Accident: Dental Concerns and Recovery Insights
Jaw injury from a car accident? Hello Doctor: I was in a car accident recently and my chin was impacted. The roots of my lower four permanent teeth are fine, but initially, they were a bit loose and very painful. Now, they feel somewhat numb, and when I drink water, I experience ...
Dr. Zeng Guanghui Reply:
The above situation may be due to the compression of the periodontal ligament nerves surrounding the tooth during impact, which could even affect the dental pulp nerves inside the tooth. If the symptoms persist, it is advisable to consult a dentist for further evaluation and to d...[Read More] Jaw Injury from Car Accident: Dental Concerns and Recovery Insights
Managing Pain and Swelling in Lower Left Second Molar After Surgery
Pain in the lower left second molar? Hello Doctor, I had surgery to remove my lower left impacted wisdom tooth on November 18, and my recovery has been good. I had my stitches removed on November 25! However, for the past two days, I have been feeling swelling and pain in my lowe...
Dr. Zeng Guanghui Reply:
The above situation may indicate that this molar has a periodontal infection. It is recommended to consult a dentist for further diagnosis and treatment to determine if there are any pathological changes in the gingiva surrounding the molar.[Read More] Managing Pain and Swelling in Lower Left Second Molar After Surgery
Is Choosing Private Dental Care Essential for Treating Periodontal Disease?
Treatment of periodontal disease Hello Doctor: I previously consulted you about related issues. The dentist at the dental clinic I visited said that my periodontal disease does not require surgery and that they will only use anesthesia. He mentioned that the entire procedure woul...
Dr. Zeng Guanghui Reply:
If periodontal disease requires out-of-pocket treatment, it is generally due to severe bone loss in the jaw. After basic treatment has been completed and the gum condition has been stabilized, periodontal guided tissue regeneration may be performed. Alternatively, periodontal cos...[Read More] Is Choosing Private Dental Care Essential for Treating Periodontal Disease?
Is It Normal for My Teeth to Slightly Wiggle? Dental Insights
My teeth feel slightly loose? Hello Dr. Chang, I would like to ask if it is normal for my teeth to feel slightly loose when I press them with my tongue, or could it be a sign of calcium deficiency? Thank you for taking the time to answer, Dr. Chang.
Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, it seems that your teeth are slightly loose and feel wobbly when you touch them with your tongue. I recommend that you monitor the situation to see if the looseness improves, and maintain good oral hygiene daily. If the looseness per...[Read More] Is It Normal for My Teeth to Slightly Wiggle? Dental Insights
Why Does My Cheek Hurt After Root Canal Treatment?
After completing a root canal, there may be pain in the face? Hello~ (The problematic teeth are the upper right wisdom tooth and the second and third molars from the back.) Two months ago, I had a deep cavity in one of my teeth, and since it wasn't cleaned properly, it was f...
Dr. Zhang Xiangyuan Reply:
Dear user, Based on your description, it has been one week since you underwent root canal treatment on your upper right molar, and you are experiencing pain in your cheek. It is advisable to monitor whether the cheek pain improves. If the pain worsens or if you notice swelling ...[Read More] Why Does My Cheek Hurt After Root Canal Treatment?
Should You Opt for Out-of-Pocket Treatment for Periodontal Disease?
Periodontal disease treatment Doctor, I went to a dental clinic and after taking X-rays, the dentist diagnosed me with periodontal disease. They mentioned that the treatment would be out-of-pocket because the reimbursement from health insurance is limited, which could affect the ...
Dr. Zeng Guanghui Reply:
In the case of severe periodontal disease requiring periodontal surgery, it may be necessary to use bone grafts or regenerative membranes, which are not covered by health insurance and may require out-of-pocket expenses. It is recommended to consult with a dentist for a detailed ...[Read More] Should You Opt for Out-of-Pocket Treatment for Periodontal Disease?
Understanding Tooth Stains: Causes and Solutions for Healthy Teeth
Dental hypoplasia Hello Dr. Tseng, I have never smoked, consumed alcohol, or chewed betel nut, but my teeth have developed many stains similar to those of smokers. No matter how much I brush, they won't come off. It seems to have started after I ate an orange right after a m...
Dr. Zeng Guanghui Reply:
Smoking, drinking alcohol, and chewing betel nut can lead to tooth discoloration, which is a surface stain on the teeth and not dental plaque or calculus. While it may be aesthetically unpleasing, it does not affect periodontal health. If removal of the stains is necessary for co...[Read More] Understanding Tooth Stains: Causes and Solutions for Healthy Teeth
Understanding Tooth Sensitivity After Dental Trauma: Causes and Solutions
Dental trauma Doctor, I would like to ask about my situation. I previously fell and broke one of my front teeth, and now the two adjacent teeth have become very sensitive. They hurt when I lightly tap them, they also hurt when I bite down, and they hurt when I gently press on the...
Dr. Zeng Guanghui Reply:
The above situation may be due to inflammation of the periodontal ligament surrounding the tooth caused by trauma, leading to increased sensitivity of the nerves within the ligament. It is recommended to avoid consuming hot or cold foods and biting down on hard objects in the sho...[Read More] Understanding Tooth Sensitivity After Dental Trauma: Causes and Solutions
Understanding Tooth Root Residue: Options for Dental Correction and Concerns
Root remnants Doctor, I have four molars that have cavities, causing my adjacent teeth to tilt forward over time, resulting in a slight indentation on my right cheek. I often bite my mouth, and my healing ability seems poor. My upper front teeth are slightly misaligned, leaning t...
Dr. Huang Zhicheng Reply:
Hello, I think it would be best for you to wear the occlusal splint for at least three months to allow the joint to relax. After ensuring there is no malocclusion and you are not frequently biting your cheeks, you can proceed with orthodontic treatment to align your teeth. If the...[Read More] Understanding Tooth Root Residue: Options for Dental Correction and Concerns
Understanding Gum Overgrowth After Orthodontic Treatment: Causes and Solutions
Gingival tissue covering newly erupted teeth? Hello Dr. Chang: About a year ago, I completed my orthodontic treatment and have been using retainers since then. However, I have noticed that the small molars at the back of my upper teeth are gradually being covered by gum tissue, m...
Dr. Zhang Xiangyuan Reply:
Dear online user: Based on your description, you have completed orthodontic treatment and are currently using a retainer. You have noticed that your upper premolars are gradually being covered by the gums. It is advisable to have a dentist examine this area to determine if it is ...[Read More] Understanding Gum Overgrowth After Orthodontic Treatment: Causes and Solutions
Understanding Tooth Pain: Is It Root Canal or Wisdom Tooth Issues?
Root canal treatment Hello, I visited the Family Dentistry at Taipei Medical University in August, and they mentioned that I might need root canal treatment for two molars. I scheduled an appointment for October 8th to see the dentist, and in the meantime, I had the decayed teeth...
Dr. Zeng Guanghui Reply:
It is advisable to consult a dentist for further examination and treatment to prevent the infection from continuing to cause cellulitis.[Read More] Understanding Tooth Pain: Is It Root Canal or Wisdom Tooth Issues?
Understanding Tooth Root Abscess: Causes, Symptoms, and Treatment Options
Dental root abscess? Hello, Doctor. About 8 years ago, I had a dental bridge placed on the last three molars on the lower left side, and the last molar underwent root canal treatment (the wisdom tooth is impacted and has not erupted). Two thick dental posts were placed inside. In...
Dr. Zeng Guanghui Reply:
The possible causes of the above situation could be a bacterial infection in the tooth root or inflammation of the periodontal tissue surrounding the tooth. If it is the former, the dental bridge may need to be removed, and root canal treatment should be redone. If it is the latt...[Read More] Understanding Tooth Root Abscess: Causes, Symptoms, and Treatment Options
Do Impacted Wisdom Teeth Require Treatment or Extraction?
Does a horizontal tooth need treatment? It has decayed very deeply, and brushing it causes a lot of pain. Is the dental nerve exposed? I have a severely decayed wisdom tooth with a large cavity that hurts a lot when I brush my teeth, as the bristles touch the cavity. Is it possib...
Dr. Huang Zhicheng Reply:
Dear Vivi, Hello. Wisdom teeth, especially those that are impacted, often need to be extracted as they can trap food and promote bacterial growth, leading to periodontal disease and pulpitis. In more severe cases, this can result in facial cellulitis. Wishing you safety and hea...[Read More] Do Impacted Wisdom Teeth Require Treatment or Extraction?
Effective Treatments for Temporomandibular Joint Disorders
Treatment methods for temporomandibular joint (TMJ) arthritis? How often should an occlusal splint be replaced? Is the currently popular PRP therapy (Platelet-Rich Plasma therapy) applicable for the treatment of temporomandibular joint disorders?
Dr. Huang Zhicheng Reply:
Dear Linglong, Hello, the material of the occlusal splint is stable and the same as that used for complete dentures. Unless it breaks, there is no need for replacement; it just requires regular adjustments every 3 to 6 months. PRP (Platelet-Rich Plasma) is used in orthopedics fo...[Read More] Effective Treatments for Temporomandibular Joint Disorders
Understanding Periodontal Disease in Molars: Symptoms, Risks, and Treatment Options
Molar periodontal disease Hello Doctor, Symptoms: I have a loose upper molar that is not painful and shows no signs of inflammation. The dentist said it is due to periodontal disease, and one of the two roots has experienced bone loss, which is causing the looseness. The dentis...
Dr. Zeng Guanghui Reply:
1. The above condition may be chronic periodontal disease, which leads to the gradual resorption or loss of the alveolar bone surrounding the teeth. If oral hygiene is maintained and it does not progress to acute inflammation, and there is no discomfort when biting, the tooth may...[Read More] Understanding Periodontal Disease in Molars: Symptoms, Risks, and Treatment Options