Understanding Dental Issues: Cracks, Root Canals, Infections, and Allergies
Dental cleaning infections, how to check for cracked teeth, root canals, toothpaste allergies, and individual constitution? --Regarding Questions on Tooth Fractures and Root Canals-- 1. What examinations can detect tooth fractures in various locations? What are the costs? 2. ...
Dr. Lin Jiayong Reply:
Hello: If you have already received dental treatment at Taipei Chang Gung or Linkou Chang Gung, it is advisable to follow the diagnosis and treatment plan provided by the dentists at the medical center for your dental issues. For concerns related to dental cleaning infections or ...[Read More] Understanding Dental Issues: Cracks, Root Canals, Infections, and Allergies
Addressing Dental Gaps and Concerns After Root Canal Treatment
Issues with dental fillings and post-root canal crowns? Dear Doctor: After my dentist filled my penultimate molar, there is a gap between it and the last molar that was filled, but it seems that when I use dental floss, it only goes about three-quarters of the way into the gap an...
Dr. Lin Jiayong Reply:
Hello: 1. If there is a gap between the teeth but dental floss cannot reach the gums, you can use a finer interdental brush to clean the area near the gums. Try this first, and if it still feels uncomfortable, consider asking your dentist to refill or reshape it using other metho...[Read More] Addressing Dental Gaps and Concerns After Root Canal Treatment
Understanding Swollen Gums: Causes and When to Seek Help
Gum issues I had a dental check-up not long ago, and the gum between my upper left first molar and second molar suddenly swelled up, almost covering the second molar. However, there is no pain, and it has been a week with no changes. Will it resolve on its own?
Dr. Lin Jiayong Reply:
Hello: If your gums suddenly swell to the point of covering your teeth, common possible causes include poorly controlled diabetes, food or drug allergies, significant hormonal changes in pregnant women, injury or infection of the dental pulp or periodontal tissues, oral cancer, a...[Read More] Understanding Swollen Gums: Causes and When to Seek Help
Understanding and Managing Tooth Occlusion Pain: Causes and Solutions
Dental occlusion pain Hello Doctor, I have a problem with tooth occlusion pain, similar to the issue reported by the woman in the link below. I have visited several clinics but have not been able to identify the problem; there are no cavities or periodontal disease. Taking anti-i...
Dr. Zeng Guanghui Reply:
Hello Mr. Pan: It is possible that there are small cracks in the tooth structure, which may irritate the dental nerve during occlusion and cause inflammation. It is recommended to consult a dentist for further diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentistry,...[Read More] Understanding and Managing Tooth Occlusion Pain: Causes and Solutions
Root Canal Treatment vs. Tooth Extraction: Making the Right Choice
The Choice Between Root Canal Treatment and Tooth Extraction Hello, Doctor. Two years ago, I visited a clinic due to pain in my upper left second molar. The dentist mentioned that if it hurt again, I would need a root canal treatment. This July, the pain returned, and after resea...
Dr. Zeng Guanghui Reply:
Hello Ms. Chang: If there is still occlusal function, good periodontal condition, and sufficient support, it is recommended to protect the tooth with a crown after completing root canal treatment. However, if the periodontal condition is poor and the tooth is already mobile, extr...[Read More] Root Canal Treatment vs. Tooth Extraction: Making the Right Choice
Understanding Fixed Dental Braces: Treatment Options and Concerns
Could you please provide more specific questions regarding orthodontic treatment? Hello, I would like to ask about my mother's dental situation. She previously had a fixed dental bridge, where the upper and lower rows of teeth are connected, and each of her natural teeth was...
Dr. Zeng Guanghui Reply:
Hello Ms. Saki: Fixed braces involve reducing the size of the original teeth to accommodate the braces or bridges, which makes them more convenient to use. However, if proper oral hygiene is not maintained, particularly in cleaning the gaps between the braces and the junctions wi...[Read More] Understanding Fixed Dental Braces: Treatment Options and Concerns
Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Biting hard objects & occlusal pain Hello Doctor, I would like to consult you regarding an issue. On May 1st, I bit into a small bone from a pig and have since felt subjective pain in my upper right first molar whenever I bite into anything, making it impossible to chew foo...
Dr. Zeng Guanghui Reply:
Hello Ms. Gao: Inability to chew food may be caused by cracked teeth leading to sensitive pulp inflammation, or it could be due to inflammation or injury of the periodontal ligament. There is also a possibility that there is an infection or inflammation at the root apex. It is re...[Read More] Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Effective Cleaning Tips for Connected Dental Braces: Addressing Gum Issues
Cleaning of bonded braces? Hello Dr. Lin, Earlier this year, I had a bridge placed on my upper right back teeth (two units). The reason for not opting for two single crowns was that the clinic's dentist mentioned insufficient support. Last week, the gums around the bridge ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to use a water flosser to avoid excessive force or improper pressure from your hands that could injure the gums. The water pressure of the water flosser can be adjusted to a gentle or stronger setting, and you can also add mouthwash for rinsing to help wi...[Read More] Effective Cleaning Tips for Connected Dental Braces: Addressing Gum Issues
Understanding Upper Jaw Swelling: Causes and Treatment Options
Maxillary mass Hello doctor, I have noticed a significant swelling on the left side of my upper palate when I touch it with my tongue. Pressing it with my tongue or finger causes discomfort at the root of my left front teeth, which are both dental implants, but I can't remem...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first obtain an X-ray to confirm whether the issue is caused by simple dental or periodontal inflammation or infection. Additionally, if there is a concern for oral cancer, a soft tissue biopsy should be performed on the swollen area for examination.[Read More] Understanding Upper Jaw Swelling: Causes and Treatment Options
Understanding Periodontal Treatment Options for Dental Bridge Issues
Regarding periodontal treatment issues? Dear Dr. Tseng, I have a dental bridge on the far left side of my upper jaw consisting of four teeth, with the second to last tooth being missing. Two weeks ago, I started experiencing significant pain in the gum of the outermost tooth whe...
Dr. Zeng Guanghui Reply:
Hello Mr. Rios: 1. If the condition of the dental bridge is not ideal, such as poor marginal fit of the crowns, it is recommended to remove the bridge. 2. If the periodontal condition is poor, such as bone resorption or gingival recession, you may consider consulting a periodonti...[Read More] Understanding Periodontal Treatment Options for Dental Bridge Issues
Understanding Tooth Sensitivity and Gum Discomfort: When to Seek Dental Care
Recently, I've been experiencing discomfort in my teeth and gums? Hello Doctor, last month I experienced sensitivity in my lower left molar when drinking hot and cold water, so I had a full dental X-ray taken, which showed no cavities. However, I noticed sensitivity when air...
Dr. Zeng Guanghui Reply:
Hello Ms. Jiang: The pain and sensitivity you are experiencing in the gaps between your front teeth and gums may be due to gingival inflammation or gum recession, which can lead to enlarged gaps that trap food debris. In addition to using a toothbrush and dental floss to clean yo...[Read More] Understanding Tooth Sensitivity and Gum Discomfort: When to Seek Dental Care
Understanding Periodontal Antibiotic Treatment: Usage and Guidelines
Periodontal antibiotic therapy Hello, Doctor. Based on the recommendation from my dentist at the clinic, I am currently undergoing periodontal treatment (removal of dental calculus and root planing). In addition to the items covered by health insurance, the dentist suggested usin...
Dr. Zeng Guanghui Reply:
Ms. Amy: The most important aspects of periodontal treatment are the removal of dental plaque and calculus, as well as the implementation of root planing. The goal is to reduce the bacterial load in the periodontal tissues and improve periodontal health. However, if the symptoms ...[Read More] Understanding Periodontal Antibiotic Treatment: Usage and Guidelines
Understanding Dental Insurance Coverage and Re-treatment Policies in Taiwan
Health insurance reimbursement issues? Hello, Doctor! I have a few questions to ask. 1. Some online users mentioned that a dental filling for the same tooth can only be claimed after two years, and if another dentist takes over, it becomes out-of-pocket expenses. 2. A medical...
Dr. Lin Jiayong Reply:
Hello: Returning to the root of the issue, the majority of cases arise from the initial inappropriateness of the restoration (more than two-thirds of the anterior crown is missing, or the occlusal cusps or marginal ridges of posterior teeth are weak or consist of only residual ro...[Read More] Understanding Dental Insurance Coverage and Re-treatment Policies in Taiwan
Bleeding Gums After Crown Placement: Seeking Dental Solutions
After getting a fixed dental prosthesis on the lateral incisor, there is bleeding when using dental floss? Dear Doctor, I had my first dental crown placed in February of this year, specifically on a lateral incisor. However, since then (June), I experience bleeding whenever I us...
Dr. Zeng Guanghui Reply:
Hello Ms. Zhao: If you have completed your orthodontic treatment and still have periodontal issues, you should undergo periodontal treatment. Once your periodontal health improves and there is no more bleeding from the gums, you can then assess whether the fit of your original br...[Read More] Bleeding Gums After Crown Placement: Seeking Dental Solutions
Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Periodontal disease and chronic inflammation? Hello Dr. Lin: I have been experiencing blood in my saliva, and in early June of this year, I visited an ENT specialist. The biopsy results indicated chronic benign nasopharyngitis, and the doctor did not recommend any further tests o...
Dr. Lin Jiayong Reply:
Hello: It is indeed possible. The upper molars are close to the maxillary sinuses, and the lower molars are near the throat. If there is severe periodontal inflammation, the nasopharynx may feel uncomfortable. It is advisable to consider treating periodontal disease, and if there...[Read More] Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Understanding Bone Graft Loss After Dental Implant Surgery: What to Expect
Bone graft resorption after augmentation? My lower left 37th tooth broke while eating at the end of December last year. The next day, I went to the clinic to have the remaining root extracted and received collagen grafting. After the stitches were removed, the doctor advised me t...
Dr. Zeng Guanghui Reply:
After guided bone regeneration surgery, there has been a loss of bone graft material. It is recommended to return for a follow-up appointment for the dentist to evaluate and perform an examination, checking the condition of the wound sutures and whether the membrane coverage is i...[Read More] Understanding Bone Graft Loss After Dental Implant Surgery: What to Expect
Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity
After root canal treatment, there may be some soreness or discomfort in the treated tooth? This tooth has undergone root canal treatment for two years, but there is still some sensitivity and discomfort when tapping or applying pressure on the side of the tooth, although there is...
Dr. Lin Jiayong Reply:
Hello: If the original tooth or the surrounding tissues (alveolar bone/gums/periodontal ligament) are severely damaged before treatment, it is possible that even if the root canal treatment is successful (nerve is cleaned out and there is no inflammation, infection, or spontaneou...[Read More] Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity
Understanding Gum Inflammation: Causes, Symptoms, and Treatment
Gingival inflammation with redness and swelling? The gum tissue below the molar has been swollen for 2 to 3 weeks. The tooth feels loose and slightly wobbly. It doesn't hurt unless I drink or bite down. Initially, I went to the pharmacy to buy anti-inflammatory and pain reli...
Dr. Zeng Guanghui Reply:
Dear Ms. Kuan: It is recommended that if you experience recurrent inflammation and pain in the teeth below the molars, you should return for an examination to check for any bone resorption and the formation of periodontal pockets that may be causing repeated bacterial infections....[Read More] Understanding Gum Inflammation: Causes, Symptoms, and Treatment
Understanding Bad Odor Between Molars: Causes and Solutions
Interdental gum issues? Dear Doctor: There is an odor coming from the gap between my first and second molars. During my dental cleaning, the dentist examined all my teeth and said there were no issues. However, the bad smell persists. A few years ago, I had a cavity in my first m...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have a dentist take X-rays to confirm whether there are any issues related to cavities or periodontal defects in that area.[Read More] Understanding Bad Odor Between Molars: Causes and Solutions
Persistent Discomfort After Porcelain Crown: Is It Normal?
Experiencing discomfort after receiving a full ceramic crown? Last July, I had a three-unit all-ceramic bridge (incisor - missing tooth - canine) placed. Initially, I experienced soreness in the incisor when biting down on food. The dentist advised me to give it some time to adju...
Dr. Lin Jiayong Reply:
Hello: If the reason for extracting the lateral incisor was due to a car accident or a facial injury with the face down, it is possible that the bone and periodontal tissues in the anterior tooth area are relatively weak, making it difficult for them to support excessive anterior...[Read More] Persistent Discomfort After Porcelain Crown: Is It Normal?