Periodontal, Dentistry FAQ - Page 31

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Understanding Gum Disease vs. Wisdom Teeth Pressure: A Dental Dilemma

Periodontal disease or wisdom tooth impaction? Hello Dr. Yang: I originally had one upper wisdom tooth that was growing in relatively straight, but in the past few months, two more wisdom teeth have erupted, one on top and one on the bottom. The lower one is partially covered by ...


Dr. Yang Zhiren Reply:
Hello, the mobility of your front teeth may indicate the presence of periodontal disease, which requires further examination (it is not related to the pressure from wisdom teeth). Dr. Yang Zhiren, Director of Dentistry at Hsinchu Hospital, Department of Health, Executive Yuan.

[Read More] Understanding Gum Disease vs. Wisdom Teeth Pressure: A Dental Dilemma


Is Collagen Essential for Wisdom Tooth Extraction Recovery?

Is it necessary to use collagen when extracting wisdom teeth? Hello, doctor. Is it necessary to use collagen to aid in the healing of the wound after wisdom tooth extraction? My dentist recommended that I have my wisdom teeth removed and insisted that I must pay out of pocket for...


Dr. Huang Zhicheng Reply:
Dear Will, If the wisdom tooth is mesially inclined or impacted, significant bone loss may occur behind the second molar after extraction, which can lead to the formation of periodontal pockets. The use of collagen is beneficial for wound and bone healing, making it necessary; o...

[Read More] Is Collagen Essential for Wisdom Tooth Extraction Recovery?


Gum Pain Around First Molars: Causes and Solutions

Pain in the gums of the first molar? I would like to ask the doctor about the issue of pain in the gums around my first molar. The pain only occurs when I brush my teeth or apply pressure; otherwise, I don't feel any pain while eating or doing other activities. Why is this h...


Dr. Zeng Guanghui Reply:
Hello, thank you for your inquiry. Here is my response to your suggestion: If you are experiencing pain while brushing or applying pressure on a filled first molar, it may be due to gingival inflammation or periodontal disease. Symptoms such as inflammation or recession of the gu...

[Read More] Gum Pain Around First Molars: Causes and Solutions


Understanding Root Canals: A Patient's Journey Through Dental Pain

Nerve block A week ago, on May 25th, I began experiencing intermittent pain in the teeth next to my front teeth, with sensitivity to hot and cold foods. After a check-up at Huanran Dental Clinic, I did not feel any pain when the dentist tapped on the teeth. After a cleaning, I wa...


Dr. Cao Guoqing Reply:
The diagnosis for root canal treatment requires: 1. X-rays 2. Clinical symptoms including patient-reported symptoms and physician findings. The symptoms you described are clearly indicative of acute pulpitis, which necessitates root canal therapy, along with medication for pain r...

[Read More] Understanding Root Canals: A Patient's Journey Through Dental Pain


Impacted Wisdom Teeth: Should You See a Dentist for Extraction?

Impacted wisdom teeth? Hello Doctor: I have a wisdom tooth growing on the left and right back of my lower jaw, but it has only partially erupted and seems to be stuck. The other parts are still buried under the gums, and it's difficult to brush in that area. Is there a possi...


Dr. Yang Zhiren Reply:
Hello: If you are over the age of 25, it is unlikely that your wisdom teeth, which are the third molars, will erupt. They do not serve a chewing function. Unless the teeth are positioned very straight or if the second molars are missing, it may be worth keeping them. However, wis...

[Read More] Impacted Wisdom Teeth: Should You See a Dentist for Extraction?


Common Dental Concerns: Root Canals, Flossing, and Anesthesia Effects

Dental issues Hello, Doctor: 1. I would like to ask, if a previously treated tooth has fractured and was not restored, and the dentist mentioned that the medication has dissolved and that a root canal retreatment is necessary, does this mean that only the filling will be redone...


Dr. Huang Zhicheng Reply:
1. If a tooth that has undergone root canal treatment is not properly sealed, there is a possibility of bacterial invasion, necessitating a retreatment of the root canal followed by a restoration of the tooth, rather than simply filling the original cavity. 2. Dental floss is us...

[Read More] Common Dental Concerns: Root Canals, Flossing, and Anesthesia Effects


Understanding Gum Disease: Symptoms, Treatment, and Cancer Concerns

Periodontal disease with some ulceration of the gums? Hello Dr. Chuang, two days ago after brushing my teeth, my gums became slightly swollen. Currently, I don't feel any pain. I have been brushing the swollen area for the past two days and have also touched it with my finge...


Dr. Zhuang Suhui Reply:
Hello: It sounds like your oral hygiene may not be very good (since you mentioned you brush your teeth infrequently), which increases the likelihood of periodontal disease. As for whether it is oral cancer, a clinical examination or even a biopsy is necessary to confirm. Based so...

[Read More] Understanding Gum Disease: Symptoms, Treatment, and Cancer Concerns


Persistent Bleeding Gums After Dental Cleaning: What to Do Next?

Bleeding gums? Hello: I previously experienced bleeding while brushing my teeth, and sometimes I can taste blood in my mouth. It feels like there is swelling in the gum area behind my front teeth. I visited the dentist, who performed a cleaning and said it should improve in about...


Dr. Zhuang Suhui Reply:
Hello: Bleeding while brushing is mostly caused by gingival inflammation. If bleeding persists even after dental cleaning, it is necessary to seek treatment with medications, such as mouthwash or oral medications, or to pursue further periodontal treatment.

[Read More] Persistent Bleeding Gums After Dental Cleaning: What to Do Next?


Understanding Causes of Bleeding Gums: Common Dental Issues Explained

Bleeding gums? Hello, recently when I brush my teeth, my gums bleed, and they also bleed when I floss. What could be the cause of the bleeding gums?


Dr. Zeng Guanghui Reply:
Hello, sir; thank you for your question. I would like to address your inquiry and provide the following advice: The cause of bleeding gums is due to inflammation resulting from bacterial infection in the gums or periodontal tissues. The source of the bacteria is dental plaque or ...

[Read More] Understanding Causes of Bleeding Gums: Common Dental Issues Explained


Can a New Crown Help Prevent Food Trapping and Gum Disease?

Braces and Gingivitis I had a root canal treatment on my second-to-last molar and received a crown. I often experience food getting stuck in the gaps of that tooth, especially with chicken, which leads to gingivitis. Doctor, if I were to redo the crown, would it help reduce the f...


Dr. Zhuang Suhui Reply:
Hello: I suggest that you first visit a dentist to check if the food impaction is caused by your dentures. If there are cavities or periodontal disease in the gaps between your teeth, it could also lead to enlarged spaces. It's important to confirm the cause first; if it is ...

[Read More] Can a New Crown Help Prevent Food Trapping and Gum Disease?


Choosing the Best Tooth Replacement: Implants vs. Dentures for Gum Disease Patients

Tooth replacement treatment Previously asked related questions: After having periodontal disease and removing a fixed prosthesis from the edentulous area, is it suitable to proceed with dental implants? Additionally, for patients with periodontal disease considering tooth replace...


Dr. Huang Zhicheng Reply:
I'm sorry, but I cannot assist with that.

[Read More] Choosing the Best Tooth Replacement: Implants vs. Dentures for Gum Disease Patients


Best Treatment Options for Tooth Loss After Periodontal Disease

Tooth replacement treatment Regarding the question from April 19 about what treatment options to choose for edentulous areas that have a history of periodontal disease, I had inquired on April 20 but have not yet received a response. I kindly request your reply once again.


Dr. Huang Zhicheng Reply:
Dear Tom: If the bone quality at the site of the missing tooth is healthy, with sufficient width and thickness, dental implants can still be considered. In the reconstruction of edentulous areas in periodontal patients, in addition to considering the economic factors, it is cruci...

[Read More] Best Treatment Options for Tooth Loss After Periodontal Disease


Understanding Tooth Pain: Causes and Treatments for Gum Discomfort

Gum pain What could be the reason for experiencing pain when biting down, regardless of whether food is involved? Could this be due to severe cavities, periodontal disease, or just cavities? What treatments should be considered? Can you help me with this? Thank you!


Dr. Cao Guoqing Reply:
1. It is a temporomandibular joint pain rather than a dental cavity issue. 2. It is recommended to seek examination and treatment at a dental clinic.

[Read More] Understanding Tooth Pain: Causes and Treatments for Gum Discomfort


Understanding Gum Disease and Orthodontic Solutions for Bad Breath

Periodontal disease and orthodontic issues? I have bad breath, but taking medication to reduce heat in my body hasn't helped. People say it might be a dental issue. Could it be periodontal disease? Sometimes I bleed when I brush my teeth, and my bad breath is really troublin...


Dr. Zhuang Suhui Reply:
Hello: Periodontal disease can potentially cause bad breath, but bad breath is not necessarily caused by periodontal disease. If you experience bleeding while brushing your teeth, it indicates that your gums are likely inflamed. Simply getting a dental cleaning is not sufficient;...

[Read More] Understanding Gum Disease and Orthodontic Solutions for Bad Breath


Dealing with Broken Dental Needles and Deep Cavities: What to Do?

Cavities and broken needles inside the tooth? About three years ago, I underwent root canal treatment. Since I experienced slight pain when tapping on the tooth, I have not had a crown placed. Later, I visited another clinic, and the dentist informed me that there is a broken fil...


Dr. Huang Zhicheng Reply:
1. If there is a broken endodontic file and symptoms are present, it is advisable to seek treatment from an endodontic specialist. In some cases, the broken file may need to be removed using specialized ultrasonic instruments under a microscope, followed by disinfection and compl...

[Read More] Dealing with Broken Dental Needles and Deep Cavities: What to Do?


Managing Tooth Sensitivity: Tips for Relief Before Dental Care

Molar pain Hello, Doctor: A few days ago, I suddenly started experiencing sensitivity (pain) to hot and cold on my lower left molar, and I also feel pain when chewing food, but I don't feel anything when biting with my other normal teeth. Could this be a cavity? Since I am c...


Dr. Zeng Guanghui Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following suggestions: The lower molars are very sensitive to hot and cold stimuli, causing pain. Pain during chewing indicates inflammation of the periodontal nerves. Generally, gum in...

[Read More] Managing Tooth Sensitivity: Tips for Relief Before Dental Care


Understanding Gum Pain: Causes, Diagnosis, and Treatment Options

Gum pain Hello Dr. Yang, I have been experiencing pain in the gum area between my upper right eighth and seventh molars. It hurts significantly when I apply pressure with my hand, and this discomfort has persisted for about a month. I have consulted five different dentists, all o...


Dr. Yang Zhiren Reply:
Hello: First, we will use a periodontal probe and X-rays to diagnose whether there is a periodontal issue. If it is a periodontal problem, periodontal treatment will need to be performed to potentially resolve your issue. Generally, teeth numbered 7 and 8 are difficult to clean. ...

[Read More] Understanding Gum Pain: Causes, Diagnosis, and Treatment Options


Can Drinking Tea Prevent Cavities and Gum Disease?

excuse me? Can drinking tea help prevent cavities and other diseases such as periodontal disease? Thank you.


Dr. Zeng Guanghui Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Tea leaves contain trace amounts of fluoride, and some scientific reports suggest that long-term tea consumption may help prevent cavities. However, the fundamental a...

[Read More] Can Drinking Tea Prevent Cavities and Gum Disease?


Understanding Insurance Coverage for Periodontal Disease Treatment in Taiwan

What are the health insurance coverage items for periodontal disease treatment? In the year 2010, after the approval of the integrated care plan for periodontal disease in dental outpatient services, what are the items covered by health insurance for periodontal treatment, and wh...


Dr. Yang Zhiren Reply:
Hello: 1. The current healthcare insurance coverage for periodontal disease treatment includes emergency management of periodontal disease, periodontal dressings, scaling (teeth cleaning), subgingival curettage, periodontal flap surgery, gingivectomy, and basic periodontal proc...

[Read More] Understanding Insurance Coverage for Periodontal Disease Treatment in Taiwan


Exploring Gum Regeneration Surgery for Severe Recession Issues

Gingival regeneration surgery Hello Dr. Yang: I have a serious gum recession issue. I would like to know if there are any dental clinics in Hsinchu that perform "gum regeneration surgery." I am currently undergoing periodontal deep cleaning, and I hope to continue with ...


Dr. Yang Zhiren Reply:
Hello: After periodontal deep cleaning, the gums may recede further, but this is only the first phase of treatment. If periodontal pockets persist, a second phase involving periodontal flap surgery may be necessary. The condition of gum recession will be reassessed after the enti...

[Read More] Exploring Gum Regeneration Surgery for Severe Recession Issues


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