Periodontal, Dentistry FAQ - Page 35

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Understanding Root Canal Treatment: Concerns with Dental Implants

Root canal treatment I have four crowns on my front teeth. The first one, which is a natural tooth, had swelling on the outside, and the dentist said it was inflamed and needed root canal treatment. It doesn't hurt anymore, and the pus has cleared up, but there is still a no...


Dr. Zeng Guanghui Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: The natural teeth adjacent to the four dentures have undergone root canal retreatment, and the abscess has resolved. However, you are experiencing a sensation o...

[Read More] Understanding Root Canal Treatment: Concerns with Dental Implants


Understanding Radiolucent Shadows in Wisdom and Molars: Causes and Concerns

Radiopaque suspected shadows at the roots of the wisdom teeth and molars? Hello, Dr. Tseng. Due to a previous issue with my wisdom teeth, I had cellulitis in my lower right tooth. Later, I went to a small clinic to prepare for the extraction of my wisdom teeth, but after taking a...


Dr. Zeng Guanghui Reply:
Hello, thank you for your question. I would like to respond to your inquiry and provide the following advice: The cellulitis caused by wisdom teeth is being treated with antibiotics to reduce swelling. However, upon reviewing the X-ray, there is a radiolucency at the root of the ...

[Read More] Understanding Radiolucent Shadows in Wisdom and Molars: Causes and Concerns


Understanding Gum Recession: Causes, Symptoms, and Treatment Options

Gum recession Hello Doctor: I have noticed that my gums are receding. It has been a long time, and I am unsure of the cause. It feels like my teeth are about to fall out. Could you please explain why gum recession occurs, what causes it, and how I should address it? Thank you!


Dr. Zeng Guanghui Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide some recommendations: Gum recession occurs when the gums recede, exposing the crown of the tooth in the oral cavity, often leading to sensitivity to hot and cold stimuli. The causes of gum re...

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


Understanding Gum Issues: When to See a Dentist for Your Oral Health

Gums It seems that the gum tissue in the middle of your upper front teeth has receded towards the back of the teeth. When your lower teeth come together, they may be biting into the gums. Additionally, you experience bleeding when brushing your teeth. What could this condition be...


Dr. Wu Jinjun Reply:
Hello, you may have periodontal disease and dental misalignment, so you should consult a dentist for an examination.

[Read More] Understanding Gum Issues: When to See a Dentist for Your Oral Health


Is Orthodontic Treatment Suitable for Patients with Gum Recession?

Is it suitable to undergo orthodontic treatment for multiple teeth with gum recession? I have a significant issue with gum recession in my lower teeth, and two or three of my teeth have periodontal disease. Additionally, I have teeth that have been heavily filled due to cavities....


Dr. Yang Hui Reply:
If periodontal disease is not severe, orthodontic treatment can be performed, but it is essential to maintain good oral hygiene. Otherwise, there is a risk of chronic gingival inflammation, which can cause discomfort or affect the outcomes of orthodontic treatment. Maintaining or...

[Read More] Is Orthodontic Treatment Suitable for Patients with Gum Recession?


Laser Treatment vs. Traditional Methods for Gum Disease: Effectiveness and Costs

Laser Treatment for Periodontal Disease Dr. Chuang: I have seen advertisements for laser treatment for periodontal disease. Could you please tell me which is more effective, laser therapy or traditional therapy? Also, what are the treatment duration and costs? Thank you and best ...


Dr. Zhuang Suhui Reply:
Our hospital does not perform this medical procedure, therefore we are unable to provide a detailed response.

[Read More] Laser Treatment vs. Traditional Methods for Gum Disease: Effectiveness and Costs


Understanding Wisdom Tooth Extraction: Concerns and Recovery Time

Wisdom teeth Is it normal to be concerned about getting my wisdom teeth extracted, especially since they are positioned well? I'm worried that the gap left behind might cause my previously aligned teeth to shift or become loose after the extraction. I fear that this could le...


Dr. Zeng Guanghui Reply:
Hello: In response to your question, I would like to offer some suggestions: Wisdom teeth, commonly known as third molars, can often become misaligned due to insufficient space, which may prevent them from fully erupting (referring to partially or completely impacted teeth). This...

[Read More] Understanding Wisdom Tooth Extraction: Concerns and Recovery Time


Comparing Periodontal Treatments: Gel vs. Flap Surgery for Gum Disease

[Periodontal Disease] Arestin Gel vs. Periodontal Flap Surgery with Regeneration Hello, Doctor. I have already seen a dentist at a clinic near my home, and the dentist diagnosed me with periodontal disease, recommending periodontal flap surgery and regenerative surgery. However, ...


Dr. Wu Jinjun Reply:
Hello: 1. Periodontal gel is a medicated gel that is applied into the periodontal pocket. While this gel can inhibit the growth of anaerobic bacteria within the periodontal pocket, its effectiveness still needs to be observed. For teeth with moderate to severe periodontal damage,...

[Read More] Comparing Periodontal Treatments: Gel vs. Flap Surgery for Gum Disease


Understanding White Coating in the Mouth: Causes and Concerns

Oral issues Hello, doctor. Sometimes when I wake up in the morning, I notice a white film on the right side of my mouth. It goes away when I scrape it off with my hand. What could this be? I tend to brush my teeth on the right side for a longer time; could this be the cause? Will...


Dr. Zeng Guanghui Reply:
Upon waking up in the morning, you may notice a white film in your mouth, which is likely dental plaque. This occurs because after eating, if proper oral hygiene is not maintained, food particles can adhere to the surface of the teeth, forming a thin layer of white film. If oral ...

[Read More] Understanding White Coating in the Mouth: Causes and Concerns


Exploring Dental Options: What to Do After Losing a Denture?

Dentures I originally had dentures for the last four teeth on the lower right side, but one day they suddenly fell out. When I visited the dentist, he said it was because the underlying natural teeth had deteriorated, so they had to be extracted. However, after the extraction, I ...


Dr. Chu Boqin Reply:
Hello Sally: The root of the lower right denture (which should be a dental crown or bridge) has decay and periodontal issues that require extraction. Currently, besides making a removable denture, the only option is dental implants. However, due to financial constraints, implanti...

[Read More] Exploring Dental Options: What to Do After Losing a Denture?


Persistent Bad Breath: Understanding Tongue Odor and Seeking Solutions

Halitosis, altered taste sensation? I have had bad breath since I was young, and the problem still hasn't been resolved. I have seen specialists in otolaryngology, dentistry, gastroenterology, and traditional Chinese medicine, all of whom said there was no issue. However, si...


Dr. Zeng Guanghui Reply:
The causes of halitosis can be systemic or localized. Systemic factors include gastrointestinal issues (such as gastroesophageal reflux), upper respiratory infections, diabetes, and xerostomia caused by autoimmune diseases that impair salivary gland function. Localized factors ar...

[Read More] Persistent Bad Breath: Understanding Tongue Odor and Seeking Solutions


Can a Dental Fistula Heal on Its Own Without Surgery?

Will a gum fistula heal on its own over time? I have a tooth that previously underwent root canal treatment, and it has now been diagnosed with a fistula. For a while, it was draining pus, but after using mouthwash and avoiding biting with that tooth, it has improved somewhat. Is...


Dr. Zeng Guanghui Reply:
If a tooth that has already undergone root canal treatment develops a periodontal fistula, it indicates that the infection within the root canal was not completely eradicated after the treatment and has spread to the surrounding alveolar bone, leading to the formation of a fistul...

[Read More] Can a Dental Fistula Heal on Its Own Without Surgery?


Persistent Pain After Dental Crown on Lower Left Wisdom Tooth: Is It Normal?

I experience pain when a dental crown is placed on my lower left wisdom tooth? Doctor, I would like to ask, recently my lower left wisdom tooth has been painful due to decay, and I went to the dental clinic where the dentist recommended root canal treatment followed by a crown. H...


Dr. Yuan Ziming Reply:
1. If your teeth are loose, please check for any periodontal disease issues. 2. It is normal to experience some discomfort when first wearing dentures. If you feel pain while biting, please test the occlusal height; if it is slightly high, have your dentist make adjustments.

[Read More] Persistent Pain After Dental Crown on Lower Left Wisdom Tooth: Is It Normal?


Can Gum Disease Be Contagious? Understanding the Risks and Myths

Is periodontal disease contagious? Hello, Doctor: I would like to ask if periodontal disease is contagious? (transmitted through bacteria) Recently, I took my mother to the hospital for periodontal disease, and I didn't want to ask in front of her to avoid hurting her feelin...


Dr. Zeng Guanghui Reply:
The formation of periodontal disease is not only due to the infection of specific bacteria in the oral cavity but also involves other pathogenic factors. For instance, poor oral hygiene over a long period can lead to the accumulation of dental plaque, resulting in gingivitis, whi...

[Read More] Can Gum Disease Be Contagious? Understanding the Risks and Myths


How to Check the Condition of Natural Teeth Under Dental Bridges

How to check the condition of the natural teeth beneath braces? Hello, you mentioned that if a dental bridge has sufficient fit, is made of good materials, and proper oral hygiene is maintained along with regular cleanings (every six months) to remove plaque or tartar, the surrou...


Dr. Zeng Guanghui Reply:
Before getting a dental crown, the original natural teeth must undergo treatment. This includes filling any cavities and performing root canal therapy if there is pulpitis. It is essential to ensure that the tooth structure is healthy, with no cavities or pulp inflammation, befor...

[Read More] How to Check the Condition of Natural Teeth Under Dental Bridges


Understanding Dental Bridge Longevity and Care: Key Insights

The lifespan of a dental bridge? Hello, if a set of braces (a bridge with three crowns for a missing tooth) is made well and fits properly, can it last for ten to fifteen years? Is it true that bridges can lead to cavities? Do the supporting teeth need root canal treatment? Thank...


Dr. Zeng Guanghui Reply:
If the dental bridge has adequate fit and is made of good materials, along with proper oral hygiene practices and regular cleanings (every six months) to remove plaque or tartar, the periodontal tissues surrounding the bridge can remain healthy, thus prolonging the lifespan of th...

[Read More] Understanding Dental Bridge Longevity and Care: Key Insights


Can Impacted Wisdom Teeth Be Used for Autologous Dental Implants?

Please inquire about autologous dental implants? Hello, doctor. I would like to ask if it is possible to perform autologous dental implants for impacted wisdom teeth? If the extraction site has already healed, can the surgery for implantation be done? Thank you.


Dr. Wu Jinjun Reply:
Hello: 1. The decision must depend on the condition of the wisdom teeth. If they can be completely extracted without damaging the periodontal ligament during the extraction process, then autogenous tooth transplantation can be performed. 2. The surgery must be opened, and the wou...

[Read More] Can Impacted Wisdom Teeth Be Used for Autologous Dental Implants?


Can Gum Recession from Periodontal Disease Be Reversed?

Gum recession Hello, doctor. I would like to ask if gum recession caused by periodontal disease can still be remedied through surgery or other methods. Additionally, when performing subgingival scaling, is anesthesia not required? The dentist did not administer anesthesia, and I ...


Dr. Wu Jinjun Reply:
Hello: 1. The assessment must consider the degree of gum recession. If the recession is above the mucogingival junction, there is still a chance for surgical grafting to remedy the situation; otherwise, the opportunity for correction is limited. 2. Gingival curettage can be perfo...

[Read More] Can Gum Recession from Periodontal Disease Be Reversed?


How to Determine If You Have Bad Breath: Tips and Tests

How to know if you have bad breath? Hello Doctor, I would like to ask you how to determine if I have bad breath. 1. Can I tell if my saliva smells bad by smelling it? 2. When I breathe into my palm, what kind of smell indicates bad breath? (The air I exhale through my nose h...


Dr. Chu Boqin Reply:
1. Licking the back of your hand with your tongue once and then smelling it five seconds later can help you determine if you have bad breath, or you can simply ask someone else directly. 2. Breathing into your palm may also serve as a reference. 3. Dental plaque is essentially ...

[Read More] How to Determine If You Have Bad Breath: Tips and Tests


Which Dental Treatment is Best for My Impacted Wisdom Tooth?

What is the best approach for treatment? Hello, I would like to ask for your advice. My lower left wisdom tooth has fully erupted, but the second to last tooth has erupted at a 45-degree angle (which is very clear on the X-ray). Should I have the wisdom tooth extracted and then a...


Dr. Yang Hui Reply:
If the 45-degree angled teeth are healthy (without periodontal disease or cavities), it is advisable to extract the wisdom teeth to help align the 45-degree angled teeth. However, the alternative methods mentioned can also be considered; there is no definitive answer as to which ...

[Read More] Which Dental Treatment is Best for My Impacted Wisdom Tooth?


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