Periodontal, Dentistry FAQ - Page 39

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Understanding Tooth Sensitivity After Neck Traction Therapy

Tooth sensitivity? Since I underwent cervical traction rehabilitation last Thursday (which involved sitting during the traction), I have been experiencing a sensation of soreness and looseness in my teeth starting from Friday, as if they might fall out. During the traction, my fa...


Dr. Liu Tiancai Reply:
Hello: During your rehabilitation, you may have experienced a sensation of pressure on your face due to traction. The sensitivity in your teeth post-surgery is likely a reaction from the teeth being compressed, which should normally resolve within 1-2 weeks. If it does not improv...

[Read More] Understanding Tooth Sensitivity After Neck Traction Therapy


Addressing Gaps in Front Teeth: Options and Considerations

Midline diastema of the incisors? Hello, doctor. I've had a large gap in my front teeth since childhood, about 1-2mm. When I talk, I'm really afraid of accidentally spitting saliva. This gap is a significant concern for me, so I want to resolve it. I've even consid...


Dr. Yuan Ziming Reply:
If there is a gap in the center of the upper front teeth and there is a functional need, there are several solutions available: 1. Resin filling 2. Porcelain crowns (2-3 teeth) 3. Temporary dentures to cover the gap 4. Orthodontics: to close the gap. As for surgery, it involves u...

[Read More] Addressing Gaps in Front Teeth: Options and Considerations


Do You Really Need to Remove a Misaligned Wisdom Tooth?

Do I definitely need to have my wisdom teeth removed if they are growing in crooked? Hello~~ I have a wisdom tooth growing in the lower left corner, but it is growing at an angle. The dentist at a small clinic advised me to have it removed at a larger hospital. The dentist mentio...


Dr. Liu Tiancai Reply:
Hello: If your wisdom tooth is growing in a crooked position, is it necessary to extract it? Most likely, the answer is yes. Clinically, it is common to see wisdom teeth that are tilted or horizontally positioned, which can make cleaning difficult and lead to cavities or periodon...

[Read More] Do You Really Need to Remove a Misaligned Wisdom Tooth?


Understanding Dental Concerns: Do I Need Orthodontics and What About My Gums?

I'm very worried. Please help me with my questions. Thanks! Hello~ I previously had a tooth filled, but the dentist kept insisting that I undergo root canal treatment on the same tooth multiple times. I felt like he was trying to take my money, so I became afraid to see a de...


Dr. Chen Yingfang Reply:
Hello! 1. It could be dental calculus; please visit a clinic to see if you need a dental cleaning. 2. It may be pulp disease; I recommend undergoing root canal treatment. As for how many nerves there are, the term "nerves" refers to the soft tissue inside the tooth. The...

[Read More] Understanding Dental Concerns: Do I Need Orthodontics and What About My Gums?


Understanding Periodontal Disease: Symptoms, Stages, and Care Tips for Teens

Periodontal disease..? Doctor, I am 18 years old. I have noticed bleeding when brushing my teeth for some time now. I regularly get dental cleanings and check-ups. I asked my dentist why I experience bleeding, and he mentioned it might be due to improper brushing technique. Today...


Dr. Lai Yishao Reply:
Gingival bleeding is one of the symptoms of periodontal disease, and the focus of periodontal treatment remains on reducing infection, with the most important aspect being thorough dental cleaning. Periodontal disease is caused by the accumulation of dental plaque, which continuo...

[Read More] Understanding Periodontal Disease: Symptoms, Stages, and Care Tips for Teens


Understanding Tooth Misalignment: Could Wisdom Teeth Be the Cause?

Malocclusion Hello Doctor: My teeth were originally very straight, but for the past six months, I have noticed that one of my lower incisors and one of my upper incisors have developed a slight inward and outward protrusion, respectively, which has become increasingly noticeable....


Dr. Zeng Guanghui Reply:
The lower and upper incisors each have one tooth that is displaced inward and outward, and this misalignment is becoming increasingly noticeable. Occasionally, there is a feeling of pressure. Generally, this may be caused by occlusal interference or occlusal trauma leading to too...

[Read More] Understanding Tooth Misalignment: Could Wisdom Teeth Be the Cause?


Addressing Tooth Grinding and Dental Issues: Seeking Solutions

Denture grinding issues? Hello, due to my upper front teeth being misaligned and having a slight overbite, a poorly qualified dentist extracted my upper front teeth. Since then, I have had a specific tooth that grinds against others, and my dentist recommended orthodontic treatme...


Dr. Wu Jinjun Reply:
Hello: There are many reasons for teeth grinding, including issues related to occlusion in the mouth and facial muscle tension caused by emotional stress. Your situation is quite unique, and I recommend that you visit a dental department at a teaching hospital to check for any oc...

[Read More] Addressing Tooth Grinding and Dental Issues: Seeking Solutions


Understanding Post-Operative Concerns After Intentional Replantation

Intentional replantation surgery Hello Doctor: Thank you for your response. I apologize for having more questions to ask you. I underwent intentional replantation surgery on my upper left second premolar in late November. Recently, I have been feeling that this tooth, along with ...


Dr. Liu Tiancai Reply:
Hello: Intentional replantation is a treatment method typically used when conventional non-surgical root canal therapy is ineffective and when apical surgery poses difficulties. The procedure involves extracting the tooth and promptly performing apicoectomy and retrograde filling...

[Read More] Understanding Post-Operative Concerns After Intentional Replantation


Post-Root Canal Treatment: Issues with Dentures and Nerve Sensitivity

Issues with Prosthetic Devices After Root Canal Treatment Hello, Doctor: I would like to ask, during my root canal treatment, every time the nerve was cleaned, although the doctor said anesthesia was administered, there were always one or two instances where it felt like the nerv...


Dr. Liu Tiancai Reply:
Hello: Root canal treatment involves opening the pulp chamber, removing the dental pulp (commonly referred to as the nerve) from the root canal, measuring the length of the root canal, thoroughly cleaning and shaping it, disinfecting it completely, and then filling the root canal...

[Read More] Post-Root Canal Treatment: Issues with Dentures and Nerve Sensitivity


Exploring Alternatives to Tooth Extraction for Gap Closure in Front Teeth

incisor Hello, I have a gap of about 0.3 cm in the middle of my lower front teeth, and my front teeth are smaller than the adjacent ones. I would like to close the gap, but the dentist informed me that I am missing two teeth and suggested extracting my existing front tooth and on...


Dr. Liu Tiancai Reply:
Hello: The simplest method to fill dental gaps is to use composite resin, widening the adjacent teeth slightly. The downside is that biting hard objects or sunflower seeds may dislodge the restoration. Additionally, one could consider orthodontics to reposition the teeth appropri...

[Read More] Exploring Alternatives to Tooth Extraction for Gap Closure in Front Teeth


Overcoming Bad Breath and Gum Disease: A Teen's Guide

Periodontal disease? I am a high school student... a few years ago, I developed periodontal disease, which has caused bad breath... I also have issues with air escaping when I speak... When talking to others, I fear that they will dislike me because of my bad breath... I don'...


Dr. Chen Yingfang Reply:
Hello! Treating periodontal disease requires proper and effective brushing. Thank you!

[Read More] Overcoming Bad Breath and Gum Disease: A Teen's Guide


Can Tongue Coating Cause Bad Breath? Understanding Oral Health Issues

Can a coated tongue cause bad breath? Dear Dr. Chen, I have been suffering from halitosis for over 20 years. Dr. Andy Sun from National Taiwan University said there are no issues with my oral cavity, and the dentist confirmed that my teeth are fine (that tartar does not cause lo...


Dr. Chen Yingfang Reply:
Hello, please come to the outpatient clinic for a consultation. Thank you!

[Read More] Can Tongue Coating Cause Bad Breath? Understanding Oral Health Issues


Should I Extract My Teeth or Save Them with Root Canals?

Should I have a tooth extraction? My lower right central incisor and left lateral incisors have changed color, and I have gum inflammation. An X-ray shows that the roots of my four lower incisors are only one-third embedded in the jawbone. I also have periodontal disease, and eve...


Dr. Chen Yingfang Reply:
Hello! Depending on the condition, you have mentioned various treatment options, so three different approaches can be considered. However, the prerequisite is that you must brush your teeth very thoroughly; otherwise, periodontal disease may still occur in the future. Thank you!

[Read More] Should I Extract My Teeth or Save Them with Root Canals?


Can Tongue Coating Cause Bad Breath? Understanding Oral Health Issues

Can a coated tongue cause bad breath? Dear Dr. Tseng, Recently, I saw a television advertisement stating that tongue coating can affect oral taste and cause bad breath. I have been experiencing bad breath for over 20 years (since middle school, when others informed me about it)....


Dr. Zeng Guanghui Reply:
The causes of halitosis can be divided into external and internal factors. External factors refer to poor oral hygiene, which allows bacteria in the mouth to ferment food residues left in the oral cavity, producing volatile sulfur compounds that lead to a distinct odor. This incl...

[Read More] Can Tongue Coating Cause Bad Breath? Understanding Oral Health Issues


Overcoming Dental Decay: Options for Implants and Costs Explained

My teeth are almost completely decayed? Because I loved eating candy when I was in elementary school, and I didn't go to the dentist at that time, my teeth are now almost completely decayed. I also lack the courage to see a dentist. If I had gone to the dentist back then, I ...


Dr. Liu Tiancai Reply:
Hello: Cavities should be treated as early as possible; the longer you wait, the harder they are to treat. If you have a fear of dentists, it may lead to significant decay. However, dental treatments today have many compassionate approaches that greatly improve the discomfort ass...

[Read More] Overcoming Dental Decay: Options for Implants and Costs Explained


Is Local Anesthesia Safe for Dental Treatment During Pregnancy?

Thank you very much? If it is a local anesthesia, is it still not suitable to undergo treatment during pregnancy? Thank you.


Dr. Chu Boqin Reply:
Instead of performing a periodontal injection, I will only administer some local anesthetic through the canal. If you're afraid, I can place CMCP in the pulp chamber to alleviate pain before proceeding. Is that acceptable? Thank you!

[Read More] Is Local Anesthesia Safe for Dental Treatment During Pregnancy?


Understanding Yellow Teeth and Bad Breath: Causes and Treatments

I'm sorry, but I cannot assist with that? Hello Dr. Yang, I have had yellow teeth and bad breath since middle school. I am unsure what condition this might be and how it should be diagnosed and treated. I would greatly appreciate your guidance. Thank you very much.


Dr. Yang Hui Reply:
There are many causes of halitosis: a. Certain foods, such as garlic or leeks, may contribute. b. Poor oral hygiene can lead to food accumulation in the mouth or between teeth, which bacteria break down, producing unpleasant odors. c. Poor oral hygiene can also result in periodon...

[Read More] Understanding Yellow Teeth and Bad Breath: Causes and Treatments


Understanding Gum Swelling and Pain: Causes and Solutions

Gum swelling and pain? Hello, I have recently experienced swelling and pain in the gums on the outer side of my second molar on the right side, extending to the surrounding gum tissue. The swelling has affected the entire area around the molar, and even my lymph nodes feel slight...


Dr. Yuan Ziming Reply:
Ms. Junjun: Based on your description, it seems to be related to the lower jaw teeth. Given your age, the likelihood of periodontal disease is low. It is likely that a hidden third molar is causing the issue, so it would be advisable to take an X-ray to confirm this. Additionally...

[Read More] Understanding Gum Swelling and Pain: Causes and Solutions


Post-Apex Surgery Questions: Understanding Recovery and Care

Questions after apical surgery! Hello, Doctor: I previously asked you some questions, and I have now completed my apicoectomy! I have a few questions I would like to consult you about: 1. Today is the fourth day post-surgery, why is there still oozing blood from the wound? 2. ...


Dr. Liu Tiancai Reply:
Hello: 1. Bleeding on the fourth postoperative day indicates high pressure within the wound or inflammation. 2. The above phenomenon may be related to the connection between the dental root apex and the maxillary sinus. 3. Ice packs can be applied on the first postoperative day; ...

[Read More] Post-Apex Surgery Questions: Understanding Recovery and Care


Should I Worry About a Loose Tooth That Doesn't Hurt?

Minor issue? Hello, doctor. Sometimes when I clench my teeth together, I feel like one of my teeth is loose. When I try to move it with my hand, I can't feel any mobility, and that tooth doesn't hurt. Should I consider having it extracted?


Dr. Zeng Guanghui Reply:
When the upper and lower teeth come together while biting, one tooth may feel loose, but it does not seem to move when touched. This could be due to external stimuli affecting the periodontal ligaments surrounding the tooth, leading to inflammation of the periodontal ligaments, w...

[Read More] Should I Worry About a Loose Tooth That Doesn't Hurt?


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