Dealing with Oral Discomfort After Orthodontic Treatment: Solutions Explored
After orthodontic treatment, the teeth may scrape against the oral mucosa? Dear Dr. Tseng, Before orthodontic treatment, the alignment of my upper teeth was comfortable. However, after completing the treatment, one of my upper teeth (the one next to the front tooth) has a rough ...
Dr. Zeng Guanghui Reply:
Hello Ms. Deb: If you frequently experience discomfort from friction on the inner mucosa of your lower lip, you should consider whether the alignment of your incisors is off. It is recommended that if you have periodontal disease, you should first treat the periodontal condition ...[Read More] Dealing with Oral Discomfort After Orthodontic Treatment: Solutions Explored
Understanding Dental Injuries After a Car Accident: Symptoms and Solutions
Dental injury due to a car accident? It has been two weeks since the car accident. There is a crack on the back surface of my front tooth. Eating and drinking hot or cold items does not cause pain, but I have noticed a small protrusion on the gum near the front tooth, which cause...
Dr. Zeng Guanghui Reply:
Hello, Anonymous: It is likely that the teeth were impacted, resulting in injury to the periodontal ligament or inflammation of the dental pulp. If symptoms do not improve after one or two weeks, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, D...[Read More] Understanding Dental Injuries After a Car Accident: Symptoms and Solutions
Understanding Dental Splints: Addressing Cracked Teeth and Treatment Concerns
Cracked tooth crown Hello, thank you for taking the time to respond. 🙏 I have a lower molar that seems to be grinding frequently, resulting in a diagonal crack on the occlusal surface and a periodontal abscess. After four sessions of root canal treatment (with rubber dam isolatio...
Dr. Qiu Qiongyao Reply:
Hello Mr. Chen, Question 1: Using cotton gauze to prevent moisture is also acceptable. Question 2: A dental crown or a dental cap can be used for cracked teeth, with the purpose of reducing the deepening of the cracks. Question 3: The observation period for cracked teeth var...[Read More] Understanding Dental Splints: Addressing Cracked Teeth and Treatment Concerns
Should You Fill or Crown Your Tooth After Root Canal Treatment?
Could you please provide more context or specify your question regarding filling a small molar? If a doctor has performed a root canal treatment on a small molar and the tooth begins to rock back and forth, will getting a dental filling covered by health insurance be effective? O...
Dr. Zeng Guanghui Reply:
If a tooth that has undergone root canal treatment is still loose, it is important to consider the possibility of periodontal disease. It is recommended to treat the periodontal disease first before considering dentures or fillings. Dr. Tseng Guang-Hui, Department of Dentistry, N...[Read More] Should You Fill or Crown Your Tooth After Root Canal Treatment?
Recurring Abscess After Intentional Replantation: Causes and Concerns
A pus-filled abscess has reformed at the same site after intentional replantation surgery? Due to a persistent abscess on the gum of the first molar on the right side of the lower left first molar for approximately six months, an examination revealed radiolucency around the root ...
Dr. Lin Jiayong Reply:
Hello: 1. The source of infection is usually addressed from both the pulp and periodontal aspects. If root canal treatment has already been performed, the tendency is to suspect infection originating from the surrounding tissues. However, since it has only been two days since the...[Read More] Recurring Abscess After Intentional Replantation: Causes and Concerns
Persistent Oral Pain After Wisdom Tooth Extraction: What to Do?
After having my wisdom teeth removed, I have been experiencing persistent pain in my mouth? Hello. I had my wisdom teeth removed around mid-February, and I felt that I was recovering well by early March. However, in early April, I started experiencing pain in my oral tissue. I ha...
Dr. Zeng Guanghui Reply:
It is recommended to first consult a dentist to check for periodontal disease, apical periodontitis, or temporomandibular joint issues. If everything is normal but discomfort persists, consider whether it may be related to facial nerve or trigeminal nerve problems, and seek furth...[Read More] Persistent Oral Pain After Wisdom Tooth Extraction: What to Do?
Essential Considerations for Orthodontics and Dentures: A Comprehensive Guide
Orthodontics (Invisalign), periodontal integration, and maxillary removable dentures causing difficulty in eating? 1. Is it necessary to be free of periodontal disease in order to undergo orthodontic treatment (Invisalign)? 2. Should cavities be filled and a periodontal treatment...
Dr. Zeng Guanghui Reply:
1. It is essential to complete the treatment of periodontal disease before orthodontic treatment. 2. Prior to orthodontic treatment, any cavities should be filled, and periodontal disease treatment must be completed. 3. It is advisable to consult an orthodontist regarding the...[Read More] Essential Considerations for Orthodontics and Dentures: A Comprehensive Guide
Understanding Gum Abscess: Connection to Teeth Grinding and Treatment Options
Gingival abscess Hello, doctor. I have symptoms of bruxism at night, which are quite severe. The teeth on the left side of my front teeth show signs of periodontal ligament inflammation. After waking up from my nap yesterday, I noticed a pus-filled bump on that tooth. It doesn&#x...
Dr. Zeng Guanghui Reply:
If teeth grinding causes damage and inflammation to the periodontal ligament, it may lead to a periodontal abscess. Once an abscess occurs, it is advisable to brush the teeth thoroughly and use mouthwash for disinfection. If the abscess does not resolve, it is recommended to cons...[Read More] Understanding Gum Abscess: Connection to Teeth Grinding and Treatment Options
Persistent Pain After Microscopic Root Canal Treatment: What to Do?
Persistent symptoms after microscopic root canal treatment? Hello Doctor: I underwent root canal treatment on my lower left molar last November, but I have continued to experience dull pain and am unable to chew food properly. In January of this year, I transferred to a microspec...
Dr. Lin Jiayong Reply:
Hello: Tooth pain is primarily divided into two aspects: pulp and periodontal issues. If the pulp has been cleaned thoroughly, it is necessary to consider whether there is inflammation or an infection source in the periodontal area. Cracks often occur at the junction of the tooth...[Read More] Persistent Pain After Microscopic Root Canal Treatment: What to Do?
Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Gum laceration Hello: I accidentally punctured my gums with the rounded plastic tip of my toothbrush, which was very painful and caused bleeding. It has not healed for 2 to 3 months and has turned into an abscess. I consulted two different clinics, and they provided conflicting d...
Dr. Qiu Qiongyao Reply:
Mr. Chen: Hello, in response to your inquiries, please find the following information: 1. In root canal treatment, the apex may show a radiolucent area on the X-ray. 2. An ulcer that has not healed for 2-3 months should be further evaluated by an oral surgeon to assess the possib...[Read More] Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Is Gum Reduction Surgery Necessary for Deep Periodontal Pockets?
Is gum tissue that is too high necessitating gum resection and bone contouring surgery? Hello, I went to a major hospital for periodontal treatment. Since my lower wisdom tooth was extracted many years ago, the doctor believes the pockets are too deep and that the gum tissue is t...
Dr. Lin Jiayong Reply:
Hello: The ultimate goal of periodontal treatment is to enhance ease of cleaning and reduce the likelihood of periodontal inflammation. Therefore, bone recontouring and gingivectomy are indeed methods used in periodontal treatment (stage two). It is advisable to discuss the pros ...[Read More] Is Gum Reduction Surgery Necessary for Deep Periodontal Pockets?
Understanding Persistent Oral Discomfort: Causes and Solutions for Gum Disease
There is a sticky substance continuously coming out from the mouth? Hello Dr. Tseng, I would like to ask you some questions on behalf of my mother. She did not have a habit of brushing her teeth in the past, and around the second half of last year, she started noticing symptoms ...
Dr. Zeng Guanghui Reply:
It is recommended to consult a gastroenterologist to check for gastroesophageal reflux disease (GERD), which may be causing an increase in oral secretions. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Persistent Oral Discomfort: Causes and Solutions for Gum Disease
Post-Root Canal Complications: Persistent Gum Bump Concerns
After root canal treatment Hello Doctor: I would like to inquire about a dental issue. About ten years ago, I had root canal treatment on three connected teeth. However, before the Lunar New Year, one of the teeth that had undergone root canal treatment developed a bump on the gu...
Dr. Zeng Guanghui Reply:
Gingival dental abscess may be indicative of apical infection or periodontal infection. If it is an apical infection, it may be necessary to evaluate whether retreatment of the root canal is required. It is recommended to consult a dentist for examination and treatment. Dr. Tseng...[Read More] Post-Root Canal Complications: Persistent Gum Bump Concerns
Effectiveness of Periodontal Flap Surgery Without Bone Graft
Periodontal flap surgery Dear Doctor: After undergoing basic treatment for periodontal disease at the hospital, my doctor mentioned that I need to have periodontal flap surgery, which may require bone grafting. However, the hospital only offers bone grafts from human and bovine s...
Dr. Zeng Guanghui Reply:
If periodontal surgery is performed without the use of bone graft material, and only the periodontal defects are removed, the height of the alveolar bone will decrease, the gums will recede, and the spaces between the teeth will widen. It is advisable to have further discussions ...[Read More] Effectiveness of Periodontal Flap Surgery Without Bone Graft
Understanding Dental Trauma: Tooth Displacement and Nerve Health
Dental displacement due to impact? 1. The reason for the nerve necrosis in the tooth after the impact is likely due to tissue injury that did not heal properly. Trauma can cause damage to the dental pulp, leading to inflammation and eventual necrosis if the blood supply is compro...
Dr. Zeng Guanghui Reply:
1. The periodontal tissues and nerves within the impacted tooth may be damaged, and the risk of damage increases if the tooth is displaced. 2. If there is no vitality detected in the tooth after five months post-trauma, it is unlikely to regain vitality. 3. If the nerve has retur...[Read More] Understanding Dental Trauma: Tooth Displacement and Nerve Health
Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Inquiry Consultation Dear Dr. Tseng, Two days ago, I had ribs for dinner, and while biting into the meat near the bone, I suddenly felt a crunching sound from my right-side teeth, realizing I had bitten into a piece of bone. My upper and lower first and second molars on the righ...
Dr. Zeng Guanghui Reply:
1. Possible generalized sensitivity and pain. 2. If the periodontal ligament is damaged, generally, as long as you avoid biting hard objects and maintain good oral hygiene, there is a chance of recovery. 3. Monitor the situation, but once there is tooth sensitivity and pain, you ...[Read More] Understanding Dental Issues: Symptoms and Treatment for Tooth Injuries
Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui Reply:
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Understanding Persistent Pain After Microscopic Root Canal Treatment
Microscopic Root Canal Treatment Hello Doctor: I completed root canal treatment at the end of November last year, but I have been experiencing persistent dull pain, pain when tapping, and pain when biting down on food. Therefore, I switched to another clinic for microscopic root ...
Dr. Lin Jiayong Reply:
Hello: Since the root canal treatment was completed in January, it is recommended to observe for at least three months before deciding on any more aggressive treatments (such as apicoectomy, flap regeneration, or extraction followed by dental implants). It may also be beneficial ...[Read More] Understanding Persistent Pain After Microscopic Root Canal Treatment
Impact of Partial Dentures on Alveolar Bone Loss and Facial Aesthetics
Removable dentures vs. alveolar bone atrophy Hello doctor, if a single removable denture is made, is it inevitable that there will be issues with alveolar bone resorption? Will alveolar bone resorption affect facial appearance? Will it impact the adjacent teeth on both sides? Tha...
Dr. Lin Jiayong Reply:
Hello, the alveolar bone resorption of a single tooth (excluding canines) has minimal impact on facial appearance. The effect on anterior and posterior teeth, however, depends on the overall periodontal and occlusal conditions before a conclusion can be drawn.[Read More] Impact of Partial Dentures on Alveolar Bone Loss and Facial Aesthetics
Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options
Suspected root fracture? Hello Doctor, in April 2022, I had root canal treatment and a crown placed on my second-to-last lower right molar. I had no issues eating until October 2022, when I started experiencing soreness when biting down. I consulted a specialist in microscopic en...
Dr. Lin Jiayong Reply:
Hello: Based on what you described, it is indeed possible that there is an issue at the junction of the two tooth roots. 1. A cone beam CT scan can be performed to confirm if there is a fracture (this will also incur additional costs). 2. After removing the crown, we can check if...[Read More] Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options