Risks of Removing Old Crowns: Root Canal or Extraction?
The endodontist stated that removing the old crown may result in the inability to perform root canal treatment, and extraction may be necessary? Hello Doctor, I would like to ask: The periodontist mentioned that the X-ray shows an inflammatory shadow at the apex of a molar tooth ...
Dr. Zeng Guanghui Reply:
If the X-ray of the molar that originally had a dental crown shows apical inflammation along with bone resorption around the root, in addition to root canal treatment, periodontal treatment is also necessary. In cases where root canal treatment is performed with a post in place, ...[Read More] Risks of Removing Old Crowns: Root Canal or Extraction?
Understanding Gum Bumps: Do You Need Root Canal Treatment?
Small dental cysts on the gums? Hello, Doctor! Recently, during a dental cleaning, I noticed a small bump on my gum. I've been observing it for about a month; it has burst and then grown back. Although it's not very large, I consulted a dentist at the clinic for an exam...
Dr. Lin Jiayong Reply:
Hello: As you mentioned, a dental fistula is a channel that allows inflammatory substances from the root of the tooth to drain out, which is why the tooth itself may not be too painful. The most common cause of alveolar bone inflammation is pulp necrosis, so it is recommended to ...[Read More] Understanding Gum Bumps: Do You Need Root Canal Treatment?
Understanding Tooth Sensitivity After Dental Filling: Causes and Solutions
Post-operative sensitivity after dental filling? There is a small cavity on the buccal side of the second molar near the gum line (the doctor said it is not deep). After the filling was completed two weeks ago, I still experience persistent sensitivity when drinking room temperat...
Dr. Lin Jiayong Reply:
Hello: If the restoration does not follow the natural shape of the tooth, it can indeed cause irritation to the gums and periodontal tissues, leading to gingivitis. If you experience sensitivity after the dental restoration, it may be due to the properties of the filling material...[Read More] Understanding Tooth Sensitivity After Dental Filling: Causes and Solutions
Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions
There is a small hole on the buccal gingiva of the second molar, and when pressed, white discharge flows out from there and the interproximal space? Hello, Doctor: After having my wisdom teeth removed at the end of last year, I developed gum inflammation, and soon after, a small ...
Dr. Lin Jiayong Reply:
Hello: First, please confirm whether you are taking any medications for osteoporosis, and if you have undergone any cancer-related radiation therapy or immunotherapy. If so, these factors may affect wound healing. Additionally, long-term use of immunosuppressive medications (such...[Read More] Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions
Persistent Gum Swelling and Pain: What Could Be the Underlying Issue?
The gums are red, swollen, and painful and have not improved? Hello Doctor, my gums have been red, swollen, and painful for almost two weeks now, and they haven't improved. I've already seen the dentist twice, had my teeth cleaned, and took amoxicillin for three days, a...
Dr. Zeng Guanghui Reply:
If there is still redness and swelling after having your teeth cleaned and taking antibiotics for three days, it indicates that the periodontal tissue damage may be severe, or there could be cracks in the tooth structure leading to bacterial infection. It is advisable to return f...[Read More] Persistent Gum Swelling and Pain: What Could Be the Underlying Issue?
Understanding Dental Crown Complications: Root Damage and Treatment Options
The root structure of the first molar on the right side of the mandible is damaged with a cavity? Hello Dr. Lin, I would like to ask you: 1. After a ceramic crown is placed, should the dentist use temporary cement for adhesion during the trial fitting, and then arrange for perman...
Dr. Lin Jiayong Reply:
Hello, if you previously used temporary adhesive, it is recommended to remove the dentures first, allowing your teeth to rest and recover without function. This will facilitate subsequent treatments (such as periodontal surgery or apical retrofilling, etc.). It is advised not to ...[Read More] Understanding Dental Crown Complications: Root Damage and Treatment Options
Pain When Biting with New Dental Bridge: Causes and Solutions
It hurts to bite down on the new dental bridge? When I was a child, my primary lateral incisor did not fall out until I was in middle school, which caused a gap between my canine and incisor. As I grew older, the gap widened, but there still wasn't enough space for an implan...
Dr. Zeng Guanghui Reply:
If there is pain when biting down after the dental bridge is placed, it may be due to high occlusion, periodontal issues with the supporting teeth, or poor marginal fit at the junctions of the bridge with each tooth, leading to sensitivity to hot and cold stimuli. It is recommend...[Read More] Pain When Biting with New Dental Bridge: Causes and Solutions
Possible Causes and Solutions for Tooth Pain After Root Canal Treatment
Teeth after root canal treatment The lower left tooth #5, which has undergone root canal treatment over four to five years ago and does not have a crown, experiences pain upon percussion and occlusal pain. However, two dentists have reviewed the X-rays and periodontal probing and...
Dr. Lin Jiayong Reply:
Hello: There are many causes of pain, ranging from simple tissue injury to systemic diseases. If two dentists have examined your teeth and found no abnormalities, it is advisable to observe the situation for now. However, if the pain continues to affect your daily life, it is rec...[Read More] Possible Causes and Solutions for Tooth Pain After Root Canal Treatment
Assessing Cracks in Molars After Crown and Post Removal: Next Steps
After the removal of the crown and post from the molar? Hello, Doctor. I am seeking treatment because my upper right molar has pus and is loose. It has already undergone root canal treatment. A specialist in endodontics recommended using microscopic root canal therapy, so the cas...
Dr. Zeng Guanghui Reply:
To examine the dark shadows around the teeth, which indicate bone resorption of the jaw, it is necessary to determine whether it is caused by an infection of the tooth's nerve canal, periodontal inflammation (i.e., periodontal disease), or cracks on the tooth surface. This a...[Read More] Assessing Cracks in Molars After Crown and Post Removal: Next Steps
Understanding Gum Swelling After Dental Filling: Causes and Solutions
Gum swelling Hello, Doctor. In late February, I had a filling done on my lower left molar. At the time of the procedure, I felt fine, but when I got home and used dental floss, I noticed it was a bit tight (not severe). When I pulled the floss out, I experienced a slight pain in ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to directly visit the second clinic or a medical center for a consultation. If other doctors take X-rays and conduct examinations and also indicate that there are no issues, it is advisable to relax. The dental filling materials and gum inflammation you m...[Read More] Understanding Gum Swelling After Dental Filling: Causes and Solutions
Understanding Gum Swelling After Dental Work: Causes and Solutions
Gum swelling Hello, Doctor. In late February, I had a filling done on my lower left molar. At the time of the procedure, I felt fine, but when I got home and used dental floss, I noticed it was a bit tight (not severe). When I pulled the floss out, I experienced a slight pain in ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to go directly to the second clinic or medical center for a consultation. If other doctors take X-rays and conduct examinations and also indicate that there are no issues, it is advisable to relax. The dental filling materials and gum inflammation you men...[Read More] Understanding Gum Swelling After Dental Work: Causes and Solutions
Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help
Gingival abscess Hello Doctor, following up on my previous issue, this Thursday I will have undergone three root canal treatments on my molar, but I am still experiencing pain. The doctor mentioned that I might need to undergo microscopic root canal therapy, which is quite expens...
Dr. Zeng Guanghui Reply:
Gingival inflammation is caused by an infection of the periodontal tissues surrounding the teeth or may be due to inflammation of the minor salivary glands. It is recommended to consult a dentist or an oral surgeon for further diagnosis and treatment, including X-rays. Dr. Tseng ...[Read More] Understanding Gum Abscesses: Causes, Treatments, and When to Seek Help
Understanding Tooth Sensitivity After Eating: When to Seek Dental Care
Tooth sensitivity? Hello, Doctor: Normally, my teeth feel fine when I'm not eating, but after I eat, especially when I have slightly harder foods, I experience a bit of a swollen sensation in my teeth. This discomfort lasts until I fall asleep, and by the next day, the swoll...
Dr. Lin Jiayong Reply:
Hello: Based on what you've described, it may be caused by periodontal inflammation, which has many potential causes, including occlusal trauma or bruxism. It is recommended to first adjust your eating habits (chew slowly and thoroughly) and relax. Using toothpaste designed ...[Read More] Understanding Tooth Sensitivity After Eating: When to Seek Dental Care
Understanding Dental Discomfort: Tongue Pressure on Upper Jaw Gaps
The space between the tongue and the upper dental arch? Hello, I have a slight unusual sensation in the gap between my upper right wisdom tooth and the adjacent molar (it's not painful or acidic, just a bit of pressure), which makes me want to push it with my tongue. An X-ra...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have regular follow-up visits to manage the periodontal disease effectively and prevent further deterioration.[Read More] Understanding Dental Discomfort: Tongue Pressure on Upper Jaw Gaps
Understanding Tooth Pain: Causes and Treatment Options Explained
Follow-up Inquiry #179425: Consultation on Occlusal Pain Dear Dr. Lin, Thank you very much for your personal response and guidance in the consultation regarding "Occlusal Pain Inquiry #179425." Since my occlusal pain is currently within a tolerable range and the cause ...
Dr. Lin Jiayong Reply:
Hello: 1. The causes of body pain can be mainly divided into two categories: one is tissue injury, which signals you to address the injury, and the other is nerve conduction disorders. Therefore, tooth pain may be due to localized tissue injury (pulp/periapical tissue). If there ...[Read More] Understanding Tooth Pain: Causes and Treatment Options Explained
Understanding and Managing Occlusal Pain: Expert Insights and Recommendations
Consultation for Occlusal Pain Inquiry Dear Dr. Lin, Hello. I would like to express my gratitude for your previous guidance and responses regarding my inquiries about "occlusal pain." Recently, I have experienced occasional occlusal pain near my lower left first or sec...
Dr. Lin Jiayong Reply:
Hello: If the cause of inflammation is not eliminated, inflammation will persist. After the removal of silver fillings, reshaping is necessary, and during reshaping, excess tooth structure will need to be removed again. If discomfort is significant, it is recommended to undergo r...[Read More] Understanding and Managing Occlusal Pain: Expert Insights and Recommendations
How to Discuss Cosmetic Solutions for Dark Front Tooth Cavities with Your Dentist
The front tooth cavity appears black? Several years ago, I had cavities in my front teeth, and they don't look good; no matter how they are filled, they always appear dark. I would like to ask how I can communicate with my dentist to address the aesthetic issues. I have felt...
Dr. Lin Jiayong Reply:
Hello: If you wish to restore aesthetics using veneers or all-ceramic crowns, it is necessary to first have a dentist assess the condition of the pulp and periodontal health! If you want to straighten your teeth with orthodontics, an evaluation of the alveolar bone to calculate s...[Read More] How to Discuss Cosmetic Solutions for Dark Front Tooth Cavities with Your Dentist
Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Dental Inquiry Consultation Dear Dr. Tseng, Over a year ago, I experienced a dull pain near my lower left first or second molar. I visited a dental clinic where an X-ray was taken of the affected area. The dentist examined the tooth and interpreted the X-ray, concluding that I d...
Dr. Zeng Guanghui Reply:
1. X-rays cannot detect small hidden cracks unless the fracture has become significantly evident, causing the tooth to split. 2. Unless there is a noticeable crack in the tooth or a significant defect, CBCT still has difficulty detecting hidden fractures. 3. It is also possible t...[Read More] Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Understanding Periodontal Disease Treatment and Dental Implants
Periodontal disease treatment Today, I went to the dentist, and the doctor said I have severe periodontal disease and need dental implants. However, the treatment plan is to place the implants first and then treat the periodontal disease, which is the opposite of what I expected....
Dr. Zeng Guanghui Reply:
1. Generally, periodontal disease should be treated first, and once the periodontal condition is stable, then consider dental implants in the edentulous area. 2. Swelling in the lower gums may be due to chronic inflammation, which is usually not painful. However, if it does not r...[Read More] Understanding Periodontal Disease Treatment and Dental Implants
Understanding Post-Extraction Pain: When to Seek Further Dental Care
Tooth extraction or pain that is not related to extraction? Hello, doctor. I had a tooth extraction about three weeks ago (lower left molar). One side of the tooth root was damaged, so the dentist decided to cut the tooth and only remove the damaged half, then sutured the wound. ...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about potential injuries to other areas, it is recommended to perform a cone beam computed tomography (CBCT) scan of the head and neck. This will not only confirm the healing status of the tooth extraction site but also assess the condition of the teet...[Read More] Understanding Post-Extraction Pain: When to Seek Further Dental Care