Understanding Tooth Pain: Causes and Diagnosis of Lower Left Molar Discomfort
Pain in the occlusion of the lower left molar? Dear Dr. Lin, About a year ago, I experienced a dull pain in the area of my lower left molars (the pain point is near the first or second molar, and I do not have wisdom teeth as they have been extracted). At that time, I visited a ...
Dr. Lin Jiayong Reply:
Hello: 1. Because teeth have a three-dimensional structure and the orientation of microscopic cracks can vary greatly, both periapical and panoramic radiographs are flat images, so I cannot guarantee that there are no cracks. 2. In most cases, it should be possible, but it will l...[Read More] Understanding Tooth Pain: Causes and Diagnosis of Lower Left Molar Discomfort
Understanding Flossing After Root Canal Treatment: What You Need to Know
Flossing after root canal treatment? The normal depth of the gingival sulcus ranges from 1 to 3 mm. When using dental floss, there may be a sensation of the gums blocking at the very back. I have a tooth that has undergone root canal treatment and has a crown. Cleaning between th...
Dr. Zeng Guanghui Reply:
If dental floss can reach deep into the gingival sulcus, it indicates that there has been bone resorption around the teeth. Once the bone surrounding the teeth is resorbed, the bottom of the gums will also recede. It is advisable to consult a dentist for further examination to de...[Read More] Understanding Flossing After Root Canal Treatment: What You Need to Know
Understanding Tooth Pain: Causes and Solutions for Discomfort
Toothache I have been experiencing discomfort in my lower teeth for a month now. I have visited three clinics, and they all said it was just inflammation and did not see any cavities. They prescribed painkillers and advised me to avoid hard foods, which I have been following, but...
Dr. Lin Jiayong Reply:
Hello: From both local and systemic perspectives. Common local issues that may cause discomfort in the teeth include dental caries, gingivitis, and periodontal disease. However, if X-rays have been taken and no problems were found, then it is important to consider systemic issues...[Read More] Understanding Tooth Pain: Causes and Solutions for Discomfort
Managing Peri-implantitis: Tips for Patients During Quarantine
Peri-implantitis Hello Dr. Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis. A CT scan on December 21st indicated that only 2mm of the implant remains. Due to various considerations, I decided to return to Taiwan for treatment and am currently i...
Dr. Lin Jiayong Reply:
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted. It is advised to maintain oral hygiene and prevent any further infection or inflammation. After the isolation period, you should dis...[Read More] Managing Peri-implantitis: Tips for Patients During Quarantine
Understanding Failed Root Canal Treatment: Symptoms and Solutions
Retreatment of root canal therapy In November, I experienced pain in my right molar. An X-ray revealed the presence of an instrument inside the tooth along with inflammation, leading to a retreatment of the root canal. During the first visit, the instrument was removed. On the se...
Dr. Lin Jiayong Reply:
Hello: If there is persistent inflammation and swelling, it is advisable to return for follow-up to confirm the source of the infection. The success of the surgery needs to be corroborated by comparing pre-operative and post-operative X-rays; it cannot be concluded solely based o...[Read More] Understanding Failed Root Canal Treatment: Symptoms and Solutions
Dealing with Dental Implants: What to Do When Natural Teeth Fail
Natural teeth erupt after dental implants? After implanting one artificial root on the right side and two artificial roots on the left side of the lower jaw, and before the second surgery, the natural teeth in the front of the lower jaw have erupted. The doctor has recommended or...
Dr. Zeng Guanghui Reply:
To determine the cause of the eruption of the lower anterior teeth, it is necessary to assess whether it is due to periodontal disease or malocclusion. If it is periodontal disease, periodontal treatment should be undertaken. If it is due to pre-existing malocclusion, orthodontic...[Read More] Dealing with Dental Implants: What to Do When Natural Teeth Fail
Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Cavity in the upper left third molar? Hello, Doctor: I regularly visit the dentist for cleanings and have had issues with cavities for many years, with the upper left third molar being the most severe. Last year, the dentist suggested a root canal, but I refused because I have ne...
Dr. Zeng Guanghui Reply:
If the third molar has extensive decay, and there was a previous filling that has chipped off slightly, resulting in occasional sensitivity or pain, it is advisable to consult a dentist for an examination. An X-ray can be taken to assess the depth of the decay and determine wheth...[Read More] Understanding Tooth Decay: Insights on Root Canal Treatment for Molars
Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Gingival cyst Since June or July, I have been experiencing sudden pain in my teeth when chewing, as well as tenderness when pressure is applied. I have visited the dentist several times, and the doctor said there was no issue with my teeth. Due to other health concerns, I had an ...
Dr. Zeng Guanghui Reply:
There may be an infection and inflammation of the gums and periodontal tissues surrounding the teeth. It is recommended to consult a dentist for further examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Cysts: Causes, Symptoms, and Treatment Options
Can Resin Fillings Help with Tooth Sensitivity and Gum Recession?
Can dental sensitivity (gum recession) be treated with resin fillings? Hello, doctor. Recently, I had a toothache and visited a clinic where the dentist assessed that I had tooth sensitivity in my first premolar and suggested filling the sensitive area (the receded gum part). Lat...
Dr. Lin Jiayong Reply:
Hello: The sensitivity symptoms caused by exposed tooth roots can indeed be managed by using certain polymer materials to cover them, thereby reducing the sensitivity of the roots to external stimuli. However, if the symptoms do not improve after the treatment, it is advisable to...[Read More] Can Resin Fillings Help with Tooth Sensitivity and Gum Recession?
Understanding Gum Pain After Dental Implants: Causes and Solutions
Gum swelling and pain? Hello Doctor, I would like to ask about an issue I have been experiencing. I had a dental prosthesis placed about a year ago (I can't remember the exact time), and I have been able to eat normally since then. However, for the past couple of days, I hav...
Dr. Zeng Guanghui Reply:
It is possible that the tooth receiving the dental prosthesis has periodontal disease or that the dental nerve itself is already inflamed. It is recommended to see a dentist promptly if symptoms persist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Gum Pain After Dental Implants: Causes and Solutions
Should Tooth Extraction and Periodontal Treatment Be Done Together?
Orthodontic extraction and periodontal treatment? Hello Dr. Tseng: Currently, the orthodontic plan includes the extraction of three wisdom teeth. However, last week, a periodontal assessment was conducted, and due to mild periodontal symptoms, periodontal treatment is needed (inc...
Dr. Zeng Guanghui Reply:
If the wisdom tooth that needs to be extracted has severe periodontal symptoms, including pericoronitis or the presence of abscesses, it is recommended to perform periodontal treatment first before extracting the wisdom tooth. If there is no improvement, both procedures can be do...[Read More] Should Tooth Extraction and Periodontal Treatment Be Done Together?
Bleeding Gums After Denture Fitting: Causes and Solutions
The gums around the dentures may bleed? Hello Dr. Tseng, In July, I started experiencing bleeding when using dental floss around the gums of my dentures. However, aside from the bleeding, there has been no redness or swelling, and this condition has persisted until today. Durin...
Dr. Zeng Guanghui Reply:
If the edges of the dentures and the junction with the gums are not cleaned properly, plaque can accumulate, leading to gum inflammation and bleeding. If bleeding persists after wearing dentures, it is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, D...[Read More] Bleeding Gums After Denture Fitting: Causes and Solutions
Understanding Oral Lumps: What Could Be Causing Your Symptoms?
There is a flexible tissue on the left side of the oral cavity? Hello Dr. Lin, a few days ago while I was licking the inside of my mouth, I noticed a piece of tissue (not sure if it's muscle) near the lower left close to the frenulum that feels hard and somewhat elastic when...
Dr. Lin Jiayong Reply:
Hello: The photo does not appear to show oral cancer, but rather a typical frenum. However, due to its location being too close to the upper edge, it may cause periodontal issues with adjacent teeth. It is recommended to seek active treatment at a hospital. Sincerely, Lin Chia-Yu...[Read More] Understanding Oral Lumps: What Could Be Causing Your Symptoms?
Temporary Solutions for Tooth Decay While Awaiting Dental Implants
Temporarily unable to get a dental filling and worried about continued decay of the tooth root? Several months ago, my upper right incisor's temporary crown fell off. After reviewing the CT scan, the dentist informed me that the tooth root was decayed to the point that even ...
Dr. Lin Jiayong Reply:
Hello: The method you mentioned in the second paragraph refers to root-end filling surgery combined with periodontal bone regeneration surgery. However, it is essential to consider the condition of the affected tooth and the surrounding destruction. After a thorough evaluation of...[Read More] Temporary Solutions for Tooth Decay While Awaiting Dental Implants
Is Biannual Teeth Cleaning Necessary? Effects of Skipping Dental Cleanings
Dental cleaning issues? Is it necessary to have a dental cleaning every six months? What impact does it have on the teeth of someone who has never had a dental cleaning?
Dr. Lin Jiayong Reply:
Hello: It is essential to remove dental calculus, as prolonged accumulation can lead to gingivitis and periodontal disease. Therefore, it is recommended to have a dental cleaning at least once every six months. Common issues during the first cleaning include bleeding, sensitivity...[Read More] Is Biannual Teeth Cleaning Necessary? Effects of Skipping Dental Cleanings
Understanding Gum Issues with New Dentures: Causes and Solutions
New dentures with gingival sulcus bruising? The location is the lower right second molar (periodontal health before treatment). After the initial placement of the prosthesis, there was discomfort in occlusion, leading to metal exposure and an unusual bite. Approximately three mon...
Dr. Zeng Guanghui Reply:
The gums feeling painful and inflamed after getting braces may be due to inadequate cleaning, an issue with the bite, or the edges of the braces pressing against the gums. It is advisable to return to the dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentist...[Read More] Understanding Gum Issues with New Dentures: Causes and Solutions
Concerns About Wisdom Tooth Extraction: Risks, Costs, and Anesthesia Options
The lower right wisdom tooth appears to have a cavity, and it has not fully erupted yet. I also have questions regarding general anesthesia for tooth extraction and related concerns? Excuse me, doctor. My wisdom teeth have mostly come in. Previously, I observed that my lower righ...
Dr. Lin Jiayong Reply:
Hello: Based on what you mentioned, you have a strong fear of dental visits. I strongly recommend that you go to the oral surgery department of a medical center for tooth extraction under general anesthesia, and express your desire to be hospitalized for observation post-surgery....[Read More] Concerns About Wisdom Tooth Extraction: Risks, Costs, and Anesthesia Options
Understanding Tooth Pain After Clenching: Causes and Solutions
The pain from clenching my teeth lasted for a week, but it suddenly improved? Hello Doctor: Last week, I accidentally bit down hard on my back molar, which caused some discomfort and slight pain when eating. I switched to a soft diet, but I don't have sensitivity to hot or c...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it seems to lean towards periodontal ligament inflammation, as there was improvement after resting. However, to determine if there are any cracks extending to the root, it is recommended to take X-rays for confirmation. Sincerely, Lin Chia-Yung, ...[Read More] Understanding Tooth Pain After Clenching: Causes and Solutions
Feeling Tight After Dental Filling: Causes and Solutions
After dental restoration, the bite feels tight? Hello Doctor, during my recent dental check-up, I discovered that I have a cavity in one of my molars, which needs to be filled. After the filling, I didn't feel much discomfort, and my bite seems normal. I don't feel anyt...
Dr. Qiu Qiongyao Reply:
Mr. Tsai: Hello, please return to the outpatient clinic for periodontal tissue cleaning and try using dental floss for further cleaning. Please have the doctor take care of it. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Feeling Tight After Dental Filling: Causes and Solutions
Understanding Gum Pain: Causes and Solutions for Nighttime Discomfort
Gum issues I'm not sure what's going on, but during the night, I gradually felt a soreness and slight pain in my lower right gum while sleeping. By the next morning, it became increasingly sore, but when I had breakfast and brushed my teeth, the lower right tooth itself...
Dr. Lin Jiayong Reply:
Hello: Sometimes, nighttime teeth grinding can cause tooth pain, which may also lead to discomfort in the gums and periodontal tissues. This usually alleviates gradually after waking up in the morning. It is advisable to consult a dentist for an actual examination to determine if...[Read More] Understanding Gum Pain: Causes and Solutions for Nighttime Discomfort