Periodontal, Dentistry FAQ - Page 9

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Understanding Canine Teeth Pressure and Its Impact on Dental Health

Dental issues 1. Can canine teeth exert pressure on other teeth? (Because I've been feeling a tight sensation in the teeth beneath my canine teeth these past few days.) If they do exert pressure, would orthodontic treatment be necessary? 2. If there is an unconscious tende...


Dr. Lin Jiayong Reply:
Hello: 1. It is uncertain about your condition; I recommend accompanying an X-ray to discuss whether orthodontic treatment is necessary. 2. Yes, common occlusal issues can lead to inflammation and swelling of the periodontal ligaments, which may further progress to periodontal di...

[Read More] Understanding Canine Teeth Pressure and Its Impact on Dental Health


Understanding Nighttime Tooth Pain: Causes and Solutions

Nighttime teeth grinding can cause jaw pain? Hello, Dentist. Yesterday, while staying up late, I suddenly experienced occlusal pain in all my teeth. After a while, it became localized to only the lower right teeth when biting down, and there was no pain when not biting. Occasiona...


Dr. Lin Jiayong Reply:
Hello: 1. Yes. 2. Possibly. However, I advise against intentionally wiggling your teeth, as you already have a habit of clenching, which puts significant stress on your teeth. Avoid applying unnecessary external force to them. 3. It is recommended to either pay out of pocket or v...

[Read More] Understanding Nighttime Tooth Pain: Causes and Solutions


Bridge vs. Implant: Which is Best for Gum Recession?

Dental bridge or dental implant issues? I would like to ask about my lower front tooth, which has experienced gum recession and has started to become loose, with inflammation in the gums. Should I consider dental implants or a dental bridge? The doctor mentioned that if I proceed...


Dr. Zeng Guanghui Reply:
To assess the condition of periodontal destruction, if there is severe resorption of the alveolar bone making it impossible to retain the tooth, options such as a dental bridge or dental implant can be considered after tooth extraction. It is advisable to consult with a dentist t...

[Read More] Bridge vs. Implant: Which is Best for Gum Recession?


Dealing with Loose Dentures: What to Do When Your Dental Work Fails

Denture issues Three teeth in the back on the right side were fused together, but one of them became loose after a year. What should I do about the one closer to the back? It seems like if the dentures are removed, they need to be redone, which is quite troubling. Additionally, i...


Dr. Zeng Guanghui Reply:
If the last of the three fixed prosthetic teeth becomes loose, it may be due to internal tooth structure decay within the crown or the tooth itself becoming loose due to periodontal disease. It is recommended to return for a consultation with a dentist for diagnosis and to determ...

[Read More] Dealing with Loose Dentures: What to Do When Your Dental Work Fails


Understanding Gum Pain: Is Your Wisdom Tooth to Blame?

Gum swelling and pain? Hello, doctor. I have pain in both the upper and lower gums on the left side, and I also feel pain while chewing. The pain worsens in the evening, but it improves after a night's sleep. I also experience pain when pressing on the left tonsil. My lower ...


Dr. Zeng Guanghui Reply:
It may be discomfort caused by gum inflammation or inflammation of the soft tissue surrounding the wisdom tooth crown. It is recommended that if there is persistent pain, you should consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Ho...

[Read More] Understanding Gum Pain: Is Your Wisdom Tooth to Blame?


Can’t Reach Gums with Dental Floss? Here’s What to Do Next!

Dental floss does not reach the gum line? Hello Dr. Lin, I went to the dentist for gum pain, and the doctor said it was due to a cavity and filled it. After the filling, my gums no longer hurt, but I can't reach my gums at all with dental floss!!! I'm really worried abo...


Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the same clinic for the dentist to re-evaluate the condition of the filling at the adjacent surface. This is important because dental floss must be able to pass through to ensure periodontal health. Sincerely, Lin Chia-Yung, Department of Den...

[Read More] Can’t Reach Gums with Dental Floss? Here’s What to Do Next!


Understanding Wider Gaps Between Teeth: Causes and Concerns

Widening of the interdental spaces? Hello Doctor, I recently noticed that the gap between my upper right third molar and the adjacent tooth seems to have increased while using dental floss (the gum between the two teeth also appears to be higher, but I'm not sure). However, ...


Dr. Lin Jiayong Reply:
Hello: As we age, it is indeed common to experience alveolar bone loss, gum recession, and widening of the spaces between teeth. However, if there are systemic diseases (such as diabetes or autoimmune diseases), there is a possibility of localized juvenile periodontitis in the ar...

[Read More] Understanding Wider Gaps Between Teeth: Causes and Concerns


Understanding Gum Bleeding: Is It Linked to Jaw Issues and Stress?

Bleeding while brushing teeth? Hello Doctor, I am 24 years old. About two years ago, I experienced an acute inflammation of the temporomandibular joint (TMJ), which made my entire jaw very uncomfortable, although I could still open my mouth partially. Since then, I have become aw...


Dr. Lin Jiayong Reply:
Hello: I recommend that you seek treatment at a larger medical center (such as National Taiwan University Hospital or Veterans General Hospital) for a multidisciplinary approach. Start with the fundamental treatment of the temporomandibular joint (TMJ), followed by intervention f...

[Read More] Understanding Gum Bleeding: Is It Linked to Jaw Issues and Stress?


Is Microsurgery the Only Option for Incomplete Root Canals?

If the root canal treatment does not reach the apex, is it necessary to perform a microscopic root canal procedure? After experiencing tooth decay in my molars in 2019, I underwent root canal treatment and received a crown at a certain clinic. After the crown was placed, I still ...


Dr. Lin Jiayong Reply:
Hello: It is recommended that you return to the original clinic (the one where you had the root canal and dentures done) and have the original dentist address your concerns until you are satisfied with the outcome. If the clinic is unable to resolve the issue, please request a re...

[Read More] Is Microsurgery the Only Option for Incomplete Root Canals?


Understanding Post-Root Canal Pain: Causes and Concerns After Six Months

Pain occurring six months after root canal treatment? Hello Doctor, After undergoing root canal treatment on my front tooth, the dentist assessed that the tooth structure is sufficient and that I do not need a crown (only a post will suffice). I was scheduled to have the post p...


Dr. Lin Jiayong Reply:
Hello: 1. If the tooth has already undergone root canal treatment, the pain from a fracture should not present as pulpitis. Common signs usually include deep and narrow periodontal pockets and gingival swelling. 2. Anterior teeth rarely experience root canal failure because they ...

[Read More] Understanding Post-Root Canal Pain: Causes and Concerns After Six Months


Understanding Persistent Gum Issues After Herpes and Inflammation

After gingivitis (gingival herpes), it is suspected that there has not been a complete recovery? Hello Dr. Tseng, Attached is Image 1 (when I had gingival herpes in April): https://i.imgur.com/E2pGaes.jpg and Image 2 (after recovery, it turned dark red): https://i.imgur.com/4HG...


Dr. Zeng Guanghui Reply:
If it is herpetic gingivostomatitis, although the inflammation of the gums may improve, the herpes virus can sometimes remain latent and reactivate. It is recommended that if there are recurrent episodes of gum inflammation, one should consult an oral surgeon or an oral pathologi...

[Read More] Understanding Persistent Gum Issues After Herpes and Inflammation


Swollen Gums Without Pain: Causes and Remedies Explained

Swollen gums but no pain? Recently, I'm not sure if it's due to staying up late or something else, but one area of my gums has swollen for no apparent reason, although it doesn't hurt. When I press on the gum, it bleeds. Could this be due to excessive heat in the b...


Dr. Lin Jiayong Reply:
Hello: Acute gingivitis is usually a localized bacterial infection, and it is essential to identify the underlying cause of the bacterial infection. If it is simply due to inadequate periodontal hygiene, then aggressive cleaning is sufficient. However, if there are concurrent pul...

[Read More] Swollen Gums Without Pain: Causes and Remedies Explained


Understanding Post-Herpetic Gingivitis: Black Ring Around Gums Explained

After recovering from gingivitis/herpetic gingivostomatitis, there is a persistent dark ring around the gums? Hello Dr. Lin, at the end of April, I visited a doctor because the gums around my lower right molar appeared to have a ring that looked like it was broken. During the ini...


Dr. Lin Jiayong Reply:
Hello: The photo does not appear to show gingivitis. It is recommended to consult a periodontist to address the pocket issue. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

[Read More] Understanding Post-Herpetic Gingivitis: Black Ring Around Gums Explained


Understanding Gum Recession: Causes, Concerns, and Care Tips

Gum recession Since childhood, my dental condition has not been very good, and I often have cavities. In 2018, I had a gum abscess, and when I saw a doctor, they only punctured the abscess and prescribed medication. Later, I began to notice that my gums were gradually receding (w...


Dr. Zeng Guanghui Reply:
(1) Chronic gingivitis can lead to gum recession, while injury or inflammation of the periodontal ligament, or excessive occlusal forces, can result in tooth mobility. (2) For young individuals, gum recession is often caused by long-term chronic inflammation of the gums or improp...

[Read More] Understanding Gum Recession: Causes, Concerns, and Care Tips


Understanding Tooth Pain: Causes and Solutions for Dental Discomfort

Dental issues In the past few days, I've experienced pain in my teeth when biting down on harder foods, or when clenching my teeth. I also feel pain when tapping my teeth, but I don't experience any discomfort at other times. I'm not sure if this is caused by stayi...


Dr. Zeng Guanghui Reply:
If you frequently bite down on hard objects, it can subject your teeth to excessive occlusal forces, leading to inflammation of the periodontal ligament. If you avoid biting hard items, your condition should gradually return to normal. However, if symptoms persist, you should con...

[Read More] Understanding Tooth Pain: Causes and Solutions for Dental Discomfort


How to Stabilize Loose Teeth After Acute Periodontitis Treatment

Tooth mobility following acute periodontitis? Hello, doctor. I do not have a history of periodontal disease, but last month I developed acute periodontitis due to lack of sleep. It has been 2-3 weeks without improvement, and finally, my dentist performed a flap surgery to clean t...


Dr. Zeng Guanghui Reply:
If there is still tooth mobility after periodontal cleaning through scaling and root planing, it is recommended to return for an evaluation by a dentist to determine if further periodontal surgery is necessary. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] How to Stabilize Loose Teeth After Acute Periodontitis Treatment


Impact of Root Canal Treatment on Periodontal Ligament Health

Periodontal ligament and root canal treatment? Will root canal treatment affect the periodontal ligament? Is a tooth after root canal still considered a vital tooth?


Dr. Zeng Guanghui Reply:
1. If root canal treatment does not completely resolve apical periodontitis, the periodontal ligament may still exhibit signs of inflammation. 2. Teeth that have undergone root canal treatment lose vitality and become more fragile; it is advisable to place a crown for better prot...

[Read More] Impact of Root Canal Treatment on Periodontal Ligament Health


Understanding Tooth Pain: Is It Wisdom Teeth or Something Else?

Unclear symptoms? Hello, doctor. Recently, I've been experiencing pain in my upper and lower right teeth when biting down on harder foods. Today, I visited the dentist, who took X-rays and suggested that it might be due to an emerging wisdom tooth or a previous filling that ...


Dr. Lin Jiayong Reply:
Hello: Given your age and the described condition, a common cause is significant stress from studying and exams, leading to teeth clenching or even nighttime bruxism, which can result in excessive force on the teeth and subsequent pulpitis. Typically, using a bite guard in conjun...

[Read More] Understanding Tooth Pain: Is It Wisdom Teeth or Something Else?


Is Bleeding After Dental Cleaning Normal? What You Need to Know

Bleeding after dental cleaning is common? Hello, I would like to ask about my first dental cleaning. Is it normal to experience bleeding the day after the cleaning? Sometimes I notice bleeding when eating, and I wake up with blood in my saliva, feeling like I'm bleeding cons...


Dr. Lin Jiayong Reply:
Hello: If there are no underlying blood disorders (such as hemophilia, poor coagulation function, or liver dysfunction) causing continuous bleeding, it is common for patients who have not had dental cleanings for an extended period to experience chronic gingivitis or even periodo...

[Read More] Is Bleeding After Dental Cleaning Normal? What You Need to Know


Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues

What are the causes of gum swelling? Hello, doctor. I have issues with teeth grinding and temporomandibular joint (TMJ) dysfunction. Recently, due to increased work stress, I have been experiencing discomfort in my TMJ and pain in the occlusion of my upper left molars. After an e...


Dr. Lin Jiayong Reply:
Hello: Gum swelling is usually due to gingival inflammation, which can have various causes. Common causes include bacterial infections resulting from periodontal disease or pulpitis. Malocclusion leading to tooth injury is also a possibility. It is advisable to consult a physicia...

[Read More] Can Misaligned Bite Cause Gum Swelling? Understanding Dental Issues


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