Permanent teeth, Dentistry FAQ

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Understanding Tooth Loss: Can Wisdom Teeth Compensate for Missing Molars?

Tooth loss issues? I had to have my lower right second molar extracted due to certain factors, and that area along with my wisdom tooth is now missing. The dentist mentioned that there was a possibility that the corresponding upper right molar might grow out more after the extrac...


Dr. Lin Jiayong Reply:
Hello: Normal permanent teeth cannot erupt and completely fall out solely due to natural growth. Whether wisdom teeth can replace the molars in front depends on clinical conditions, including their shape and position, among other factors.

[Read More] Understanding Tooth Loss: Can Wisdom Teeth Compensate for Missing Molars?


Understanding Tooth Pain After Filling: Causes and Solutions

Tooth pain after dental filling? During my dental cleaning and X-ray, some cavities were discovered, with two being close to the nerve. The dentist mentioned that after filling, there shouldn't be any pain, so root canal treatment wouldn't be necessary. Initially, the g...


Dr. Lin Jiayong Reply:
Hello: 1. You may want to ask if the tooth had these symptoms before the dental filling and cleaning. If there were already symptoms of sensitivity to cold and pain, it is advisable to observe for about six months. 2. After the dental tissue in the cavity area is prepared, the to...

[Read More] Understanding Tooth Pain After Filling: Causes and Solutions


Should You Pull Your Child's Loose Baby Teeth or Let Them Fall Out Naturally?

Pediatric Dentistry - Should a child's loose primary teeth be extracted? Hello Dr. Chiu, I have a question regarding my child who is about 6 years and 8 months old. Recently, while brushing his teeth, he mentioned that his teeth feel loose. Is it a sign that his primary te...


Dr. Qiu Qiongyao Reply:
Hello, if primary teeth are positioned correctly, they will naturally fall out. However, if they are misaligned, the primary teeth will not fall out on their own and will need to be extracted at a dental clinic to prevent crowding or tilting of the permanent teeth, which may requ...

[Read More] Should You Pull Your Child's Loose Baby Teeth or Let Them Fall Out Naturally?


Should My Child Get a Crown for Cavities in Baby Teeth?

Direct placement of crowns on decayed primary teeth? My daughter is currently 5 years and 7 months old. An X-ray revealed cavities in her molars, and the doctor mentioned that since the decay is from the side, there is a high chance that a root canal will be necessary. The doctor...


Dr. Qiu Qiongyao Reply:
Dear Miss Rong: Hello, in response to your inquiry, please find the following information: 1. It is advisable to consult another dental office to understand the situation better before making a decision. 2. Theoretically, if there is no swelling or pain in the teeth and it i...

[Read More] Should My Child Get a Crown for Cavities in Baby Teeth?


Addressing Tooth Loss in Children: Common Concerns and Solutions

Tooth loss in children? Hello, doctor. My child is 12 years old, and he has two missing permanent teeth in the lower front row. There is one baby tooth in the lower front row that has not fallen out yet, and currently, one molar is erupting (lower right). 1. Should we wait unti...


Dr. Zeng Guanghui Reply:
1. The four permanent molars should fully erupt around the age of 6 to 7 years. If one is delayed until the age of 12, it is advisable to consult a dentist for an examination. 2. If there are no gaps between the lower teeth but the permanent teeth have not fully erupted, this i...

[Read More] Addressing Tooth Loss in Children: Common Concerns and Solutions


Managing Dental Injuries in Children: What to Do When Baby Teeth Are Damaged

Child's front tooth trauma? Hello Doctor: I would like to ask about my son, who is currently 3 and a half years old. He bumped his teeth at preschool, and his right front tooth (primary tooth) had a little bleeding. Later, he didn't complain of pain, but a few days late...


Dr. Qiu Qiongyao Reply:
Bella: Hello, in response to your inquiry, please see the following: 1. Please schedule an appointment with a pediatric dentist for further evaluation. 2. If the X-ray confirms a fracture, it will be necessary to address the pulp issues and the fractured tooth structure. If it af...

[Read More] Managing Dental Injuries in Children: What to Do When Baby Teeth Are Damaged


When to Seek a Second Opinion on Root Canal Treatment for Your Child

When to evaluate the need for nerve block? Hello Doctor: My son visited the dentist last week due to a toothache. The dentist suggested placing medication and observing for a week before deciding whether to simply fill the cavity or perform a root canal. Today, during the follow-...


Dr. Lin Jiayong Reply:
Hello: If the X-ray shows a significant lesion indicating pulp necrosis or irreversible pulpitis, it is advisable to perform a root canal treatment. If there are any doubts, it is recommended to consult 2-3 more dentists for a second opinion. The nerves of primary teeth and perma...

[Read More] When to Seek a Second Opinion on Root Canal Treatment for Your Child


Understanding Supernumerary Teeth: Is My Case Unique?

I would like to confirm if it is a case of supernumerary teeth? I have five lower front teeth, and currently, they do not affect my occlusion or other functions. All five have successfully transitioned to permanent teeth, although they slightly crowd the canines, which is not vis...


Dr. Lin Jiayong Reply:
Hello: To confirm the presence of supernumerary teeth, a full-mouth X-ray is required for verification, along with long-term observation and follow-up. If you are concerned about other tumors or hyperplastic tissues, it is advisable to visit a medical facility for an X-ray examin...

[Read More] Understanding Supernumerary Teeth: Is My Case Unique?


Understanding Supernumerary Teeth: Causes of Pain and Treatment Options

How long are the teeth beneath the permanent teeth? Hello Dr. Huang, In 2013, I experienced pain in the upper right back tooth, and a CT scan confirmed the presence of a supernumerary tooth located beneath the second molar (this supernumerary tooth is not a wisdom tooth, as my ...


Dr. Huang Tingfang Reply:
Dear Mr. Huang, Hello! Pain is fundamentally the most important indicator and is subjective in nature. From a physician's perspective, a thorough examination is necessary, including visual inspection, percussion, electrical testing, X-rays, and other objective assessments. ...

[Read More] Understanding Supernumerary Teeth: Causes of Pain and Treatment Options


Should You Correct Your Toddler's Reverse Bite? Expert Advice Inside

Should early childhood dental crossbite be corrected? Hello Doctor, my son just turned three years old, and we noticed that since he was two, his teeth are in a crossbite. When he closes his mouth, his lower teeth are positioned outside of the upper teeth. Neither my husband nor ...


Dr. Lin Jiayong Reply:
Hello: Due to the rapid and significant growth and development of infants and young children, there is no need for excessive concern. If there are no skeletal or other health issues, a three-year-old child does not require orthodontic treatment. It is recommended to have regular ...

[Read More] Should You Correct Your Toddler's Reverse Bite? Expert Advice Inside


Correcting Toddler Overbite: When to Start Orthodontic Treatment?

At what age can toddlers' biting behavior be corrected? Doctor, my child is 3 years old and has an overbite where the lower teeth are positioned in front of the upper front teeth. What should we do? Can it be corrected now, or should we wait until they are older and have the...


Dr. Zeng Guanghui Reply:
If there is a dental crossbite, it is advisable to seek an evaluation from a dentist or orthodontist as soon as possible to assess whether preventive orthodontic treatment is necessary.

[Read More] Correcting Toddler Overbite: When to Start Orthodontic Treatment?


How Long Does It Take for Permanent Teeth to Fully Erupt After Losing Baby Teeth?

The primary teeth have fallen out, and the permanent teeth have fully erupted? Hello, doctor. I would like to ask, my child's lower primary teeth have fallen out, and the permanent teeth have been partially erupted for about a month. How long does it usually take for them to...


Dr. Qiu Qiongyao Reply:
Hello Ms. Hu: Regarding the issue you raised, it varies from person to person, and having growths is considered normal. Hualien Hospital, Ministry of Health and Welfare, cares about you.

[Read More] How Long Does It Take for Permanent Teeth to Fully Erupt After Losing Baby Teeth?


Do Kids Need Retainers After Losing Permanent Teeth?

Do children need to wear a retainer after having their permanent teeth extracted? Hello, doctor: My 7-year-old child had a permanent tooth extracted. Does he need to have a spacer placed? The therapist at the dental center said that it is not necessary to place a spacer now and t...


Dr. Zeng Guanghui Reply:
A 7-year-old child typically has erupted their permanent incisors and permanent first molars. The "permanent teeth" mentioned after extraction likely refers to the primary molars. If the permanent premolars beneath the primary molars are close to erupting, a space maint...

[Read More] Do Kids Need Retainers After Losing Permanent Teeth?


Understanding Children's Tooth Replacement: Deep Roots and Calcium Concerns

Children's tooth replacement with non-resorbed roots? Hello, doctor. My child has currently lost 4 teeth, and each time a new tooth has emerged before the old one was removed; none of the teeth were loose. When the teeth were extracted, the doctor mentioned that the roots we...


Dr. Lin Jiayong Reply:
Hello: There are many reasons for the non-resorption of primary tooth roots, including environmental factors and genetics. If this situation occurs, it is important for you to regularly visit a healthcare facility for check-ups to prevent misalignment during the transition to per...

[Read More] Understanding Children's Tooth Replacement: Deep Roots and Calcium Concerns


Understanding Space Issues in Permanent Tooth Growth: Treatment Options Explained

Insufficient space for permanent teeth growth? The primary difference between the two orthodontic treatment options lies in the timing and approach to creating space for the permanent teeth. 1. **Waiting for Full Dentition Before Orthodontics**: This method involves allowing all...


Dr. Qiu Qiongyao Reply:
1. First, use a "palatal expander" to address the issue of insufficient space. 2. The palatal expander requires daily adjustments of the screw to widen the dental arch and must be custom-fitted using dental impressions. 3. Tooth extraction is currently not recommend...

[Read More] Understanding Space Issues in Permanent Tooth Growth: Treatment Options Explained


Should You Extract Baby Teeth or Start Orthodontics First?

Should tooth extraction be done before orthodontic treatment or vice versa? Hello, my child is in the fourth grade this year (she is relatively small for her age), but the teeth next to her upper front teeth have not yet fallen out (they are a bit loose). I initially wanted to ex...


Dr. Zeng Guanghui Reply:
The teeth next to the upper front teeth should be primary molars. If the erupted permanent first and second premolars have already pushed forward, localized orthodontic treatment can be performed first, followed by the extraction of the primary canine to minimize the risk of spac...

[Read More] Should You Extract Baby Teeth or Start Orthodontics First?


Managing Baby Tooth Loss: What to Do After a Fall

The primary incisor fell out due to a fall? My daughter is currently 2 years and 3 months old. Two days ago, she fell and knocked out her upper left front tooth along with the root. We went to the emergency room that day for an X-ray, and the break was very clean. The doctor ment...


Dr. Qiu Qiongyao Reply:
Please take them to the dentist for an evaluation and treatment in one month. If financially feasible, the necessary treatments should be carried out.

[Read More] Managing Baby Tooth Loss: What to Do After a Fall


Can Misplaced Canines Be Corrected? Dental Concerns Explained

The canine tooth is growing on the gums? Hello, my canine tooth is growing on the gum, positioned above the space between the second premolar and the first molar. The primary tooth that should have been replaced by the canine is still present, which is why it has erupted in the w...


Dr. Huang Zhicheng Reply:
Hello, based on the situation described, your canine teeth are positioned incorrectly due to the retention of primary teeth, causing the permanent teeth to grow and align improperly towards the buccal side. In this case, the primary teeth can be extracted, and orthodontic treatme...

[Read More] Can Misplaced Canines Be Corrected? Dental Concerns Explained


Concerns About Permanent Tooth Growth After Baby Tooth Injury

After a primary tooth is fractured, the permanent tooth has not erupted? Hello Dr. Tseng, my puppy is seven years old this year. Last autumn, while riding a bicycle, he had an accident that caused one of his upper incisors (primary tooth) to break (tooth 2.1) when it became loose...


Dr. Zeng Guanghui Reply:
In a car accident, two upper primary incisors were broken, with one primary incisor falling out. There is concern about the gum tissue growing in, but the other broken primary incisor has not yet developed its permanent successor. The adjacent primary tooth is also loose and has ...

[Read More] Concerns About Permanent Tooth Growth After Baby Tooth Injury


Dealing with Retained Baby Teeth: Concerns and Solutions for Adults

The primary teeth have not yet fallen out? Hello Doctor: I am 25 years old, and the tooth next to my front tooth is still a primary tooth. I have visited a dentist, and the doctor said that my primary tooth has become fixed, and the permanent tooth cannot push it down, so it has ...


Dr. Zeng Guanghui Reply:
1. In order for primary teeth to be replaced, the permanent tooth bud must continuously grow towards the occlusal surface, pushing against the roots of the primary teeth, causing root resorption and loosening of the primary teeth, which will then fall out, allowing the permanent ...

[Read More] Dealing with Retained Baby Teeth: Concerns and Solutions for Adults


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