Teeth grinding, Dentistry FAQ

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...

Effective Solutions for Tooth Wear: Protecting Your Molars

Tooth wear Hello, doctor. My molars are worn down in the middle, and the outer edges are sharp. If I don't use sensitivity toothpaste, I feel uncomfortable, and biting down on hard food causes pain. I'm worried about further wear and the potential high costs involved. I...

Dr. Lin Jiayong Reply:
Hello: If you have a habit of nighttime teeth grinding or clenching due to stress, it is recommended to start using an occlusal splint along with muscle relaxants to alleviate physiological tooth wear. If you frequently consume acidic foods or have gastroesophageal reflux, it is ...

Understanding Tooth Pain and Mobility: Common Dental Concerns Explained

Toothache and tooth mobility issues? Hello Dr. Lin, I sometimes experience tooth pain, specifically in the lower right molar area. About a year ago, I visited a dentist, and after eating small foods (like sesame seeds), I would feel pain. An X-ray showed no issues, and there wer...

Dr. Lin Jiayong Reply:
Hello, considering your age and the situation you described, there is a high likelihood that it is caused by nocturnal bruxism and tension-related clenching (during relaxation, the upper and lower teeth do not make direct contact). I recommend consulting an oral surgeon for confi...

Understanding the Height of Temporary Dentures: Key Insights for Patients

The height of a temporary denture refers to its vertical dimension or how tall the denture is when placed in the mouth. This measurement is crucial for Hello Dr. Lin, I am having a temporary crown placed on my upper left molar. During the procedure, the dentist asked me if it fel...

Dr. Lin Jiayong Reply:
Hello: Ideally, there should be occlusal contacts on both sides of the teeth, with three occlusal contacts on each tooth. However, adjustments may be necessary based on the patient's individual dental alignment, presence of missing teeth, occlusal habits, and other factors. ...

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...

Persistent Tooth Sensitivity After Dental Filling: Solutions and Tips

Sensitivity in teeth after dental restoration? After filling the small cavity on the surface of the upper right last molar, I still experienced sensitivity to cold drinks a few months later. I returned to the dentist for a re-treatment, and the first three months were fine, but t...

Dr. Lin Jiayong Reply:
Hello: If you still feel discomfort after two rounds of retreatment, you may consider proceeding with root canal therapy to eliminate sensation in the tooth. However, current treatment methods are generally more conservative, so it is advisable to observe the situation first. Add...

Does Staying Up Late Worsen Your TMJ Disorder?

Staying up late and the temporomandibular joint (TMJ)? Hello, Doctor: 1. I have issues with temporomandibular joint (TMJ) disorder, and I tend to get very anxious, which often leads to insomnia and staying up late (even though I wear a bite splint). Will this worsen my TMJ condit...

Dr. Lin Jiayong Reply:
Hello: If you are already using an occlusal splint, the deterioration of the joints and teeth should be significantly slowed down. However, it is still advisable to identify the underlying causes of tension and teeth grinding, and to consider treatment with relaxation medications...

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...

Dealing with Pain from Lower Left Molars Scraping Tongue: Solutions and Insights

If the inner edge of the lower left molar is scraping against the base of the tongue and causing pain, what should be done? Hello Dr. Lin, I appreciate your help. I have been experiencing pain for the past two months due to the inner edges of my lower left first and second molars...

Dr. Lin Jiayong Reply:
Hello: 1. Yes, the edges can become sharp due to wear from years of chewing. 2. Yes, cavities are multifactorial and are not caused "solely" by grinding teeth. 3. Physically, one can use an occlusal splint or a silicone night guard to prevent teeth grinding, while chemi...

Concerns About Replacing Upper Front Teeth: Expert Advice Needed

Issues with dentures for the upper four incisors? As a child, I didn't like brushing my teeth, which led to severe cavities. By middle school, I had a total of four upper front teeth, two on each side, that underwent root canal treatment about 20-23 years ago. A significant ...

Dr. Lin Jiayong Reply:
Hello: Because your description is not very clear, and the issues are quite detailed and complex, I suggest that you consult with a dentist who has actually examined your dental condition for clarification. From your description, it seems that you have seen at least three dentist...

Understanding Jaw Joint Cartilage Wear and Its Impact on Dental Health

Cartilage wear in the temporomandibular joint (TMJ) of the left and right mandible? I don't know when it started, but for at least a few years now, I've been experiencing a clicking sensation in my cheeks when I open and close my mouth. Recently, I've noticed that ...

Dr. Lin Jiayong Reply:
Hello: Based on what you have described, the fundamental issue lies with the cartilage of the temporomandibular joint (TMJ). It is recommended that you first visit a larger medical center to consult with an oral surgeon regarding the joint issue, after which you can proceed with ...

Understanding Teeth Grinding and Dental Fillings: Pain and Anesthesia Insights

Grinding teeth and dental fillings? I am currently studying in Canada, and due to grinding my teeth while sleeping, I have worn down the filling in my right back tooth. The dentist here administered a local anesthetic before repairing my tooth. Initially, I only experienced soren...

Dr. Zeng Guanghui Reply:
Hello Mr. Bang, 1. If there is sensitivity or pain in the tooth that has been filled, local anesthesia can be considered before the procedure to help alleviate discomfort during the filling process. 2. Cheek pain is mostly related to long-term nighttime bruxism, which causes ten...

Why Do I Bite My Cheek While Sleeping? Causes and Solutions

Biting the inner lining of the mouth during sleep? Hello Doctor: Recently, I have been experiencing sudden episodes of biting the inside of my mouth while lying flat in my sleep, which wakes me up in pain. This has happened several consecutive mornings just before waking up. Coul...

Dr. Lin Jiayong Reply:
Hello: If the nighttime teeth grinding issue is solely caused by emotional tension, a combination of an occlusal splint and muscle relaxants can be used for treatment. If there is a condition of autonomic nervous system dysfunction, it is recommended to consult a neurologist for ...

Choosing Durable Dental Bridge Materials: Expert Recommendations for Long-lasting Solutions

When selecting materials for a posterior dental bridge, several factors should be considered, including strength, aesthetics, and biocompatibility. Common materials include: 1. **Porcelain-fused-to-metal (PFM)**: This option provides good strength and aesthetics, making it suita...

Dr. Lin Jiayong Reply:
Hello: If there is a strong bite force and a habit of teeth grinding, it is recommended to use metal crowns or bridges with a higher gold content. Additionally, a night guard can be used to protect the joints and muscles. Thank you!

Should You File Down Uneven Teeth? Expert Insights on Dental Health

Follow-up question #151861: Tooth wear? Dear Dr. Lin, Thank you very much for your personal response regarding the article "<a href='https://adoctor.tw/article/151861'>#151861 Teeth Grinding</a>". You mentioned that one can ask a dentist to smooth...

Dr. Lin Jiayong Reply:
Hello: 1. If there are cracks in the tooth, it is still recommended to have it filled; otherwise, the biting force will be transmitted from the crack to the entire tooth, which may increase the risk of the whole tooth fracturing and necessitating extraction. 2. If you strongly pr...

Can Infected Tooth Nerves Spread to Nearby Facial Nerves?

Can dental nerve infection spread to healthy nerves? 1. Hello, doctor. Two years ago, I had a tooth with a crack. I received a crown without root canal treatment. After 3-4 weeks, I discovered that the nerve of that tooth had died. Now, that tooth has been extracted and I am prep...

Dr. Lin Jiayong Reply:
1. If a bacterial infection reaches the nasal cavity or even the orbit, you may experience quite severe and intense symptoms, such as fever and facial swelling that is disproportionate. If you do not have these symptoms, there is no need to worry excessively. 2. The National Heal...

Understanding Clicking Sounds in the Jaw: When to Seek Further Dental Care

There is a crackling sound in the temporomandibular joint during chewing? I started noticing a clicking sound in my right temporomandibular joint (TMJ) when eating about two years ago. The left side does not make any noise. I went to the TMJ department at Taipei Medical Universit...

Dr. Zeng Guanghui Reply:
If there is a persistent sound in the right temporomandibular joint during chewing, it is recommended to have regular follow-up appointments.

Understanding Jaw Pain: Causes and Solutions for Teeth Grinding Issues

Temporomandibular joint pain? Hello Doctor, I have a problem with nighttime bruxism, so I started wearing an occlusal splint about a year ago. After wearing it for about six to seven months, I began to experience a clicking sensation in one of my temporomandibular joints (TMJ)....

Dr. Huang Tingfang Reply:
Dear Ms. Aye, Hello! As mentioned, although you are very young, you are experiencing severe teeth grinding, and the vertical dimension of your occlusion is too low, resulting in increased bite force. You will need occlusal reconstruction, and the occlusal splint for treatment ne...

Can a Dental Splint Help with Daytime Teeth Grinding?

Can a bite splint be used for daytime teeth grinding? Hello Dr. Zhu, I tend to clench my teeth during the day. Although I keep reminding myself to relax, it's still difficult. I'm wondering if a bite guard would be helpful? Is there any health insurance coverage for it?...

Dr. Zhu Guanyu Reply:
Hello, whether a bite splint needs to be made requires further clinical examination. Our dental department provides bite splint treatment and applies for health insurance reimbursement as a special project. Thank you for your message! Wishing you safety and health. Sincerely, Dr....

Understanding Nighttime Teeth Grinding: When to See a Dentist

Nighttime bruxism I grind my teeth while sleeping (sometimes it's rhythmic and quite loud), and it seems that the areas where I've had dental work done have been worn down (this has happened twice already). Should I see a doctor for this? If so, should I see an oral sur...

Dr. Huang Tingfang Reply:
Dear Ms. NiuNiu, Hello! Nighttime teeth grinding, also known as bruxism, is a complex issue that may be related to genetics, high stress levels, poor sleep quality, and frequent dreaming. If it becomes severe, it can lead to tooth wear and may require root canal treatment. Pleas...

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