TMJ Issues: Seeking Advice on Pain and Treatment Options
Temporomandibular joint consultation inquiry? Hello, Doctor: I have a pre-existing temporomandibular joint (TMJ) issue, where my mouth opens with a right deviation. Recently, it has suddenly worsened; my mouth gets stuck after opening just 2 centimeters. I can force it open, but ...
Dr. Lin Jiayong Reply:
Hello: The treatment with occlusal splints mainly alleviates symptoms and cannot completely eliminate the underlying cause. If the hospital has already made arrangements, it is advisable to undergo an MRI to confirm the actual condition. If discomfort persists, you may consult yo...[Read More] TMJ Issues: Seeking Advice on Pain and Treatment Options
Persistent Pain in Lower Teeth: Possible Causes and Solutions
Lower tooth pain? I have pain in my lower teeth (from the front teeth to the back on the right side). I visited a dentist for the first time (at a clinic near my school), and the doctor said I had gum inflammation and performed a dental cleaning. On my second visit (to a clinic n...
Dr. Zeng Guanghui Reply:
It is recommended that if dental issues are ruled out, one should consider whether there are problems with the temporomandibular joint (TMJ), facial nerve, or trigeminal nerve. It may be advisable to consult an oral surgeon for further evaluation. Director Tseng Guang-Hui, Depart...[Read More] Persistent Pain in Lower Teeth: Possible Causes and Solutions
Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Pain in the gingival mucosa? I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist. I have pain in my gums that feels like nerve pain in my teeth, and I'm not sure if it's due to gum swelling. I can't eat anything becaus...
Dr. Zeng Guanghui Reply:
First, check for any inflammation or abscess in the gums. If the gums appear normal but there is still pain, consider the possibility of facial muscle pain or temporomandibular joint (TMJ) issues. If there are no problems in these areas, it may be related to facial nerve or trige...[Read More] Understanding Gum Pain: Is It Nerve Inflammation or Something Else?
Understanding Temporomandibular Joint Issues: Causes and Treatment Options
Temporomandibular joint issues? Hello Dr. Tseng, I would like to ask you about an issue I've had. A few years ago, I frequently experienced temporomandibular joint (TMJ) pain, but it has decreased in recent years. I previously consulted an otolaryngologist, and the treatment...
Dr. Zeng Guanghui Reply:
If the clicking sound persists, it may indicate that the cartilage in the temporomandibular joint is continuously being worn down. It is advisable to consult a dentist or oral surgeon for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Temporomandibular Joint Issues: Causes and Treatment Options
Potential Toxicity Concerns of Dental Splints: What You Need to Know
The toxicity of occlusal splints? Hello, Doctor. I am currently experiencing issues with temporomandibular joint (TMJ) dysfunction and have been using an occlusal splint for treatment. However, during a previous adjustment of the splint at the hospital, the doctor heated and mold...
Dr. Lin Jiayong Reply:
Hello: The material of the occlusal splint is acrylic resin, which contains toxic organic monomers in its uncured liquid form. However, due to the low concentration and relatively mild toxicity, most individuals can tolerate it. (Modern dentistry has a history of nearly 300 years...[Read More] Potential Toxicity Concerns of Dental Splints: What You Need to Know
Understanding Temporomandibular Joint Issues: Symptoms and Treatment Options
Suspected temporomandibular joint (TMJ) disorder? Hello, doctor. I have experienced temporomandibular joint (TMJ) pain for several years, but it has improved in recent years. In the past, when I had pain, I would visit an otolaryngology clinic. Two months ago, I suddenly noticed ...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it seems more like joint inflammation rather than a dislocation. If you are in Taipei City, I recommend visiting the special clinic for temporomandibular joint disorders at National Taiwan University Hospital's dental department. Sincerely, ...[Read More] Understanding Temporomandibular Joint Issues: Symptoms and Treatment Options
TMJ Issues and Orthodontics: Can You Proceed with Braces?
Temporomandibular joint issues and orthodontics? Hello, I recently visited a clinic for a consultation regarding orthodontic treatment. However, the orthodontist mentioned that my temporomandibular joint (TMJ) issues are causing my bite to vary with each occlusion. They recommend...
Dr. Lin Jiayong Reply:
Hello, it is recommended to consult a medical center that has both "oral surgery" and "orthodontics." It is advisable to receive treatment at the same medical center to facilitate any potential involvement of an oral surgeon during the orthodontic treatment pr...[Read More] TMJ Issues and Orthodontics: Can You Proceed with Braces?
Managing Cheek Biting: Dental Care for TMJ and Oral Wounds
Biting the inside of the cheek? Hello, Dentist. I previously inquired about my temporomandibular joint issues. I am trying to be mindful of not clenching my teeth, so I consciously keep my mouth slightly open. However, I often accidentally bite my cheek while talking or eating, a...
Dr. Lin Jiayong Reply:
Hello: 1. Yes. 2. It is recommended to apply the medication and avoid scratching or peeling to prevent infection. 3. Yes, but apply a maximum of three times a day; do not use in excess. Regards, Dr. Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and...[Read More] Managing Cheek Biting: Dental Care for TMJ and Oral Wounds
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
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?
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...[Read More] Does Staying Up Late Worsen Your TMJ Disorder?
Understanding Temporomandibular Joint Issues: Symptoms and Solutions
Temporomandibular joint issues? Hello doctor, sometimes when I wake up, my face feels uncomfortable, but I can't pinpoint the exact area of discomfort. My boyfriend says I grind my teeth while sleeping (not bruxism), and I've noticed a line on both sides of the inside o...
Dr. Lin Jiayong Reply:
Hello: Based on your description, it is recommended to take muscle relaxants in conjunction with a hard occlusal splint for treatment, and to conduct long-term follow-up to monitor the condition of the joints and tooth wear. If there is still no improvement, further assistance fr...[Read More] Understanding Temporomandibular Joint Issues: Symptoms and Solutions
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
Managing TMJ Pain and Dental Issues: Tips for Relief Before Your Appointment
Temporomandibular joint (TMJ) About a month ago, I experienced pain from a cavity in my upper left tooth, and I underwent root canal treatment. Approximately twelve days ago, while brushing my teeth, my jaw made a popping sound and was very painful, but I didn't pay much att...
Dr. Lin Jiayong Reply:
Hello: If you are very concerned about temporomandibular joint dislocation or malposition, or even a fracture of the mandible, it is advisable to consult an oral and maxillofacial surgeon or an orthopedic specialist for an examination and to obtain imaging confirmation. Dental cl...[Read More] Managing TMJ Pain and Dental Issues: Tips for Relief Before Your Appointment
Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues
Hearing a popping or crackling sound in the ear throughout the day? In February of this year, I started wearing foam earplugs every night for over a month due to noise sensitivity. One night, I forgot to wear them and heard a clicking sound (only in the right ear, on the side wit...
Dr. Lin Jiayong Reply:
Hello: If it is confirmed that the issue is related to temporomandibular joint dysfunction and malocclusion, it is recommended that you consult an oral surgeon at a medical center for a solution. Mild interventions may include joint irrigation, PRP injections, or Michigan occlusa...[Read More] Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues
Managing Multiple Missing Front Teeth: Options and Considerations
Four upper front teeth are missing at once? I am currently preparing for a second root canal treatment, as the fillings from many years ago are extensive, and I am concerned about the viability of my teeth. If I have two missing front teeth on both the left and right sides of my ...
Dr. Lin Jiayong Reply:
Hello: 1. You have already prepared for two root canal treatments, so please maintain confidence and optimism for a successful outcome. If it unfortunately fails and extraction becomes necessary, we will need to assess the healing condition of the site before discussing treatment...[Read More] Managing Multiple Missing Front Teeth: Options and Considerations
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...[Read More] Concerns About Replacing Upper Front Teeth: Expert Advice Needed
Jaw Pain and Misalignment: Understanding TMJ Issues and Wisdom Teeth
Issues related to mandibular pain and malocclusion? Hello, doctor. Recently, I've been experiencing soreness in my lower jaw and temporomandibular joint (TMJ). I've been trying hard to relax and haven't been eating very hard foods (I generally prefer soft foods). T...
Dr. Huang Tingfang Reply:
Dear Miss Qiao Qiao, Hello! If the wisdom teeth are horizontally impacted, they need to be extracted. If they cause pain, they should also be removed! Malocclusion is related to the temporomandibular joint (TMJ) as well. Sometimes, grinding your teeth during sleep can significan...[Read More] Jaw Pain and Misalignment: Understanding TMJ Issues and Wisdom Teeth
Understanding Tongue Pain and Sensitivity After Dental Crown Placement
Numbness of the tongue, tongue pain, and dental sensitivity? About two months ago, I got a dental crown, and since then, I have been experiencing pain in my tongue, along with redness, swelling, and numbness. The roots on both sides of my tongue hurt, and my gums feel swollen and...
Dr. Lin Jiayong Reply:
Hello: Since I'm not very clear on what a tongue cap is, I suggest that you first communicate with the clinic and the physician who provided the original treatment. Additionally, considering your age, there may be endocrine changes or systemic immune system conditions. It wo...[Read More] Understanding Tongue Pain and Sensitivity After Dental Crown Placement
Understanding TMJ Disorders: Treatment Options Before Orthodontics
Temporomandibular joint disorder (TMJ disorder) Hello Doctor, I have a temporomandibular joint (TMJ) disorder with audible sounds, and I can only fit three fingers in my mouth. This has been an issue for over ten years, starting after a cold during college. I have a need for orth...
Dr. Huang Tingfang Reply:
Dear Mr. Zhang, Hello! Essentially, any movement during an X-ray can affect the clarity of the image, which in turn can impact the diagnosis. It is important to ensure the stability of the temporomandibular joint before proceeding with any corrections. Wishing you all the best! ...[Read More] Understanding TMJ Disorders: Treatment Options Before Orthodontics