Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Nerve necrosis Hello Doctor: For the past two days, I've been experiencing pain in the area where I had a filling done a month ago, to the point where I couldn't sleep even after taking four painkillers. I went to see a dentist the next day, and they tested my teeth wit...
Dr. Lin Jiayong Reply:
Hello: As you mentioned, root canal treatment has already begun. The part where the tooth is drilled needs to wait until the dentist has thoroughly cleaned the internal root canals before sealing it. For now, it can only be temporarily filled, so please use it with caution. This ...[Read More] Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Can Flap Surgery Cure Bad Breath from Periodontal Disease?
Halitosis due to periodontal disease? I have been troubled by this issue for a long time. I brush my teeth three times a day with an electric toothbrush, use dental floss, clean my tongue, and use mouthwash, but there has been no improvement. My family dentist said it is due to b...
Dr. Zeng Guanghui Reply:
If periodontal disease is severe and has resulted in a significant loss of alveolar bone, it is recommended to undergo flap surgery, and subsequent prognosis will require further evaluation by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Can Flap Surgery Cure Bad Breath from Periodontal Disease?
Do You Need to Replace Your Dental Crowns? Signs to Watch For
Do dentures need to be redone? Fourteen years ago, due to family pressure about the appearance of my two prominent front teeth, I had two dental crowns placed by an unlicensed dentist. Recently, I have been feeling that the crowns are somewhat loose (though I'm not entirely ...
Dr. Lin Jiayong Reply:
Hello: It has been 14 years since your dentures were made, and due to the gaps, it is advisable to have them redone. It is recommended that you visit a large hospital or medical center for better assurance. If you are in Taipei or New Taipei, you may consider going to National Ta...[Read More] Do You Need to Replace Your Dental Crowns? Signs to Watch For
Understanding Tooth Sensitivity After Filling Cavities: When to Seek Help
Filling a cavity in the front tooth? I went to the dentist on March 13 (Saturday) to get my front tooth cavity treated. The dentist said it was a cavity between the front teeth (in the back), so both teeth were filled, and the doctor left space for dental floss. However, I have n...
Dr. Qiu Qiongyao Reply:
Ms. Jane: Hello, it is recommended that you return for a follow-up examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Tooth Sensitivity After Filling Cavities: When to Seek Help
Understanding White Bumps Inside the Lip: Causes and Concerns
White bumps inside the lips? There is a small white bump, approximately 0.1 cm in size, located on the inner mucosa of the lower lip, close to the outer lip area. It is painless and there is no surrounding redness. Initially, I thought it was a canker sore, but after biting it, i...
Dr. Zeng Guanghui Reply:
A small white bump measuring 0.1 cm on the inner side of the lower lip may be a mucous cyst, possibly caused by inflammation of the lower lip mucosal salivary cyst or disrupted salivary secretion. It is recommended to consult a dentist for further examination. Dr. Tseng Guang-Hui...[Read More] Understanding White Bumps Inside the Lip: Causes and Concerns
Persistent Gum Pain: When Teeth Edge Into Gums and No Relief
The gums are constantly being irritated by the edges of the teeth? There is a gap between my gums and teeth that I can slightly push open with my tongue, but soon the teeth return to their original position, causing the edges of the teeth to press against the gums. This is not vi...
Dr. Lin Jiayong Reply:
Hello: If you have already seen two doctors and there are no abnormalities, it is advisable to shift your focus and not dwell on dental issues anymore. If you are still very concerned, please visit a nearby medical center and have an oral surgeon perform a facial CT scan for conf...[Read More] Persistent Gum Pain: When Teeth Edge Into Gums and No Relief
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...[Read More] Dealing with Pain from Lower Left Molars Scraping Tongue: Solutions and Insights
Understanding Pain and Potential Issues After Front Tooth Filling
Anterior tooth gap filling Hello, I had two cavities in my front teeth (in the middle between the back teeth) filled on March 13 (Saturday). The dentist left space for flossing, and my bite feels normal. I can use dental floss, but I have noticed that the gums between these two f...
Dr. Lin Jiayong Reply:
Hello: Based on what you mentioned, it is recommended that you return to your original clinic for the dentist to confirm whether this gingival hyperplasia is temporary or will persist for some time. Additionally, you should consider whether you can accept the condition of the gin...[Read More] Understanding Pain and Potential Issues After Front Tooth Filling
Understanding Oral Ulcers and Gum Swelling: Causes and Concerns
Oral ulcer with swollen gums? Hello, doctor. Let me clarify my condition. I had a cold with fever and sore throat for the past four days, and my appetite decreased. Just as I was recovering from the cold, I developed four white sores in my mouth. The tissue around my teeth looks ...
Dr. Lin Jiayong Reply:
Hello: It is normal for oral mucosal lesions to occur when the immune system is weak. It is recommended that you continue to observe this condition with your physician for about a month, and do not panic excessively. Sincerely, Dr. Lin Chia-Yung, Department of Dentistry, Taichung...[Read More] Understanding Oral Ulcers and Gum Swelling: Causes and Concerns
Understanding Hard Bumps Inside the Mouth: Causes and Concerns
Swelling inside the gums? Upon waking, I noticed a lump on the inside of my left cheek (the side near the tongue). It doesn't appear to be inflamed, feels hard when pressed, and is not directly adjacent to any teeth. Two months ago, I had my left impacted wisdom tooth extrac...
Dr. Lin Jiayong Reply:
Hello: If you are already taking antibiotics, there is less concern about acute bacterial infections or cellulitis (deep neck infections). However, it is still advisable to return to the original dentist for a detailed evaluation of the swelling's underlying cause. Sincerely...[Read More] Understanding Hard Bumps Inside the Mouth: Causes and Concerns
Managing Tongue Root Pain After Wisdom Tooth Extraction: What to Do?
The issue of a hole caused by injury to the adjacent tongue base after wisdom tooth extraction? Hello, Doctor! I had my wisdom teeth removed on February 16, and two days later, I noticed that the base of my tongue was very painful, so I went to see a doctor. The doctor mentioned ...
Dr. Lin Jiayong Reply:
Hello; applying an appropriate amount of oral ointment to the base of the tongue and the extraction site will not cause harm. Do not repeatedly poke the extraction site with cotton swabs or other sharp objects! Sincerely, Dr. Lin Chia-Yung, Department of Dentistry, Taichung Hospi...[Read More] Managing Tongue Root Pain After Wisdom Tooth Extraction: What to Do?
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
Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Tongue pain or discomfort? Hello, I would like to ask about my tongue, which often feels prickly and occasionally painful. The sides of my tongue, particularly the lower edges, and sometimes the tip have white spots that can expand over a day or two into a red center with a white...
Dr. Zeng Guanghui Reply:
Hello Chabesiel: It is likely that the recurrent inflammation of the tongue mucosa is caused by an immune system disorder. It is recommended to consult a dentist or an oral surgeon for further examination. Director Tseng Guang-Hui, Dental Department, Nantou Hospital.[Read More] Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Understanding Oral Health Issues: Tongue Sores and Mucosal Concerns
Oral issues. Tongue ulcer. Oral mucosa? Hello, Director: My grandmother has just turned 79 years old. Around November last year, she often felt a dryness in her mouth. I believe this is because she is afraid of frequently using the restroom, so she only drinks about 500 to 600 cc...
Dr. Zeng Guanghui Reply:
Hello Mr. Hsieh: In cases of dry mouth, it is easy for bacterial or fungal infections to occur. Additionally, if elderly individuals have chronic systemic diseases that lead to weakened immunity, this situation can recur. It is recommended to drink more water or use mouthwash, bu...[Read More] Understanding Oral Health Issues: Tongue Sores and Mucosal Concerns
Concerns About Residual Adhesive After Braces: What to Expect
Clean the coal tar from the dental braces? Hello, Doctor. I recently completed my orthodontic treatment and after having my braces removed, I noticed that there seems to be some residual adhesive on my canine tooth. It feels a bit hard when I touch it with my tongue, but overall,...
Dr. Lin Jiayong Reply:
Hello: If the adhesive between the braces and the teeth has been compromised, it will usually fall off naturally after some time. However, if you still experience a strong foreign body sensation, it is advisable to return to your original clinic for the dentist to clean it up aga...[Read More] Concerns About Residual Adhesive After Braces: What to Expect
Understanding Pain and Swelling Below the Nose After Root Canal Treatment
Pain and swelling around the area beneath the nostrils? Ten days ago, the doctor said that the tooth (the one next to the left front tooth) was necrotic and that the root canal procedure would not be painful. The doctor generally completed the procedure and scheduled a follow-up ...
Dr. Huang Tingfang Reply:
Dear Miss Ellie, Hello! As mentioned, it is possible that there are many bacteria within the tooth or that there is a lesion at the apex of the root, which is causing inflammation at the root tip. You will need to see a dentist for debridement, and that should lead to improvemen...[Read More] Understanding Pain and Swelling Below the Nose After Root Canal Treatment
Understanding Tooth Decay: When Your Dentist Can't Find the Problem
The issue of dental caries? Recently, I have been feeling two very noticeable grooves on my molar, which feel sharp enough to cut my tongue when I run it over them. I can also see them in the mirror. Occasionally, I experience a dull pain when chewing food. I suspect it might be ...
Dr. Huang Tingfang Reply:
Dear Miss Xiaoling: Hello! It is best to go to a medical center for a detailed examination! Take care! Sincerely, Dr. Huang Tingfang, Director of Dentistry[Read More] Understanding Tooth Decay: When Your Dentist Can't Find the Problem
Understanding Oral Health: White Bumps and HPV Concerns
Oral issues Hello, doctor. There is a small white blister under the gums behind my front teeth. It doesn't hurt and is not very noticeable, but I can feel it when my tongue touches it. I would like to know if this could be HPV. Additionally, if I have been vaccinated, is it ...
Dr. Zeng Guanghui Reply:
Hello Mr. J: It is recommended to consult a dentist or an oral surgeon for further examination. If there is an HPV infection of the oral mucosa, in addition to the presence of blisters on the oral mucosa, there may also be symptoms such as fever and swollen, painful gums. Therefo...[Read More] Understanding Oral Health: White Bumps and HPV Concerns
Persistent Tongue Ulcer: What to Do After Two Weeks?
The hole in my tongue has not healed for more than two weeks? Hello, I would like to inquire about two holes on the side of my tongue that have been present for over two weeks. I have applied oral ointment, but it hasn't helped. What should I do? Here are the photos: https:/...
Dr. Zeng Guanghui Reply:
Hello Tong: If the two sores on your tongue have not healed after two weeks, it is recommended to return for a follow-up appointment so that the doctor can conduct further evaluation and examination to determine the cause. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hosp...[Read More] Persistent Tongue Ulcer: What to Do After Two Weeks?
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