Tooth extraction, Dentistry FAQ

Do You Really Need Bridges or Implants After Tooth Extraction?

Tooth loss Doctor, I would like to ask if it is necessary to get a dental bridge or implant after tooth extraction? Can't I just leave it as it is? I asked my dentist, and he said it’s fine not to do anything because I still have plenty of teeth left, and the gap won't ...

Dr. Wu Jinjun Reply:
After a tooth extraction, depending on individual circumstances and the location of the tooth, most people's adjacent teeth may shift over time due to the loss of the neighboring tooth or opposing tooth. This can lead to insufficient space for future prosthetic work. However...

Understanding Tooth Sensitivity After Wisdom Tooth Extraction

Tooth sensitivity after wisdom tooth extraction? Hello, doctor. After having my wisdom teeth extracted on April 9th, I have been feeling soreness in my "first molar." Why is this happening? After the extraction, how should I clean the wound to remove any food particles ...

Dr. Zhuang Suhui Reply:
There is a second molar between the first molar and the wisdom tooth, so extracting the wisdom tooth rarely affects the first molar. The oral environment is generally not very clean, so rinsing and brushing (avoiding the extraction site) is usually sufficient. If you feel concern...

Understanding Wisdom Teeth and Root Canal Treatment: Key Insights

Wisdom Teeth and Root Canal Treatment Due to the eruption of my wisdom teeth, I experienced gum inflammation, which led the doctor to perform a cleaning procedure. Afterward, the wisdom tooth stopped hurting, but I noticed that the second molar in front of it feels soft when brus...

Dr. Cao Guoqing Reply:
1. Please wait until the wisdom tooth extraction site has healed before making any comments. 2. Soft teeth are not a necessary reason for root canal treatment. 3. There is no need to worry about dental X-ray radiation (which is very low). 4. This is the key point; consider gettin...

Essential Questions About Dental Implants: What You Need to Know

Dental implant-related issues? Hello Dr. Wu, I am a student from Taipei studying in Tainan and I am about to graduate. I have a cavity in my upper left second premolar that cannot be restored with a crown, and I do not want to use a dental bridge as it would damage the adjacent h...

Dr. Wu Jinjun Reply:
Hello: 1. If too much time (1-2 years) passes after tooth extraction, adjacent teeth may tilt, resulting in insufficient space for an implant. Therefore, it is best to place a prosthesis as soon as possible after tooth extraction to maintain space. 2. Regarding the timeline, ...

Can I Safely Undergo Wisdom Tooth Extraction with Low Blood Counts?

Blood and Wisdom Tooth Extraction Hello, my platelet count has been around 100,000 for the past eight years. Two years ago, my white blood cell count started to decrease, ranging from 3,000 to 3,300. Recently, I visited a clinic due to an issue with my wisdom tooth (it is growing...

Dr. Wu Jinjun Reply:
Hello: For your blood-related issues, you should first consult the Hematology Department at a hospital, so that a physician can assess whether tooth extraction is feasible. It is recommended to undergo tooth extraction treatment at the nearest hospital for safety. Dr. Yang Zhiren...

Impacted Wisdom Teeth: When to Extract and What to Expect

Impacted wisdom teeth? Hello, doctor. My lower wisdom tooth has not erupted properly due to inadequate cleaning, and the gum around the wisdom tooth has been swollen, causing discomfort. In this situation, should the wisdom tooth be removed as soon as possible? Can it be extracte...

Dr. Wu Jinjun Reply:
Hello: Impacted wisdom teeth are quite common, as they are located at the back of the mouth and are difficult to clean properly. This often leads to pericoronitis around the crown, and in more severe cases, it can result in cellulitis in the oral cavity. After inflammation and sw...

Can My Stroke-Affected Mom Safely Undergo Tooth Extraction?

Mother had a stroke, is paralyzed, requires a tracheostomy, and needs to have teeth extracted? My mother has been paralyzed and on a tracheostomy for a year due to a stroke. Initially, she was in a coma and had to undergo intubation, which resulted in the loss of several teeth. C...

Dr. Wu Jinjun Reply:
Hello, based on your description, your mother's loose and misaligned tooth may need to be extracted. First, confirm whether she is taking anticoagulants (as most stroke patients do). If she is on such medication, it must be stopped prior to the extraction. Hospitals at the r...

Understanding Dental Treatments: What Constitutes a Single Procedure?

Some questions about dental fillings? Dear Doctor, I recently visited the dentist and encountered some phenomena that I would like to inquire about. From a dentist's perspective, what is the definition of "one treatment"? Does "filling a tooth" count as...

Dr. Huang Zhicheng Reply:
In dental care, aside from more complex oral surgical procedures, the treatments that are typically out-of-pocket include orthodontics, dentures, and dental implants. Common treatments covered by health insurance include cavity fillings (restorative treatment), root canal therapy...

Understanding Oral Cancer: Radiation Therapy and Its Side Effects

Oral cancer Hello Doctor: My father underwent radiation therapy for oral cancer. At one point, he had a tooth extraction to remove debris from inside the tooth. However, he subsequently began experiencing severe tinnitus. Is this symptom a side effect of the radiation therapy, or...

Dr. Wu Jinjun Reply:
Hello: 1. According to the current dental literature, there are no reports linking tooth extraction to "severe tinnitus." Regarding whether it may be caused by radiation therapy, I recommend consulting a radiologist. 2. Generally, when radiation therapy is performed in ...

Essential Questions About Dental Treatments and Procedures

Questions about dental treatment? Dear Dr. Huang, I have a few questions regarding dental treatment. 1) I am currently considering dental implant surgery for a tooth. The doctor informed me that I need to have blood drawn for "bone grafting." After the tooth extracti...

Dr. Huang Zhicheng Reply:
Dear Ms. Lin: The technique you referred to as "blood extraction for bone regeneration" involves drawing 8-10 cc of blood, which is then subjected to layered centrifugation to produce a high concentration of platelets. This is similar to the regenerative membranes used ...

Understanding Wisdom Tooth Extraction: Concerns and Recovery Time

Wisdom teeth Is it normal to be concerned about getting my wisdom teeth extracted, especially since they are positioned well? I'm worried that the gap left behind might cause my previously aligned teeth to shift or become loose after the extraction. I fear that this could le...

Dr. Zeng Guanghui Reply:
Hello: In response to your question, I would like to offer some suggestions: Wisdom teeth, commonly known as third molars, can often become misaligned due to insufficient space, which may prevent them from fully erupting (referring to partially or completely impacted teeth). This...

Understanding Post-Wisdom Tooth Extraction Complications and Concerns

Wisdom tooth extraction Doctor, I would like to ask about my experience after having my upper and lower right wisdom teeth extracted. I feel that when I talk or smile, the muscles on the right side of my face move differently compared to the left side, and the corners of my mouth...

Dr. Zhuang Suhui Reply:
If there is nerve damage, there is usually a tingling sensation. Sometimes, after having a tooth extracted, the pulling pain from the wound can lead to a lack of coordination in the facial muscles. It is advisable to observe the situation for a while. If you are really concerned,...

Can Wisdom Teeth Cavities Be Filled Instead of Extracted?

Wisdom tooth cavities can be treated without extraction; they can be repaired instead? I have a wisdom tooth that had a cavity filled in the past. During my recent dental cleaning, I discovered that several previously filled teeth have dark spots underneath. The dentist said that...

Dr. Zeng Guanghui Reply:
The need for wisdom tooth extraction depends on whether the teeth are properly aligned or if there is impaction (insufficient space for complete eruption). If the teeth are misaligned or impacted, they can be difficult to clean, leading to recurrent inflammation symptoms (pericor...

Concerns About Impacted Teeth: Risks and Surgical Options Explained

I'm very worried? Last week, I visited the dentist due to gum bleeding while brushing my teeth. After taking a full-mouth X-ray, it was discovered that I have an impacted tooth on both the left and right lower sides, and the doctor recommended extraction. I was referred to a...

Dr. Zeng Guanghui Reply:
The lower left third molar (commonly known as the wisdom tooth) is impacted, and there are lesions surrounding it (possibly a benign osteoma or an ameloblastoma). X-rays show bone resorption or destruction in the jawbone. Due to the extensive nature of the surgery, general anesth...

Concerns About Dental Issues After Moving to the UK: What to Do?

Since I came to the UK, my teeth have become strange! Hello Doctor: I have a habit of getting my teeth cleaned every six months, and I have not had any issues with tooth pain for a long time; my dental health has been good! Before coming to the UK (about three months ago), I visi...

Dr. Lin Qingye Reply:
Miss Mivienne: Mouthwash cannot replace treatment. If you already have cavities, you still need to see a dentist. Of course, since seeking medical care abroad can be inconvenient, I suggest that if you are not experiencing significant pain or discomfort, you can wait until you re...

Managing Wisdom Teeth: Surgery, Pain Relief, and Medication Safety

What are the issues related to wisdom teeth and medication? 1. If I did not use surgical stitches after my wisdom tooth extraction, will this affect the healing of the gum (socket)? 2. I only had my right wisdom tooth removed; can I chew food (like cookies) with my left teeth? ...

Dr. Wu Jinjun Reply:
Hello: 1. It should be fine. 2. It is possible. 3. Most people will not have any issues. You may also consult your internist. 4. There is no need to contact Dr. Wu Jin-jun, the Director of Dentistry at Hsinchu Hospital, Ministry of Health and Welfare.

Understanding Dental Issues: Wisdom Tooth Extraction and Crown Necessity

Dental braces issues? Hello, Doctor. I had my wisdom tooth extracted this week, and since the tooth in front of it had significant decay, I also underwent root canal treatment. After the procedure, the dentist placed a thin wire into the tooth and used something that resembled a ...

Dr. Zeng Guanghui Reply:
After the extraction of the wisdom tooth, the tooth in front of it (the second molar) underwent root canal treatment due to extensive decay. The root canals were filled with fine materials (possibly gutta-percha). Since teeth that have undergone root canal treatment become more b...

Achieving a Beautiful Smile: Solutions for Misaligned and Damaged Teeth

Aesthetic and well-aligned teeth? Hello, doctor. I am 21 years old and have been troubled by dental issues for several years. I have a slight malocclusion, with my upper left canine protruding and my lower canine recessed. The incisor next to my upper left canine has been worn do...

Dr. Yang Hui Reply:
Generally, orthodontic treatment is necessary to achieve straight teeth, and tooth extraction may be required depending on the situation. The treatment typically takes about 1 to 2 years and costs between 60,000 to 80,000 NTD. Good oral hygiene is essential during orthodontic tre...

Concerns About Wisdom Teeth: Unusual Nasal Leakage After Rinsing

Wisdom tooth issues Hello: I raised a question about my wisdom teeth yesterday but haven't received your response yet. I have discovered another issue: when I have water in my mouth or rinse, water flows from my nostrils. Even after I spit out the water in my mouth, some wat...

Dr. Zeng Guanghui Reply:
Generally, fluid from the oral cavity may flow out of the nostrils, which can occur during the tooth extraction process (especially for the maxillary molars) due to the anatomical position of the tooth roots being very close to the maxillary sinus. This can result in an oral-antr...

Post-Wisdom Tooth Extraction: Concerns and Recovery Insights

Issues After Wisdom Tooth Extraction Hello Dr. Wu: You mentioned that if an impacted tooth has caused cavities, it is best to extract it, and then treat the cavities in the second molar. If the second molar becomes loose due to the extraction of the wisdom tooth (as determined by...

Dr. Wu Jinjun Reply:
Hello: I don't know; it can only be determined by observing it in a clinical setting. Dr. Wu Jin-jun, Director of Dentistry at Hsinchu Hospital, Department of Health, Executive Yuan.

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