Tooth extraction, Dentistry FAQ

Understanding Sinus Communication Issues After Dental Procedures

The issue of oral cavity communication? Hello Dr. Liu, I would like to ask you a few questions. I underwent intentional replantation surgery on my upper left second molar in late November, and it has been over a month since then. The tooth still feels slightly painful, and I hav...

Dr. Liu Tiancai Reply:
Hello: 1. It is possible for an intentional replantation surgery on the maxillary posterior teeth to result in an oroantral communication during the procedure; however, after the tooth is replanted, the passage between the oral cavity and the maxillary sinus should close, and r...

Dealing with Dental Fillings and Orthodontic Options: Your Questions Answered

Dental filling issues? Hello Dr. Yang! I would like to ask you a question. About two or three years ago, I had a cavity on the upper front of my right incisor. I went to see a dentist, who cleaned it up and filled the cavity. However, now the filled tooth appears to have turned b...

Dr. Yang Hui Reply:
Hello, A-Ding: 1. If it turns black inside, you can open it up, remove the black part, and then refill it. 2. If you want to align the protruding teeth, space is usually needed (often requiring tooth extraction), so braces (brackets) will be necessary. If both the upper and lower...

Do You Need Tooth Extraction for Orthodontic Treatment?

Is tooth extraction necessary for orthodontic treatment? Hello Doctor, I have relatively straight teeth, but my front teeth are protruding. Do I need to have them extracted? If I don't extract them, won't they still be protruding after the orthodontic treatment? I am cu...

Dr. Chen Yingfang Reply:
Hello! Please discuss with your orthodontist whether or not to extract a tooth. Thank you!

Exposed Mandible After Wisdom Tooth Extraction: Healing and Treatment Options

Exposed mandible after wisdom tooth extraction? Hello: About a month ago, I had my lower wisdom teeth extracted. After approximately two weeks, I noticed that my mandible was exposed and painful. I returned to the original dental clinic, where the doctor used bone cutters to trim...

Dr. Liu Tiancai Reply:
Hello: It is not uncommon for the alveolar bone to be exposed after the extraction of lower wisdom teeth. There are several possible reasons for this, including thin gingiva, localized necrosis due to poor blood supply, or the protrusion of the mandible in that area. Additionally...

Struggling with Bite Issues After Orthodontics: Is Tooth Extraction the Solution?

Halfway through the correction, experiencing occlusion difficulties, is it necessary to extract more teeth? Hello Dr. Chen: I have been undergoing orthodontic treatment at another hospital for about two years. Currently, I am experiencing some difficulties with my bite. Initially...

Dr. Chen Yingfang Reply:
Please come to the outpatient clinic for an evaluation before proceeding.

Orthodontics vs. Dental Reconstruction: What's the Real Difference?

Is it true or not? Orthodontics vs. Dental Reconstruction (Author: Dr. Huang Da-Hao, DDS) Can you help me check if what this website says is true? If everyone just goes for "dental reconstruction," wouldn't that be great? Recently, I wanted to get braces, so I we...

Dr. Lai Yishao Reply:
The degree of dental misalignment varies significantly among individuals, and treatment methods are not absolute; therefore, the costs and duration of orthodontic treatment can also differ. There may be several options for the treatment plan, and it is essential for the physician...

The Risks of Tooth Extraction: Understanding Sinus Complications

The risks of tooth extraction! I have seen online that tooth extraction can lead to sinusitis! Are the sinuses connected to the teeth? How could this happen? My dentist once told me that if the two are too close, the extraction could tear the "membrane" or even injure t...

Dr. Wang Cunzhen Reply:
Hello, Xiao Guo: What you mentioned is not an exaggeration at all, and it indeed has a high chance of occurring. This is because the maxillary sinuses are located very close to the roots of our upper teeth. It's similar to a neighbor downstairs hammering something into the c...

How Long Should I Wait After Wisdom Tooth Surgery Before Re-Operation?

Wisdom teeth I had a wisdom tooth extraction at a general dental clinic on the 26th, but when the incision was made, it was discovered that the tooth was too deep and close to the nerve. The doctor advised me to seek an oral surgeon to perform the surgery to avoid any risks, so t...

Dr. Wang Cunzhen Reply:
Hello: In this situation, surgery can actually be performed immediately, but considering the ease of managing the postoperative wound, it would be better to wait about 1-2 weeks for the procedure (if there is no wound pain). Dr. Wang Cunzhen, Oral and Maxillofacial Surgeon, Hsinc...

Persistent Numbness in Chin After Wisdom Tooth Extraction: What to Do?

The numbness in the chin has not subsided after tooth extraction! Hello Dr. Liu: I had my wisdom teeth extracted yesterday. During the first injection of anesthesia, my lips didn't feel numb, so they continued to administer more anesthesia until my lips were numb. After retu...

Dr. Liu Tiancai Reply:
Hello: The persistent tingling sensation in the lips after tooth extraction is usually due to injury to the inferior alveolar nerve (not the facial nerve). The inferior alveolar nerve runs along the mandible and primarily provides sensation to one side of the lower lip and gums. ...

Understanding Complications After Tooth Extraction: Is Your Pain Normal?

Complications resulting from tooth extraction? The last molar in the lower right quadrant underwent root canal treatment and was fitted with a crown. After one week, there were no issues. Later, the dentist indicated that extracting the adjacent wisdom tooth would not affect the ...

Dr. Zhuang Suhui Reply:
Wisdom teeth are considered vestigial teeth, which means they exhibit a lot of variation. If your wisdom teeth are impacted and difficult to extract, the procedure may require incising the soft tissue and removing some bone, resulting in a larger wound and potentially more compli...

Cost and Options for Orthodontic Treatment in Central Taiwan

I want to correct..? Hello, doctor: I have a question. When I was a child, I was afraid to go to the dentist for tooth extraction, which has resulted in my upper front teeth being protruded. How much would it cost for orthodontic treatment? Which hospital in central Taiwan should...

Dr. Chen Yingfang Reply:
1. The duration of the treatment should be assessed before determining the cost. 2. Major hospitals have orthodontic departments, such as Chung Shan Medical University Hospital, Chang Gung Memorial Hospital, and China Medical University Hospital. 3. Teeth that are yellow or black...

Is Your Tooth Extraction Complete? Understanding Post-Extraction Concerns

Is the tooth not completely extracted? Last night, I had a tooth extraction (for orthodontic purposes) and had my lower left premolar removed. However, today I keep feeling a sharp, hard, protruding area on the gum where the tooth was extracted, and it hurts (unlike the normal he...

Dr. Chen Yingfang Reply:
Please return for outpatient treatment.

Understanding Tooth Sensitivity: Causes, Treatments, and Solutions

Tooth sensitivity? Hello! 1. Every time I eat something hot or cold, my teeth feel sensitive and soft. This issue started after I had my teeth cleaned at the hospital. Is this related to the dental cleaning? 2. The toothpaste "DELICATE" marketed for sensitivity cont...

Dr. Liu Tiancai Reply:
Hello! The sensitivity and discomfort in your teeth when consuming hot or cold foods is due to gum recession, which exposes the tooth roots, making them more sensitive. This is indirectly related to dental cleanings, as the roots are usually covered by tartar, and after a cleanin...

Should You Extract Teeth for Impacted Canines? Expert Dental Advice

If there is insufficient space for the canine teeth to erupt, is it necessary to extract the adjacent teeth? Hello Doctor: I have a canine tooth emerging on the lower left and right sides of my mouth. Due to limited space, I have a few questions: 1. Should I extract 1-2 teeth o...

Dr. Yang Hui Reply:
Hello Youyou: Generally, if there is insufficient space for the canine teeth to grow, the usual practice is to extract the small premolars behind the canine teeth rather than the incisors. If the timing is right, orthodontic treatment may not be necessary. Therefore, I recommend ...

Tooth Extraction and Mitral Valve Prolapse: What You Need to Know

Tooth extraction vs. mitral valve prolapse!? Hello Doctor: I was recently diagnosed with mitral valve prolapse and some regurgitation, which I don't quite understand. The doctor advised me to be cautious about bacterial endocarditis when undergoing tooth extraction or dental...

Dr. Liu Tiancai Reply:
Hello: According to the American Heart Association's guidelines on the prophylactic use of antibiotics for the prevention of heart disease published in 1997, patients with mitral valve prolapse who have associated regurgitation need to take antibiotics prior to certain denta...

Everything You Need to Know About Wisdom Tooth Extraction

Regarding wisdom tooth extraction? I had my lower right wisdom tooth extracted at the end of June this year, and the doctor advised me to have the upper and lower left wisdom teeth extracted soon. I would like to ask: (1) Will having a second extraction in a short period of time ...

Dr. Liu Tiancai Reply:
Hello! If the original extraction site has healed and there is no discomfort, extracting another wisdom tooth on the opposite side will not have any impact. As for whether to extract both upper and lower wisdom teeth at the same time, considerations such as the duration of the su...

Complications After Wisdom Tooth Extraction: What You Need to Know

Aftermath of Wisdom Tooth Extraction~~ Hello, I had my wisdom teeth removed over a month ago, but on the fifth day after the extraction, I developed a purulent discharge and sinusitis. After evaluation, the doctor also found issues with my temporomandibular joint (TMJ). I would l...

Dr. Liu Tiancai Reply:
Hello! Generally speaking, when extracting maxillary molars (including wisdom teeth), one must be aware of the potential complication of maxillary sinusitis. The primary reason for this is that, in most cases, there is a bony structure separating the roots of the maxillary teeth ...

Can Proper Oral Care Prevent Wisdom Tooth Extraction?

Wisdom teeth Hello, doctor. My wisdom teeth next to my molars are growing horizontally due to insufficient space. The doctor has recommended that I have them surgically removed. However, if I maintain good oral hygiene, can I avoid surgery? Thanks.

Dr. Yuan Ziming Reply:
It is essential to understand the position and degree of impacted wisdom teeth. While maintaining good oral hygiene in the short term may alleviate concerns, a careful long-term assessment is necessary. If the impacted wisdom teeth affect the second molars in front, leading to ca...

Understanding Wisdom Teeth: Common Issues and Concerns Explained

Wisdom teeth Hello Dr. Liu, I have issues with both of my upper and lower wisdom teeth on the right side: 1. The upper right wisdom tooth has visible decay on its surface. Does this indicate that the cavity inside is severe? This tooth has fully erupted. If I do not extract it...

Dr. Liu Tiancai Reply:
Hello! Generally speaking, the fate of wisdom teeth on the same side is intertwined, meaning that if one needs to be extracted, the other should also be removed to prevent future eruption that could cause occlusal interference and lead to cavities in adjacent teeth. 1. The dark...

Is Bad Breath After Wisdom Tooth Extraction Normal? Understanding Post-Op Care

Is it normal to experience bad breath after having wisdom teeth removed? Hello, I had a wisdom tooth extraction this past Monday. Although it was only partially erupted, it was angled in such a way that it was biting into the soft tissue of my lower jaw, so the doctor recommended...

Dr. Cao Guoqing Reply:
Hello Mlemily: The presence of bad breath after tooth extraction is not normal. Typically, the pain from the extraction site should decrease over time. As you mentioned, it is likely that you have developed inflammation. This condition is known as alveolar osteitis, which is a co...

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