Understanding Dental Implant Issues: What to Do When Your Crown Falls Off
Dental implant prosthesis dislodgement? 1. First, let me explain about the lost dental implant. It has been in place for 8 years and is the last tooth on the upper right side. The corresponding lower teeth are a continuous three-unit dental bridge. Due to the limited space availa...
Dr. Lin Jiayong Reply:
Hello: 1. 1.8 years is actually quite a long time. Generally, a dental prosthesis is considered successful if it lasts over 3 years, and after 5 years, there is typically no warranty in the industry. "The situation with the lower bridge from 8 years ago has not changed to ...[Read More] Understanding Dental Implant Issues: What to Do When Your Crown Falls Off
Understanding Tooth Sensitivity and Pain After Biting Hard Objects
After biting down on chopsticks, there is a dull pain and sensitivity to hot and cold? Hello, Doctor: Twenty years ago, my upper right incisor was struck by my lower right canine while biting into food, causing significant pain and slight mobility with some inward displacement. A...
Dr. Zeng Guanghui Reply:
Hello Miss MiMi: 1. Generally, it may just be an injury to the periodontal ligament, but if there is a tooth fracture, it could affect the dental pulp. 2. If the tooth continues to be sensitive to hot and cold, it may indicate pulpitis; it is recommended to consult with a dental ...[Read More] Understanding Tooth Sensitivity and Pain After Biting Hard Objects
Understanding Apical Inflammation: Causes, Symptoms, and Treatment Options
Apical periodontitis Hello, Doctor. I would like to ask you something: I usually chew food on the right side, but since last month, the second-to-last tooth on the lower left side and the surrounding gums have started to hurt (initially, the pain only occurred when drinking hot o...
Dr. Zeng Guanghui Reply:
Hello Ms. Jill: If the dental pulp is exhibiting signs of irreversible pulpitis, there is a high likelihood that root canal treatment will be necessary. While antibiotics may provide temporary relief, there is still a possibility of recurrence. Furthermore, if the apical bacteria...[Read More] Understanding Apical Inflammation: Causes, Symptoms, and Treatment Options
Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Treatment and Prognosis of Aggressive Periodontitis Hello, Doctor. On November 18th in the afternoon, while eating lunch, I experienced discomfort in my teeth (specifically in the upper and lower first molars on the right side) after chewing on pork rib cartilage. By November 22n...
Dr. Zeng Guanghui Reply:
Dear Mr. Ri Hai, 1. Aggressive periodontitis refers to the rapid destruction and resorption of the alveolar bone surrounding the teeth, with the damage extending beyond the inflammation of the periodontal ligament. If it is merely inflammation of the periodontal ligament, anti-i...[Read More] Understanding Aggressive Periodontitis: Treatment Options and Prognosis
Does Teeth Cleaning Affect Cracked Teeth? Expert Insights
Does teeth cleaning affect cracked teeth? Hello, six months ago, I had a diagonal crack in a lower molar that underwent root canal treatment and was filled with resin. I would like to know if getting a dental cleaning will have any impact on the cracked tooth. (The tooth has yell...
Dr. Lin Jiayong Reply:
Hello: It is recommended to inform the dentist before the teeth cleaning that the area has a history of tooth fracture, so please proceed with caution or use special instruments for cleaning. Alternatively, you may return to the original endodontist who performed the root canal t...[Read More] Does Teeth Cleaning Affect Cracked Teeth? Expert Insights
Discomfort After Dental Crown Placement: Causes and Solutions
Discomfort in the gums after crown placement? Hello Dr. Lin, I had a full porcelain crown placed at the dental clinic. Originally, I only had the old crown removed and replaced with the new one without any additional treatment. For the first two days after the placement, it felt ...
Dr. Lin Jiayong Reply:
Hello: Injuries to the soft tissues in the oral cavity typically heal within 1 to 2 weeks. Applying topical antibiotics and corticosteroid ointments can help alleviate discomfort. Is it possible that the dentures are too large or not fitting properly? >> It is recommended t...[Read More] Discomfort After Dental Crown Placement: Causes and Solutions
Understanding Dental Pain: Insights on Root Issues and Sensitivity
Some questions for consultation? Hello Dr. Lin, I have a few questions for you. Throughout my life, I have rarely experienced pain from teeth that required emergency root canal treatment, even when they had deep cavities (I had poor dental hygiene as a child, but at least there...
Dr. Lin Jiayong Reply:
Hello: 1. Pulp necrosis can be assessed using electric pulp testing. If the necrosis has persisted for too long, it may develop into periapical periodontitis, which can be identified by radiographic dark shadows around the root. 2. Sensitivity discomfort caused by resin polymeriz...[Read More] Understanding Dental Pain: Insights on Root Issues and Sensitivity
Understanding Dental Issues: Cracks, Root Canals, Infections, and Allergies
Dental cleaning infections, how to check for cracked teeth, root canals, toothpaste allergies, and individual constitution? --Regarding Questions on Tooth Fractures and Root Canals-- 1. What examinations can detect tooth fractures in various locations? What are the costs? 2. ...
Dr. Lin Jiayong Reply:
Hello: If you have already received dental treatment at Taipei Chang Gung or Linkou Chang Gung, it is advisable to follow the diagnosis and treatment plan provided by the dentists at the medical center for your dental issues. For concerns related to dental cleaning infections or ...[Read More] Understanding Dental Issues: Cracks, Root Canals, Infections, and Allergies
Dealing with Dental Trauma: Key Questions After Tooth Fractures
I have a few questions regarding a broken tooth due to an accident? Hello Doctor, previously I had an accident that caused an impact to my upper front teeth. As a result, two of my incisors broke about one-third of their structure. Initially, both teeth were even, but after the i...
Dr. Lin Jiayong Reply:
Hello, 1. After a car accident, it is recommended to observe for about six months before deciding whether root canal treatment is necessary. The body should recover to a certain extent before undergoing treatment to ensure better outcomes. 2. At this stage, you can apply desensit...[Read More] Dealing with Dental Trauma: Key Questions After Tooth Fractures
Root Canal vs. Dental Implant: Which is the Best Choice for Your Tooth?
Microscopic root canal treatment or dental implants? I consulted with a dentist regarding my lower right first molar, which underwent root canal treatment over ten years ago but has not been fitted with a crown. Recently, a corner of the tooth fractured due to biting on a hard ob...
Dr. Lin Jiayong Reply:
Hello: Since you are 41 years old and still relatively young, you might consider completing the treatment with microscopic root canal therapy before getting a dental crown. This should last at least 10 years. If the tooth still has issues in the future, it can be extracted and re...[Read More] Root Canal vs. Dental Implant: Which is the Best Choice for Your Tooth?
Understanding Root Canal Re-treatment: Pain, Cracks, and Recovery Time
Questions about retreatment of root canal? The presence of a gum abscess without tooth pain can be concerning. During the retreatment of a root canal, if a file is placed deeply and there is a sensation of pain similar to being pricked, this could indicate an unusual situation. T...
Dr. Lin Jiayong Reply:
Hello, discomfort during the treatment process does not necessarily indicate that the treatment will fail or that there will be a tooth fracture. It is advisable to relax and complete the treatment, then observe for about six months before discussing whether there is indeed a fra...[Read More] Understanding Root Canal Re-treatment: Pain, Cracks, and Recovery Time
Recurring Gum Swelling After Root Canal: Causes and Solutions
Recurrent gum swelling after root canal treatment? If a dental crown develops a swelling within a year, it may indicate root inflammation. After returning for a follow-up, if a root canal is redone and there is some improvement, but then a pus-filled bump reappears after another ...
Dr. Lin Jiayong Reply:
Hello: If repeated root canal treatments are unsuccessful, apicoectomy with retrograde filling may be a viable and preferable treatment option. It is recommended to discuss the advantages and disadvantages of the surgery further with an endodontist. Sincerely, Lin Chia-Yung, Depa...[Read More] Recurring Gum Swelling After Root Canal: Causes and Solutions
Understanding Pain and Concerns with Dental Bridges: What You Need to Know
Occasionally, a dental bridge may cause pain? Hello Dr. Lin: After undergoing root canal treatment on my front tooth, I developed a dental abscess, and the doctor determined it was due to a root fracture, so the tooth was extracted and replaced with a bridge (the adjacent healthy...
Dr. Lin Jiayong Reply:
Hello: 1. Soft tissue lesions typically require an experienced physician to make an initial diagnosis through direct visual examination, and may even need to be sent for pathological testing. However, since you mentioned that X-rays were taken and confirmed that there are no is...[Read More] Understanding Pain and Concerns with Dental Bridges: What You Need to Know
Understanding Jaw and Tooth Pain: Possible Causes and Solutions
Cheek pain and dental occlusion pain? On Wednesday night, I suddenly experienced pain on the inside of my left oral cavity before going to bed, but it wasn't clear which tooth was hurting. The pain was severe enough that I took a strong dose of acetaminophen. When I woke up ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to follow the instructions of the physician at Veterans General Hospital, to return for a crown placement, and to observe for any tooth fractures. Additionally, please have the physician re-evaluate the condition of the temporomandibular joint and the tri...[Read More] Understanding Jaw and Tooth Pain: Possible Causes and Solutions
To Crown or Not: Dealing with Tooth Fracture After Root Canal Treatment
Tooth fracture six months after root canal treatment? Hello, doctor. Last December, I underwent root canal treatment for my severely decayed third molar. At that time, the dentist did not inform me that I needed a crown, so I did not get one. However, about six months later, my t...
Dr. Lin Jiayong Reply:
Hello: If you experience redness, swelling, inflammation, or fever, it is advisable to seek medical attention as soon as possible. This is a response from Dr. Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] To Crown or Not: Dealing with Tooth Fracture After Root Canal Treatment
Temporary Crowns and Root Canal Treatment: Common Concerns Explained
Questions about temporary dentures and root canals? I had four front teeth that underwent root canal treatment over 20 years ago, and they have visibly changed color with small chips and a lot of filling material. Today, I went to a medical center's general dentistry departm...
Dr. Lin Jiayong Reply:
Hello: The physician's approach is indeed standard procedure. *Since the tooth has already undergone root canal treatment, the access cavity will be preserved and does not need to be redrilled. *Removing the old material and replacing it with new material ensures that the in...[Read More] Temporary Crowns and Root Canal Treatment: Common Concerns Explained
Understanding Gum Abscess and Swelling: Dental Care Insights
Gum abscess, gum swelling? Hello Doctor, I would like to ask a question. When I was a child, I fell and broke my front tooth. I underwent root canal treatment but did not have a post or crown placed. Recently, I discovered a small abscess on that tooth. I squeezed it, but it keep...
Dr. Lin Jiayong Reply:
Hello: As you mentioned, the endodontist has scheduled a follow-up appointment for you at the end of the month to assess your condition. It has been noted that the pathology of that tooth has actually been present for some time, so it is recommended that you keep the appointment....[Read More] Understanding Gum Abscess and Swelling: Dental Care Insights
Understanding Dental Bridges: How Many Teeth Should You Replace?
Number of units for anterior dental bridge fabrication? Hello Doctor: My left central incisor was extracted due to a fractured root, and the adjacent incisors have undergone root canal treatment but have not been crowned for several years. The doctor suggested a bridge of four to...
Dr. Zeng Guanghui Reply:
Hello JoJo: When creating a dental bridge for the front teeth, it is important to consider the number of supporting teeth. There must be enough supporting teeth to adequately support the edentulous area. Additionally, teeth that have undergone root canal treatment also need to be...[Read More] Understanding Dental Bridges: How Many Teeth Should You Replace?
Understanding Tooth Fractures: When to Consider Root Canals
Tooth fracture issues? Hello Doctor: On January 12, I lost four teeth due to a car accident. I have already undergone root canal treatment and am planning to get all-ceramic crowns. However, there is an adjacent tooth that, while not fractured, still has some sensitivity. It does...
Dr. Zeng Guanghui Reply:
The tooth is not fractured but feels a bit sensitive; this is generally due to inflammation of the periodontal ligament caused by compression. If the tooth is not mobile, maintaining good oral hygiene will allow it to gradually recover on its own. However, it is also possible tha...[Read More] Understanding Tooth Fractures: When to Consider Root Canals
Can You Use Dental Floss on Silver Fillings After Deep Cavities?
I would like to inquire about the care for silver fillings? Hello, doctor. I have a deep cavity in my left molar that was discovered after I had my wisdom tooth extracted. After treatment, almost half of the tooth was removed and filled with silver amalgam (almost down to the roo...
Dr. Zeng Guanghui Reply:
After filling a cavity with silver powder, it is still important to use dental floss to clean between the teeth to prevent further decay. If the filling is extensive, it indicates that the cavity was deep, and the remaining tooth structure is thinner. It is advisable to avoid har...[Read More] Can You Use Dental Floss on Silver Fillings After Deep Cavities?