Tooth root, Dentistry FAQ

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Concerns After Temporary Denture Removal: Pain and Bleeding Explained

When removing a temporary denture, it feels like the teeth are being extracted? After a root canal, I may have bitten down too hard on the temporary crown, making it difficult for the doctor to remove it during extraction. It felt like the original tooth was being pulled out, and...


Dr. Zeng Guanghui Reply:
Hello Ms. Anonymous: Generally, tooth extraction should not damage the teeth or the roots. It is recommended to return for a follow-up appointment to have your dentist examine the condition of your teeth. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Concerns After Temporary Denture Removal: Pain and Bleeding Explained


Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?

Root issues? Hello Doctor, a couple of days ago I suddenly noticed something near the root of my tooth that looks like either a hole or a small bump. I would like to ask if this is an apical abscess or just a simple oral ulcer? In the first image, I want to inquire about the area...


Dr. Lin Jiayong Reply:
Hello: It is recommended to consult the periodontology department at a medical center directly. The issue may be caused by periapical inflammation or an abscess leading to a gum laceration, or it could be due to deep bacterial accumulation in the periodontal pockets around the ro...

[Read More] Understanding Tooth Root Issues: Cysts, Cavities, or Oral Ulcers?


Understanding Temporary Dental Solutions After Tooth Extraction

Temporary dental crown after tooth extraction Hello, Doctor: 1. After tooth extraction (molar), there is a white protruding object on the gum that feels like soft tissue when pressed. What could this be? It happened because the tooth root could not be extracted and had to be ta...


Dr. Lin Jiayong Reply:
Hello: 1. If there is a suspicion of retained root fragments, it is advisable to visit a medical center for an X-ray and seek a second opinion. 2. If the temporary dentures are rough, this condition may indeed occur. 3. Before switching to permanent dentures, inform the dentist a...

[Read More] Understanding Temporary Dental Solutions After Tooth Extraction


Post-Wisdom Tooth Extraction: Is My Molar Pain a Sign of Root Canal?

After tooth extraction, the adjacent teeth may experience sensitivity and pain when eating? Dear Dr. Lin, I had my wisdom tooth extracted on March 1st. The timeline is as follows: I had the extraction in the morning of March 1st, and returned for a follow-up appointment to have ...


Dr. Lin Jiayong Reply:
Hello: It is recommended to wait until the wisdom tooth extraction site has fully healed (when opening the mouth does not cause pain or concern about tearing the wound) before conducting a detailed examination to determine whether root canal treatment is needed for the anterior m...

[Read More] Post-Wisdom Tooth Extraction: Is My Molar Pain a Sign of Root Canal?


Swelling After Dental Treatment: Understanding Pain Relief and Antibiotics

After taking painkillers and antibiotics following a medical visit yesterday, my face is swollen? Hello Dr. Lin, Recently, I have been experiencing discomfort and increasing pain in my right lower molar, which has had a crown for six to seven years. Due to the pain, I went to a...


Dr. Lin Jiayong Reply:
Hello: If you confirm that both sides of the face are asymmetrical and you are experiencing swelling, pain, fever, or difficulty swallowing or breathing, it is advisable to seek emergency medical attention as soon as possible.

[Read More] Swelling After Dental Treatment: Understanding Pain Relief and Antibiotics


Understanding Post-Wisdom Tooth Extraction Healing and Concerns

Inquiry Consultation Hello Dr. Tseng: I had my lower right wisdom tooth extracted over a decade ago. Currently, that area only has gum tissue. Last July, I noticed a semi-circular protrusion on the gum tissue, approximately 0.2 cm in size, with a pinkish-white color. During a rou...


Dr. Zeng Guanghui Reply:
Hello Kris: 1. The semicircular protrusion may be caused by gingival inflammation and hyperplasia. It is recommended to consult a dentist for further examination if it does not resolve. 2. If there are residual tooth roots that were not completely extracted, this could lead to...

[Read More] Understanding Post-Wisdom Tooth Extraction Healing and Concerns


Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars

Dental implant root canal Recently, I have experienced swelling and pain when biting down on my upper second premolar prosthesis (which has been in use for 10 years). There is also pain when pressing on the buccal gingiva. An X-ray shows a shadow between the prosthesis and the mo...


Dr. Lin Jiayong Reply:
Hello: 1/2 It is suggested to change your perspective. The originally problematic tooth has been preserved for an additional 10 years due to root canal treatment and the protection of a crown. 3/4 If you want to confirm the success rate of a second root canal, it is advisable to ...

[Read More] Understanding Dental Issues: Root Canal Treatment vs. Extraction for Upper Molars


Can a Cracked Second Molar Crown Be Saved? Exploring Treatment Options

Treatment for a fractured crown of the second molar? Hello, Doctor. Recently, while brushing my teeth, I accidentally discovered that my second molar has a chipped crown (the approximate condition of the chip is illustrated here: https://i.imgur.com/AwNJvJO.jpg). Although the vis...


Dr. Lin Jiayong Reply:
Hello: If you strongly wish to preserve the tooth root and do not anticipate using the damaged tooth for occlusal function in the future, it is advisable to discuss this with specialists in endodontics and periodontics.

[Read More] Can a Cracked Second Molar Crown Be Saved? Exploring Treatment Options


Understanding Unilateral Chewing Pain: Causes and Solutions

Unilateral chewing Hello Dr. Lin, I have been chewing on one side for several years, and recently the side that I haven't been using suddenly developed gum inflammation. After taking antibiotics and painkillers for a week, it has healed. I then tried to use the other side (t...


Dr. Lin Jiayong Reply:
Hello: "I had a dental check-up, and the X-rays showed no abnormalities. My gums are also normal. The dentist ground down a bit of my tooth and advised me to continue monitoring. I used Sensodyne and Parodontax, but they don't seem to help." It is recommended to go...

[Read More] Understanding Unilateral Chewing Pain: Causes and Solutions


Can Wisdom Tooth Roots Continue to Grow for Dental Correction?

Length of wisdom tooth roots Eight years ago, the nerve of my first molar was removed. Recently, I noticed a gum abscess developing around the first molar and I am considering orthodontic treatment to extract the first molar and replace it with a horizontal wisdom tooth. However,...


Dr. Lin Jiayong Reply:
Hello: "However, the orthodontist said that the roots of my wisdom teeth are not long enough for orthodontic treatment." It is recommended to consult 2 to 3 orthodontists, and if they all provide similar opinions, it is advisable to consider alternative treatment plans.

[Read More] Can Wisdom Tooth Roots Continue to Grow for Dental Correction?


Understanding Post-Root Canal Pain: Is Medication Causing Discomfort?

Severe pain after root canal treatment with medication? I am undergoing microscopic root canal treatment for my upper right molar. My doctor is a specialist, and I came to him after experiencing a broken file during a standard root canal treatment at a previous clinic. I have alr...


Dr. Lin Jiayong Reply:
Hello: It is advisable for you to consult the Department of Endodontics at a medical center again. Tooth pain can generally be alleviated with anti-inflammatory and analgesic medications. If the pain is unbearable, there may be other underlying issues that require a CT scan for f...

[Read More] Understanding Post-Root Canal Pain: Is Medication Causing Discomfort?


Understanding Tooth Sensitivity After Dental Restorations: Causes and Solutions

Discomfort after dental restoration at the cervical area? Hello Doctor: Recently, due to brushing too hard and gum recession, I have exposed tooth roots. My dentist filled about 5-6 teeth at the cervical area in two sessions within a week, starting with the upper left and upper r...


Dr. Lin Jiayong Reply:
Hello: If there were no sensitivity or biting pain issues before the dental filling, it is advisable to consider monitoring the situation for about a month. If discomfort persists, you may want to consider removing the filling material (as some individuals may be sensitive to res...

[Read More] Understanding Tooth Sensitivity After Dental Restorations: Causes and Solutions


Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues

Tooth extraction followed by dental implant surgery with bone grafting, upper teeth stabilization, nighttime bruxism issues, and wearing retainers? Due to a recent issue with a cracked lower left molar, I experienced some discomfort while biting. A CT scan and X-ray revealed a sh...


Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to consult with your physician to see if there is a need to adjust the type or thickness of the wire. 2/3. It is essential to be cautious not to leave the area of the bone graft (PRF) unsupported and to avoid excessive pressure on the device, as this m...

[Read More] Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues


Should I Remove My Wisdom Tooth? Understanding Risks and Concerns

Hesitating whether to extract wisdom teeth? Hello, Doctor. My lower right wisdom tooth had swelling before, and after getting an X-ray at the clinic, it was found that the tooth root is very close to the nerve, and it seems to be pressing against it a bit. I would like to ask if ...


Dr. Lin Jiayong Reply:
Hello: If there is a need for full orthodontic treatment, it is advisable to have impacted wisdom teeth extracted while still young, as overall recovery will be better. The likelihood of recovery from inferior alveolar nerve injury is very high, and since it is a sensory nerve, i...

[Read More] Should I Remove My Wisdom Tooth? Understanding Risks and Concerns


Dealing with Tooth Roots: What to Do When Extraction Fails

The residual root cannot be extracted? Hello, doctor. A few years after undergoing root canal treatment, I experienced severe pain in the same tooth due to extensive decay. My dentist advised that I needed an extraction. However, when I finally went for the extraction, only the r...


Dr. Lin Jiayong Reply:
Hello: It is recommended to observe first. If the body can absorb it on its own, that would be the best outcome. If there is no local inflammation or other symptoms, surgery for removal is not advised. If there are other necessary considerations, it is suggested to consult an ora...

[Read More] Dealing with Tooth Roots: What to Do When Extraction Fails


Why Do My Teeth Hurt After a Dental Cleaning?

Tooth sensitivity after dental cleaning? A few days ago, I went to the dentist due to tooth pain, and they diagnosed me with gum inflammation. They performed a dental cleaning and advised me to brush my teeth more thoroughly, especially the back teeth, and prescribed medication f...


Dr. Zeng Guanghui Reply:
1. If there is soreness in the teeth after a dental cleaning and medication is effective, it indicates that the dental pulp may be inflamed, and root canal treatment is recommended. 2. If the teeth are even more painful after the cleaning, it may be due to the exposure of the too...

[Read More] Why Do My Teeth Hurt After a Dental Cleaning?


Persistent Pain After Microscopic Root Canal Treatment: What to Do?

Persistent symptoms after microscopic root canal treatment? Hello Doctor: I underwent root canal treatment on my lower left molar last November, but I have continued to experience dull pain and am unable to chew food properly. In January of this year, I transferred to a microspec...


Dr. Lin Jiayong Reply:
Hello: Tooth pain is primarily divided into two aspects: pulp and periodontal issues. If the pulp has been cleaned thoroughly, it is necessary to consider whether there is inflammation or an infection source in the periodontal area. Cracks often occur at the junction of the tooth...

[Read More] Persistent Pain After Microscopic Root Canal Treatment: What to Do?


Understanding Root Canal Treatment: Addressing Pain and Complications

Root canal treatment I have longer and more difficult-to-access tooth roots. The clinic does not have a microscope for root canal treatment, so the doctor put in a lot of effort to complete the procedure on my upper right first molar. That tooth itself does not hurt, but I experi...


Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult the original clinic's dentist to take an X-ray of the lower right first molar to confirm whether there is an issue with that tooth. For teeth that have already completed treatment, it is advisable to simply monitor them, as excessive...

[Read More] Understanding Root Canal Treatment: Addressing Pain and Complications


Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options

Suspected root fracture? Hello Doctor, in April 2022, I had root canal treatment and a crown placed on my second-to-last lower right molar. I had no issues eating until October 2022, when I started experiencing soreness when biting down. I consulted a specialist in microscopic en...


Dr. Lin Jiayong Reply:
Hello: Based on what you described, it is indeed possible that there is an issue at the junction of the two tooth roots. 1. A cone beam CT scan can be performed to confirm if there is a fracture (this will also incur additional costs). 2. After removing the crown, we can check if...

[Read More] Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options


Dealing with Severe Tooth Decay: Treatment Options for Root Remnants

The cavity has progressed to the point where only two tooth roots remain? Hello Doctor: I have a cavity in one of my teeth that no longer hurts. Currently, there are only two visible roots left, and both roots appear dark. What treatment do you recommend? If extraction is necessa...


Dr. Lin Jiayong Reply:
Hello: It is recommended to take an X-ray to confirm the condition of the tooth root and surrounding alveolar bone, and then decide on the appropriate treatment for safety.

[Read More] Dealing with Severe Tooth Decay: Treatment Options for Root Remnants


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