Child's Front Tooth Turned Black After Injury: Should We Consider Root Canal?
If a child's front tooth has been bumped and has turned black two weeks later, it is important to take the following steps: 1. **Consult a Dentist**: Schedule an appointment with a pediatric dentist as soon as possible. They will be able to assess the tooth and determine th...
Dr. Huang Zhicheng Reply:
Hello, it is still necessary to perform root canal treatment to disinfect and properly fill the root canal. This will prevent inflammation at the apex of the tooth root and the formation of a dental abscess. If inflammation occurs, it may affect the development and calcification ...[Read More] Child's Front Tooth Turned Black After Injury: Should We Consider Root Canal?
Understanding Treatment Options for Cavities in Upper Left Teeth
Upper left posterior tooth Hello Doctor, I have two cavities in the upper left back teeth that have become hollow and cracked, but there is a healthy tooth in between. What would be the treatment for this? I haven't had a day off recently, so I would like to understand the g...
Dr. Zeng Guanghui Reply:
In the above situation, it is important to assess the extent of the fracture. If the fracture has affected the dental nerve, root canal treatment is recommended. However, if the fracture extends to the tooth root, extraction is advised. It is recommended to consult a dentist for ...[Read More] Understanding Treatment Options for Cavities in Upper Left Teeth
Treatment Options for Root Furcation Involvement in Molars
Treatment of molar furcation involvement? Hello, I had a toothache in my upper right molar and visited a nearby dental clinic. After examination, the dentist said I needed bone grafting and referred me to a periodontist at another clinic, where I scheduled a periodontal flap surg...
Dr. Huang Zhicheng Reply:
Hello, regarding "Is this molar considered root furcation involvement?" - a clinical examination along with X-ray assistance is necessary for a proper assessment. Periodontal regeneration surgery: In cases of periodontal disease, destruction of surrounding tissues leads...[Read More] Treatment Options for Root Furcation Involvement in Molars
Understanding Root Canal Treatment: Addressing Post-Procedure Complications
Root canal treatment Hello, about three to four years ago, I had a root canal treatment. Since then, I have had a few cracks in that tooth, but there haven't been any significant issues. Recently, I noticed a small black spot on that tooth, and when I used an interdental bru...
Dr. Zeng Guanghui Reply:
Teeth that have undergone root canal treatment can develop cavities in the crown area if proper oral hygiene is not maintained, leading to crown damage or fracture. Additionally, teeth that have had root canal therapy tend to have more brittle dentin, making them more susceptible...[Read More] Understanding Root Canal Treatment: Addressing Post-Procedure Complications
Understanding Tongue Sores: Causes, Symptoms, and Treatment Options
The tongue is prone to developing sores similar to canker sores? There is a hereditary issue in the family regarding thinner oral mucosa, but recently there has been a frequent occurrence of ulcers on the surface, tip, and even the sides and underside of the tongue. I would like ...
Dr. Zeng Guanghui Reply:
The presence of ulcers or holes on the tongue may be attributed to several factors. On one hand, irregular lifestyle habits, high emotional stress, or insufficient sleep can interfere with the immune system. On the other hand, nutritional deficiencies, particularly a lack of B vi...[Read More] Understanding Tongue Sores: Causes, Symptoms, and Treatment Options
Detecting Cracks in Tooth Roots: X-rays vs. MRI for Diagnosis
There is a crack in the tooth root? Hello, dentist: If there is a suspicion of cracks in the tooth portion within the gums or in the tooth root, can X-rays or MRI detect them? What other methods should be used for examination?
Dr. Zeng Guanghui Reply:
Cracks in the dental roots within the gums may present clinical symptoms such as sensitivity and pain when biting down on food. If the cracks are small, they can be difficult to detect using X-rays. However, if a crack is present, over time it may lead to apical infection and the...[Read More] Detecting Cracks in Tooth Roots: X-rays vs. MRI for Diagnosis
Concerns About Dental Bridge Replacement: Is the Process Correct?
Remake dental braces? Hello Dr. Chang, my issue is that the dental bridge on my front teeth that I had done ten years ago recently fell off. When I returned to the original dental clinic, the dentist informed me that the root inside had decayed. He removed the decayed part and sa...
Dr. Zhang Xiangyuan Reply:
Dear online friend, Based on your description, it seems that your dental bridge has fallen off and is being remade. You have questions regarding the process of creating dentures and dental implants. I suggest that you consult and discuss these concerns with your treating dentis...[Read More] Concerns About Dental Bridge Replacement: Is the Process Correct?
Understanding the Connection Between Root Canal Treatment and Fever
Root canal treatment A week ago, I had a toothache that was so severe I couldn't sleep. I went to the dentist, and after an X-ray, it was found that I needed root canal treatment. The dentist provided a temporary filling. After returning home that day, I had a low-grade feve...
Dr. Zeng Guanghui Reply:
During root canal treatment, in addition to cleaning and shaping the root canal, a temporary medication is placed to disinfect the canal and reduce inflammation and pain during the procedure. However, if the temporary medication is left in place for too long, its disinfecting eff...[Read More] Understanding the Connection Between Root Canal Treatment and Fever
Managing Persistent Gum Inflammation After Root Canal Treatment
Gingivitis Hello Doctor, my lower molars underwent root canal treatment about 6 or 7 years ago. After the treatment, the teeth were only filled. In July 2015, my gums started swelling and hurting, and after seeking treatment, it improved. However, in November of the same year, th...
Dr. Zeng Guanghui Reply:
The above situation may be due to insufficient debridement during the initial root canal treatment, leading to apical root infection. It is also possible that there are cracks in the root, causing inflammation of the surrounding gums. If retreatment is ineffective, apicoectomy ma...[Read More] Managing Persistent Gum Inflammation After Root Canal Treatment
Post Root Canal Treatment Issues: Can Cracked Roots Be Saved?
Issues After Root Canal Treatment Hello: Around November last year, I underwent root canal treatment elsewhere. Three months later, I experienced mild pain when biting down, but there was no pain when I released the bite or when tapping on the tooth. I later consulted an endodont...
Dr. Zeng Guanghui Reply:
The above situation may indicate that there is already a crack in the tooth itself. If the crack extends to the root and is a vertical fracture, it may be necessary to extract the tooth. It is recommended to consult a dentist for further evaluation and treatment.[Read More] Post Root Canal Treatment Issues: Can Cracked Roots Be Saved?
Understanding Pain and Swelling in the Lower Left Gum Area
Pain in the inner gingiva of the left posterior molar? Hello, doctor. Recently, I have been experiencing pain in the gums at the back of my lower left side near the tongue, and I can move it slightly (but not enough to see the entire tooth root). There is also some swelling. What...
Dr. Zeng Guanghui Reply:
The above situation is likely caused by gingival inflammation and swelling. It is recommended to consult a dentist for periodontal treatment and to maintain good oral hygiene.[Read More] Understanding Pain and Swelling in the Lower Left Gum Area
Understanding Apical Lesions: Treatment Options Beyond Tooth Extraction
Apex pathology Hello, a few years ago I underwent root canal treatment on the lower right molar, and recently, during a full-mouth X-ray, a lesion was found at the apex of the tooth root, showing radiolucency, and the tooth has become mobile. The dentist at the clinic assessed th...
Dr. Zeng Guanghui Reply:
In the above situation, if the original root canal filling is already tight and extends to the apex, but there is still apical pathology, it may be considered to refer the patient to an endodontic specialist for apicoectomy to attempt to thoroughly debride the apical lesion and o...[Read More] Understanding Apical Lesions: Treatment Options Beyond Tooth Extraction
Why Is My Tooth Turning Red After a Root Crack?
The tooth root is fractured, and the tooth has turned red? Previously, I had a cracked tooth root, and the dentist said it could be saved, but I should avoid hard foods. I have been very careful since then, but now the inside of the tooth appears light red. Why is this happening?...
Dr. Zeng Guanghui Reply:
The tooth root is fractured. Although it can be salvaged, the surrounding nerves may have been damaged during the impact, which can also affect the dental pulp, leading to internal tooth structure degeneration or pulp necrosis, resulting in a discoloration of the tooth. It is rec...[Read More] Why Is My Tooth Turning Red After a Root Crack?
Do You Need a Root Canal Before Getting a Dental Crown?
Does getting dentures require a root canal treatment? Hello Doctor: I had a root canal treatment on my lower left second molar many years ago, and after filling it with silver amalgam, it was fine until last week when I bit into something hard and broke a piece off. During the Ne...
Dr. Huang Zhicheng Reply:
Hello, before getting dentures, the dentist will use X-rays to check if there are any periodontal or root canal issues with the tooth roots. Since crowns are not inexpensive, there can be no mistakes. If the root canal treatment is incomplete, this is a good opportunity to redo t...[Read More] Do You Need a Root Canal Before Getting a Dental Crown?
Persistent Tooth Sensitivity After Dental Cleaning: Causes and Solutions
It has been three to four days since I had my teeth cleaned? On February 17, I experienced soreness in my lower front teeth, and the dentist performed a dental cleaning. However, since the cleaning until today, February 21, I have been experiencing persistent soreness in both the...
Dr. Huang Zhicheng Reply:
Hello: Dental scaling is a common term; in medical terminology, it is referred to as subgingival scaling. The dentist uses hand instruments or ultrasonic devices to remove calcified deposits from the root surfaces beneath the gums. Since the procedure involves contact with the to...[Read More] Persistent Tooth Sensitivity After Dental Cleaning: Causes and Solutions
Can Root Canal Filling Material Extend Beyond Tooth Roots?
Root canal filling material is used to fill the root canal? Hello Doctor, I previously had a root canal treatment on tooth number 7 performed by Dr. A, where the nerve was completely removed and filled with a filling material, then temporarily sealed with a crown. Recently, I con...
Dr. Zeng Guanghui Reply:
In the above situation, if the root canal was cleaned properly, there may be some discomfort for a while, but over time, the root canal could exhibit symptoms due to reinfection. If you wish to remove the filling material that extends beyond the root tip, you might consider under...[Read More] Can Root Canal Filling Material Extend Beyond Tooth Roots?
Post-Wisdom Tooth Extraction: Causes of Front Tooth Pain and Bite Issues
Ten days after the extraction of the lower right wisdom tooth, there is pain in the anterior teeth and discomfort with occlusion? Hello Doctor, I had my lower right and upper wisdom teeth extracted around February 4th of this year. However, ten days later, I began to experience s...
Dr. Huang Zhicheng Reply:
Hello, the teeth in front of the wisdom tooth may become inflamed and swollen after the extraction due to the wound not healing yet. This can cause occlusal interference, and the roots of the teeth behind may be exposed, leading to sensitivity to hot and cold foods, which is norm...[Read More] Post-Wisdom Tooth Extraction: Causes of Front Tooth Pain and Bite Issues
Understanding Shadow on Tooth Roots: Is Dental Implant Necessary?
There is a shadow on the tooth root? Hello, doctor! Recently, when I went to see the dentist, I was informed that there are shadows on the roots of my molars. The affected molars are two crowns that were placed over ten years ago. My dentist mentioned that due to the thickness of...
Dr. Zeng Guanghui Reply:
The presence of shadows on the roots of molars indicates that the marginal fit of the existing crown is compromised, which could likely lead to cavities or that there may already be cracks in the root. It may be necessary to extract the root and then consider dental implants. It ...[Read More] Understanding Shadow on Tooth Roots: Is Dental Implant Necessary?
White Pus Bump on Gums After Root Canal: Causes and Solutions
A white pus-filled abscess has developed in the gum area after root canal treatment? Several years ago, I underwent root canal treatment on my upper molar. After a corner of the crown broke off last year, I had a new crown placed. However, a few months after the crown was replace...
Dr. Huang Zhicheng Reply:
Hello: The simplest reason is that the root canal treatment has not been completed. The crown needs to be removed, the root canal needs to be disinfected again, the dental fistula must disappear, and after the root canal is completely filled, a crown can be placed. The worst-case...[Read More] White Pus Bump on Gums After Root Canal: Causes and Solutions
Bridges vs. Implants: Pros, Cons, and Costs Explained
The difference between dental bridges and dental implants? Hello, doctor. I need to have a tooth extracted soon, and I am considering either a dental bridge or a dental implant afterward. However, my budget is limited. Could you please explain the pros and cons of dental implants...
Dr. Zeng Guanghui Reply:
If you are missing a tooth and considering a dental bridge or an implant, it is important to assess whether adjacent teeth need to be prepared. For a fixed dental bridge, adjacent teeth must be shaped to serve as supports, typically resulting in a three-unit bridge. This option i...[Read More] Bridges vs. Implants: Pros, Cons, and Costs Explained