Regrets About Dental Bridges: Is Switching to Single Crowns Possible?
Regret having dental bridges? Due to severe dental decay throughout my mouth, I have experienced fractures and cavities in every tooth, which has made me self-conscious and reluctant to speak or smile. Therefore, in recent months, I have actively pursued a complete overhaul with ...
Dr. Lin Jiayong Reply:
Hello: It is recommended not to bond everything just yet. Discuss with your original dentist the pros and cons of switching to individual crowns, considering that the initial decision to connect the entire arch together must have had its advantages. Once you fully understand and ...[Read More] Regrets About Dental Bridges: Is Switching to Single Crowns Possible?
Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Gum recession and root exposure? Hello Doctor, I had almost a full mouth of dental bridges at a very young age. Last year, I started experiencing issues with my upper teeth, and I also have Class III skeletal malocclusion. In early 2022, I had the dental bridges removed and recei...
Dr. Lin Jiayong Reply:
Hello: Surgical procedures inherently carry many risks and uncertainties, so it is advisable to communicate clearly with you before the operation. 1. If the orthognathic surgery has been successful, it is recommended that you relax, as the most challenging part has been overcome,...[Read More] Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Was My Tooth Extraction Done Properly? Understanding Dental Care Responsibilities
Incomplete extraction of a decayed tooth? Hello Dr. Lin, during my orthodontic evaluation, the orthodontist suggested that I first see another dentist to extract my upper left cavity before proceeding with orthodontics. After the extraction, the orthodontist discovered during the...
Dr. Lin Jiayong Reply:
Hello: It is advisable to discuss this issue with your orthodontist.[Read More] Was My Tooth Extraction Done Properly? Understanding Dental Care Responsibilities
Understanding Black Oral Mucosal Lesions: When to Seek Help
Black lesions on the oral mucosa? At the beginning of November, I noticed a black protrusion on the oral mucosa located around the fifth tooth position on the right side, near my front tooth. It appears to be connected to blood vessels, is neither painful nor itchy, and has not d...
Dr. Zeng Guanghui Reply:
It is recommended to consult a dentist for an examination to confirm whether the oral mucosal surface of the fistulous tract is caused by an infection or inflammation of the tooth root apex. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Black Oral Mucosal Lesions: When to Seek Help
Can Long-Term Tooth Root Mobility Cause Chronic Hives?
Can long-term inflammation from a loose molar root lead to chronic urticaria? Hello, doctor. Last year, I had an issue with inflammation and mobility of my lower second molar, which is associated with periodontal disease. I visited a dental clinic, and they suggested extraction. ...
Dr. Zeng Guanghui Reply:
There is no evidence to suggest a correlation between periodontal disease and chronic urticaria. If you have chronic urticaria, you can consult a family medicine physician or a dermatologist for diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospita...[Read More] Can Long-Term Tooth Root Mobility Cause Chronic Hives?
Understanding Rough Tooth Surfaces: Causes and Solutions
Rough surface of the teeth? After brushing my teeth, they still feel rough to the tongue, similar to the sensation when I haven't brushed. When I gently scrape them with my fingernail, they feel uneven. Even under light, they don't reflect smoothly like other teeth. The...
Dr. Zeng Guanghui Reply:
It is possible that dental calculus is trapped in the rough areas near the tooth roots. It is recommended to consult a dentist for a thorough examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Rough Tooth Surfaces: Causes and Solutions
Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Apical cyst Due to an X-ray finding, there is a sizable periapical cyst (a round structure resembling a small ball) at the apex of my front tooth, which may be about the same size as the tooth root. It is asymptomatic, and this tooth has no cavities, has never undergone root cana...
Dr. Zeng Guanghui Reply:
1. If the periapical cyst is caused by the necrosis of the nerve of the affected incisor, the cyst should gradually disappear after root canal treatment of that tooth. However, if the cyst is caused by an impacted supernumerary tooth, the cyst will not resolve even if the incisor...[Read More] Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Understanding Periodontal Disease Treatment: Expert Insights and Options
Questions related to periodontal disease treatment? Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal diseas...
Dr. Zeng Guanghui Reply:
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options
Maintaining Glass Ionomer Resin Fillings: Tips for Care and Cleaning
Maintenance after Glass Ionomer Resin Dental Restoration Hello, doctor. I would like to ask if it's possible to clean the neck of the second molar, which has been filled with glass ionomer resin, using a commercially available soft-bristle toothbrush or just dental floss? I ...
Dr. Lin Jiayong Reply:
Hello: 1. Cavities located at the cervical area or near the tooth root can be considered for composite filling. However, it is still recommended to identify the cause of the cervical lesions before selecting the appropriate material. 2. A single tuft brush can be used for cleanin...[Read More] Maintaining Glass Ionomer Resin Fillings: Tips for Care and Cleaning
Understanding Painless Dental Bumps on Crowns: Causes and Solutions
Inquire about the denture sore (painless) on the dentures? I would like to ask about a small bump that has developed just above my tooth. It feels like there is a white substance inside, but it doesn't hurt. This tooth is the second one to the left of my front tooth, and it ...
Dr. Zeng Guanghui Reply:
It is possible that there is inflammation at the apex of the tooth root. If root canal treatment and a post have already been performed, you may consider whether to proceed with apicoectomy. However, it is still recommended to consult with an endodontist. Dr. Tseng Guang-Hui, Dep...[Read More] Understanding Painless Dental Bumps on Crowns: Causes and Solutions
Understanding Deep Root Canal Treatment: Causes of Pain and Complications
Issues with Over-Instrumentation in Root Canal Treatment Hello Dr. Tseng: I have a large cavity in my upper left canine tooth. I have been seeing the same dentist for all my treatments. On September 13, I had my first root canal, and the dentist placed a temporary filling afterwa...
Dr. Zeng Guanghui Reply:
Pain upon pressing the nasal wing may indicate that there is still inflammation between the tooth roots. The apical area of the root canal may require further debridement. It is also possible that the root canal treatment was performed too deeply. However, as long as the apical r...[Read More] Understanding Deep Root Canal Treatment: Causes of Pain and Complications
Understanding Post-Extraction Pain: Insights on Wisdom Tooth Recovery
145 hours post-extraction of the lower left impacted wisdom tooth? I recently had my lower left wisdom tooth extracted, and for the first 1-2 days, I experienced significant swelling and pain, which even radiated to my ear and caused sharp pain when I drooled. After 3-4 days, the...
Dr. Lin Jiayong Reply:
Hello: Typically, stitches are removed about 7 days later. It is recommended to inform your physician of any discomfort during your follow-up visit. If you experience fever, difficulty breathing, or severe discomfort such as jaw clenching during this period, it is advisable to se...[Read More] Understanding Post-Extraction Pain: Insights on Wisdom Tooth Recovery
Understanding Sensitivity in Dental Crowns: Causes and Solutions
The dental crown feels sharp when tapped? The lower third molar had a cavity, and after the root canal treatment, a prosthetic tooth was placed (without a dental post). However, when tapping the prosthetic tooth with the upper teeth, there is a tingling sensation (difficult to de...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to observe for about six months to determine if the root canal treatment has failed. 2. It is advisable to proceed with the extraction of the remaining root as soon as possible.[Read More] Understanding Sensitivity in Dental Crowns: Causes and Solutions
Understanding Tooth Root Indentations: Causes and Urgency in Dental Care
The root of the tooth is recessed, resulting in uneven heights? The incisors and the two adjacent teeth have horizontal indentations at the root, are yellowish, and are not painful. The gums are also receding. What could this condition be? Is it still okay to see a dentist in two...
Dr. Lin Jiayong Reply:
Hello: It may be due to dental root caries or excessive wear from brushing too hard. It is recommended to address this issue within two weeks.[Read More] Understanding Tooth Root Indentations: Causes and Urgency in Dental Care
Exploring the Connection Between Mouth Sores, Tooth Pain, and Jaw Discomfort
Are mouth ulcers, tooth pain, and temporomandibular joint (TMJ) pain related to each other? Two years ago, I experienced temporomandibular joint pain and consulted a doctor. I used an occlusal splint, but after more than a year, there was no improvement, so I stopped going. I sti...
Dr. Lin Jiayong Reply:
Hello: For the temporomandibular joint (TMJ) issues, it is recommended to consult an oral surgeon to see if improvements can be made through Botox injections or PRP (platelet-rich plasma) therapy. The mouth sores and lymphadenopathy may be related to immune responses or infection...[Read More] Exploring the Connection Between Mouth Sores, Tooth Pain, and Jaw Discomfort
Understanding Complications of Fixed Dentures and Root Fractures
Fixed dentures and issues related to root fractures? Hello, Doctor. I have a tooth (number 45) that has undergone root canal treatment, had a post placed, and received a zirconia crown. It has been almost two years since the procedure. Recently, I have experienced occasional mild...
Dr. Lin Jiayong Reply:
Hello: 1. It's uncertain; a treatment plan can only be established after examining the actual oral condition and X-rays. 2. You can seek a second or third opinion before starting treatment. 3. No, however, dentures are considered out-of-pocket expenses, and typically, the or...[Read More] Understanding Complications of Fixed Dentures and Root Fractures
Exploring Alternatives to Dentures for Upper Teeth Loss at 47
Upper teeth Due to periodontal disease, most of my upper teeth are almost unusable. I have had X-rays taken, and some of the tooth roots are also not viable. The dentist said that the only option is to get removable dentures. I would like to ask if this is the only option? After ...
Dr. Zeng Guanghui Reply:
Hello: If many teeth cannot be used due to periodontal disease and you do not wish to opt for removable dentures, you may consider dental implants to restore chewing function. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Exploring Alternatives to Dentures for Upper Teeth Loss at 47
Why Do Root-Filled Teeth Still Crack Despite Crowns?
The root of a tooth that has undergone root canal treatment has fractured? Hello Dr. Lin, I would like to ask: why do my teeth that have undergone root canal treatment and have been protected with crowns still experience root fractures several years later? This has happened to se...
Dr. Lin Jiayong Reply:
Hello: If you have a habit of grinding your teeth at night or clenching your jaw when stressed, it can indeed lead to the situation you mentioned. It is advisable to address the underlying causes first; otherwise, even with root canal treatment and crowns, the tooth roots may sti...[Read More] Why Do Root-Filled Teeth Still Crack Despite Crowns?
Can a Permanently Bonded Dental Crown Be Removed or Repaired?
Is it true that dentures that have already been bonded cannot be removed anymore? Hello, doctor. As per the subject, I would like to ask if a dental crown that has been permanently cemented can really not be removed anymore? I just had a fixed dental crown placed, but I feel like...
Dr. Zeng Guanghui Reply:
Hello: If the teeth with crowns feel a bit loose, it may indicate periodontal inflammation or bone resorption. First, periodontal treatment should be performed; if that does not resolve the issue, then consider removing the crown. Dr. Tseng Guang-Hui, Department of Dentistry, Nan...[Read More] Can a Permanently Bonded Dental Crown Be Removed or Repaired?
Understanding Itchy Tooth Roots: Causes and Solutions
Itchy teeth? Hello, a few days ago I suddenly felt intense itching around the root of my tooth. I visited the dentist, and the doctor prescribed anti-inflammatory medication for me, but there hasn't been any improvement; I still have the itching sensation at the root of my t...
Dr. Zeng Guanghui Reply:
The periodontal tissues surrounding the tooth root may be experiencing inflammation or infection, or there may be sensitivity to hot and cold in the tooth root. It is recommended that if there is no improvement, you should return for a follow-up appointment for a detailed examina...[Read More] Understanding Itchy Tooth Roots: Causes and Solutions