Understanding Wisdom Tooth Extraction Complications and Regulations
Wisdom tooth extraction issues? I would like to ask, I had a wisdom tooth extraction at a clinic in January, but recently I discovered that the sutures were not properly managed, so I went to a second clinic to have the sutures removed. An X-ray was taken, and it was found that t...
Dr. Zeng Guanghui Reply:
If there is indeed a residual tooth root, the size of the remaining root should be assessed. Small fragments of the tooth root may resorb on their own over time, but if there is a larger residual root, it is recommended to return for a follow-up appointment to have it thoroughly ...[Read More] Understanding Wisdom Tooth Extraction Complications and Regulations
Understanding Dental X-Rays: What Does a White Spot Mean?
Dental X-ray I recently had a tooth extraction due to wisdom tooth issues and also had an X-ray taken. The X-ray showed a small white area on the tooth in front. What could this problem be?
Dr. Lin Jiayong Reply:
Hello: Since I haven't seen the X-ray film, I cannot make a diagnosis arbitrarily. I recommend that you patiently listen to the explanation from the clinic physician for better understanding![Read More] Understanding Dental X-Rays: What Does a White Spot Mean?
Understanding Dental Pain: Insights on Silver Fillings and Treatment Options
Inquiry Consultation Dear Dr. Lin, Thank you very much for your personal responses and guidance in the articles "<a href='https://adoctor.tw/article/179496'>#179496 Follow-up Questions</a>" and "<a href='https://adoctor.tw/article/179...
Dr. Lin Jiayong Reply:
Hello: Q1: This still requires clinical observation and X-rays for confirmation; a diagnosis cannot be made arbitrarily. Q2: If there are fixed or removable dentures in the mouth, the internal crowns may also contain metal components, not just dental filling materials. Typica...[Read More] Understanding Dental Pain: Insights on Silver Fillings and Treatment Options
Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Dental Inquiry Consultation Dear Dr. Tseng, Over a year ago, I experienced a dull pain near my lower left first or second molar. I visited a dental clinic where an X-ray was taken of the affected area. The dentist examined the tooth and interpreted the X-ray, concluding that I d...
Dr. Zeng Guanghui Reply:
1. X-rays cannot detect small hidden cracks unless the fracture has become significantly evident, causing the tooth to split. 2. Unless there is a noticeable crack in the tooth or a significant defect, CBCT still has difficulty detecting hidden fractures. 3. It is also possible t...[Read More] Understanding Tooth Pain: Causes, Diagnosis, and Treatment Options
Managing Tooth Decay Pain: Insights on Anesthesia and Treatment Options
Even with anesthesia, you may still feel pain when getting a cavity filled? Hello, Doctor. I have a wisdom tooth partially erupted at the back of my lower right jaw, creating a groove between it and the molar, which causes food debris to get trapped. Due to improper cleaning, bot...
Dr. Lin Jiayong Reply:
Hello: If the wisdom tooth is not extracted, the second molar in front cannot be properly treated, so the prerequisite is to first remove the wisdom tooth. The doctor has explained that if there is pain during this period, you should return to him for treatment, indicating that t...[Read More] Managing Tooth Decay Pain: Insights on Anesthesia and Treatment Options
Understanding Hard Bumps in the Jaw: Possible Alveolar Bone Growth
There is a hard lump in the left alveolar ridge? One day, while looking in the mirror, I suddenly noticed a hard lump inside my canine tooth. I'm not sure if it's what people refer to as alveolar bone hyperplasia. It doesn't hurt or cause any discomfort, but it fee...
Dr. Lin Jiayong Reply:
Hello: It is recommended to obtain an X-ray for confirmation to check for any other abnormalities; otherwise, relying solely on palpation cannot determine if there are any malignant changes. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health ...[Read More] Understanding Hard Bumps in the Jaw: Possible Alveolar Bone Growth
Dealing with Dental Discrepancies: Broken Files in Root Canal Treatment
Broken needle? I am currently undergoing root canal treatment. Originally, I was scheduled to see Dr. A, but I was unexpectedly sent on a business trip to the southern part of the country for a week and couldn't make my appointment. One day, while I was in the south and expe...
Dr. Lin Jiayong Reply:
Hello: If you have already placed a lot of trust in Dr. A and have been receiving treatment there for a long time, it is advisable to continue following Dr. A's treatment plan and approach. However, if you have doubts due to the opinions of a physician in the southern region...[Read More] Dealing with Dental Discrepancies: Broken Files in Root Canal Treatment
Concerns About Silver Filling Surface Irregularities in Dental Care
Inquiry about Silver Powder Fillers Dear Dr. Lin, Happy New Year! I recently noticed that the surface of the silver amalgam filling on my lower left first molar is somewhat uneven, with a small area that is slightly recessed. The affected area is not large and not very deep. Thi...
Dr. Lin Jiayong Reply:
Hello: If you have already had an X-ray and confirmed that there are no cavities and no particular discomfort, it is recommended to simply monitor the situation regularly. The indentation in the old silver filling may be due to occlusal wear, and placing material directly on it w...[Read More] Concerns About Silver Filling Surface Irregularities in Dental Care
Understanding Pulp Preservation Treatment: Success Indicators and Pain Management
Pulp preservation therapy Hello Doctor, today is February 16th. On February 12th, I visited the dentist due to tooth pain, and the dentist informed me that the cavity was very deep and almost reached the dental pulp. Because of my young age, I underwent pulp preservation treatmen...
Dr. Lin Jiayong Reply:
Hello, regardless of success or failure, it is necessary to wait at least 3 to 6 months, and to use X-rays for objective verification. Within 1 to 2 weeks after treatment, subjective symptom descriptions cannot determine whether the treatment was successful. It is recommended tha...[Read More] Understanding Pulp Preservation Treatment: Success Indicators and Pain Management
Understanding Wisdom Tooth Extraction Healing: What to Expect
Post-operative issues after wisdom tooth extraction? Hello, doctor. I would like to ask about the healing process of the wisdom tooth extraction site. I had a horizontal wisdom tooth removed 5 days ago, and there is a white layer forming over the blood clot. Will that white layer...
Dr. Lin Jiayong Reply:
Hello: It is advised not to intentionally break or tear the newly formed white tissue. If it falls off, there is no need to worry excessively; just maintain oral hygiene to prevent bacterial infection. If you are still concerned, you may return to your original clinic for the doc...[Read More] Understanding Wisdom Tooth Extraction Healing: What to Expect
Understanding Pulp Preservation Treatment: Success Indicators and Pain Management
Pulp preservation treatment Hello Doctor, today is February 16th. I visited the dentist on February 12th due to tooth pain. The dentist informed me that the cavity was very deep and almost reached the dental pulp. Because of my young age, I underwent pulp preservation treatment, ...
Dr. Lin Jiayong Reply:
Hello, whether the treatment is successful or not should be evaluated after at least 3 to 6 months, and it should be supported by X-ray images for objective evidence. Within 1 to 2 weeks after treatment, subjective symptom descriptions cannot determine the success of the treatmen...[Read More] Understanding Pulp Preservation Treatment: Success Indicators and Pain Management
Understanding Dark Shadows at Tooth Apex: Is Root Canal Necessary?
There is a shadow at the apex, but the tooth is still vital? Hello, I recently had a periapical X-ray taken of my teeth. The dentist mentioned that there is a shadow at the apex of my right incisor (which has no cavities and is not painful). It is suspected to be inflammation or ...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit a medical center for a cone beam CT scan of the maxilla. This will help confirm whether there is a pulp disease that requires root canal treatment. Additionally, if there is an apical cyst, it can be monitored over time to assess any improv...[Read More] Understanding Dark Shadows at Tooth Apex: Is Root Canal Necessary?
Hidden Dental Issues: X-Ray Reveals Cavities Without Symptoms
Teeth appear normal on the surface with no cavities, but X-rays reveal underlying issues? Hello Doctor, I have no discomfort in my teeth, but during a routine check-up and X-ray, it was discovered that my lower right first molar has a cavity-like space (not at the root) that rese...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to proceed cautiously (since there are currently no discomforts, after invasive or irreversible treatments, the subjective comparison before and after may be lacking, leading to overtreatment). 2. After excavation, consideration should be given to rest...[Read More] Hidden Dental Issues: X-Ray Reveals Cavities Without Symptoms
From Simple Filling to Root Canal: Understanding Dental Treatment Evolution
How a simple dental filling evolves into root canal treatment? Hello Doctor, I previously had some discomfort in my left back tooth after biting into something, but it was only mild pain that lasted briefly. During my dental visit, I asked the dentist to check it out, and he su...
Dr. Zeng Guanghui Reply:
If a cavity is reopened and filled again, and there is persistent sensitivity to hot and cold, it may indicate that the extent of the decay is significant and the filling material is close to the nerve. If sensitivity continues after a period of observation, root canal treatment ...[Read More] From Simple Filling to Root Canal: Understanding Dental Treatment Evolution
Understanding Tooth Pain: Causes and Diagnosis of Lower Left Molar Discomfort
Pain in the occlusion of the lower left molar? Dear Dr. Lin, About a year ago, I experienced a dull pain in the area of my lower left molars (the pain point is near the first or second molar, and I do not have wisdom teeth as they have been extracted). At that time, I visited a ...
Dr. Lin Jiayong Reply:
Hello: 1. Because teeth have a three-dimensional structure and the orientation of microscopic cracks can vary greatly, both periapical and panoramic radiographs are flat images, so I cannot guarantee that there are no cracks. 2. In most cases, it should be possible, but it will l...[Read More] Understanding Tooth Pain: Causes and Diagnosis of Lower Left Molar Discomfort
Why Food Gets Stuck After Root Canal and Crown Treatment
After root canal treatment, food particles are likely to get stuck between the teeth? Hello Doctor, I am a patient of #177426. I apologize for not explaining clearly at that time. Currently, the condition of my teeth is as follows: there is a wisdom tooth in the lower right that ...
Dr. Zeng Guanghui Reply:
Because the crowns of the two molars are installed separately (at different times), there is a gap between the two crowns. However, if you maintain proper oral hygiene and prevent plaque accumulation in the interproximal area, inflammation and bleeding in that area should not occ...[Read More] Why Food Gets Stuck After Root Canal and Crown Treatment
Understanding Tooth Pain: Causes and Solutions for Discomfort
Toothache I have been experiencing discomfort in my lower teeth for a month now. I have visited three clinics, and they all said it was just inflammation and did not see any cavities. They prescribed painkillers and advised me to avoid hard foods, which I have been following, but...
Dr. Lin Jiayong Reply:
Hello: From both local and systemic perspectives. Common local issues that may cause discomfort in the teeth include dental caries, gingivitis, and periodontal disease. However, if X-rays have been taken and no problems were found, then it is important to consider systemic issues...[Read More] Understanding Tooth Pain: Causes and Solutions for Discomfort
Can Resin Repair Minor Tooth Cracks Effectively?
Can a dental crack be repaired with resin? Hello, Doctor. I have a small horizontal crack near the gum line on the occlusal surface of my second-to-last upper right tooth. The depth is unknown, but both X-rays and CT scans show no abnormalities, and it is not diagnosed as a cavit...
Dr. Lin Jiayong Reply:
Hello: Perhaps you can first use a sealant similar to what children use for cavity prevention to repair the small cracks. It is recommended to have further discussions with the treating physician. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of H...[Read More] Can Resin Repair Minor Tooth Cracks Effectively?
Understanding Apex Cysts: When to Monitor or Consider Surgery
Apical cyst Hello, doctor. Recently, I have been experiencing mild discomfort and sensitivity in my lower front teeth, so I visited a dental clinic. The dentist performed X-rays, pulp vitality tests, and a CT scan, which revealed a cyst between my lower front teeth. The electric ...
Dr. Lin Jiayong Reply:
Hello: The greatest risk of surgery is the potential loss of teeth that have developed on the cyst. If the physician assesses that observation is advisable, then surgery should not be hastily performed. Otherwise, the loss of lower front teeth would require extensive reconstructi...[Read More] Understanding Apex Cysts: When to Monitor or Consider Surgery
Should My Child Get a Crown for Cavities in Baby Teeth?
Direct placement of crowns on decayed primary teeth? My daughter is currently 5 years and 7 months old. An X-ray revealed cavities in her molars, and the doctor mentioned that since the decay is from the side, there is a high chance that a root canal will be necessary. The doctor...
Dr. Qiu Qiongyao Reply:
Dear Miss Rong: Hello, in response to your inquiry, please find the following information: 1. It is advisable to consult another dental office to understand the situation better before making a decision. 2. Theoretically, if there is no swelling or pain in the teeth and it i...[Read More] Should My Child Get a Crown for Cavities in Baby Teeth?