X-ray, Dentistry FAQ - Page 15

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Black Lines on Gums After Car Accident: Dental Concerns Explained

After the car accident, a black line was found on the impacted gum area? About a month ago, I was in a car accident, and two of my upper right front teeth were fractured, leaving one-third of them remaining. Due to a laceration in my mouth, during the dressing change, I noticed a...


Dr. Lin Jiayong Reply:
Hello: It is recommended to take X-rays at 1, 3, and 6 months after a car accident or trauma to check for any signs of nerve necrosis. Since the accident just occurred, it is important to allow the body to rest and recover, so please do not be too anxious. Sincerely, Lin Chia-Yun...

[Read More] Black Lines on Gums After Car Accident: Dental Concerns Explained


Essential X-Rays for Orthodontics: Impact on Treatment Success

Orthodontic-related issues? Hello, doctor. I would like to ask two questions: 1. Is it necessary to take X-rays before orthodontic treatment? If X-rays are not taken, will it have an impact later on? 2. After completing orthodontic treatment, if X-rays show that the roots of th...


Dr. Lin Jiayong Reply:
Hello, 1. In the vast majority of cases, X-rays will definitely be taken, and at least two different types will be performed. 2. The success or failure depends on whether the initial goals of the treatment plan have been achieved, so it is essential to consider how you discuss...

[Read More] Essential X-Rays for Orthodontics: Impact on Treatment Success


Should My Child Get a Crown for Cavities in Baby Teeth?

Direct placement of dental crowns on decayed primary teeth? My daughter is currently 5 years and 7 months old. An X-ray revealed cavities in her primary molars. The doctor mentioned that since the cavities are on the side, there is a high chance that a root canal will be necessar...


Dr. Qiu Qiongyao Reply:
Hello, in response to your inquiry, here are the answers: 1. You can refer to treatment plans from other clinics before making a decision. 2. If the cavity is deep, it is advisable to fill it and monitor whether root canal treatment is necessary. 3. If root canal treatment is req...

[Read More] Should My Child Get a Crown for Cavities in Baby Teeth?


Understanding Tooth Pain and Mobility: Common Dental Concerns Explained

Toothache and tooth mobility issues? Hello Dr. Lin, I sometimes experience tooth pain, specifically in the lower right molar area. About a year ago, I visited a dentist, and after eating small foods (like sesame seeds), I would feel pain. An X-ray showed no issues, and there wer...


Dr. Lin Jiayong Reply:
Hello, considering your age and the situation you described, there is a high likelihood that it is caused by nocturnal bruxism and tension-related clenching (during relaxation, the upper and lower teeth do not make direct contact). I recommend consulting an oral surgeon for confi...

[Read More] Understanding Tooth Pain and Mobility: Common Dental Concerns Explained


Should You Remove Wisdom Teeth? Evaluation and Cost Considerations

Evaluation of whether wisdom teeth need to be extracted and issues related to out-of-pocket expenses? Hello, doctor. Currently, all four of my wisdom teeth have erupted, but the lower right one has not fully emerged. My dentist recommended extraction to prevent inflammation due t...


Dr. Lin Jiayong Reply:
Hello: 1. At 26 years old, the likelihood of the wisdom teeth having enough space to fully erupt due to skeletal growth is very low. Therefore, it is recommended to extract the lower right wisdom tooth. For the upper right and lower left wisdom teeth, the decision should be based...

[Read More] Should You Remove Wisdom Teeth? Evaluation and Cost Considerations


Understanding Peri-Implantitis: Symptoms, Treatment, and Care

Peri-implantitis Hello Dr. Lin, last week I consulted you about the issue of peri-implantitis (the situation is described below). On December 16, an X-ray taken in Hong Kong revealed severe peri-implantitis. On December 21, a CT scan showed that only 2mm of the implant remains, a...


Dr. Lin Jiayong Reply:
Hello: If there is a persistent purulent condition, it is recommended to consult an infectious disease specialist for a prescription of commonly used antibiotics for upper respiratory infections. During the isolation period, invasive dental treatments are not advised. Sincerely, ...

[Read More] Understanding Peri-Implantitis: Symptoms, Treatment, and Care


Understanding Deep Cavities in Lower Second Molars: Treatment Options Explained

Cavity behind the second lower molar? Previously, my lower right wisdom tooth was removed due to its inclination, which led to cavities in the second molar. The decay has extended below the gum line. After consulting multiple hospitals, they indicated that the cavity is deep and ...


Dr. Lin Jiayong Reply:
Hello: 1. To determine whether the cavity will continue to progress towards the pulp, if the decay is already arrested, it may still be usable for some time. 2. Only a dentist who has actually reviewed the X-ray can assess the complexity of the root canal for that tooth. Sincerel...

[Read More] Understanding Deep Cavities in Lower Second Molars: Treatment Options Explained


Common Dental Filling Questions: When to Repair and What to Watch For

Questions about dental fillings? Hello, Doctor. I have a few questions to ask: 1. I have a resin filling on the occlusal surface that has developed small wear holes over the years. The orthodontist believes it can be filled or just the small holes can be filled directly; howeve...


Dr. Lin Jiayong Reply:
Hello: 1. If there is no impact on aesthetics or function, and both doctors have advised against active intervention, it is recommended to simply monitor the situation. 2. If X-rays have been taken and confirmed to be normal, and you do not subjectively experience any swelling, p...

[Read More] Common Dental Filling Questions: When to Repair and What to Watch For


Managing Peri-implantitis: Tips for Patients During Quarantine

Peri-implantitis Hello Dr. Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis. A CT scan on December 21st indicated that only 2mm of the implant remains. Due to various considerations, I decided to return to Taiwan for treatment and am currently i...


Dr. Lin Jiayong Reply:
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted. It is advised to maintain oral hygiene and prevent any further infection or inflammation. After the isolation period, you should dis...

[Read More] Managing Peri-implantitis: Tips for Patients During Quarantine


Understanding Tooth Pain and Root Canal Treatment: What to Expect

Toothache, root canal treatment? Hello, Doctor. I would like to ask you about a situation. Initially, I had no pain in my teeth, but during a dental cleaning, it was discovered that I had a cavity in my upper left molar. The dentist filled it at that time, but the next day, I sta...


Dr. Lin Jiayong Reply:
Hello: 1. Discomfort after the completion of root canal treatment will gradually subside within about one week. 2. It is recommended to directly inform the dentist that you do not wish to proceed with dentures at this time. 3. It is strongly advised not to extract teeth arbitrari...

[Read More] Understanding Tooth Pain and Root Canal Treatment: What to Expect


Understanding Failed Root Canal Treatment: Symptoms and Solutions

Retreatment of root canal therapy In November, I experienced pain in my right molar. An X-ray revealed the presence of an instrument inside the tooth along with inflammation, leading to a retreatment of the root canal. During the first visit, the instrument was removed. On the se...


Dr. Lin Jiayong Reply:
Hello: If there is persistent inflammation and swelling, it is advisable to return for follow-up to confirm the source of the infection. The success of the surgery needs to be corroborated by comparing pre-operative and post-operative X-rays; it cannot be concluded solely based o...

[Read More] Understanding Failed Root Canal Treatment: Symptoms and Solutions


Persistent Cysts After Apex Surgery: What Are Your Options?

The dental cyst did not resolve after undergoing apicoectomy? Hello, Dr. Lin. Last year, I developed an abscess on my gums. Since it wasn't painful, I delayed seeking treatment for six months, and it eventually changed color to a grayish-black before I decided to see a docto...


Dr. Lin Jiayong Reply:
Hello: The success of the surgery can only be confirmed through X-rays; it is difficult to draw conclusions based solely on changes in the color and texture of the gums or soft tissues. It is recommended to continue follow-up at the original clinic, or you may seek a second or th...

[Read More] Persistent Cysts After Apex Surgery: What Are Your Options?


Understanding Post-Pulp Capping Pain: When to Seek Dental Help

Pulp therapy and toothache? Hello, Dentist: I have completed direct pulp capping treatment a little over two weeks ago. Before the procedure, I had an X-ray taken, and the dentist said there were no cavities, although I had previous fillings. During the first week after the trea...


Dr. Lin Jiayong Reply:
Hello: It is recommended to just observe for now, because if you rush to seek medical attention, the doctor may perceive your pain as unbearable, which could likely lead to an immediate root canal treatment (nerve extraction). Unless you are in severe pain and do not wish to give...

[Read More] Understanding Post-Pulp Capping Pain: When to Seek Dental Help


Managing Tooth Cracks: When to Seek Treatment and What to Expect

Management of dental cracks and fractures? Hello Dr. Lin: Three years ago, I bit down on something hard and felt pain briefly, but it went away, so I didn't follow up. Recently, I've been experiencing pain again when biting down on hard objects in the same area, so I we...


Dr. Lin Jiayong Reply:
Hello: If the X-ray does not show any pathological changes or abnormalities, and you do not subjectively feel very uncomfortable, it is recommended to continue monitoring and observing without arbitrarily grinding or extracting healthy teeth. Sincerely, Lin Chia-Yung, Department ...

[Read More] Managing Tooth Cracks: When to Seek Treatment and What to Expect


Understanding Tooth Decay: Insights on Root Canal Treatment for Molars

Cavity in the upper left third molar? Hello, Doctor: I regularly visit the dentist for cleanings and have had issues with cavities for many years, with the upper left third molar being the most severe. Last year, the dentist suggested a root canal, but I refused because I have ne...


Dr. Zeng Guanghui Reply:
If the third molar has extensive decay, and there was a previous filling that has chipped off slightly, resulting in occasional sensitivity or pain, it is advisable to consult a dentist for an examination. An X-ray can be taken to assess the depth of the decay and determine wheth...

[Read More] Understanding Tooth Decay: Insights on Root Canal Treatment for Molars


Understanding Tooth Sensitivity and Gum Inflammation After Dental Work

Tooth sensitivity or toothache? Hello, I have a deep cavity in my molar that is close to the nerve. After getting it filled, I experience sensitivity and pain when biting down on hard objects, which then leads to gum inflammation and soreness. There is pus when I apply pressure t...


Dr. Zeng Guanghui Reply:
If the filling is very close to the dental nerve, it may cause inflammation of the dental nerve. Therefore, in addition to gingival inflammation, it is also possible that the discomfort is caused by inflammation of the dental nerve. If the symptoms recur, it is advisable to consu...

[Read More] Understanding Tooth Sensitivity and Gum Inflammation After Dental Work


Understanding Gum Cysts: Causes, Symptoms, and Treatment Options

Gingival cyst Since June or July, I have been experiencing sudden pain in my teeth when chewing, as well as tenderness when pressure is applied. I have visited the dentist several times, and the doctor said there was no issue with my teeth. Due to other health concerns, I had an ...


Dr. Zeng Guanghui Reply:
There may be an infection and inflammation of the gums and periodontal tissues surrounding the teeth. It is recommended to consult a dentist for further examination and treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

[Read More] Understanding Gum Cysts: Causes, Symptoms, and Treatment Options


Understanding Gum Issues: Causes and Solutions for Painful Holes

Gingival recession with perforation? Hello, Doctor. This evening while brushing my teeth, I accidentally brushed too hard and caused some bleeding. Initially, I thought it was just a small cut and that it might be due to late-night inflammation. However, I later realized it was q...


Dr. Lin Jiayong Reply:
Hello: If there are polyps in the gums, it is advisable to seek medical examination as soon as possible. Oral gels (ointments) often contain steroids, so it is recommended to use them in small amounts for a short duration. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichu...

[Read More] Understanding Gum Issues: Causes and Solutions for Painful Holes


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


Post-Root Canal Crown Decisions: Single vs. Double Tooth Options

Issues with braces after root canal treatment? Hello Dr. Lin, I would like to inquire about the crown issue after a root canal treatment. I have a tooth on the left side of my front teeth that underwent a root canal 15 years ago, but I did not get a crown at that time. I was advi...


Dr. Lin Jiayong Reply:
Hello: According to what you mentioned, this tooth has been fine in your mouth for 15 years. So why do you suddenly want to get a crown now? You should first identify your main issue before considering subsequent treatment options. Is it for aesthetics? Functionality? Space maint...

[Read More] Post-Root Canal Crown Decisions: Single vs. Double Tooth Options


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