Understanding Tooth Inflammation: Causes and Treatment Options
Dental inflammation Hello, doctor. I would like to ask, my tooth has undergone root canal treatment and has a crown placed on it, but last month the tooth became swollen again. I went for an X-ray, and the dentist told me that there was a dark shadow on the X-ray. The dentist the...
Dr. Zeng Guanghui Reply:
There may be a bacterial infection at the junction between the edge of the braces and the gum tissue, leading to gum swelling. If this occurs repeatedly, it is recommended to return for a detailed examination by a dentist. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hosp...[Read More] Understanding Tooth Inflammation: Causes and Treatment Options
Understanding Wisdom Teeth Issues: Extraction, Pain, and Alignment Concerns
Issues related to wisdom teeth? Hello, Doctor. I apologize for bothering you, but I have a few questions regarding my teeth. Recently, I had my upper left wisdom tooth extracted, and afterward, while brushing my teeth, I noticed a slightly protruding area that I could feel with m...
Dr. Lin Jiayong Reply:
Hello: 1. If you are concerned about incomplete extraction, you can take another X-ray for confirmation. The sharp part may indeed be the alveolar bone crest from the extraction site. 2. Inflammation or infection of the soft and hard tissues in the oral cavity typically does not ...[Read More] Understanding Wisdom Teeth Issues: Extraction, Pain, and Alignment Concerns
Understanding Large Gaps Between Teeth: Is It a Dental Concern?
Gaps between teeth? Hello Doctor, I have noticed that the gaps between my upper right fourth and fifth teeth seem particularly large. Food tends to get stuck there, and when I use dental floss, it feels like it goes right into the gums without any resistance. I have been seeing t...
Dr. Lin Jiayong Reply:
Hello, at your age (21 years old), if you have larger gaps between your teeth, it is usually related to the alignment of your teeth and the shape of the teeth themselves. If your dentist has already taken X-rays and confirmed that there are no issues (such as periodontal disease ...[Read More] Understanding Large Gaps Between Teeth: Is It a Dental Concern?
Can Dental Grinding Cause Misalignment? Understanding Your Bite Issues
Teeth grinding by the dentist has resulted in malocclusion? Three months ago, I experienced pain when biting down at an angle on my upper left first molar, but it didn't hurt when I didn't bite. After an X-ray, the dentist found no cavities and thought it was an occlusi...
Dr. Lin Jiayong Reply:
Hello: Generally, young individuals have at least two occlusions: one is the resting occlusion (where the facial muscles are relaxed and there is a gap between the upper and lower teeth), and the other is the maximal intercuspation (where the upper and lower teeth are tightly cle...[Read More] Can Dental Grinding Cause Misalignment? Understanding Your Bite Issues
Red Tooth After Filling: Should You Worry About Nerve Damage?
After a month of dental treatment, the tooth appears red and the gums have become slightly white? A month ago, I had a cavity filled, and the dentist mentioned that it was quite deep. Before placing the filling, the dentist asked if I felt any discomfort, and at that time, I did ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic for an X-ray examination and to compare it with the previous X-ray in order to accurately assess whether there is any damage to the dental pulp nerve. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, M...[Read More] Red Tooth After Filling: Should You Worry About Nerve Damage?
Should You Remove a New Wisdom Tooth Causing Oral Discomfort?
Should I have my newly erupted wisdom tooth removed if it is scraping against my oral cavity? Hello, Doctor: I recently discovered a new wisdom tooth growing on the upper left side. Previously, I had an X-ray taken by a dentist, which showed that the wisdom tooth was vertical. Ho...
Dr. Zeng Guanghui Reply:
Wisdom teeth typically fully erupt and position themselves after the age of 20. If they grow in a tilted manner, it is likely due to insufficient space for eruption or an incorrect growth angle, which can cause them to press against the second molars or irritate the inner gum tis...[Read More] Should You Remove a New Wisdom Tooth Causing Oral Discomfort?
Understanding Bad Odor Between Teeth: Causes and Solutions
Bad odor between teeth? On May 25th, I visited the dentist because I had a cavity in the upper right third molar, which was causing discomfort as food would get stuck and touch the gums while eating. The dentist diagnosed me with a cavity in the third molar and performed a fillin...
Dr. Zeng Guanghui Reply:
If cavities have been filled, and proper dental flossing and mouthwash are being used, but there is still bad breath, it is important to consider other potential issues beyond the oral cavity, such as post-nasal drip or gastroesophageal reflux disease (GERD) and other digestive s...[Read More] Understanding Bad Odor Between Teeth: Causes and Solutions
Understanding Tooth Pain with No X-Ray Abnormalities: Possible Causes
Toothache but X-ray shows no abnormalities? Hello, Doctor. To explain, this tooth is a crown that has been in place for seven to eight years. A few months ago, it came off due to eating, but it was reattached. Currently, the last tooth on the lower right side has been experiencin...
Dr. Lin Jiayong Reply:
Hello: The episodes of trigeminal neuralgia cannot be managed solely with general painkillers; specific medications prescribed by a neurologist are necessary for control. If both periapical radiographs show no abnormalities, the best solution may be to remove the dental crown. If...[Read More] Understanding Tooth Pain with No X-Ray Abnormalities: Possible Causes
White Bump Behind Wisdom Tooth: What Does It Mean?
The wisdom teeth have not yet erupted, but there is a white protrusion located behind the position of the wisdom teeth? My wisdom teeth have not erupted yet, but there is suddenly a white, pointed tissue at the very back where no teeth can grow. I'm not sure if it's an ...
Dr. Lin Jiayong Reply:
Hello: If there is no pain and no pus or foul odor, it is recommended to maintain cleanliness and observe the situation. Once the pandemic stabilizes, you can visit the hospital for an X-ray to confirm. Sincerely, Lin Chia-yung, Dental Department, Taichung Hospital, Ministry of H...[Read More] White Bump Behind Wisdom Tooth: What Does It Mean?
Understanding Dental Crowns for Kids: When to Seek Further Treatment
Pediatric dental crown Hello, my four-year-old child had a cavity in the second tooth on the upper left that reached the nerve, and a stainless steel crown was placed. After two to three days, there was redness and swelling. Concerned about inadequate cleaning, we increased oral ...
Dr. Lin Jiayong Reply:
Hello: If proper hygiene is maintained and the child does not have any other immune or systemic diseases, but the gums continue to be inflamed and bleed for more than a month, it may be advisable to remove the primary tooth crown. It is recommended to return to the original clini...[Read More] Understanding Dental Crowns for Kids: When to Seek Further Treatment
Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues
Hearing a popping or crackling sound in the ear throughout the day? In February of this year, I started wearing foam earplugs every night for over a month due to noise sensitivity. One night, I forgot to wear them and heard a clicking sound (only in the right ear, on the side wit...
Dr. Lin Jiayong Reply:
Hello: If it is confirmed that the issue is related to temporomandibular joint dysfunction and malocclusion, it is recommended that you consult an oral surgeon at a medical center for a solution. Mild interventions may include joint irrigation, PRP injections, or Michigan occlusa...[Read More] Understanding Jaw Clicking Sounds: Causes and Solutions for Ear Issues
White Bump Behind Wisdom Tooth: What Could It Be?
The wisdom tooth has not erupted yet, but there is a white protrusion located behind the position of the wisdom tooth? My wisdom teeth have not erupted yet, but there is suddenly a white, pointed tissue at the very back where no teeth can grow. I'm not sure if it's an a...
Dr. Lin Jiayong Reply:
Hello: If there is no pain and no pus or foul odor, it is recommended to maintain cleanliness and observe the situation. Once the pandemic stabilizes, you can visit the hospital for an X-ray to confirm. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministr...[Read More] White Bump Behind Wisdom Tooth: What Could It Be?
Unidentified Object Found in Gum After Wisdom Tooth Extraction: What to Know
Three months after having my wisdom teeth extracted, an object was detected in the original position of the wisdom teeth during a full-mouth X-ray? Dear Dr. Tseng, I had my lower left horizontal wisdom tooth extracted in mid-February of this year (it was surgically removed), and...
Dr. Zeng Guanghui Reply:
Three months after wisdom tooth extraction, a full-mouth X-ray revealed a foreign object in the original location of the wisdom tooth. It is recommended to return to the original extraction clinic for a detailed examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Ho...[Read More] Unidentified Object Found in Gum After Wisdom Tooth Extraction: What to Know
Understanding Tooth Nerve Issues: Causes and Solutions for Sensitivity
Dental nerve issues? Hello Doctor, about a year ago, I went rafting and accidentally chipped a small corner off my upper right second incisor, which made that tooth very sensitive, but it was still within tolerable limits, so I didn't pay much attention after getting it fill...
Dr. Zeng Guanghui Reply:
If the chipped front tooth continues to feel painful after being restored, it is likely that the dental nerve has become inflamed. It is advisable to return for a follow-up appointment. If necessary, root canal treatment should be performed, followed by the placement of a crown f...[Read More] Understanding Tooth Nerve Issues: Causes and Solutions for Sensitivity
Understanding Pain and Movement in Fixed Dental Implants
It is common to experience pain after getting fixed dentures? Hello doctor, I have had my fixed dentures for one to two years now. Recently, I have noticed that they feel loose when I touch them, and sometimes they hurt while other times they don't. What could be the situati...
Dr. Lin Jiayong Reply:
Hello: Fixed dentures should have an X-ray taken every six months to check their internal condition. If they are already loose, it is advisable to return to the original clinic for follow-up observation to avoid accidental ingestion. Sincerely, Lin Chia-Yung, Department of Dentis...[Read More] Understanding Pain and Movement in Fixed Dental Implants
Post-Dental Filling Sensitivity: Is It Tooth Sensitivity?
Experiencing soreness after using dental floss following a dental filling? Hello, doctor. For the past month, I have been experiencing tooth sensitivity when eating. I later discovered that I had cavities between my teeth. After getting the cavities filled, I no longer feel pain ...
Dr. Lin Jiayong Reply:
Hello: After completing the treatment, it will take some time to adapt. It is recommended to observe for 1 to 3 months and to use an anti-sensitivity toothpaste for cleaning treatment. After 3 months, an X-ray should be taken to check for any issues such as pulpitis or other prob...[Read More] Post-Dental Filling Sensitivity: Is It Tooth Sensitivity?
Understanding Old Filling Materials Exiting Root Canal Openings
Old filling material protruding from the root canal opening? Dear Dr. Lin, Last July, I developed a pus-filled abscess on my upper left canine. An X-ray revealed that the tooth root was resorbed and had an opening. I began treatment in late October, and after several attempts, t...
Dr. Lin Jiayong Reply:
Hello: In your case, the abscess has disappeared, indicating that the treatment has been successful in the short term. As for the material that has protruded from the root canal, it could be the filling material, medication placed inside, or a broken instrument. You should discus...[Read More] Understanding Old Filling Materials Exiting Root Canal Openings
Understanding Jaw Pain After Wisdom Tooth Extraction: Causes and Solutions
It seems like my wisdom teeth are coming in, and my jaw is sore? Hello Doctor, I had all my lower wisdom teeth extracted last year. Recently, I've been experiencing mild pain in the upper right wisdom tooth area and soreness in my jaw. Today, I noticed that the gums around m...
Dr. Lin Jiayong Reply:
Hello: Jaw pain is usually caused by occlusal issues, and the eruption of wisdom teeth may exacerbate these problems. It is recommended to have an X-ray taken to confirm the diagnosis once the pandemic stabilizes. Sincerely, Dr. Lin Chia-Yung, Department of Dentistry, Taichung Ho...[Read More] Understanding Jaw Pain After Wisdom Tooth Extraction: Causes and Solutions
Impact of Untreated Dental Apex Cyst on Future Implants
Tooth extraction and dental implant placement after periapical cyst removal? Hello, Doctor. Today, after my tooth extraction, the dentist mentioned that the apical cyst was close to the nerve, so it was not treated. Instead, they placed collagen (the doctor said it would be absor...
Dr. Zeng Guanghui Reply:
A small periapical cyst typically undergoes complete resorption after tooth extraction. If dental implants are being considered, it is recommended to wait until the extraction site has healed, and then take an X-ray to confirm whether the periapical cyst has been completely resor...[Read More] Impact of Untreated Dental Apex Cyst on Future Implants
Understanding Dental Abscesses: When to Extract and Consider Implants
Gingival abscess, cracked tooth, and radiolucency in the alveolar bone indicate the need for tooth extraction followed by dental implant placement? In March, I developed a gum abscess next to a molar that had undergone root canal treatment a long time ago. I had also recently sto...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you visit a medical center's dental department for evaluation. A cone-beam CT scan can be performed to confirm whether there is a fracture in the tooth before making a decision about extraction. Additionally, it would be advisable to consult wit...[Read More] Understanding Dental Abscesses: When to Extract and Consider Implants