Experiencing Pain from a Decade-Old Metal Dental Crown: What to Expect
The metal braces that were installed ten years ago are now causing pain? Hello, doctor. Yesterday, my lower left molar metal crown, which has been in place for ten years, started to feel dull and painful. It also hurts when I tap on it. I plan to see a dentist next week, but I wo...
Dr. Zeng Guanghui Reply:
The metal crown on the lower left molar may cause pain. An X-ray should be taken first to determine whether the pain is due to gum inflammation or inflammation of the nerve inside the tooth. This will help decide whether the crown needs to be removed. It is advisable to discuss t...[Read More] Experiencing Pain from a Decade-Old Metal Dental Crown: What to Expect
Unexplained Tooth Sensitivity: Possible Causes and Solutions
The cause of tooth sensitivity cannot be determined? Hello Doctor, I have discomfort in my lower left first molar (tooth #36) that sometimes feels acidic and dull (when there is no discomfort, it feels normal). However, the timing and circumstances are not very consistent; someti...
Dr. Lin Jiayong Reply:
Hello: The main causes of bodily pain are twofold: injury to tissues or organs, or disruption in nerve signal transmission. If you believe the discomfort is caused by injury to the teeth or surrounding tissues, it is recommended that you return to a medical center for a 3D X-ray ...[Read More] Unexplained Tooth Sensitivity: Possible Causes and Solutions
Understanding Tooth Sensitivity After Root Canal Treatment
Post-endodontic treatment tooth sensitivity? Hello Doctor, I had a root canal treatment on my lower right third molar about 7-8 years ago, and I received a fixed ceramic crown. About six months ago, the crown came off, and I had it reattached by a dentist. Initially, I felt some ...
Dr. Zeng Guanghui Reply:
If a root canal treatment has been performed and a crown is placed, there should not be any tooth sensitivity, unless there is an issue with the occlusal height, such as an overly high occlusal surface, which can lead to long-term occlusal trauma and cause tooth pain. It is recom...[Read More] Understanding Tooth Sensitivity After Root Canal Treatment
Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Nerve necrosis Hello Doctor: For the past two days, I've been experiencing pain in the area where I had a filling done a month ago, to the point where I couldn't sleep even after taking four painkillers. I went to see a dentist the next day, and they tested my teeth wit...
Dr. Lin Jiayong Reply:
Hello: As you mentioned, root canal treatment has already begun. The part where the tooth is drilled needs to wait until the dentist has thoroughly cleaned the internal root canals before sealing it. For now, it can only be temporarily filled, so please use it with caution. This ...[Read More] Understanding Dental Nerve Death: Symptoms, Diagnosis, and Treatment Options
Is There a Risk of Bacteria Residue Before Getting a Crown After Root Canal?
Is there a risk of bacterial residue after getting a crown many years after a root canal? Hello, Doctor. I have two lower molars that have undergone root canal treatment, but I did not get crowns at that time. This week, while eating, one of them suddenly cracked. After seeing th...
Dr. Lin Jiayong Reply:
Hello: It is recommended to take another X-ray to confirm the condition of the root canal of the impacted tooth. If there are signs of apical pathology in the images, it is advisable to undergo retreatment of the root canal. Sincerely, Lin Chia-Yung, Department of Dentistry, Taic...[Read More] Is There a Risk of Bacteria Residue Before Getting a Crown After Root Canal?
Pain When Biting After Dental Filling: Is Root Canal Necessary?
Biting down on a filled tooth can cause pain? If a filled tooth hurts when biting down on hard objects, and the dentist previously mentioned that there was a deep cavity exposing the nerve but did not see any bleeding during the procedure, it is possible that the nerve may be irr...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you return to your original clinic for the dentist to adjust your occlusion and continue to monitor for about six months. If the X-ray shows significant chronic pulpitis or periapical inflammation, then proceed with root canal treatment. Thank you! S...[Read More] Pain When Biting After Dental Filling: Is Root Canal Necessary?
Choosing the Right Dental Bridge Material: Zirconia vs. Metal Options
Regarding the materials used for dental bridges and inquiries about "hygienic dental bridges." I would like to ask everyone, I am currently getting a dental bridge and initially wanted to have a full zirconia crown, but my dentist recommended a semi-precious metal crown...
Dr. Zeng Guanghui Reply:
1. Considering strength issues, it is recommended to use traditional metal-ceramic crowns, while for the bridge, it is advisable to use a hygienic dental bridge for easier cleaning and maintenance. 2. If a single crown is needed, a full zirconia crown can be used. Dr. Tseng Guang...[Read More] Choosing the Right Dental Bridge Material: Zirconia vs. Metal Options
Can You Fill a Tooth Within a Tooth to Prevent Pain?
Can a tooth within a tooth be filled? Sometimes my premolars hurt when I eat. I went to the dentist today, and the doctor said there is a cavity in the dentin of my premolar. An X-ray showed that there doesn't seem to be any inflammation. The doctor mentioned that if there w...
Dr. Zeng Guanghui Reply:
If the wear on the teeth is too severe, it may lead to inflammation of the dental pulp, resulting in spontaneous pain, which may require root canal treatment. It is advisable to consult a dentist for further evaluation. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospita...[Read More] Can You Fill a Tooth Within a Tooth to Prevent Pain?
Concerns About Multiple Panoramic X-Rays and Thyroid Cancer Risk
A panoramic X-ray should be performed during each evaluation? I had a panoramic X-ray taken in March 2021 (while wearing a protective apron), and the doctor recommended orthodontic treatment to close the gap from my missing tooth. Then in April, I had panoramic X-rays taken on tw...
Dr. Lin Jiayong Reply:
Hello: The radiation dose from dental X-rays is indeed very low, and it is common practice to take X-rays prior to treatment at a new clinic to avoid disputes. What you mentioned is standard procedure in dentistry. If you are concerned about the risk of cancer, you can strongly r...[Read More] Concerns About Multiple Panoramic X-Rays and Thyroid Cancer Risk
Is It Normal to Feel Pain After Getting a Crown?
After receiving a dental crown? After the procedure, it was initially normal without pain, but after a while, I occasionally experience pain when drinking sweet or hot beverages. Is this normal?
Dr. Lin Jiayong Reply:
Hello: After getting dentures, it is recommended that you have a check-up in about six months. If possible, an X-ray should be taken to ensure everything is normal. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.[Read More] Is It Normal to Feel Pain After Getting a Crown?
Discomfort After Dental Filling: Do You Need Root Canal Treatment?
Discomfort when biting down on a filled tooth? Hello. The first lower right molar was previously filled with resin a few years ago. After some time, I experienced discomfort when biting down on things at the filling site. I visited the dentist, who suggested that the filling migh...
Dr. Zeng Guanghui Reply:
If you have already had a resin filling and then switched to a silver filling but still experience sensitivity and discomfort, it is possible that the original cavity was extensive and close to the nerve. If the discomfort persists, it is recommended to return for a follow-up app...[Read More] Discomfort After Dental Filling: Do You Need Root Canal Treatment?
The Connection Between Teeth Alignment and Allergic Rhinitis
The relationship between orthodontics and the nose? Hello, doctor. Is there a relationship between dental orthodontics and allergic rhinitis? I have had malocclusion and severe crowding since childhood, along with significant post-nasal drip. Recently, I saw news reports suggesti...
Dr. Lin Jiayong Reply:
Hello: The second maxillary premolar and the first maxillary molar are located very close to the maxillary sinus. If there is inflammation in the teeth, it can indeed affect the sinus, leading to nasal symptoms. It is recommended to visit a nearby medical facility for an X-ray to...[Read More] The Connection Between Teeth Alignment and Allergic Rhinitis
Persistent Pain After Tooth Extraction: Is It Just Inflammation?
The tooth adjacent to the wisdom tooth is inflamed, and after undergoing a root canal treatment (which is not yet completed), the pain remains unbearable? On the lower right side of my cheek, the tooth next to my wisdom tooth has been in increasing pain since I had the wisdom too...
Dr. Huang Tingfang Reply:
Hello Ms. Nan: Based on the symptoms you described, I would recommend that you complete the root canal treatment and maintain good oral hygiene. After that, we can reassess whether the pain has improved to facilitate further evaluation. Thank you for your inquiry.[Read More] Persistent Pain After Tooth Extraction: Is It Just Inflammation?
Understanding Post-Apical Surgery Inflammation: What to Expect
Apical surgery wound infection? Hello Doctor, about two months ago I underwent an apicoectomy on the tooth next to my upper front tooth. The surgical site is still showing signs of inflammation; it feels swollen, and I can see redness at the site. I have also had it checked by a ...
Dr. Huang Tingfang Reply:
Hello, based on the severity of the patient's original condition, the wound healing and surgical prognosis may vary. It is recommended that you discuss with your attending physician whether further observation or the next step in treatment is necessary. Thank you![Read More] Understanding Post-Apical Surgery Inflammation: What to Expect
Understanding Dental Issues: Necrotic Nerve and Gum Abscess Concerns
Nerve necrosis + dental gap acid Hello Doctor, 1. My tooth was replanted last June, but recently the gum tissue near my cheek has become red, swollen, and soft, with pus discharge. I visited a major hospital and the dentist diagnosed it as a necrotic nerve requiring a microscopi...
Dr. Huang Tingfang Reply:
1. Without root canal treatment, relying solely on antibiotics may not effectively cure an abscess. If the abscess is drained but quickly swells again, prompt root canal therapy should be sought to prevent worsening or even the development of cellulitis. 2. Gum recession, exposed...[Read More] Understanding Dental Issues: Necrotic Nerve and Gum Abscess Concerns
Can Wisdom Teeth Be Safely Ground Down Instead of Extracted?
When extracting wisdom teeth, if the wisdom teeth are fused with the bone, they may be difficult to remove? Hello, doctor. The day before yesterday, I went to have my upper right wisdom tooth extracted. I visited the first dental clinic, but halfway through the procedure, the den...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you continue to have X-rays taken for monitoring (at least once a month) to confirm the healing status of the wound. If there are any other complications or sequelae, timely intervention can be provided. Sincerely, Lin Chia-Yung, Department of Dentis...[Read More] Can Wisdom Teeth Be Safely Ground Down Instead of Extracted?
Post-Wisdom Tooth Extraction: Persistent Bone Pain and Discomfort
A month after having my wisdom teeth removed, I started experiencing bone pain? I had my upper and lower left wisdom teeth extracted at the end of October last year. The lower wisdom tooth was positioned over the front teeth, so the gum had to be incised to remove the tooth in pi...
Dr. Lin Jiayong Reply:
Hello: If you have already been examined at a large hospital and no issues were found, it is recommended to relax and wait for the wound to heal (the tooth extraction was on March 18, and the wound will take at least one week to appear more normal). If there are issues with your ...[Read More] Post-Wisdom Tooth Extraction: Persistent Bone Pain and Discomfort
Should I Save My Second Molar with Root Canal Treatment?
Second molar I have been receiving dental treatment at the same clinic. I had a teeth cleaning, and two days ago, I experienced pain in my lower left second molar. The dentist said that the cavity has reached the nerve and that the tooth is no longer functional, recommending extr...
Dr. Lin Jiayong Reply:
Hello: If you believe that root canal treatment and orthodontic braces are viable options, I suggest discussing this treatment plan with your dentist to determine its feasibility and any potential reasons it may not be possible. Relying solely on visual inspection or written desc...[Read More] Should I Save My Second Molar with Root Canal Treatment?
Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Periodontal disease treatment Hello, Dr. Tseng. I had an inlay/onlay/overlay placed a week ago, and during my follow-up visit today, I mentioned that the gums around my lower right first molar hurt when touched by my fingertip (accidentally while using dental floss). However, the...
Dr. Zeng Guanghui Reply:
The initial treatment for periodontal disease begins with X-ray examinations to assess the condition of the alveolar bone around the teeth. If periodontal disease or gingivitis is diagnosed, the first step is to perform scaling and provide oral hygiene education. After a period o...[Read More] Understanding Periodontal Treatment: Addressing Pain and Confusion After Dental Procedures
Can You Leave a Partially Extracted Wisdom Tooth? Risks and Concerns
When extracting wisdom teeth, if the teeth are fused to the bone, they may be difficult to remove? Hello, doctor. The day before yesterday, I went to have my upper right wisdom tooth extracted. I visited the first dental clinic, but halfway through the procedure, the dentist told...
Dr. Lin Jiayong Reply:
Hello: Since all the teeth have been ground down, the area where it is bonded to the bone will just need to wait for it to re-integrate with the bone. As you mentioned, it should be a challenging surgery, and the wound is also significant. Please make sure to take good care of th...[Read More] Can You Leave a Partially Extracted Wisdom Tooth? Risks and Concerns