Understanding Wisdom Teeth: To Extract or Not to Extract?
Wisdom tooth issues? Hello, Doctor. I went for a dental cleaning the day before yesterday and had a full-mouth X-ray taken. The dentist said that there is decay below the junction of my lower left wisdom tooth and the adjacent molar, which I usually can't reach while brushin...
Dr. Lin Jiayong Reply:
Hello: Considering your age, the healing of the extraction site may be more challenging, and since you do not have a strong desire to proceed with the extraction, I recommend that you schedule an appointment with the oral surgery department at a medical center. Please have the ph...[Read More] Understanding Wisdom Teeth: To Extract or Not to Extract?
Understanding Tooth Sensitivity and Pain After Biting Hard Objects
After biting down on chopsticks, there is a dull pain and sensitivity to hot and cold? Hello, Doctor: Twenty years ago, my upper right incisor was struck by my lower right canine while biting into food, causing significant pain and slight mobility with some inward displacement. A...
Dr. Zeng Guanghui Reply:
Hello Miss MiMi: 1. Generally, it may just be an injury to the periodontal ligament, but if there is a tooth fracture, it could affect the dental pulp. 2. If the tooth continues to be sensitive to hot and cold, it may indicate pulpitis; it is recommended to consult with a dental ...[Read More] Understanding Tooth Sensitivity and Pain After Biting Hard Objects
Common Dental Concerns: X-rays, Treatment Choices, and Cavities
Inquiry about dental issues? Hello, Doctor. I have a few questions I would like to ask you: 1. How often do general dental clinics take X-rays? I have encountered situations where cavities between teeth were not visible externally but were detected on X-rays. If my dentist has ...
Dr. Lin Jiayong Reply:
Hello: If you trust Dr. A more, it is advisable to directly inform Dr. A and request an X-ray to confirm whether there are cavities. If both doctors confirm the presence of cavities, you can proceed with the treatment at Dr. A's office, which will give you more peace of mind...[Read More] Common Dental Concerns: X-rays, Treatment Choices, and Cavities
Can Orthodontic Treatment Cause Nerve Damage in Misaligned Teeth?
The probability of nerve damage during orthodontic treatment to reposition teeth? I have a molar baby tooth that never fell out since childhood. When I was a junior in college, I experienced severe tooth pain and went to the dentist. An X-ray revealed that the permanent tooth was...
Dr. Lin Jiayong Reply:
Hello: It should not be the case. "The teeth still hurt when touched, and there is pain when consuming cold or hot foods" indicates that the pulp is still active and in an inflammatory state.[Read More] Can Orthodontic Treatment Cause Nerve Damage in Misaligned Teeth?
Understanding Apical Inflammation: Causes, Symptoms, and Treatment Options
Apical periodontitis Hello, Doctor. I would like to ask you something: I usually chew food on the right side, but since last month, the second-to-last tooth on the lower left side and the surrounding gums have started to hurt (initially, the pain only occurred when drinking hot o...
Dr. Zeng Guanghui Reply:
Hello Ms. Jill: If the dental pulp is exhibiting signs of irreversible pulpitis, there is a high likelihood that root canal treatment will be necessary. While antibiotics may provide temporary relief, there is still a possibility of recurrence. Furthermore, if the apical bacteria...[Read More] Understanding Apical Inflammation: Causes, Symptoms, and Treatment Options
Understanding Tooth Pain: Causes and When to Consider Root Canal Treatment
Gradual tooth pain? About two years ago, I had a deep cavity in my lower right tooth and underwent a filling, which had been fine until recently. For the past month, I had a deeper filling done on my left side, which made eating uncomfortable, so I’ve been using my right side to ...
Dr. Zeng Guanghui Reply:
Hello Mr. Yang: It is likely that the nerve of the tooth is inflamed. If the symptoms persist, you may need to consider root canal treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Tooth Pain: Causes and When to Consider Root Canal Treatment
Understanding Gum Swelling After Root Canal Treatment: What to Expect
Gum swelling after root canal treatment? Hello: It has been 7 days since my root canal treatment, but the gums around that tooth are still swollen. There is no pain, but I feel a dull sensation when biting down. After the root canal, the dentist's X-ray showed no shadows, in...
Dr. Lin Jiayong Reply:
Hello: It is recommended to continue monitoring at the original clinic for about 1 to 3 months. If discomfort persists, then consider seeking a second opinion from the Endodontics department at a medical center.[Read More] Understanding Gum Swelling After Root Canal Treatment: What to Expect
Understanding Tooth Sensitivity: Causes and Treatment Options
Tooth sensitivity to hot and cold? Sudden pain near the front teeth when exposed to hot or cold stimuli can be concerning. I visited the first clinic, where they stated there were no cavities after a brief examination. However, an X-ray revealed inflammation at the root apex, and...
Dr. Zeng Guanghui Reply:
Hello Ms. Q: Generally, sensitivity to hot and cold pain indicates inflammation of the dental nerve. If the symptoms of sensitivity to hot and cold do not improve, the inflammation of the dental nerve may progress to an irreversible stage. As the inflammation worsens, it can lead...[Read More] Understanding Tooth Sensitivity: Causes and Treatment Options
Understanding Gum Bumps: Are They Scars from Wisdom Tooth Removal?
Follow-up Inquiry #204291 Dear Dr. Tseng, Thank you for your response to the inquiry in "<a href='https://adoctor.tw/article/204291'>#204291</a>." Regarding your reply about the possibility of residual roots left after wisdom tooth extraction bein...
Dr. Zeng Guanghui Reply:
Hello Mr. Kris: 1. It is possible that the gum keratinization scar is a result of the healing process after tooth extraction. 2. Prolonged occlusal friction from chewing food may increase the degree of keratinization and could potentially lead to malignant changes. It is recommen...[Read More] Understanding Gum Bumps: Are They Scars from Wisdom Tooth Removal?
Understanding Post-Wisdom Tooth Extraction Healing and Concerns
Inquiry Consultation Hello Dr. Tseng: I had my lower right wisdom tooth extracted over a decade ago. Currently, that area only has gum tissue. Last July, I noticed a semi-circular protrusion on the gum tissue, approximately 0.2 cm in size, with a pinkish-white color. During a rou...
Dr. Zeng Guanghui Reply:
Hello Kris: 1. The semicircular protrusion may be caused by gingival inflammation and hyperplasia. It is recommended to consult a dentist for further examination if it does not resolve. 2. If there are residual tooth roots that were not completely extracted, this could lead to...[Read More] Understanding Post-Wisdom Tooth Extraction Healing and Concerns
How Long Does It Take for a Wisdom Tooth to Stop Growing?
How long does it take for a single wisdom tooth to stop growing after it has erupted? The lower right wisdom tooth has emerged slightly (I can clearly feel it with my tongue and can see a small portion in the mirror), but the next day when I touch the same spot with my tongue, I ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have regular X-ray imaging, as long-term objective imaging is more accurate than relying solely on subjective sensations from tongue examination.[Read More] How Long Does It Take for a Wisdom Tooth to Stop Growing?
Accidentally Swallowed Dental Amalgam: What to Do Next?
Accidentally ingested a whole piece of silver powder filling material? Hello doctor, I just discovered a gap in my tooth after eating, and I accidentally ingested a whole piece of dental amalgam. I have already induced vomiting, but I cannot confirm if it was expelled. After rese...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult a family medicine or general internal medicine physician to investigate the cause of vomiting. If the ingested metal is less than 2.5 cm and does not have sharp edges, it is advised to continue monitoring with X-rays or endoscopy. Additio...[Read More] Accidentally Swallowed Dental Amalgam: What to Do Next?
Understanding Chronic Pulpitis: Symptoms, Treatment, and Management
Chronic pulpitis issues? Hello, Doctor! I apologize for the lengthy message. During my middle school years, I had a cavity filled, and everything was fine until I graduated from high school. However, in my freshman year of college, I suddenly experienced pain (sharp pain) when bi...
Dr. Lin Jiayong Reply:
Hello: I recommend that you visit a local medical center and consult with a prosthodontist, where you can have X-rays taken for confirmation and receive an accurate diagnosis. If it is simply pulpitis, there are indeed reversible and irreversible forms. If it has progressed to ap...[Read More] Understanding Chronic Pulpitis: Symptoms, Treatment, and Management
Should You Extract Wisdom Teeth at a Clinic or Hospital?
Wisdom tooth extraction I would like to ask the doctor, because I have a cavity in my lower right wisdom tooth, the dentist recommended extraction. However, after reviewing my X-ray, they noted that it is close to the nerve, and I am a bit afraid because I have heard that imprope...
Dr. Lin Jiayong Reply:
Hello: Based on what you mentioned, it is recommended to visit a large hospital to see an oral surgeon for extraction, as it would be more reassuring.[Read More] Should You Extract Wisdom Teeth at a Clinic or Hospital?
Do I Really Need a Root Canal for My Tooth with No Symptoms?
Root canal treatment? I would like to ask the doctor. A few days ago, I went to a dental clinic for a full-mouth X-ray examination and was informed that one of my teeth has a small chip and needs a root canal treatment. I understand that once the nerve is removed, the tooth will ...
Dr. Lin Jiayong Reply:
Hello: If you have doubts about a diagnosis from a single physician, it is indeed advisable to seek a second opinion. It is recommended to consult with an oral diagnosis specialist or an endodontist, as they would better meet your needs.[Read More] Do I Really Need a Root Canal for My Tooth with No Symptoms?
Understanding Tooth Sensitivity After Resin Fillings: Causes and Solutions
It is common to experience pain after a dental resin filling procedure? Hello, about four weeks ago, I had a filling done on my lower right first molar at a dental clinic near my home. The entire procedure took only about three minutes, and the dentist mentioned it was just a sma...
Dr. Lin Jiayong Reply:
Hello: To confirm whether it is an iatrogenic injury, it is necessary to have X-rays and other objective measurement data (EPT/perio pockets/intraoral photographs) before and after treatment to draw a conclusion, and it must be validated by an impartial third party for credibilit...[Read More] Understanding Tooth Sensitivity After Resin Fillings: Causes and Solutions
Comprehensive Dental Care: X-Rays, Sensitivity, and Treatment Options
Dental examination / Dental demineralization / Root canal Hello, Doctor: 1. I would like to ask if general dental clinics provide full-mouth X-rays, or where I can get a comprehensive examination of my oral health. The dental clinics I visit usually only take X-rays when there i...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to have a panoramic X-ray taken at a medical center every three years, and the X-ray images are generally uploaded, which you can access through the health insurance mobile app to view your radiographic images. 2/3. A simple description of symptoms can...[Read More] Comprehensive Dental Care: X-Rays, Sensitivity, and Treatment Options
Understanding Tooth Pain: Insights on Wisdom Teeth and Root Canal Issues
The first molar next to the lower left wisdom tooth? Hello Doctor: The first molar next to the lower left wisdom tooth underwent root canal treatment a long time ago, but now there is intense pain when pressing on the gums with my finger, and the molar is also loose (the tooth st...
Dr. Zeng Guanghui Reply:
Dear Mr. Liu, 1. The roots of the lower left molar are shorter than those of the anterior teeth. If root canal treatment fails, an apicoectomy may be necessary. After the surgery, removing a portion of the root tip can further shorten the already short roots of the molar, which ...[Read More] Understanding Tooth Pain: Insights on Wisdom Teeth and Root Canal Issues
Understanding Dental X-Rays and Root Canals: Your Essential Guide
Gum pain / Full mouth X-ray / Root canal Hello Doctor, 1. I would like to ask if general dental clinics typically provide full-mouth X-rays, or where I can get a comprehensive examination of my oral health. Can I request the dentist to perform this examination? The dental clinic...
Dr. Lin Jiayong Reply:
Hello: 1. You can first call to inquire whether this service is available. 2. Considering your age, it may be more related to gum recession sensitivity. 3. If 2 to 3 doctors have the same opinion or there is not much difference, it is advisable to just monitor the situation. You ...[Read More] Understanding Dental X-Rays and Root Canals: Your Essential Guide
Understanding Deep Cavities: Do You Need a Crown Even Without Pain?
The dentist said it's a cavity, but there is no pain in the tooth? Hello Doctor: Recently, I realized that I haven't seen a dentist in a long time, so I went for a check-up. After taking X-rays, the doctor said that my upper left first molar has a deep cavity and needs ...
Dr. Lin Jiayong Reply:
Hello: If you have doubts about the opinion of a single physician, it is advisable to seek a second opinion from a dental restoration department or an endodontics department at a medical center. This is because ceramic crowns require significant reduction of tooth structure, and ...[Read More] Understanding Deep Cavities: Do You Need a Crown Even Without Pain?