After Braces: Discovering the Need for Root Canal Treatment
Treatment completed, braces installed, and it was discovered that there is still a tooth requiring root canal therapy? At the beginning of January, I fractured my front tooth due to a motorcycle accident. I received treatment and had five crowns placed in early October (which are...
Dr. Huang Tingfang Reply:
Dear Ms. Hsu, Hello! Generally, if a traumatized tooth is painful upon contact, it usually requires root canal treatment (as determined by X-ray). After root canal treatment, a dental crown is necessary for protection. If there is already a crown, a small hole can be drilled fo...[Read More] After Braces: Discovering the Need for Root Canal Treatment
Understanding Swollen Gums: Causes and Concerns for Your Oral Health
Gum swelling The doctor woke up in the morning and suddenly noticed that the gum above a certain tooth was slightly red and swollen, but it was not painful and there was no bleeding, as shown in the photo. What could be the reason for this? Some online sources suggest that locali...
Dr. Lin Jiayong Reply:
Hello: 1. Your photo suggests that the canine tooth has periodontal issues combined with root canal problems, leading to a noticeable swelling at the gum line. Further evaluation, including X-rays and pulp vitality tests, is necessary to provide a diagnosis. 2. "Localized gu...[Read More] Understanding Swollen Gums: Causes and Concerns for Your Oral Health
Can Cavities Only Be Treated with Crowns? Exploring Dental Options
If a cavity cannot be treated with an inlay, is a crown the only option? Hello, I have a concern regarding my lower left molar. In September, I had a small cavity filled with resin on the inner side near the gum. However, a few days after the filling, I felt discomfort and inflam...
Dr. Lin Jiayong Reply:
Hello: 1. The dark area needs to be evaluated for potential decay reaching the dental pulp or root, as the extent of the caries will influence the treatment plan options. 2. The choice between inlays or crowns should be based on the "material," "remaining tooth str...[Read More] Can Cavities Only Be Treated with Crowns? Exploring Dental Options
Persistent Pain After Wisdom Tooth Extraction: What to Do Next?
Pain in the gums around the wisdom tooth? I had my wisdom teeth removed in April, and the sockets still haven't healed. They often hurt, and I've had X-rays taken at the clinic, which showed no issues. I've been taking anti-inflammatory and pain relief medication. ...
Dr. Lin Jiayong Reply:
Hello: If you have already had an X-ray taken at the clinic and confirmed that there are no issues, the most common cause of long-term pain after tooth extraction is dry socket. This condition is primarily due to poor blood circulation, which prevents the extraction site from hea...[Read More] Persistent Pain After Wisdom Tooth Extraction: What to Do Next?
Should You Remove a Dental Bridge for Further Examination?
Does a dental bridge need to be removed for examination? Recently, I have been experiencing pain when biting down on three teeth that are part of a dental bridge, and I also feel sensitivity when drinking cold water. I went to the clinic for an examination, and after an X-ray, th...
Dr. Zeng Guanghui Reply:
If there are no apical lesions or apical inflammation visible on the X-ray, percussion should not cause pain. However, it is not possible to determine whether there is caries within the abutment teeth of the dental bridge from the X-ray. Additionally, the marginal integrity of th...[Read More] Should You Remove a Dental Bridge for Further Examination?
Persistent Pain After Root Canal Treatment: Understanding Dental Issues
It has been six months since the root canal treatment, and the dental prosthesis is constantly painful? It has been six months since my root canal treatment (with a porcelain crown), and I have been experiencing "continuous" pain. Lightly touching the surface of the too...
Dr. Lin Jiayong Reply:
Hello, regarding your questions: Q1: It is possible, as X-rays can only provide flat images. It is recommended that you go to a major hospital for a dental CT scan to confirm the results of the root canal treatment. Q2: There may be several conditions: 1. Differences in the o...[Read More] Persistent Pain After Root Canal Treatment: Understanding Dental Issues
Addressing Bad Odor Around Braces: Causes and Solutions
There is a foul odor around the braces? The second to last tooth on the bottom row underwent root canal treatment and has braces. Recently, while using dental floss, I noticed a foul odor from that area. I went to the clinic for an X-ray, but no issues were found. The doctor ment...
Dr. Lin Jiayong Reply:
Hello, based on the situation you described, it is likely that the lack of thorough cleaning of the molars is the cause. You mentioned using dental floss, which generally removes plaque from the interproximal surfaces between teeth. However, cleaning beneath these surfaces may re...[Read More] Addressing Bad Odor Around Braces: Causes and Solutions
Post-Root Canal Treatment: Understanding Bite Pain and Its Causes
Post-endodontic treatment occlusal pain After undergoing root canal treatment on a molar at the clinic, I felt no discomfort and everything was very good. However, a week later, when the doctor filled the root canal, he applied significant pressure while placing the filling mater...
Dr. Huang Tingfang Reply:
Dear Mr. Pan, Hello! (Post-root canal filling occlusal pain) Generally, the pain should subside within about a week. If symptoms persist, it may be necessary to consult an endodontist. Please communicate with your doctor frequently. Thank you! Wishing you safety! Sincerely, D...[Read More] Post-Root Canal Treatment: Understanding Bite Pain and Its Causes
Understanding the Tooth Extraction Process: What to Expect After Wisdom Teeth Removal
The process of having a wisdom tooth extracted feels very strange! This afternoon, I went to the clinic to have my wisdom teeth extracted. The doctor first administered anesthesia. After that, I was told to rest for a bit, and everything seemed fine at that point! Then, the extra...
Dr. Huang Tingfang Reply:
Dear Miss Lingjing: Hello! (The process of wisdom tooth extraction feels very strange!) You should consult with your doctor to confirm the facts! Please communicate more with your physician! Thank you! Wishing you peace! Sincerely, Dr. Huang Ting-Fang, Dentistry[Read More] Understanding the Tooth Extraction Process: What to Expect After Wisdom Teeth Removal
Understanding Tooth Root Resorption: Causes, Symptoms, and Treatment Options
Root resorption I would like to ask the doctor, I previously injured my front tooth while playing basketball, which led to nerve necrosis, so I opted for root canal treatment. However, I did not get a crown placed after the root canal, and that was five years ago. Three years ago...
Dr. Huang Tingfang Reply:
Dear Mr. Ni, Hello! For root resorption, it is still necessary to take X-rays (to determine whether to retain or remove the tooth). If the root length is sufficient, it can be reused. Please communicate more with your dentist! Thank you! Wishing you safety! Sincerely, Dr. Hu...[Read More] Understanding Tooth Root Resorption: Causes, Symptoms, and Treatment Options
Understanding White Bumps in the Mouth: Causes and Treatments
White protrusion I have developed white protrusions on the inside of my right cheek and the back of my gums, measuring less than a millimeter. Eating causes a stinging sensation. I used tweezers to remove the white protrusions, and the stinging sensation went away the next day, b...
Dr. Zeng Guanghui Reply:
A white growth has appeared on the gums of the upper right cheek in the mouth. Although it was removed, it has reappeared, which may indicate an infection in the gums or a lesion at the root apex. It is advisable to consult a dentist for an X-ray examination for a detailed assess...[Read More] Understanding White Bumps in the Mouth: Causes and Treatments
Dealing with Upper Jaw Abscess: Extraction and Implant Options
What should I do about an abscess on the inner side of the upper jaw? In recent days, a pus-filled abscess has developed behind my upper right lateral incisor. The tooth itself does not hurt, but touching the abscess causes sharp pain. The lateral incisor had previously been trea...
Dr. Huang Tingfang Reply:
Dear Ms. Yu, Hello! I apologize for the late response. Essentially, the tumor is too large and requires surgical excision. If we extract and immediately implant, the risks are higher, and the chance of infection increases. It is safer to wait for bone healing before proceeding w...[Read More] Dealing with Upper Jaw Abscess: Extraction and Implant Options
Understanding Gum Recession, Cysts, and Microscopic Root Canal Treatments
Gum recession, microscopic root canal treatment, and dental cysts? Over ten years ago, when I had my front eight teeth redone, I discovered a cyst on the second tooth on the right side. At that time, I underwent a surgical procedure to incise the gums and remove it. I followed up...
Dr. Huang Tingfang Reply:
Dear Ms. Kelly, Hello! As mentioned, your situation is quite complex. Essentially, before proceeding with dentures, it is necessary to properly treat the teeth, including root canal therapy and ensuring that any swelling has subsided. Only then can the dentures be made to last l...[Read More] Understanding Gum Recession, Cysts, and Microscopic Root Canal Treatments
Can Root Canal Treated Teeth Still Crack Under Pressure?
Dentures and dental crown issues? Hello, doctor. I would like to ask if a molar that has undergone root canal treatment, received a crown for protection, and had a post placed inside, can still fracture? If it does fracture, what signs would indicate this? Can it be detected thro...
Dr. Zhu Guanyu Reply:
Hello, 1. Based on your description, it is difficult to accurately determine whether "teeth will break after making dentures." I apologize for this. 2. Obvious cracks can be detected through X-ray examination, but it is more challenging to identify micro-leaks. Tha...[Read More] Can Root Canal Treated Teeth Still Crack Under Pressure?
Concerns About Missing Baby Teeth: What Parents Should Know
Missing primary teeth Dear Dr. Tseng, Hello! My eldest child just turned 3 years old. While brushing his teeth, I accidentally discovered that the last primary tooth on the upper right side has not erupted. I have taken him to see a doctor, who mentioned that there are no signs ...
Dr. Zeng Guanghui Reply:
It is possible for molars to erupt later than expected, and the cause can only be determined through X-rays. It is recommended to consult a pediatric dentist at a major hospital for further diagnosis.[Read More] Concerns About Missing Baby Teeth: What Parents Should Know
Why Your Tooth May Be Infected After Incomplete Root Canal Treatment
The nerve was not completely excised? A few days ago, I went to a nearby clinic because of a toothache. The dentist took an X-ray and then told me, "Based on the X-ray, the tooth pain is due to incomplete root canal treatment from before, which has now led to inflammation. W...
Dr. Huang Tingfang Reply:
Dear Miss Hsuan-Hsuan, The issue arises from inadequate cleaning of the nerve, which has led to bacterial infection and inflammation within the root canal. It is advisable to consult an endodontist, as they are specialists in root canal treatments and can handle complex cases, e...[Read More] Why Your Tooth May Be Infected After Incomplete Root Canal Treatment
Understanding Tooth Root Infections: Can Your Tooth Be Saved?
Infection of the alveolar bone near the tooth root? The doctor said that the root of my lower right molar may be fractured, which could lead to a bacterial infection in the alveolar bone near the root. The X-ray shows a dark area. Is there any hope for saving my tooth? How can I ...
Dr. Lin Jiayong Reply:
Hello, in the case of a fractured tooth root, it is essential to confirm: 1. The condition of the root (including the depth of the fracture and the width of the periodontal ligament). 2. The periodontal status (including the condition of the alveolar bone and any gingival inflamm...[Read More] Understanding Tooth Root Infections: Can Your Tooth Be Saved?
Understanding Root Canal Treatment for Fractured Front Teeth
Upper front teeth, root canal treatment? Hello, Doctor. The night before last, I accidentally broke one of my upper front teeth, with the fracture being about 1/4 to 1/3 of the tooth. That night and the next day (yesterday), I experienced sensitivity and pain when I came into con...
Dr. Zeng Guanghui Reply:
If the front tooth is fractured and the dentin is exposed, with a significant loss of structure that is close to the dental pulp, it is advisable to perform root canal treatment followed by a crown. If the loss of structure is minor and there is sufficient distance from the pulp,...[Read More] Understanding Root Canal Treatment for Fractured Front Teeth
Can You Avoid Root Canal for a Cracked Tooth? Expert Advice
Can a tooth be crowned without undergoing root canal treatment? Hello, my second lower molar on the right side had a deep cavity in the middle that was filled with silver amalgam, and there was also a filling on the side closer to my throat. One day, while eating guava, a quarter...
Dr. Zhu Guanyu Reply:
Hello, based on your description, the following is recommended: Please visit a trusted dental clinic for a comprehensive oral examination, including X-rays and pulp vitality testing. After confirming the diagnosis, a treatment plan can be formulated to determine whether root cana...[Read More] Can You Avoid Root Canal for a Cracked Tooth? Expert Advice
Managing Post-Root Canal Inflammation and Pain: What to Expect
Post-root canal treatment inflammation and suppuration? I initially went to the dentist because I had a cavity in the lower left back tooth that was causing discomfort. After an X-ray, it was discovered that there was a dark shadow near the tooth root. The dentist informed me tha...
Dr. Huang Tingfang Reply:
Dear Miss Little: Hello! Root canal treatment is indeed a more complex procedure, as the posterior teeth often have 3 to 4 root canals that need to be thoroughly disinfected for improvement. However, it is common for some canals to be blocked, which increases the difficulty and p...[Read More] Managing Post-Root Canal Inflammation and Pain: What to Expect