Why Does My Tooth Still Hurt After Filling? Common Dental Issues Explained
Even after getting a dental filling, it can still hurt? Doctor, I would like to ask about my second-to-last tooth on the lower right side. I previously visited a dentist due to tooth pain, and they diagnosed it as a cavity, which was subsequently filled. However, it has been almo...
Dr. Zeng Guanghui Reply:
The above situation may indicate that the previously filled cavity is deep and close to the dental pulp, or that the tooth itself may have cracks in addition to the decay. It is advisable to consult a dentist for further evaluation and treatment.[Read More] Why Does My Tooth Still Hurt After Filling? Common Dental Issues Explained
Do I Really Need a Root Canal at 21? Understanding Dental Decisions
Is it necessary to perform a nerve block? Hello Dr. Lin, I apologize for taking up your valuable time. A few days ago, during my dental cleaning, I inquired about orthodontics and had a full set of X-rays taken. The dentist who cleaned my teeth reviewed the X-rays and informed me...
Dr. Lin Jiayong Reply:
Hello, Xiao Bao: In your letter, you mentioned that the tooth has severe decay but does not cause pain, which makes you hesitant about undergoing root canal treatment. Generally, I would recommend that you first try to clean out the cavity and place some restorative material tha...[Read More] Do I Really Need a Root Canal at 21? Understanding Dental Decisions
Understanding Pulp Necrosis and Periapical Abscess: Key Differences and Treatment Insights
Pulp necrosis (1) Can both "periapical abscess without sinus involvement" and "pulp necrosis" be clearly identified directly from X-rays? (2) Which dental condition can lead to the occurrence of the other? (3) Which one is more severe? Does it require a lo...
Dr. Zeng Guanghui Reply:
(1) An apical abscess without complications may be indicated by radiographic evidence of bone resorption or destruction around the tooth, but pulp necrosis may not necessarily show radiographic signs of bone destruction or resorption. (2) Typically, apical abscesses are caused by...[Read More] Understanding Pulp Necrosis and Periapical Abscess: Key Differences and Treatment Insights
Can I Change Dentists After Root Canal Treatment in Taiwan?
Can a patient switch doctors after having undergone root canal treatment? Doctor, I have a question. In March, I felt pain in the second to last upper tooth (probably in positions 6 and 7). I went to see the first dentist, but at that time, the pain felt uncomfortable around the ...
Dr. Zeng Guanghui Reply:
If root canal treatment is performed due to gum inflammation and pulpitis, it requires several sessions for root canal cleaning and disinfection. Once the root canal is thoroughly disinfected, it can be filled. Health insurance does not mandate that these sessions be conducted by...[Read More] Can I Change Dentists After Root Canal Treatment in Taiwan?
Understanding Occasional Tooth Pain: Causes and Solutions
Occlusal soreness and tenderness? 1. There is a sensation of soreness, weakness, and slight pain when biting down, but there is no pain during normal activities. I have already seen a dentist twice, and X-rays and percussion tests did not reveal any issues. 2. However, the afor...
Dr. Huang Zhicheng Reply:
Hello, based on the above situation, if percussion and X-rays have been performed, we should check for any periodontal issues and whether the opposing occlusion has also been examined. Additionally, we can assess if there is any pain when you open and close your mouth to rule out...[Read More] Understanding Occasional Tooth Pain: Causes and Solutions
Choosing the Best Dental Crown Option for Your Front Teeth After Injury
Selection of Anterior Teeth Fabrication Hello Doctor, a few months ago I had a car accident that resulted in the fracture of my upper front teeth. The two central incisors on the left and one on the right were affected, totaling three teeth. After undergoing root canal treatment,...
Dr. Huang Zhicheng Reply:
Hello, based on what you described, independently made dental crowns are better in terms of aesthetics and cleanliness compared to a full set. However, the costs may vary. For more detailed information, please visit a dental clinic for further evaluation. Wishing you peace and he...[Read More] Choosing the Best Dental Crown Option for Your Front Teeth After Injury
Preventing Periodontal Disease After Wisdom Tooth Extraction: Can Bone Grafting Help?
After wisdom tooth extraction Two months ago, I had my lower impacted wisdom tooth extracted. The doctor recommended that I use bone graft material because there was significant bone loss, but I didn't think much of it and went ahead with the extraction. Recently, I had an X...
Dr. Zeng Guanghui Reply:
Two months ago, I had my impacted wisdom tooth extracted, but the doctor did not use bone graft material at that time. Recently, an X-ray showed that the extraction site is quite large, which increases the risk of periodontal disease. I would like to ask the dentist to evaluate w...[Read More] Preventing Periodontal Disease After Wisdom Tooth Extraction: Can Bone Grafting Help?
Concerns About Permanent Tooth Growth After Baby Tooth Injury
After a primary tooth is fractured, the permanent tooth has not erupted? Hello Dr. Tseng, my puppy is seven years old this year. Last autumn, while riding a bicycle, he had an accident that caused one of his upper incisors (primary tooth) to break (tooth 2.1) when it became loose...
Dr. Zeng Guanghui Reply:
In a car accident, two upper primary incisors were broken, with one primary incisor falling out. There is concern about the gum tissue growing in, but the other broken primary incisor has not yet developed its permanent successor. The adjacent primary tooth is also loose and has ...[Read More] Concerns About Permanent Tooth Growth After Baby Tooth Injury
Dealing with Dental Trauma: Should You Get a Root Canal After an Accident?
Front tooth impact? Hello, doctor. A few days ago, I was in a car accident and accidentally hit my front tooth. It didn't break, but it is a bit crooked and hurts when I touch it, making it difficult to bite down on things. I went to see a dentist, who took X-rays but didn&#...
Dr. Huang Zhicheng Reply:
Hello, dental trauma can lead to fractures or damage to the dental pulp. Based on your description, it is likely that the pulp damage has caused pulpitis, resulting in pain. Root canal treatment (commonly referred to as "nerve extraction") is a treatment plan chosen to ...[Read More] Dealing with Dental Trauma: Should You Get a Root Canal After an Accident?
Understanding Issues with Lower Left Second Molar During Wisdom Teeth Growth
The second molar on the left side of the mandible has a problem? Hello Doctor, I would like to ask about my current situation with my wisdom teeth. I am in the process of getting my wisdom teeth, and my lower jaw has always been slightly misaligned. My upper teeth are also slight...
Dr. Huang Zhicheng Reply:
Hello, based on what you mentioned, since I haven't seen the X-ray and have not physically examined you, I hope you can visit a hospital or clinic specializing in temporomandibular joint (TMJ) disorders. Avoid chewing on the left side for extended periods, as distributing th...[Read More] Understanding Issues with Lower Left Second Molar During Wisdom Teeth Growth
Understanding Cracked Tooth Syndrome: Root Canal Treatment Challenges
During root canal treatment, a crack in the tooth root was discovered? Hello Doctor, last month I began root canal treatment on my lower left first molar due to decay. During the second visit, the doctor mentioned the possibility of a root fracture. By the third treatment, any at...
Dr. Zeng Guanghui Reply:
The lower left first molar has undergone root canal treatment due to caries, but bleeding occurs during needle insertion or injection, indicating that there may be a perforation or crack in the root. If the crack is longitudinal and has affected the periodontal ligament, the toot...[Read More] Understanding Cracked Tooth Syndrome: Root Canal Treatment Challenges
Switching Dentists Mid-Root Canal: What You Need to Know
Changing doctors during root canal treatment? Hello, doctor. A few days ago, I had a toothache and visited a dentist near my school in Taipei. The dentist said I need a root canal treatment. On that day, they only cleaned my tooth and took X-rays, and mentioned that I would need ...
Dr. Zeng Guanghui Reply:
If it is not possible to see the same clinic or physician from start to finish, you can change physicians or clinics during treatment. The medical records can be accessed either in the medical file or on the computer.[Read More] Switching Dentists Mid-Root Canal: What You Need to Know
Should You Consider Root Canal Treatment for Tooth Pain?
Should a toothache require root canal treatment? If licking the gaps between your teeth with your tongue causes a sharp pain, and not doing so results in a dull ache, along with sensitivity when using dental floss on that particular tooth's gum, it is concerning. The dentist...
Dr. Zeng Guanghui Reply:
It may be due to gum recession causing tooth sensitivity, or it could be inflammation of the dental nerve. It is recommended to consult a dentist for further diagnosis and treatment.[Read More] Should You Consider Root Canal Treatment for Tooth Pain?
Dealing with Retained Baby Teeth: Concerns and Solutions for Adults
The primary teeth have not yet fallen out? Hello Doctor: I am 25 years old, and the tooth next to my front tooth is still a primary tooth. I have visited a dentist, and the doctor said that my primary tooth has become fixed, and the permanent tooth cannot push it down, so it has ...
Dr. Zeng Guanghui Reply:
1. In order for primary teeth to be replaced, the permanent tooth bud must continuously grow towards the occlusal surface, pushing against the roots of the primary teeth, causing root resorption and loosening of the primary teeth, which will then fall out, allowing the permanent ...[Read More] Dealing with Retained Baby Teeth: Concerns and Solutions for Adults
Understanding Dull Pain in the Right Cheek After Dental Work: Causes and Solutions
Dull pain in the right cheek? About three months ago, I had a dental filling on my upper right molar. Since then, I have been sensitive to cold and cold air. Now, I often experience discomfort and then a dull pain in the lower right side of my face while sleeping or resting, whic...
Dr. Huang Zhicheng Reply:
Hello, the situation described may indicate that the lower right tooth has a cavity that could potentially involve the nerve. It is recommended that you visit a dentist for further examination and an X-ray. Wishing you safety and good health. Sincerely, Dr. Huang Chih-Cheng, Dire...[Read More] Understanding Dull Pain in the Right Cheek After Dental Work: Causes and Solutions
How to Treat Blackened Front Teeth: Dental Care Solutions
Dental issues My front tooth has turned black. What treatment options are available for this?
Dr. Huang Zhicheng Reply:
Hello, please visit the dental department to register and undergo an X-ray examination to further confirm whether there is nerve necrosis. Wishing you peace and good health. Sincerely, Dr. Huang Chih-Cheng, Director of the Dental Department, Taoyuan Hospital, Ministry of Health a...[Read More] How to Treat Blackened Front Teeth: Dental Care Solutions
Understanding Root Canal Treatment: Pain Management and Expectations
Root canal treatment Hello, last week I suddenly experienced intermittent pain in my gums. I initially thought it was a recurrence of periodontal disease under my previous dental crown. However, my regular dentist was closed for the holiday, so I randomly visited another clinic. ...
Dr. Huang Zhicheng Reply:
Hello: Based on the above situation, this condition is normal because root canal treatment involves the removal of the nerve, which may cause some discomfort during the procedure. It is likely that the molar has multiple root canals, requiring more time for cleaning. Wishing you ...[Read More] Understanding Root Canal Treatment: Pain Management and Expectations
How to Differentiate Between Cavities and Stains on Your Teeth
Cavity issues If there are several small black spots on your teeth, how can you distinguish whether they are pigment deposits or cavities, especially since the dentist did not recommend fillings? If there are cavities between your teeth and the dentist says it's not serious,...
Dr. Huang Zhicheng Reply:
Hello, 1. Pigmentation can gradually decrease with reduced consumption of coffee, tea, and tobacco, along with regular brushing. 2. An uneven gum line needs to be smoothed out, and a diagnosis should be made based on your occlusion. 3. If you wish to proceed with treatment, y...[Read More] How to Differentiate Between Cavities and Stains on Your Teeth
Understanding Dental Resin Loss: Causes, Symptoms, and Trusting Your Dentist
Previously applied resin has fallen off? Hello Dr. Huang, I have a few questions I would like to ask you: 1. Is the reason for a filling falling out due to decay underneath it, or can it simply fall out after many years of use? 2. Is it normal to feel a tingling sensation in ...
Dr. Huang Zhicheng Reply:
Hello, 1. It is normal for filling materials to come loose over time due to prolonged use. 2. The sensitivity may be related to acid, which can directly irritate the dentin and reach the nerves, causing increased sensitivity. Filling the cavity should help alleviate this. 3. ...[Read More] Understanding Dental Resin Loss: Causes, Symptoms, and Trusting Your Dentist
Should You Extract Impacted Wisdom Teeth That Aren't Visible?
Do wisdom teeth need to be extracted if they haven't erupted? Hello, doctor. I previously had an X-ray at the dental clinic, and it was found that there is actually a wisdom tooth in the gum on the lower right side, but it seems to be impacted and not visible. Should I have ...
Dr. Huang Zhicheng Reply:
Hello, based on the above situation, please maintain good oral hygiene. If there is no pain at the moment, continue to monitor the situation. It is advisable to visit a dentist for a check-up later. Wishing you safety and health. Sincerely, Dr. Huang Chih-Cheng, Director of Denti...[Read More] Should You Extract Impacted Wisdom Teeth That Aren't Visible?