Understanding Periodontal Disease in Molars: Symptoms, Risks, and Treatment Options
Molar periodontal disease Hello Doctor, Symptoms: I have a loose upper molar that is not painful and shows no signs of inflammation. The dentist said it is due to periodontal disease, and one of the two roots has experienced bone loss, which is causing the looseness. The dentis...
Dr. Zeng Guanghui Reply:
1. The above condition may be chronic periodontal disease, which leads to the gradual resorption or loss of the alveolar bone surrounding the teeth. If oral hygiene is maintained and it does not progress to acute inflammation, and there is no discomfort when biting, the tooth may...[Read More] Understanding Periodontal Disease in Molars: Symptoms, Risks, and Treatment Options
Do You Need Bone Grafting Before Getting a Dental Bridge?
Is it necessary to use bone grafting before getting a dental bridge? Hello: Due to severe decay, the second to last tooth on the upper left needs to be extracted. The doctor suggested either a dental implant or a bridge. From the X-ray, it is evident that there is significant bon...
Dr. Zhang Xiangyuan Reply:
Dear online friends, Based on the description provided, whether bone grafting is needed in the edentulous area depends on the extent of bone loss in that region. If the bone loss is not suitable for grafting, even if bone graft material is applied, it may not be able to maintain...[Read More] Do You Need Bone Grafting Before Getting a Dental Bridge?
Understanding Gum Growth: What to Do About Unidentified Bumps
There is a growth on the gum? Dear Doctor, I have a concerning issue with my gums. Approximately a month ago, I noticed an unknown growth on the gum of my second molar at the top inside. At first, I thought it was just a regular gum swelling that would resolve itself, but after m...
Dr. Zeng Guanghui Reply:
The above situation may be caused by decay in the molars leading to inflammation and necrosis of the dental nerve, which can result in a gum abscess. It is recommended to consult a dentist for further examination and to take X-rays to determine if root canal treatment is necessar...[Read More] Understanding Gum Growth: What to Do About Unidentified Bumps
Understanding Wisdom Teeth: Small Jaw Issues and Extraction Decisions
Wisdom teeth, the jawbone is too small? Hello Dr. Chang, I have been experiencing some issues with my teeth recently. My four wisdom teeth are all normal (fully erupted, not impacted, and not horizontal). Previously, I had two upper wisdom teeth that erupted first, and since they...
Dr. Zhang Xiangyuan Reply:
Dear user, based on your description, the upper wisdom tooth has been extracted, and the lower wisdom tooth is partially erupted. Partially erupted wisdom teeth can make it difficult to maintain oral hygiene, which may sometimes lead to inflammation or cavities. It is advisable t...[Read More] Understanding Wisdom Teeth: Small Jaw Issues and Extraction Decisions
Understanding Bone Protrusion and Deep Bite: Orthodontic Solutions Explored
Bone fracture correction issues? Hello, I recently consulted about orthodontic issues, and the doctor mentioned that I have a skeletal open bite and deep bite problem. I have consulted with three orthodontic specialists. One doctor insisted that due to my skeletal open bite, I sh...
Dr. Huang Zhicheng Reply:
Dear Ada, Hello. Generally, orthodontists will perform X-ray imaging to analyze the positional relationship of the craniofacial structures in order to determine whether orthognathic surgery is necessary. You may ask your doctor to analyze the predicted outcomes of surgery versus...[Read More] Understanding Bone Protrusion and Deep Bite: Orthodontic Solutions Explored
Understanding Gum Redness: Is That Small Red Spot a Concern?
There is a small red bump on the gums? There is a small, not very noticeable red spot on the gum near my tooth that I have noticed for over two weeks. Recently, I visited the dentist, who said it is just gum inflammation (it doesn't look as obvious in regular photos). I woul...
Dr. Zeng Guanghui Reply:
The above condition may be caused by a chronic inflammation due to bacterial infection at the tooth apex. It may not be painful, and there is no swelling upon palpation. It is recommended to consult a dentist for an X-ray and further evaluation.[Read More] Understanding Gum Redness: Is That Small Red Spot a Concern?
Bleeding Gums After Denture Replacement: Seeking Solutions and X-Ray Options
The gums in the area where the dentures are placed have been bleeding continuously? Hello Doctor: My front tooth is a prosthetic, and it accidentally broke when I bumped into something, so I had a new prosthetic installed. However, after getting braces, my gums bleed every time I...
Dr. Huang Zhicheng Reply:
Dear Xiaomi, Hello. Based on your description, we cannot rule out the possibility of a vertical root fracture. The teeth that require prosthetics are often those that have undergone root canal treatment, which makes them more susceptible to fractures due to impact. Additionally,...[Read More] Bleeding Gums After Denture Replacement: Seeking Solutions and X-Ray Options
Should I Switch Dentists After a Frustrating Root Canal Experience?
Changing dentists for root canal treatment? I had my first root canal treatment, but the doctor was very impatient. Whenever I asked him something, he only gave me vague answers. It seemed like he only removed the nerve and applied some material. The anesthesia was administered o...
Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, it appears that your tooth is undergoing root canal treatment. Root canal therapy may be completed over multiple appointments depending on the specific condition of each tooth. If you have any questions or uncertainties regarding the...[Read More] Should I Switch Dentists After a Frustrating Root Canal Experience?
Understanding Tooth Pain During Orthodontic Treatment: Causes and Solutions
In the process of orthodontic treatment? Hello, I am currently wearing a Damon brace and have entered the second month. However, for the past few days, I have been experiencing severe pain in the tooth right before my lower left molar (the lower left third molar). When I drink ro...
Dr. Huang Zhicheng Reply:
Dear Xiaohua, Hello, when your teeth are being moved, they may become more sensitive or even painful. Please avoid consuming very hard, very cold, or very hot foods, as well as beverages with extreme temperatures. Once the teeth have moved to a certain position and stabilized, t...[Read More] Understanding Tooth Pain During Orthodontic Treatment: Causes and Solutions
Struggles with Root Canal Treatment: Seeking Solutions for Discolored Teeth
Root canal treatment issues As a child, I chipped a small corner of my tooth, and as I grew older, the color of the tooth gradually turned yellow. Feeling something was wrong, I had an X-ray taken and discovered a dark shadow. The dentist said I needed a root canal treatment. Sin...
Dr. Huang Zhicheng Reply:
Hello QQ: After damage to the dental pulp, bacteria can proliferate within the root canal, and toxins may extend to the apex of the tooth. This can lead to the erosion of the surrounding bone, forming a cyst, which causes the tooth to become mobile. When the lesion is significant...[Read More] Struggles with Root Canal Treatment: Seeking Solutions for Discolored Teeth
Understanding Wisdom Tooth Pain: Causes and Solutions
Wisdom tooth issues Hello doctor, I have been experiencing a sharp pain in my lower left tooth when drinking water or eating. I visited the dentist, but they couldn't determine the cause. They mentioned it might be due to an emerging wisdom tooth. However, isn't it true...
Dr. Zhang Xiangyuan Reply:
Dear online user, based on your description, it is advisable to have a dentist take an X-ray to examine the growth position and direction of your wisdom teeth. This will help check for any cavities, tooth wear, or other conditions affecting the neighboring teeth that may be causi...[Read More] Understanding Wisdom Tooth Pain: Causes and Solutions
Persistent Pain After Root Canal and Crown: What Are Your Options?
After root canal treatment, the placement of a crown may still result in discomfort or pain? Two years ago, I suddenly experienced severe pain in my lateral incisor. I underwent root canal treatment and had a dental crown placed (all-ceramic), but after the crown was placed, I st...
Dr. Zhang Xiangyuan Reply:
Dear online user, Based on your description, it seems that the tooth which underwent root canal treatment two years ago is still experiencing pain and symptoms. It is advisable for you to consult the treating dentist to evaluate whether a retreatment or other interventions are ...[Read More] Persistent Pain After Root Canal and Crown: What Are Your Options?
Understanding Gum Abscess: Causes, Symptoms, and Treatment Options
A gum abscess causing facial swelling? Hello, Director Zeng. I have been experiencing pain in my upper right gum for the past week. Initially, I thought it was due to a mucosal tear and used an oral ointment, but there was no improvement. Upon closer inspection, I found a pus-fil...
Dr. Zeng Guanghui Reply:
The upper right gum has been swollen and painful for nearly a week. An X-ray examination has been performed, and there are no cavities. However, if there is apical inflammation or an apical lesion, it may be caused by gum inflammation, which would require root canal treatment fol...[Read More] Understanding Gum Abscess: Causes, Symptoms, and Treatment Options
Severe Tooth Pain When Chewing: Possible Causes and Solutions
Experiencing pain for several hours after eating or biting something, but not feeling pain when tapping, could indicate a dental issue such as a cavity, cracked tooth, or gum disease. It is advisable to consult a dentist for a thorough examination and appropriate treatment? It se...
Dr. Zeng Guanghui Reply:
The right molar hurts when biting down, and once the pain starts, it intensifies, radiating to the submandibular area and the right ear, lasting for 3-4 hours before gradually subsiding. However, during examination, X-rays and percussion of the tooth show no abnormalities. This i...[Read More] Severe Tooth Pain When Chewing: Possible Causes and Solutions
Understanding Tooth Root Fractures: Treatment Options and Concerns
Root fracture Hello Doctor: My second to last lower tooth underwent root canal treatment and was crowned 10 years ago. In May of this year, a small abscess the size of a green bean appeared on the inner gum, and I felt a tight pressure in the gum when biting down. After undergoin...
Dr. Zeng Guanghui Reply:
If a dental crown is placed after root canal treatment and, after 10 years, a gum abscess appears, laser treatment may be ineffective. However, after using mouthwash and drainage, the abscess may shrink or even disappear. X-rays indicate that the abscess is caused by a fracture i...[Read More] Understanding Tooth Root Fractures: Treatment Options and Concerns
Understanding Post-Root Canal Pain: Causes and Solutions
Pain after root canal treatment is common? Hello Doctor, I had a root canal in May, but in mid-June, I started experiencing some discomfort and pain when pressure was applied to that tooth. I visited my original dentist, who diagnosed it as apical periodontitis. After treatment, ...
Dr. Huang Zhicheng Reply:
Dear Kelly, Hello, many difficult-to-treat root canal therapies are often due to calcification and blockage of the root canal, or excessive curvature, which prevents the medication from reaching the apex of the tooth to disinfect the source of infection at the root apex. Clinica...[Read More] Understanding Post-Root Canal Pain: Causes and Solutions
Do I Need to Remove My Dental Implant Screws? Expert Insights
The fixed dentures need to be completely redone? A few days ago, I noticed that my dentures didn't fit properly and had gaps, so I went to another dentist. He removed my dentures and examined the condition of my teeth, also taking X-rays. I have four front teeth that are con...
Dr. Zhang Xiangyuan Reply:
Dear netizen, According to your description, the dentist has recommended removing the root post to facilitate re-treatment. However, you are concerned about the possibility of the root fracturing and the need for extraction. While individual tooth conditions vary, there are inh...[Read More] Do I Need to Remove My Dental Implant Screws? Expert Insights
Understanding TMJ Pain: Can Orthodontic Treatment Help?
Temporomandibular joint (TMJ) I am currently experiencing pain in my temporomandibular joint (TMJ), and at times, I have difficulty opening my mouth. I had an X-ray taken, and there was no damage to the joint. The clinic mentioned that my deep bite combined with high stress level...
Dr. Huang Zhicheng Reply:
Dear Siqi, Hello. Temporomandibular joint (TMJ) disorders are related to malocclusion. If pharmacological treatment is ineffective, we should start with functional occlusal therapy, such as a flat occlusal splint, and once the symptoms subside, we can evaluate whether to use som...[Read More] Understanding TMJ Pain: Can Orthodontic Treatment Help?
Understanding Dental Implants After Car Accidents: Recovery and Evaluation
Dental implants after a car accident? In early June, I was involved in a car accident and was unconscious at the time. Later, I learned that the root of my tooth was shattered. About a month later, I returned for a follow-up appointment, and the doctor said I was recovering well,...
Dr. Zeng Guanghui Reply:
If dental implants are needed for the front teeth, an X-ray or a CT scan can be performed first to assess whether the width or height of the jawbone is sufficient. This will help determine if bone grafting is necessary before the implant procedure. Alternatively, bone grafting an...[Read More] Understanding Dental Implants After Car Accidents: Recovery and Evaluation
Severe Pain During Flight Landing After Root Canal Treatment: Solutions
Severe pain during landing after root canal treatment? Hello, doctor. I previously underwent two root canal treatments on my left molar. After the first treatment, I experienced severe pain during the descent of a flight. I then had a second treatment, which included re-treatment...
Dr. Zhuang Suhui Reply:
Hello: I haven't encountered this issue before, but I think it might be possible that the original lesion hasn't completely healed. We can wait a while longer to see.[Read More] Severe Pain During Flight Landing After Root Canal Treatment: Solutions