X-ray, Dentistry FAQ

How to Manage a Cracked Tooth Root: Treatment Options Explained

What is the best way to manage a cracked tooth root? Hello, Doctor. I have a tooth in my lower jaw that has undergone root canal treatment and has been capped with a porcelain crown for many years. Over the past year or two, the gum around that tooth has been painful and slightly...

Dr. Wu Jinjun Reply:
Hello, generally speaking, if a tooth root is cracked, it usually needs to be extracted, unless the crack is very shallow (such as near the cervical area), in which case there may be a chance to protect it with a crown!

Understanding Periodontal Disease Treatment: Common Concerns and Solutions

Questions about periodontal disease treatment procedures? Hello: 1. Does periodontal disease spread quickly? I am currently receiving treatment at a medical center, but I have gone three times and am still in the scaling phase. I am very afraid of losing all my teeth, as one or...

Dr. Wu Jinjun Reply:
Hello, 1. Most periodontal diseases are chronic and do not progress rapidly, but there are still a small number that fall under acute progressive periodontitis, which is relatively rare. 2. If only 1/4 of the alveolar bone remains, the decision to retain the tooth should be ba...

Do Impacted Wisdom Teeth Need Removal? Risks and Considerations

Do impacted wisdom teeth need to be extracted? Hello Doctor: The day before yesterday, during my dental check-up, an X-ray revealed that I have impacted wisdom teeth on both sides of my lower jaw, which are growing almost horizontally and are very close to the nerves. The dentist...

Dr. Liu Tiancai Reply:
Hello: According to the theory, impacted wisdom teeth should be extracted because the cyst surrounding the crown may undergo adverse changes. Additionally, there may be a periodontal pocket between the wisdom tooth and the second molar, which can lead to periodontal disease or de...

Post-Filling Care: Understanding Pain and Next Steps in Dental Treatment

Post-filling observation period and subsequent management inquiries? Dear Dr. Liu, I would like to consult you regarding some issues related to my dental filling. I appreciate your time in responding. Thank you...^^ Let me first describe the main situation as follows: ------...

Dr. Liu Tiancai Reply:
Hello: Based on your detailed description of the clinical course and symptoms, I recommend that you observe this molar for another month. After that, we can decide whether to proceed with root canal treatment based on clinical objective symptoms and electrical vitality testing. G...

Microscopic Root Canal Treatment: A Comprehensive Guide for Patients

Microscopic Root Canal Treatment Hello, about fifteen years ago, I had treatment done on the upper right incisor and the adjacent teeth (teeth 2, 3, and 4) and received a dental prosthesis, but it was not handled well. Tooth 4 started to hurt again three years ago, and an X-ray s...

Dr. Liu Tiancai Reply:
Hello: Your X-ray examination shows a shadow indicating a bacterial infection within the root canal. It is necessary to remove the original filling and undergo retreatment. Microscopic treatment can indeed provide a safer and more reliable therapeutic effect. You may visit Taipei...

Should You Follow Dental Advice for Asymptomatic Teeth?

If a tooth feels normal and there are no noticeable issues, is it necessary to undergo treatment as per the doctor's advice? Hello Doctor: I have two teeth that have had metal crowns for ten years without any pain. However, my dentist, while treating another tooth, showed me...

Dr. Wu Jinjun Reply:
Hello: Sometimes dental issues arise, but the symptoms may not be obvious, so you may not feel anything. Your dentist has explained the lesions to you using a full-mouth X-ray, which should be based on sound reasoning. I hope your issues can be resolved promptly. If you still hav...

Do I Need X-rays for V-Shaped Tongue Affecting Speech?

Will curling the tongue into a V shape affect pronunciation? Is an X-ray necessary? Due to pain when opening my mouth and pain when swallowing, I visited a nearby dental clinic for an examination. To my surprise, the dentist diagnosed me with [gingival ulceration]. He applied med...

Dr. Wu Jinjun Reply:
Hello: If the condition has not fully improved after applying the medication for two weeks, a more detailed examination of the cause of the pain should be conducted. Whether an X-ray is necessary should be determined by a physician during an actual consultation. Dr. Wu Jin-jun, D...

Tooth Pain While Eating: Possible Causes and Solutions

Tooth pain while eating? A few days ago, I started feeling pain near the gums of my lower right premolar when chewing food. I haven't eaten anything particularly hot or cold, and the pain doesn't occur when I'm not eating. Today, I chewed more on the right side dur...

Dr. Liu Tiancai Reply:
Hello: Based on your description, it is difficult to determine the possible situation. If the molar behind your premolar is already missing, there may be a risk of occlusal overload. From the context, it appears that you have a deep cavity in the teeth on the other side, which su...

Persistent Tooth Pain: Seeking Solutions for Ongoing Dental Issues

Toothache I have been having persistent issues with my upper right incisor, specifically the third tooth from the front. About three years ago, I had it checked, and the three teeth are connected. At the beginning of last year, one of them started to throb in pain. The dentist to...

Dr. Liu Tiancai Reply:
Hello: Your issue is likely due to incomplete root canal treatment, as there are still bacteria present in the root canal, which can cause fluctuating symptoms. Please consult a specialist in endodontics for a thorough resolution. Sincerely, Dr. Liu Tien-Tsai, Dentistry.

Understanding Tooth Pain After Dental Filling: Causes and Solutions

Tooth sensitivity or pain after a dental filling is common? Hello doctor, I went to see the dentist for a cavity and to get a filling at 11 AM this morning. After the procedure, I didn't experience any pain, and the dentist didn't mention taking painkillers. However, by...

Dr. Lin Qingye Reply:
Hello Miss Maxcat: After dental filling, pain may occur due to the following situations: 1. Deep cavity 2. Pulp necrosis 3. Biting down on something too hard 4. It is generally recommended that you return to your original dental clinic and consult your treating dentist for an exa...

Understanding Dental Issues: Why Cavities Can Occur After Root Canal Treatment

Dental issues? Dr. Wu: Hello, my second to last tooth on the lower left jaw underwent root canal treatment six years ago, and I only got a crown placed in early 2005. Recently, I visited a doctor due to swollen and bleeding gums, and I discovered that the root of the tooth has de...

Dr. Wu Jinjun Reply:
Hello: The possibilities you mentioned are similar to both braces and natural teeth; they require careful cleaning and maintenance. If not cleaned properly, bacteria can accumulate at the root, potentially leading to decay beneath the braces. Dr. Wu Jin-jun, Director of Dentistry...

Should You Remove Impacted Wisdom Teeth? Expert Insights

Regarding whether to extract wisdom teeth? Hello, doctor. I found out through an X-ray that my wisdom teeth are growing horizontally, but they are completely covered by the gum tissue and not exposed. I do not have any cavities or periodontal disease. Do I need to have these wisd...

Dr. Chu Boqin Reply:
Miss Chen typically experiences the eruption of her wisdom teeth around the ages of 18 to 20. If by age 22, X-rays confirm that the teeth are horizontally impacted, my recommendation is that the earlier they are extracted, the less likely it is to disrupt the alignment of her den...

Persistent Discomfort After Root Canal Treatment: What to Do Next?

Root canal treatment Hello Dr. Liu, I underwent two sessions of root canal treatment on my molars from mid-September to early November, and the canals have been filled. However, when I apply pressure to the tooth, I still experience discomfort (which was the reason for the secon...

Dr. Liu Tiancai Reply:
Hello: Root canal treatment is a highly intricate procedure, especially for molars, which are more complex. It is essential to completely clean, disinfect, shape, and densely fill the root canal system to ensure success. If any of these steps are not performed properly, problems ...

Understanding the Complexity and Challenges of Root Canal Treatment

The complexity and difficulty of root canal treatment? Hello Doctor: A year ago, I had a dental check-up before going to China for an extended period. The dentist informed me that my molar had been filled for a long time and needed to be excavated and refilled. Since then, I have...

Dr. Liu Tiancai Reply:
Hello: Root canal treatment is a procedure for treating the dental pulp (nerve) in cases of inflammation or necrosis, with symptoms including spontaneous pain, sensitivity to hot and cold, pain upon biting, and the presence of abscesses. Typically, this treatment requires accompa...

Understanding Dental Pulp Cysts: Treatment Options and Costs Explained

Dental pulp cyst Hello Doctor: My lower left second molar has undergone root canal treatment and has had a crown for fifteen years. However, recently, it has been painful when pressed. After seeing a doctor and getting an X-ray, I was diagnosed with a periapical cyst. The doctor ...

Dr. Chu Boqin Reply:
Hello, Xiao Ru: 1. The lower left second molar has been painful after 15 years of orthodontic treatment, and the pain is pressure-related. You might consider trying root canal therapy with a dissolving agent to break down the tissue before proceeding with the treatment. If the i...

Is Root Canal Treatment Necessary for My Tooth?

Is root canal treatment absolutely necessary? Last week when I had my wisdom teeth extracted, the doctor informed me that my molar needs root canal treatment because it has decayed quite deeply. The root canal treatment would be better for my molar, which has already been filled ...

Dr. Liu Tiancai Reply:
Hello: Whether a tooth requires root canal treatment is determined by clinical symptoms and X-ray examinations. The absence of symptoms does not necessarily indicate that there is no problem; the nerve may already be necrotic. If the dentist finds that the cavity is very deep, th...

Dealing with a Chipped Front Tooth: Causes and Solutions

A small piece of the interior of the front tooth was chipped due to impact? Due to accidentally biting a chopstick while eating, I chipped a small corner of my front tooth and noticed a crack on it. At that time, I didn't pay much attention to it. However, recently while pla...

Dr. Liu Tiancai Reply:
Hello: When teeth experience external force, they may fracture. Sensitivity when biting indicates exposed dentin or injury to the periodontal ligament. It is advisable to visit a dentist for an X-ray examination and treatment. Sincerely, Dr. Liu Tian-Cai, Dentistry.

Common Dental Concerns: Questions About Dentures and Oral Health

Dental-related questions? Hello, doctor. I have some questions to ask. 1. Is there still a possibility of developing cavities in dentures that have been made for braces? Aside from personal pain concerns, can abnormalities in the underlying natural teeth or gums be detected thr...

Dr. Liu Tiancai Reply:
Hello: 1. If a tooth with braces develops a cavity, it usually starts at the junction of the braces (near the gum line). X-rays and probing can be used for examination. 2. Unless there is a missing tooth requiring a "bridge," there is no need to grind down the adjacent ...

Understanding Temporomandibular Joint Disorder: Causes, Symptoms, and Treatment Duration

Temporomandibular joint disorder (TMJ disorder) Hello Dr. Tseng: Thank you for your previous response, I really appreciate it! I have another question to ask. My mother is 58 years old and experiences pain on the right side of her mouth when she opens it wide, accompanied by a cl...

Dr. Zeng Guanghui Reply:
The causes of temporomandibular joint (TMJ) disorders can be categorized as local or systemic. Local causes are primarily related to changes in the occlusal relationship of the upper and lower jaws, such as long-term tooth wear, occlusal interferences, or nocturnal bruxism, which...

Will I Ever Get Wisdom Teeth at 41? Understanding Dental Development

Wisdom teeth Hello, I would like to ask you, I am 41 years old and have never had any wisdom teeth. Will I still develop them in the future? Is it possible that I may never have wisdom teeth in my lifetime? Thanks!

Dr. Chu Boqin Reply:
The so-called wisdom teeth refer to the eighth tooth in the four quadrants, specifically the lower teeth 48 and 38. If they erupt normally, the eruption time is around the age of 20. However, if they are impacted or if the bone is too thick, making them deeply embedded in the gum...

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