Understanding Gum Recession and Tooth Pain: Expert Insights
Gum recession and tooth pain related to dental crowns? Hello Dr. Lin, a few days ago I noticed swelling in the last tooth gap on the upper right side (it hurts when I use dental floss). After enhancing my cleaning routine, although the pain in the gap has subsided, the pain has s...
Dr. Lin Jiayong Reply:
Hello: The last tooth (the photo appears to show the upper left side of your mouth rather than the upper right) has had a dental crown for over 20 years, so it is normal for the crown and the tooth to no longer fit well. If you have previously undergone root canal treatment, toot...[Read More] Understanding Gum Recession and Tooth Pain: Expert Insights
Understanding and Managing Tooth Occlusion Pain: Causes and Solutions
Dental occlusion pain Hello Doctor, I have a problem with tooth occlusion pain, similar to the issue reported by the woman in the link below. I have visited several clinics but have not been able to identify the problem; there are no cavities or periodontal disease. Taking anti-i...
Dr. Zeng Guanghui Reply:
Hello Mr. Pan: It is possible that there are small cracks in the tooth structure, which may irritate the dental nerve during occlusion and cause inflammation. It is recommended to consult a dentist for further diagnosis and treatment. Dr. Tseng Guang-Hui, Department of Dentistry,...[Read More] Understanding and Managing Tooth Occlusion Pain: Causes and Solutions
Discomfort After Biting Hard Foods: Possible Dental Issues Explained
After biting down on something hard, my teeth, gums, and the area near my nose feel uncomfortable? One day, after biting into something hard, I felt a strange sensation in my upper canine and first premolar, as well as in the gums above them extending towards the area near my nos...
Dr. Zeng Guanghui Reply:
Hello Ms. Chen: The apices of the upper molar and the first premolar are located close to the maxillary sinus. If there is inflammation or infection at the root apex of these teeth, it may affect the sinus. It is recommended that if symptoms persist, you should consult a dentist ...[Read More] Discomfort After Biting Hard Foods: Possible Dental Issues Explained
Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Biting hard objects & occlusal pain Hello Doctor, I would like to consult you regarding an issue. On May 1st, I bit into a small bone from a pig and have since felt subjective pain in my upper right first molar whenever I bite into anything, making it impossible to chew foo...
Dr. Zeng Guanghui Reply:
Hello Ms. Gao: Inability to chew food may be caused by cracked teeth leading to sensitive pulp inflammation, or it could be due to inflammation or injury of the periodontal ligament. There is also a possibility that there is an infection or inflammation at the root apex. It is re...[Read More] Understanding Tooth Pain: Causes and Solutions for Chewing Difficulties
Understanding Tooth Pain: What to Do After a Broken Central Cusp
Toothache with a broken central cusp? Hello Doctor: Recently, I visited the clinic due to pain in my lower molar at night. The doctor diagnosed it as a fracture of the central cusp of the tooth. The tooth was restored at that time, and reinforcement was done on the opposite tooth...
Dr. Lin Jiayong Reply:
Hello: Just be careful with maintenance and follow-up. Regular dental cleanings every six months are recommended, and X-rays of the area can be taken for long-term monitoring.[Read More] Understanding Tooth Pain: What to Do After a Broken Central Cusp
Understanding Upper Jaw Swelling: Causes and Treatment Options
Maxillary mass Hello doctor, I have noticed a significant swelling on the left side of my upper palate when I touch it with my tongue. Pressing it with my tongue or finger causes discomfort at the root of my left front teeth, which are both dental implants, but I can't remem...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first obtain an X-ray to confirm whether the issue is caused by simple dental or periodontal inflammation or infection. Additionally, if there is a concern for oral cancer, a soft tissue biopsy should be performed on the swollen area for examination.[Read More] Understanding Upper Jaw Swelling: Causes and Treatment Options
Understanding Tooth Sensitivity and Gum Discomfort: When to Seek Dental Care
Recently, I've been experiencing discomfort in my teeth and gums? Hello Doctor, last month I experienced sensitivity in my lower left molar when drinking hot and cold water, so I had a full dental X-ray taken, which showed no cavities. However, I noticed sensitivity when air...
Dr. Zeng Guanghui Reply:
Hello Ms. Jiang: The pain and sensitivity you are experiencing in the gaps between your front teeth and gums may be due to gingival inflammation or gum recession, which can lead to enlarged gaps that trap food debris. In addition to using a toothbrush and dental floss to clean yo...[Read More] Understanding Tooth Sensitivity and Gum Discomfort: When to Seek Dental Care
Understanding Dental Abscesses: Causes and Treatments for Root Issues
Periapical gingival abscess? Hello Dr. Chiu, I have some questions. I have a tooth with a gum boil at the apex of the root that sometimes recedes and sometimes appears. That tooth has broken in half for an unknown reason. I also have another tooth that has a fracture straight thr...
Dr. Qiu Qiongyao Reply:
Hello Ms. Chen: Please visit the dental clinic for an examination, as X-rays are needed for assessment. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Dental Abscesses: Causes and Treatments for Root Issues
Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity
After root canal treatment, there may be some soreness or discomfort in the treated tooth? This tooth has undergone root canal treatment for two years, but there is still some sensitivity and discomfort when tapping or applying pressure on the side of the tooth, although there is...
Dr. Lin Jiayong Reply:
Hello: If the original tooth or the surrounding tissues (alveolar bone/gums/periodontal ligament) are severely damaged before treatment, it is possible that even if the root canal treatment is successful (nerve is cleaned out and there is no inflammation, infection, or spontaneou...[Read More] Understanding Post-Root Canal Pain: Causes and Solutions for Tooth Sensitivity
Should Wisdom Teeth Be Removed Before Orthodontic Treatment?
Do I need to extract my wisdom teeth before undergoing orthodontic treatment? Hello Doctor, I currently have all four wisdom teeth erupted. The upper left and right wisdom teeth are growing normally in a vertical position, while the lower left wisdom tooth is also vertical but ha...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first undergo an orthodontic evaluation and confirm with the orthodontist whether there is sufficient space in the dental arch, among other concerns. If you are extremely reluctant to extract teeth, it is advisable to discuss this thoroughly with the o...[Read More] Should Wisdom Teeth Be Removed Before Orthodontic Treatment?
Understanding Gum Inflammation: Causes, Symptoms, and Treatment
Gingival inflammation with redness and swelling? The gum tissue below the molar has been swollen for 2 to 3 weeks. The tooth feels loose and slightly wobbly. It doesn't hurt unless I drink or bite down. Initially, I went to the pharmacy to buy anti-inflammatory and pain reli...
Dr. Zeng Guanghui Reply:
Dear Ms. Kuan: It is recommended that if you experience recurrent inflammation and pain in the teeth below the molars, you should return for an examination to check for any bone resorption and the formation of periodontal pockets that may be causing repeated bacterial infections....[Read More] Understanding Gum Inflammation: Causes, Symptoms, and Treatment
Understanding Bad Odor Between Molars: Causes and Solutions
Interdental gum issues? Dear Doctor: There is an odor coming from the gap between my first and second molars. During my dental cleaning, the dentist examined all my teeth and said there were no issues. However, the bad smell persists. A few years ago, I had a cavity in my first m...
Dr. Lin Jiayong Reply:
Hello: It is recommended to have a dentist take X-rays to confirm whether there are any issues related to cavities or periodontal defects in that area.[Read More] Understanding Bad Odor Between Molars: Causes and Solutions
Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues
Tooth extraction followed by dental implant surgery with bone grafting, upper teeth stabilization, nighttime bruxism issues, and wearing retainers? Due to a recent issue with a cracked lower left molar, I experienced some discomfort while biting. A CT scan and X-ray revealed a sh...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to consult with your physician to see if there is a need to adjust the type or thickness of the wire. 2/3. It is essential to be cautious not to leave the area of the bone graft (PRF) unsupported and to avoid excessive pressure on the device, as this m...[Read More] Post-Tooth Extraction: Dental Implants, Bone Grafting, and Night Grinding Issues
Understanding Post-Microscopic Root Canal Pain: Causes and Solutions
Microscopic Root Canal Treatment It has been over ten days since I completed my microscopic root canal treatment, and I have not yet had a crown placed. However, I still experience pain when tapping on the tooth and while brushing. There is no pain when eating, and I have no issu...
Dr. Lin Jiayong Reply:
It is recommended to observe for 1 to 3 months before determining whether the root canal treatment has been successful. Discomfort within one to two weeks may simply be part of the local tissue's inflammatory healing process, among other factors.[Read More] Understanding Post-Microscopic Root Canal Pain: Causes and Solutions
Is Discomfort Normal After Getting New Dental Implants?
Just finished a root canal and had the permanent dentures placed? The lower left molar had a root canal treatment on April 26, and a temporary crown was placed on May 5. During a follow-up visit on May 19, I mentioned that it was uncomfortable when I pressed my tongue against the...
Dr. Lin Jiayong Reply:
Hello: Dentures are considered foreign objects in the body, and it does take time to adapt to them. The adaptation period varies from person to person, just as some people can wear contact lenses all day while others cannot tolerate them at all. It is perfectly fine to seek a sec...[Read More] Is Discomfort Normal After Getting New Dental Implants?
Persistent Oral Discomfort: Understanding Causes and Solutions
Oral discomfort Hello, Director Lin: I have been experiencing discomfort on the inner right side of my mouth for about 5 to 6 years. Initially, I thought it was related to my wisdom teeth, so I had them removed approximately 3 years ago, but the discomfort persists. I constantly ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to perform a neck and head X-ray to confirm whether there is inflammation or foreign body infection in that area. Additionally, it is important to rule out the presence of overly deep dental implants or unsuitable crowns/bridges. Psychogenic factors such ...[Read More] Persistent Oral Discomfort: Understanding Causes and Solutions
Understanding Occasional Tooth Pain: Causes and Concerns
Dull toothache? Hello, doctor! I occasionally experience a dull pain in my lower left first molar. There is no redness or swelling, but sometimes I feel a sharp pain when yawning. When I bite down hard, I feel a sharp pain on the side of the tooth, but not towards the back. Press...
Dr. Lin Jiayong Reply:
Hello: It is advisable to first investigate potential causes in the lower left area (after all, the upper left molar has already undergone root canal treatment). This includes checking if there is an excessively deep dental implant in the lower left that may be affecting the prop...[Read More] Understanding Occasional Tooth Pain: Causes and Concerns
Understanding Hard Bumps Under Teeth: Is It Bone Growth?
Oral issues? I have a hard bump below my tooth that doesn't hurt when I lick it with my tongue. It doesn't hurt when I press on it with my hand, but it causes a slight pain in the tissue at the root of that tooth. Here is the image link: https://imgur.com/a/dbK6Eke, sho...
Dr. Lin Jiayong Reply:
Hello: It does seem to be caused by osteophyte formation, but an X-ray is still needed for a definitive diagnosis. It is advisable to seek medical consultation for a more accurate assessment.[Read More] Understanding Hard Bumps Under Teeth: Is It Bone Growth?
Understanding Root Canal Treatment: Insurance Claims and X-Ray Requirements
Questions related to root canal treatment? Hello, doctor. I am the person who asked the question on December 1963. After your last response, I have some further questions that I would like to clarify. In your previous answer, you mentioned that X-rays before and after root canal ...
Dr. Lin Jiayong Reply:
For issues related to health insurance claims, it is advisable to consult with the local health insurance bureau or health authority. Regarding medical disputes, it is recommended to first discuss the matter with the original clinic and physician. If the issue cannot be resolved,...[Read More] Understanding Root Canal Treatment: Insurance Claims and X-Ray Requirements
Managing Dental Abscesses: Seeking Second Opinions and Treatment Options
Medical management of abscesses in the oral cavity? Hello, Doctor. I would like to inquire about a situation I encountered three weeks ago. I discovered a pus-filled bump on the gum of my upper left incisor. That week, I made an appointment with a dentist who, within ten minutes ...
Dr. Lin Jiayong Reply:
Hello: 1. Under the general health insurance system, root canal treatment requires pre- and post-treatment X-rays, so there should typically be a pre-treatment X-ray available, or there may already be an X-ray taken of that tooth at the clinic, along with established treatment in...[Read More] Managing Dental Abscesses: Seeking Second Opinions and Treatment Options