Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Temporomandibular joint disorder (TMJ disorder) Hello Doctor: Can temporomandibular joint disorder (TMJ) cause tinnitus? I experience unilateral tinnitus daily, and sometimes I feel pain in one eye and pain in the back of my head, which feels like a dull ache. Yesterday, I visite...
Dr. Zeng Guanghui Reply:
Tinnitus, often described as ringing in the ears, is typically a dysfunction of the brain's neural pathways, resulting in auditory sensations without external sound stimuli. Additionally, muscle spasms in the head and neck can transmit pain signals to the brainstem, affectin...[Read More] Understanding Temporomandibular Joint Disorder: Symptoms and Treatment Options
Understanding Root Canal Treatment: Addressing Pain and Complications
Root canal treatment I have longer and more difficult-to-access tooth roots. The clinic does not have a microscope for root canal treatment, so the doctor put in a lot of effort to complete the procedure on my upper right first molar. That tooth itself does not hurt, but I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first consult the original clinic's dentist to take an X-ray of the lower right first molar to confirm whether there is an issue with that tooth. For teeth that have already completed treatment, it is advisable to simply monitor them, as excessive...[Read More] Understanding Root Canal Treatment: Addressing Pain and Complications
Understanding Jaw Pain: Is It Temporomandibular Joint Disorder?
Temporomandibular joint disorder (TMJ disorder) Two weeks ago, I woke up one morning and noticed that when my teeth were clenched, I experienced pain in front of my left ear, which radiated to the area around my left temple. I initially thought that resting for a few days would h...
Dr. Lin Jiayong Reply:
Hello: If you have already seen two doctors who provided similar diagnoses, it is advisable to follow their recommendations. However, if you are still very concerned, it is suggested that you visit an oral and maxillofacial surgery department at a medical center to determine if a...[Read More] Understanding Jaw Pain: Is It Temporomandibular Joint Disorder?
Understanding Dental X-Ray and CT Radiation Risks: Your Questions Answered
X-ray and CT scan radiation concerns? Hello Doctor, I have undergone dental treatment and had a full-mouth X-ray taken 7 times, a 3D CT scan 4 times, and periapical radiographs 4 times within the past six months. I would like to ask you: 1. Is the radiation exposure during this...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you refrain from taking X-rays for the next six months, especially those that require the injection of contrast agents. You have already had a full mouth series of X-rays seven times and CT scans four times, so your physician should be well aware of ...[Read More] Understanding Dental X-Ray and CT Radiation Risks: Your Questions Answered
Understanding Gum Abscess Above Steel Tooth in Children: What to Do?
There is a pus-filled abscess on the gum above the molar? Hello Doctor, my child is 10 years old and has had a steel crown on a decayed primary tooth for two years. Last week during a dental check-up, we found a pus-filled bump above the crown. Since the tooth has undergone root ...
Dr. Lin Jiayong Reply:
Hello: According to your description, the tooth above the molar should be the second premolar in adults, which typically erupts by the age of 13. If both doctors have suggested that you observe the situation, it is best to follow their advice. If there is a need to remove the abs...[Read More] Understanding Gum Abscess Above Steel Tooth in Children: What to Do?
Why Cavities Can Persist Even After Dental Fillings: What You Need to Know
Cavities have been filled, but there are still cavities present? Hello Doctor, I recently underwent invisible orthodontic treatment, and my primary dentist took care of all my cavities before starting. However, one day I noticed what I suspected to be a cavity because of some bla...
Dr. Lin Jiayong Reply:
Hello: If the decay is very close to the nerve and you insist on removing all of it thoroughly, there is a significant chance that it may lead to the need for subsequent root canal treatment. Based on the principle of conservatism, some dentists may suggest preserving the deeper ...[Read More] Why Cavities Can Persist Even After Dental Fillings: What You Need to Know
Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Is it possible for a tooth that wasn't painful before a dental cleaning to become painful afterward, ultimately requiring root canal treatment? Hello Doctor: Below is my experience during the consultation, and I would appreciate your advice, thank you! Initially, I developed...
Dr. Lin Jiayong Reply:
Hello: I recommend that you first return to Dr. A, as they are most familiar with your original condition. Please update them on your current situation and inquire whether a root canal treatment is necessary.[Read More] Why Did My Tooth Start Hurting After a Cleaning? Root Canal Needed?
Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options
Suspected root fracture? Hello Doctor, in April 2022, I had root canal treatment and a crown placed on my second-to-last lower right molar. I had no issues eating until October 2022, when I started experiencing soreness when biting down. I consulted a specialist in microscopic en...
Dr. Lin Jiayong Reply:
Hello: Based on what you described, it is indeed possible that there is an issue at the junction of the two tooth roots. 1. A cone beam CT scan can be performed to confirm if there is a fracture (this will also incur additional costs). 2. After removing the crown, we can check if...[Read More] Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options
Understanding Root Canal Treatment: Symptoms, Diagnosis, and Next Steps
Root canal treatment Hello, Doctor! I had a root canal treatment on my upper right second molar a year ago. Last Saturday, after doing a rapid test, I accidentally poked my right nostril, causing some bleeding. Initially, the tooth experienced occasional sharp pain, but after tak...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe for a few months. If the pain subsides, you may consider getting a dental crown for protection. If the X-ray examination reveals any issues, then consider whether to extract the tooth.[Read More] Understanding Root Canal Treatment: Symptoms, Diagnosis, and Next Steps
Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
It can be painful to tap on the treated tooth after root canal therapy? Hello, Doctor! I had a root canal treatment several years ago, but sometimes when I tap on the treated tooth, it feels sensitive and painful, while at other times it doesn't. When I'm not tapping on...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic where the root canal treatment was performed for follow-up. If a crown is needed, it is safer to have the original treating dentist handle it. For other teeth, long-term X-rays are necessary to confirm whether there is any...[Read More] Understanding Tooth Sensitivity After Root Canal Treatment: Causes and Solutions
Dealing with Severe Tooth Decay: Treatment Options for Root Remnants
The cavity has progressed to the point where only two tooth roots remain? Hello Doctor: I have a cavity in one of my teeth that no longer hurts. Currently, there are only two visible roots left, and both roots appear dark. What treatment do you recommend? If extraction is necessa...
Dr. Lin Jiayong Reply:
Hello: It is recommended to take an X-ray to confirm the condition of the tooth root and surrounding alveolar bone, and then decide on the appropriate treatment for safety.[Read More] Dealing with Severe Tooth Decay: Treatment Options for Root Remnants
Is Your Tooth Dead? Understanding Signs of Tooth Decay and Damage
Is the tooth necrotic? A few days ago, I went to the dentist for an examination and filling. There are a total of three teeth that need treatment (a cavity on the surface of the upper left incisor, a cavity on the surface of the upper right canine, and possible decay inside the u...
Dr. Lin Jiayong Reply:
Hello: Determining whether the dental pulp is necrotic cannot be based solely on color; it is recommended to also consider long-term X-rays and laboratory test data for a more accurate assessment![Read More] Is Your Tooth Dead? Understanding Signs of Tooth Decay and Damage
Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Gum recession and root exposure? Hello Doctor, I had almost a full mouth of dental bridges at a very young age. Last year, I started experiencing issues with my upper teeth, and I also have Class III skeletal malocclusion. In early 2022, I had the dental bridges removed and recei...
Dr. Lin Jiayong Reply:
Hello: Surgical procedures inherently carry many risks and uncertainties, so it is advisable to communicate clearly with you before the operation. 1. If the orthognathic surgery has been successful, it is recommended that you relax, as the most challenging part has been overcome,...[Read More] Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Sudden Tooth Pain After Filling: Causes and Solutions
The filled tooth suddenly hurts for one or two days? I apologize for the inconvenience. A few years ago, I had a cavity filled on the back of a tooth next to my front tooth. The dentist mentioned that that tooth was thinner and very close to the nerve. After the filling, I experi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic. If there are previous X-rays for comparison, it can be determined whether the decay has indeed reached the dental pulp. If it has reached the pulp, it is advisable to proceed with root canal treatment.[Read More] Sudden Tooth Pain After Filling: Causes and Solutions
Post-Root Canal Discomfort: When to Seek Further Treatment?
Discomfort symptoms after root canal treatment? Hello, I completed a root canal treatment on my lower left second molar two weeks ago, and I had the filling done last Tuesday. After each treatment, I typically experience a dull ache a few days later, and even now, I still have so...
Dr. Lin Jiayong Reply:
Hello: "The original dentist believes that I do not need braces." >> It is advisable to follow the original dentist's recommendation for now. If braces are needed in the future, please have the original dentist create them or refer you to an appropriate prost...[Read More] Post-Root Canal Discomfort: When to Seek Further Treatment?
Is It Normal for Wisdom Tooth Extraction Site to Remain White?
After the wisdom tooth extraction site has healed, it may appear white? Hello, doctor. Three years ago, I had my lower right wisdom tooth extracted. After the wound healed, the area where the tooth was removed remained white. Is this normal? I thought that after three years, that...
Dr. Lin Jiayong Reply:
Hello: If there is a history of smoking and betel nut chewing, it is recommended to have dental cleanings every six months, with the dentist paying special attention to that area, and X-rays may be taken for examination.[Read More] Is It Normal for Wisdom Tooth Extraction Site to Remain White?
Understanding Apex Surgery: When Is It Necessary for Dental Health?
Apex surgery Hello Doctor, I have recently been experiencing a dull pain in my gums just below my nose (above my dentures). I visited a dentist, and an X-ray showed some dark areas. The dentist recommended an apicoectomy because the dental implant is too thick and long, making ro...
Dr. Lin Jiayong Reply:
Hello: It is recommended that you return for a follow-up appointment to discuss the advantages and disadvantages of apical surgery with your physician. Additionally, you should consider your own systemic health conditions. If you continue to avoid surgery or retreatment, you may ...[Read More] Understanding Apex Surgery: When Is It Necessary for Dental Health?
Persistent Pain and Swelling in Upper Left Canine Gum: What to Do?
Persistent swelling and pain in the upper left canine gum? Hello Doctor, I have been experiencing persistent swelling and pain in the gums around my upper left canine (dental prosthesis) for over a month (approximately 5 to 6 weeks). About three weeks ago, noticing no improvement...
Dr. Lin Jiayong Reply:
Hello: It is recommended to seek a second or third opinion after having an X-ray taken. If other physicians also indicate that there are no urgent indications for treatment, you can feel more at ease.[Read More] Persistent Pain and Swelling in Upper Left Canine Gum: What to Do?
Dealing with a Broken Front Tooth: Pain, Treatment, and Concerns
The front tooth is broken? Hello, I fell and broke my right front tooth. My left front tooth is not broken but it hurts. I thought I needed to make an appointment with the dentist, so I didn't go immediately. I went to the hospital the next morning, and they said I need a ro...
Dr. Zeng Guanghui Reply:
If a tooth is fractured but not severely, it can be temporarily restored and monitored. If the adjacent intact incisor is painful, it may indicate injury to the periodontal ligament. If the pain is not severe, it can be observed for a while. However, if the pain persists or if th...[Read More] Dealing with a Broken Front Tooth: Pain, Treatment, and Concerns
Understanding Root Cysts: Is Root Canal Treatment Enough?
Radicular cyst Hello, doctor. Today I went for a dental check-up, and the dentist found a cyst in the gums around the root of my front tooth. The dentist said he would need to puncture the cyst, and after taking an X-ray, he discovered a dark shadow around the root of the tooth (...
Dr. Zeng Guanghui Reply:
If the shadow is small, root canal treatment may improve the condition. However, if the shadow is too large, it is advisable to consider apicoectomy. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.[Read More] Understanding Root Cysts: Is Root Canal Treatment Enough?