Managing Tooth Pain After Root Canal: Tips for Recovery and Care
Biting with the same side teeth; root canal treatment? Hello Doctor: I had a root canal treatment on my lower left molar around mid-November. Since it has been a month and I am still experiencing pain, I recently returned for a check-up. An X-ray revealed a dark shadow at the ape...
Dr. Lin Jiayong Reply:
Hello: 1. Yes, if the inflammation subsides, the shadow will gradually decrease. Typically, follow-up observations are done every 3 to 6 months. If there is improvement, we continue to monitor for recovery. If there is no recovery, we may consider retreatment of the root canal. 2...[Read More] Managing Tooth Pain After Root Canal: Tips for Recovery and Care
Persistent Pain After Root Canal: Understanding Symptoms and Next Steps
One month after root canal treatment, I am still unable to bite down on anything? Hello Doctor: I underwent root canal treatment on my lower left molar at the beginning of November. It has been almost a month since the procedure, but I still experience pain when applying pressure...
Dr. Lin Jiayong Reply:
Hello: Treatment not being successful is a possible outcome, and observation for about six months may be warranted. If discomfort persists beyond six months, you might consider undergoing another root canal treatment or checking for other issues such as periodontal inflammation, ...[Read More] Persistent Pain After Root Canal: Understanding Symptoms and Next Steps
Navigating Conflicting Dental Treatment Recommendations: What to Do?
What should I do when there are different treatment recommendations? Hello. In mid-November, I felt discomfort around the root of my first premolar and went to Clinic A for an examination. The dentist performed a teeth cleaning (during the process, the dentist mentioned that my b...
Dr. Lin Jiayong Reply:
Hello: According to what you mentioned, Clinic A did not provide you with a follow-up treatment plan. Clinic B suggested that you undergo further periodontal treatment. The attending physician at Hospital C stated that you can choose to proceed or not. In other words, it is optio...[Read More] Navigating Conflicting Dental Treatment Recommendations: What to Do?
Understanding Post-Root Canal Sensations: Is It Normal?
Root canal treated tooth It has been over a week since the root canal filling, and the area below the root canal tooth should be the alveolar bone or just beneath it. If I apply pressure while using skincare products on my chin, I notice that the tooth that underwent root canal t...
Dr. Lin Jiayong Reply:
Hello: Since the treatment was completed only about a week ago, it is not possible to determine success or failure based on subjective feelings. It is recommended to have follow-up visits once a month and to take X-rays. A definitive conclusion regarding the need for re-treatment...[Read More] Understanding Post-Root Canal Sensations: Is It Normal?
Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Apical cyst Due to an X-ray finding, there is a sizable periapical cyst (a round structure resembling a small ball) at the apex of my front tooth, which may be about the same size as the tooth root. It is asymptomatic, and this tooth has no cavities, has never undergone root cana...
Dr. Zeng Guanghui Reply:
1. If the periapical cyst is caused by the necrosis of the nerve of the affected incisor, the cyst should gradually disappear after root canal treatment of that tooth. However, if the cyst is caused by an impacted supernumerary tooth, the cyst will not resolve even if the incisor...[Read More] Understanding Apex Cysts: Treatment Options and Concerns in Dentistry
Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Apical cyst surgery under sedation anesthesia? Recently, during a dental cleaning, my dentist discovered a sizable cyst at the root of my front tooth, which is almost the same size as the tooth itself. This cyst was not visible on last year's X-ray. Additionally, there is an...
Dr. Lin Jiayong Reply:
Hello: 1. It will not resolve on its own. If there are no discomfort symptoms, the likelihood of malignancy is low; however, it is still advisable to have it removed and examined for accuracy. 2. During the process of tooth development, residual epithelial tissue or repeated infe...[Read More] Understanding Apex Cyst Surgery and Sedation Options in Dentistry
Post-Root Canal Treatment: Dealing with Persistent Tooth Pain
Post-Root Canal Treatment Issues I have a molar that underwent root canal treatment at Clinic A. At that time, I reported to the dentist that the tooth had a noticeable percussion pain, but the dentist said the treatment was completed and that I should return for a crown. However...
Dr. Lin Jiayong Reply:
Hello: If you have doubts about the treatment plan from the physician at Clinic A, it is advisable to request a referral to the endodontics department at a medical center for evaluation. This will help determine if there are any other issues related to the root canal and whether ...[Read More] Post-Root Canal Treatment: Dealing with Persistent Tooth Pain
Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
I have seen several specialists for my toothache? Three years ago, I had a crown placed on my first molar, along with a post. After the crown was done, I developed a dental abscess between the first and second molars, but it resolved on its own. Since last year, I've been ex...
Dr. Lin Jiayong Reply:
Hello: It is advisable to consult at the same medical center, as they can consolidate information from various specialties and follow the physician's recommendations from that hospital. Otherwise, running around to different places may not help identify the true cause of the...[Read More] Persistent Tooth Pain: Seeking Answers After Multiple Dental Consultations
Should You Consider 3D Tooth Restoration for Large Cavities?
If you have previously undergone extensive dental fillings for cavities, would you recommend reopening and refilling them? I have a lower back tooth that had extensive decay filled about 6 to 7 years ago, but recently, for the past few months, I've occasionally felt a dull s...
Dr. Lin Jiayong Reply:
Hello: 1. It is recommended to perform 3D dental sculpting to reinforce teeth with extensive defects. This not only restores normal occlusal function but also protects the dental pulp from excessive physical and chemical stimuli. 2. Do not associate "having undergone 3D dent...[Read More] Should You Consider 3D Tooth Restoration for Large Cavities?
Understanding Tooth Discomfort: Possible Causes Beyond Pulp Issues
Dental issues Hello Doctor: I occasionally feel a swelling or a tingling sensation in my left lateral incisor. Although it doesn't reach the level of pain, there is still discomfort. A few days ago, I visited the endodontics department at the hospital, where they took a peri...
Dr. Lin Jiayong Reply:
Hello: Localized pain is usually first investigated for causes within that area, without specifically considering referred pain from distant sites. If the tooth has already been examined by an endodontist and no issues were found, it is advisable to observe the situation for a pe...[Read More] Understanding Tooth Discomfort: Possible Causes Beyond Pulp Issues
Understanding Tooth Sensitivity After Dental Filling: Causes and Solutions
Experiencing sensitivity or pain one month after a dental filling? Hello, Doctor. 1. I had a dental filling (composite resin) done at the beginning of October. The dentist mentioned that the cavity was a bit deep, close to the nerve. However, towards the end of October, I start...
Dr. Lin Jiayong Reply:
Hello: It is advisable to follow the opinion of the treating physician. If it has been confirmed that the resin cannot effectively restore the original shape and function of the tooth, you may consider using out-of-pocket materials for the repair.[Read More] Understanding Tooth Sensitivity After Dental Filling: Causes and Solutions
Persistent Pain After Root Canal: Exploring Alternatives to Tooth Extraction
Root canal treatment may not be successful after tooth decay? I have a tooth on the lower left side that previously had a crown. Recently, due to decay, I underwent root canal treatment. Although the treatment is complete, I still experience some pain. The pain lasts for a few mi...
Dr. Lin Jiayong Reply:
Hello: It is recommended to take a cervical X-ray to confirm the cause of the pain, or to consult a neurologist to see if it is a trigeminal nerve issue. Only when the pain problem cannot be resolved will we consider tooth extraction.[Read More] Persistent Pain After Root Canal: Exploring Alternatives to Tooth Extraction
Understanding Periodontal Disease Treatment: Expert Insights and Options
Questions related to periodontal disease treatment? Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal diseas...
Dr. Zeng Guanghui Reply:
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options
Dealing with Stuck Dental Floss: Tips for Tooth Pain and Care
Dental floss is stuck between the teeth and cannot be removed? Hello Dr. Lin, last month while flossing, I found that the dental floss gets stuck between my upper left second molar (which was filled with silver amalgam about five years ago) and I couldn't pull it out. After ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to first take an X-ray to confirm if there are secondary caries or other ongoing cavities. During the process of removing the amalgam, the dentist should use a rubber dam and a more powerful suction device to remove the amalgam debris. If re-restoration i...[Read More] Dealing with Stuck Dental Floss: Tips for Tooth Pain and Care
Understanding Sinus Cysts: Causes, Treatment, and Recurrence Risks
About nasal sinus cysts? Hello, about two years ago, I visited Mackay Memorial Hospital due to swelling and pain on the left side of my face, along with post-nasal drip on the left side. After examination, I was diagnosed with a sinus cyst. Four years prior, I had undergone treat...
Dr. Lin Jiayong Reply:
Hello: 1. If the cystic area is too large, it may be necessary to first place a drain to reduce the size of the area that will be surgically removed later, minimizing the extent of sacrifice to the bone and surrounding tissues during the surgical procedure. 2. If the drainage and...[Read More] Understanding Sinus Cysts: Causes, Treatment, and Recurrence Risks
Understanding Post-Wisdom Tooth Extraction Pain and Sensitivity
Wisdom tooth extraction? The lower right wisdom tooth was originally impacted and was extracted around December of last year. However, in the past 1-2 months, I've been experiencing pain when eating or drinking. I've also noticed increased sensitivity when drinking cold...
Dr. Lin Jiayong Reply:
Hello: The causes of pain typically fall into two categories: one is tissue injury, and the other is issues with nerve conduction. Referring to your case, is there any injury in the local extraction area? It would be advisable to have the physician take another X-ray or a CBCT sc...[Read More] Understanding Post-Wisdom Tooth Extraction Pain and Sensitivity
Can Patients Keep Extracted Teeth and Orthodontic Screws?
Can patients take home removed bone screws or extracted teeth? Hello, doctor. 1. I had teeth extracted due to orthodontic treatment and intended to take them with me, but the doctor discarded them without asking. Is it acceptable for a doctor to dispose of extracted teeth witho...
Dr. Lin Jiayong Reply:
Hello: Medical waste does indeed carry a risk of infection, especially items like dental fragments or sharp bone pins. Generally, these items are not intentionally kept for patients but are disposed of directly. If you wish to keep such items as a memento, it is advisable to info...[Read More] Can Patients Keep Extracted Teeth and Orthodontic Screws?
Why Your Dental Filling Might Cause Pain: The Importance of Bite Adjustment
After getting a dental filling, the bite feels high and the dentist hasn't adjusted it? Hello, doctor. I previously lost a small piece of my tooth while eating nuts (it didn't hurt). Later, I visited a dentist who said that there was some decay that had progressed a bit...
Dr. Lin Jiayong Reply:
Hello: It is advisable to focus on the current issue. You may first consult a larger hospital for a second or third opinion. If all the doctors recommend that you undergo root canal treatment, it should be done as soon as possible. After the treatment is completed and if the toot...[Read More] Why Your Dental Filling Might Cause Pain: The Importance of Bite Adjustment
Understanding Deep Root Canal Treatment: Causes of Pain and Complications
Issues with Over-Instrumentation in Root Canal Treatment Hello Dr. Tseng: I have a large cavity in my upper left canine tooth. I have been seeing the same dentist for all my treatments. On September 13, I had my first root canal, and the dentist placed a temporary filling afterwa...
Dr. Zeng Guanghui Reply:
Pain upon pressing the nasal wing may indicate that there is still inflammation between the tooth roots. The apical area of the root canal may require further debridement. It is also possible that the root canal treatment was performed too deeply. However, as long as the apical r...[Read More] Understanding Deep Root Canal Treatment: Causes of Pain and Complications
Post-Wisdom Tooth Extraction: Understanding Pain and Healing Issues
Post-operative issues after wisdom tooth extraction? Hello, I recently had my lower left wisdom tooth extracted, which involved sutures and the application of collagen. It has been 20 days since the surgery, and I have been experiencing intermittent soreness in the left side of m...
Dr. Lin Jiayong Reply:
Hello: Since there has been some grinding of the alveolar bone, it will take at least six months or more for a complete recovery to normal. There are no significant abnormalities in appearance or on X-rays, so it is recommended to observe patiently. Recovery takes time, and patie...[Read More] Post-Wisdom Tooth Extraction: Understanding Pain and Healing Issues