Q&A with Top Doctors

Is Pudilan Xiaoyan Tablets effective for toothache?

In general, Pudilan Xiaoyan tablets can alleviate some symptoms of toothache, but they cannot cure toothache completely, and the effectiveness varies depending on the cause of the toothache. The specific analysis is as follows:

If the toothache is caused by periodontitis or gingival injury, using Pudilan Xiaoyan tablets as directed by a physician may help relieve the pain to some extent. This is because Pudilan Xiaoyan tablets have functions of clearing heat, detoxifying, anti-inflammatory, and reducing swelling. Its ingredients, including dandelion, baicalin, bitter groundcherry, and isatis root, have antibacterial and anti-inflammatory effects, which can effectively alleviate toothache caused by oral inflammation. For mild gum redness and pain caused by excessive internal heat, Pudilan Xiaoyan tablets may also provide some relief.

If the toothache is caused by more serious oral conditions such as dental caries, pulpitis, or periapical periodontitis, relying solely on Pudilan Xiaoyan tablets may not achieve the desired therapeutic effect. In such cases, patients should follow medical advice and may need to use antibiotics such as metronidazole or tinidazole in combination, or undergo more specialized treatments such as root canal therapy or incision and drainage of dental abscesses.

Although Pudilan Xiaoyan tablets are traditional Chinese medicine preparations, they should still be used under the guidance of a physician to avoid self-medication. Individuals allergic to Pudilan Xiaoyan tablets should not use them, and those with allergic constitutions should use them cautiously. Pregnant women, children, nursing mothers, and elderly or frail individuals should take this medication under a physician's supervision. It is not advisable to take warming herbs concurrently while taking Pudilan Xiaoyan tablets. Drug interactions may occur if used with other medications, so consultation with a doctor or pharmacist is necessary before use. During treatment, the diet should be light, and consumption of spicy, greasy, cold, or otherwise irritating foods should be avoided. Adequate rest should also be ensured to prevent excessive fatigue.

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Dr. Liu Chao
May 26, 2025
Can I use mouthwash after tooth extraction?

Under normal circumstances, it is not recommended to use mouthwash within 24 hours after tooth extraction. After 24 hours, a mild mouthwash may be cautiously selected based on individual circumstances.

It is not recommended to use mouthwash within 24 hours after tooth extraction. Following extraction, a blood clot forms within the alveolar socket, which is the first crucial step in wound healing. Using mouthwash too early, especially products containing irritating ingredients such as alcohol, may dissolve or dislodge this protective blood clot, leading to complications such as dry socket. Dry socket mainly manifests as severe pain and delayed wound healing. Rinsing too soon may also disrupt the normal blood clotting process at the extraction site, increasing the risk of infection.

After 24 hours post-extraction, if using mouthwash, it is recommended to choose alcohol-free, mild formulations, such as normal saline, Xinyan Kangfu Solution (recombinant peptide solution), or compound chlorhexidine mouthwash. These mouthwashes can help maintain oral hygiene, reduce bacterial growth, and promote wound healing. When rinsing, do so gently without forceful swishing. Hold the mouthwash in the mouth and swish gently by puffing the cheeks and lips to allow the solution to fully contact the oral mucosa and teeth. Each rinse should last approximately 30 seconds before spitting it out.

For special populations, such as patients with diabetes, smokers, or individuals with compromised immune systems, extra caution should be exercised regarding the timing of mouthwash use. These individuals generally have impaired wound healing capacity. It is recommended to delay using mouthwash until 48 hours post-extraction, and to use only antimicrobial yet less-irritating medical-grade mouthwashes under a physician's guidance.

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Dr. Liu Chao
May 26, 2025
Can severe periodontitis be cured?

In general, the treatment outcomes for severe periodontitis vary depending on individual circumstances. If the gums and alveolar bone have not sustained irreversible damage, clinical cure may be achieved through systematic treatment. However, if irreversible damage exists, such as severe gum recession or alveolar bone resorption, complete restoration of health is typically not possible, although treatment can help control the progression of the disease.

If a patient with severe periodontitis has not developed irreversible damage to the gums and alveolar bone, pharmacological treatment and subgingival scaling can effectively remove pathogenic factors such as dental plaque and calculus, thereby improving the health of the periodontal tissues and potentially achieving complete resolution. Periodontal tissues have a certain regenerative capacity; systematic treatment can lead to partial recovery of periodontal tissues, alleviate clinical symptoms, and improve the patient's quality of life.

If a patient with severe periodontitis presents with gum recession or alveolar bone resorption, these are considered irreversible damages that generally cannot be completely cured. At this stage, the primary treatment goals are to control inflammation, prevent further destruction of periodontal tissues, and attempt to restore dental stability. Treatment for severe periodontitis requires long-term commitment, and if patients discontinue or reduce medication without medical advice, it may result in incomplete treatment and failure of periodontal tissues to fully recover. The specific treatment outcome is also influenced by factors such as the patient's age and overall health status.

The effectiveness of treatment for severe periodontitis depends on multiple factors, including the severity of the condition, patient compliance, and the timeliness and completeness of the treatment. Although severe periodontitis can be controlled and improved, complete recovery to a healthy state may be difficult, especially when alveolar bone resorption has already occurred. Therefore, early diagnosis and treatment are crucial to minimizing tissue damage and enhancing treatment success rates.

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Dr. Liu Chao
May 26, 2025
Can I get a dental filling during pregnancy?

In general, dental fillings can be performed during pregnancy, but it is recommended to schedule the procedure during the second trimester (months 4–6), while following relevant precautions.

During the first trimester (first three months of pregnancy), the fetus is undergoing critical organ development, and dental procedures may increase the risk of miscarriage. At this stage, the stress and pain associated with dental treatment might trigger uterine contractions, which could negatively affect fetal stability. During the second trimester (months 4–6), fetal development is relatively stable, and morning sickness typically subsides, making this a safer period for dental fillings. The physical condition of the pregnant woman is generally better during this period, and the impact of dental procedures on both the mother and fetus is minimal. During the third trimester (last three months), the physical burden on the pregnant woman increases, and prolonged supine positioning during dental treatment may affect fetal blood circulation. Dental procedures during this period may induce uterine contractions and increase the risk of preterm labor.

It is advisable to prioritize biocompatible dental materials such as composite resin or glass ionomer cement, and to avoid mercury-containing amalgam. The use of anesthetics should be minimized; if necessary, the dosage should be strictly controlled and only fetal-safe anesthetics should be used. Exposure to X-rays during pregnancy may harm the fetus, so dental radiographs should be avoided as much as possible during this period. Inform your dentist in advance and ensure they are fully aware of your pregnancy status so an appropriate treatment plan can be developed.

After the filling, maintain good oral hygiene by brushing teeth in the morning and evening, rinsing after meals, and using dental floss to prevent oral infections. Avoid consuming excessively hard, sweet, or acidic foods to reduce stress on the teeth and promote recovery. Follow the dentist's recommendations for regular follow-up visits to ensure the effectiveness of the treatment and maintain dental health.

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Dr. Liu Chao
May 26, 2025
Is it possible to have a tooth implanted during menstruation?

Under normal circumstances, dental restoration is not recommended during menstruation; however, special cases should be evaluated individually by a qualified physician to determine whether the procedure should be performed.

During menstruation, women experience changes in blood coagulation function, with decreased platelet counts, which may result in increased bleeding during dental restoration and difficulty in controlling the bleeding. During this period, the body's immunity is relatively low, and the dental restoration procedure may introduce bacteria, increasing the risk of infection. Women may also experience heightened sensitivity to pain during menstruation, potentially amplifying discomfort associated with dental restoration. Furthermore, the body's metabolic and tissue repair capabilities may be affected during menstruation, which could hinder wound healing after dental restoration.

For non-emergency dental restoration procedures, it is advisable to wait 1 to 2 weeks after the menstrual period to reduce the risk of bleeding and infection and to enhance the safety and effectiveness of the procedure. If tooth damage or loss is severe and has already affected chewing function, oral health, or facial appearance, requiring dental restoration during menstruation, it is important to communicate fully with the physician and disclose your physical condition. The physician will make a decision regarding treatment based on the patient's physical condition, treatment requirements, complexity of the procedure, and individual differences, and will implement additional hemostatic measures and closely monitor the patient's physical response.

During menstruation, special attention should be given to oral hygiene, including brushing teeth in the morning and evening, rinsing after meals, and using dental floss to clean between teeth, to reduce bacterial growth in the mouth. Avoid consuming overly spicy, cold, or hard foods that may irritate the oral cavity and teeth and worsen discomfort. If oral problems such as toothache or gum swelling occur, prompt medical attention should be sought, and medication or necessary dental treatment should be administered according to medical advice.

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Dr. Liu Chao
May 26, 2025
How long does a mouth ulcer take to heal?

In general, the healing time for oral ulcers varies from person to person. Mild cases usually heal within 1-2 weeks, while severe cases may take 1-2 months to heal.

Minor oral ulcers are small in diameter and often heal spontaneously within 1-2 weeks. Major oral ulcers are larger and deeper, and may take as long as 1-2 months to heal, often leaving scars. Herpetiform ulcers, although individually small, occur in large numbers and typically heal within 1-2 weeks. Additionally, if the patient suffers from autoimmune diseases, takes medications long-term that impair mucosal repair, or repeatedly irritates the ulcerated area, the healing period may also be prolonged.

In daily life, maintaining oral hygiene is important. Rinse the mouth with mild salt water or mouthwash after meals to avoid irritation from food residue. Avoid eating spicy or excessively hot foods, and consume more foods rich in vitamins and protein, such as oranges and eggs. If an oral ulcer persists for more than 2 weeks without healing, recurs frequently, increases in size, or is accompanied by symptoms such as fever and swollen lymph nodes, prompt medical attention is advised to rule out other underlying diseases.

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Dr. Liu Chao
May 26, 2025
Is it painful to clean teeth with ultrasound?

In general, ultrasonic teeth cleaning usually does not cause significant pain, but may produce slight vibrations, soreness, or sensitivity. The exact sensation varies from person to person.

Individuals with minimal tartar buildup and healthy gums typically experience no obvious pain during teeth cleaning, only mild vibrations. For those with noticeable gum inflammation, due to tissue congestion and swelling, the vibration during cleaning may cause sharp pain or bleeding. However, such discomfort will diminish as the inflammation subsides.

People with sensitive teeth may be more responsive to vibrations. Particularly in the front teeth, where the dentin is thin, ultrasonic vibrations may stimulate the dental nerves and cause pain. For individuals who haven't had their teeth cleaned for a long time, the thicker tartar buildup may require more intense vibration for removal, which can increase discomfort. Professional dentists can reduce thermal stimulation and discomfort by adjusting the power settings and using a water-cooling system. Improper operation may cause minor scratches on the tooth surface, but professional dentists will strictly avoid such errors.

After ultrasonic teeth cleaning, some people may experience a brief period of tooth sensitivity. This occurs because the protective layer on the tooth surface is removed, exposing the dentin. This sensitivity usually diminishes gradually within a few days and can be relieved by using fluoride mouthwash or toothpaste formulated for sensitive teeth. If persistent pain or discomfort occurs after teeth cleaning, contact your dentist promptly to rule out other oral health issues.

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Dr. Liu Chao
May 26, 2025
Is ultrasonic teeth cleaning painful?

In general, there may be mild pain or discomfort during the process of ultrasonic teeth cleaning, but most people can tolerate it. The level of pain mainly depends on the condition of dental calculus, the health status of the gums, and individual sensitivity.

Ultrasonic teeth cleaning removes dental calculus, plaque, and other debris from the tooth surfaces through high-frequency vibrations. During the process, some irritation to the gum tissue may occur, causing mild pain or discomfort. However, this pain is generally within a tolerable range, and most people do not find it unbearable.

When there is a large amount of dental calculus or it is located deeper, more noticeable soreness or discomfort may occur during removal. Patients with significant gum inflammation may feel more intense discomfort or slight pricking pain during teeth cleaning. Some individuals who are more sensitive to pain or stimulation may experience more pronounced discomfort. After teeth cleaning, teeth may become sensitive to hot or cold stimuli, or experience temporary aching sensations. This occurs because the removal of calculus exposes the tooth surfaces, which need time to adjust. This sensitivity typically subsides gradually within a few days.

If gum inflammation is significant, it is recommended to control the inflammation first before undergoing teeth cleaning, in order to minimize discomfort. It is advisable to visit a reputable hospital and seek treatment from a qualified dental professional to ensure the safety and comfort of the procedure. After teeth cleaning, one should avoid consuming irritating foods, smoking, drinking coffee, or consuming strong tea, as these may affect the effectiveness of cleaning or exacerbate tooth sensitivity.

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Dr. Liu Chao
May 26, 2025
Is teeth cold light whitening painful?

In general, the teeth whitening process using cold light usually does not cause significant pain, but there may be a slight pricking sensation during the treatment or transient soreness afterward.

Cold light whitening removes tooth pigmentation through low-temperature light combined with a special whitening agent. During the process, minor pricking sensations might occur due to tooth sensitivity or irritation from the whitening agent, but these are generally tolerable and do not result in severe pain. Some individuals may experience tooth sensitivity or soreness for one to two days after treatment, especially when consuming very cold or hot foods. This discomfort typically resolves on its own within a few days.

Pain perception varies among individuals and is related to personal dental conditions and sensitivity levels. In rare cases, some people may experience intolerable tooth pain, which could be related to pre-existing dental conditions such as hypersensitivity or cavities. For such situations, it is recommended to seek professional guidance from a dentist. Individuals with existing oral problems like cavities or periodontitis may feel more noticeable discomfort due to the treatment. Before undergoing the procedure, patients should inform their dentist about their oral health status so that the treatment approach can be adjusted accordingly. After treatment, it is advisable to avoid consuming excessively cold, hot, acidic, sweet, or dark-colored foods to reduce tooth sensitivity and soreness. Prior to undergoing any whitening treatment, it is recommended to have a comprehensive dental examination to ensure oral health and avoid unnecessary risks. Additionally, choosing a reputable medical facility and an experienced dentist can further minimize discomfort and enhance the whitening outcome.

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Dr. Liu Chao
May 26, 2025
Is it painful to replace a porcelain crown?

In general, the process of replacing a porcelain crown usually does not cause severe pain, but individual experiences may vary, depending on factors such as personal pain sensitivity, effectiveness of anesthesia, and postoperative reactions.

Some individuals may feel pain from minor stimuli, while others have higher pain tolerance, resulting in significant differences in pain perception during crown replacement. If local anesthesia is required during the procedure, there may be a slight pricking sensation during injection, but the procedure itself is typically pain-free once the anesthetic takes effect. After the new porcelain crown is bonded, mild discomfort may occur, which usually resolves spontaneously within 3–5 days. If the crown causes high or low occlusion after placement, abnormal forces on the tooth may lead to pain, which can be corrected by adjusting the bite. Stimulation of the dental pulp during tooth preparation may cause sensitive pain, which requires observation for several days; if the pain persists or worsens, the crown may need to be removed and replaced.

Short-term pain can be relieved with ice application. Inflammatory pain can be managed with oral antibiotics such as amoxicillin capsules or metronidazole capsules, under a dentist's guidance. Although replacing a porcelain crown may cause some temporary discomfort, the procedure can be effectively managed and controlled when performed by a professional dentist. If you have any concerns or worries, it is recommended to discuss them in detail with your dentist before treatment.

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Dr. Liu Chao
May 26, 2025