second molar extraction pros and cons

Answer: Consequences of not replacing molar. I also have anxiety which makes me nervous even to think about having an implant done. With continuing pain after 2 root canals on upper 2nd molar I am ready to get it pulled. Perhaps a second opinion? Will I be ok with extraction? I will like to know what would be your suggestion. The tooth has already been comprised with a very large filling. nutraingredients-latam.com. I dont know if this is caused by bone reabsorption, but my top front teeth look really asymmetrical to me now. I know the risks of osteocronosis of the jaw and higher risk of dental implant failure due to the medicines. My wisdom tooth was extracted years ago, so this is the second tooth in on the upper right, labeled #3. root canal and zirconia crown if it can be saved! I do have crowding in the front lower would love if this gave me extra room. The dentist who extracted my teeth was in a rush and didnt explain any options or anything regarding bone grafting to me. Prevents you from having a gap between your teeth. Many years earlier I had #14 extracted due to a failed root canal and an implant placed. If this was not done you should be looked at soon as this is a very important tooth to replace, Hi Dr. Thanks for your guidance. So much pain they also refer me for trigeminal neuralgia. So do you need to replace this tooth? You may be surprised what the answer is. Had emergency visit 6/8 on 2nd molar next to wisdom on right lower side because feet, ankles swollen ~8days becoming worse, blurry vision viewing TV nite before, & a 20 yr old root canal capped & filled, sorta loose, ached if ate hard food & gum was very red & I felt sick. bone graft Epub 2015 Nov 20. $ Because you had 4 premolars extracted for braces I would suggest you replace those teeth. I am petrified of going to the dentist this took a lot out me. I hope it is not gone already! I need my last top right molar extracted. Gum problem International Food Research Journal. This particular patient is missing a second molar on the bottom jaw. Im curious what you would say to my situation. My dentist filled a big cavity in #15 two months ago, and it still hurts. I have clenching to add on. Implants are elective procedures. That is a good brand. This will save you a lot of grief, money and time , 62 with a cracked #14. They can assess your individual risk factors and give you specific instructions on how to best avoid any unwanted movement. It often becomes confusing to answer questions about specific tooth numbers unless you are very specific as to where you live! I would not give up a second molar so quickly.. Hi, Tooth 15 had root canal several years ago. Can I have an extraction without an implant considering its location. So do you need to replace this tooth? Extractions are less expensive than root canals, but there may be extra costs for replacing your missing tooth if you choose to. The reason using a straw can be problematic is that the suction created in your mouth can cause the blood clot to come out. Otherwise, my teeth are in good condition and straight. 3 years ago I set out to finally start fixing all the things wrong. Next, they will use special instruments to loosen the tooth and remove it from the socket. Looking at the lineup of the teeth, if #15 were to be extracted, is it necessary to replace it with an implant? I am wondering if there are less invasive options than an implant, maybe a partial denture or flipper tooth? Thanks so much for answering this question! There was some complications he had to grind on the crown in order to get the wisdom tooth extracted. I am 25 and I got an ice cream from Dairy Queen a few days ago there was a rock in the ice cream and when I hit down I shattered and cracked tooth 15. What a terrific post, informative and concise. This is a great question Rebecca. He also evaluated the mesiodistal width and reported a minimum value of 6.5 mm and a maximum value of 10.5 mm. But I want to explore other opinions and see what your thoughts are before I make my decision. But i doubt will this gap caused by. Try to get this done in the next few months. That would be your only other real option besides just leaving it alone as an empty space. Do I need implants? It is difficult to get unbiased second options so I appreciate your article and taking the time to respond. I am so torn, but must make a decision this week as have let it go two weeks now and antibiotic runs out soon. Thanks, A type of implant that should be selected for somebody with your bite strength should specifically be grade 5 or 23 titanium. What implant type do you recommend for all missing molars in back of mouth, both top and bottom? I need to have #14 extracted. Dear all. I can email you my x ray if thats okay with you? See what you think in a few months and if you really miss the tooth you can have the implant put there. Or would extraction be an option to consider? I do have the wisdom teeth on that side still, though they are only partially erupted. Im not sure if the crown will have enough support or if it will cause me any pain or problems later on, but my upper molar has already drifted down and im scared it will drift even further if I remove the bottom molar. Consider wearing a dentist fabricated night guard and/or Botox to regulate the strength of the jaw muscles. You choose to sacrifice it to save the neighboring tooth. Clipboard, Search History, and several other advanced features are temporarily unavailable. My dentist said the following: sending me to see an Endodontist or a Prosthodontist. Because of the age of the crown, he cant predict the extent of the cavity. First of all, this has been a very informative thread. This means that a full set of upper and lower dentures may range between $4,000 and $8,000 in price . 2014 Apr;111(4):286-92. doi: 10.1016/j.prosdent.2013.10.004. I am 52 now. Still undecided about implant after weeks of nausea and bad taste after extraction hard to consider starting over. He wants me to go to the endo Dr. again, but with each root canal I get no relief. When I do wear my nightguard 24/7 it does help but the appliance is large, uncomfortable, and I am not biting on all my teeth when its in. Would you like email updates of new search results? extraction I really hope to hear from you. In 2014, I had 5 impacted wisdom teeth removed. 7-9 Removal of a second molar is estimated to cause a 5% 17 or 7% 18 decrease in chewing efficiency. sorry I dont have my wisdom teeth anymore, I meant I had #30 extracted years ago, and #31 is crowned with possible crack under crown. If it is confirmed that #15 is the problem then extracting it would be the best idea. If there were to be Dr. Arnold Malerman and another doctor agree. Hi Dr. Amin! My dentist warned me of TMJ and potential cracked teeth without the implant. I had a root canal done on this same tooth 2.5 years ago which went badly wrong I ended up with an abscess and Ludwigs Angina, and spent two days hospitalized (away from my newborn). By then I was still in denial/avoidance stage with dental treatments :/ This year I took my dental care back in charge. I usually placer the implant on the same day of the extraction. Missing #2 and #31 is not going to lead to facial shape changes and becoming asymmetrical even though those 2 teeth are both on the same side. Extractions are often simpler procedures than root . When I talk, my tongue hits the back side of my first molar and its like its getting in the way. I have been having terrible tooth/jaw pain on my lower right side for a few weeks. The screw thread of the implant acts as the root of a natural tooth, so with dental implants, your jaw bone remains strong and you won't experience bone loss. Without seeing you and your x-rays I cannot give you a definitive answer but the lower tooth is often better to replace. I have done 100s of these with great success, An bad implant can case bone loss but unlikely. I have had 3 infected root canals that need to be extracted as they cannot be saved. That way you have one molar that opposes the other! For example, if your second molar is the troubled tooth, you very well may function fine without it. I just want to get further insight, this surgery has given me a lot of stress about the future outcome of the state of my teeth. My tooth (#18) is very bad I have two options to either get a root canal or extract it. Hi, Im a 20 year old and need help making a decision. It really depends on your bite. This eventually leads to a more attractive smile. I am 28 so may not but on the X-ray it did look likey wisdom tooth was impacted on my last molars root. I was quoted with a massive bill $13k, and I have no insurance. I have a fractured upper 2nd molar right (2) that my dentist recommends pulling; the lower 2nd molar (31) is intact and has the 3rd molar (32) intact as well, the only wisdom tooth left in my mouth. It should be ok but keep an eye on the upper last two molars. I still have a healthy 3rd molar (tooth 38) and all my other teeth. not likely Will having a top molar extracted change my appearance? Just saw this part! Should I be replacing with an implant? I just had a filling done on my lower left molar. Is this a major problem? First and foremost, the presence of other teeth in the mouth can help to keep everything in place. Dental implants are elective so you do not have to do anything. Im 33 years old. Or should there have been a different route? To the point that I would make a clicking sound with my cheek from sucking the cheek against my teeth which eventually started irritating my cheek. Both an endodontist and an oral surgeon have said it needs to be removed, it cannot be saved. I suffer from bruxism and am on route to periodontitis. 3. I have very very bad cavities in tooth #2 and #18. Can my wisdom tooth erupting cause locking of jaw , I realize I clench in my sleep and recently Ive been getting this clicking everytime I open my mouth wide but I also took a tooth out a few years back but had no jaw issues so Im assuming its my wisdom tooth. Let me know if I should repost the question. If it has a root canal it is less likely to hurt. sharing sensitive information, make sure youre on a federal can last 15 years or more and are the longest lasting option on the market. No other extractions except lower wisdoms in my 20s. Went to a new dentist after 1.5 yr (didnt go for regular check ups during COVID). Is closing #3 with braces or aligners an option or will it shift my smile? Ask the Dentist. In light of this, is it a good idea to look into getting an implant or will that only exacerbate the nerve damage? You are likely infected internally. costs I had thought it would heal to smooth gum. Just take care to make sure you do not lose molar #30 or molar #3!! In this case, would the opposing still shift down if it has a little contact with the lower first molar. That might give you and the dentist closure to really be certain the tooth is not savable. They did say that there was no active infection or abcess. I had a root canal done on molar #18 and it is now infected. After your surgery, you can expect some swelling and discomfort near the extraction site. Would an implant be an option? I wont have the upper molar soon, and could extract this lower molar #37 if it is in pain later since the caries are still there with a hole. I do not want to cause major dental problems down the road by making an uniformed poor choice now. Do I need to get an implant? That seemed to work well and fixed the pain issues. The pros of tooth extraction. During the procedure, a dentist removes the damaged tissue and the nerve from inside the tooth. People who are nervous about this should think twice about . Due to infection since April, Im supposed to get molar 47 removed, 48 has already been removed years ago. Do you think I should get a second option? I recently (pre-COVID) was fitted for a crown, but had the temporary crown in for several months as dentists throughout CT were shut down. Also can an implant cause periodontal disease or bone loss in adjacent teeth? Finally, they will suture up the incision and provide you with detailed instructions for post-operative care. My son is 18 and was diagnosed with macrodontia. If the tooth is savable with a good long-term prognosis the choice is obvious Keep it! Burbank dentists Gum graft All wisdom teeth have already been extracted. 2nd molar tooth extraction A 36-year-old member asked: How long does it take for recovery from a molar tooth extraction? 3. You might need a sinus lift in order to have an implant. Be sure to reply back with the link so I can click it when you upload, Hi and thank you for the amazing education and support. (I currently have a permanent retainer on my bottom teeth.). I wear a plastic retainer once a week to keep my teeth aligned. A low-cost denture can cost $300 to $500 for one arch or approximately up to $1000 for a complete set. Keeping molars would be best option She is too young for dental implants. Should I opt for root canal or implant if #31 will affect my chewing? My mouth/jaw is beginning to feel tight, avoid tooth removal unless youre going to die without it literally and if you have to, you must get a replacement tooth or your life will be ruined by it. This is because the upper and lower molars do not align perfectly on top of each other; they tend to be a half tooth off. How long do I have to wait to get an implant? I am 23 a female. To assess the evidence and discuss the pros and cons of replacing a missing second molar with a dental implant restoration, the authors searched the literature for articles that evaluated the following factors: chewing efficiency, tooth loss, super-eruption, extrusion, over-eruption, and occlusal interferences. But I need to decide if I want an implant or not, because if I just want to be able to have an implant later on, the surgeon says I need a Sinus alignment vertical and a Platelet rich fibrin. Neither are covered by insurance. Before you have your wisdom teeth removed, however, make sure that you have an identifiable impaction, in other words, that your tooth points forward, backward, or sideways, or has not emerged above the gum line, and discuss the possibilities of . Deep roots. The pain is still there even with this addition. Thanks, yes the upper can be intruded via orthodontics but it is difficult. It went well but he said that what he encountered with the position of the molar relative to my sinus would have made an implant more difficult that he originally thought, so it was just as well that I chose not to have one. Can help you to restore the chewing function. Ludwigs Angina!!!!!! Another disadvantage of dental implants is that it requires a surgery. Sure you can build up and put posts into anything and it will work for a while but if it is really broken down the crown will not likely last. Thank you for sharing Doctor! Waiting extraction of 17 which is root canal that had a crown which failed and its not possible to put another crown. Sometimes, there isnt enough room for wisdom teeth and they can become impacted. Hi Doctor Ramsey, Will discuss with her dentist. I have all bottom teeth with a crown on last bottom molar opposite #2. Thank you for any advice, Im tired of this pain. In your opinion, what is the likelihood that my facial shape will change? The dentist is a implant specialist and is trying to convince me of doing implants. As it would cause further periodontal diseases to the other healthy teeth. This is the one tooth that I would say can be optional in many people depending on your bite. Hi Dr. Amin, After several shots of novacaine. 2012;19(4):1337-1350 - http://www.ifrj.upm.edu.my, Mu Q.Tavella VJ, Luo XM. Hi, I had upper molar #15 removed after internal resorption was discovered. Also, they wanted to know if I wanted an implant. On the left, all upper teeth are intact, BUT as for the LOWER LEFT, #30, #29 and #28 have long been extracted (about a decade ago). A rock!!!!!!! Your procedure is not likely an extensive surgery. An implant is the least invasive, most cost effective tooth replacement solution you can do. You should see a TMJ specialist before anything else is done. The choices are interesting but maybe impractical. A more advanced procedure is to have an implant, bone graft and extraction on the same day. His front teeth and smile are ideal. The both made it seem like it needed done asaplike within days, but I cannot get an appointment for two weeks with an oral surgeon. How long does it take bone to heal & reshape after upper molar tooth extraction. HI Dr. Amin. I had #15 pulled in January 2018, the socket is all healed over now and I am used to the missing tooth but I am considering the possiblity of an implant. I really would like to straighten my teeth completely, they are not terribly crooked but definitely a slight overbite that has always bothered me! PRP I would also prefer to not do that but also do not want to risk the teeth shifting (I have naturally perfectly straight teeth on top) or any bone/jaw damage due to the missing tooth. Years later I had root canal on #28 and also, within days the tooth broke and feel out completely. I am scared of the effects of having this tooth missing (supereruption). My 12 year old daughters tooth #31 took over 6 months to fully erupt and when it finally did the part that was covered eventually chipped badly. Should i remove them? So do you need to replace this tooth? What a fantastic series of questions and careful responses! Should I get implants for the two lowers? In this regard, if a patient perceives a chewing deficiency or dislikes having a gap in his or her dentition after the loss of a second molar, the tooth could be replaced with an implant-supported restoration. I extracted my bottom right molar (second last) few years ago. I dont know know how common that is, but now Im off to see an oral surgeon for tooth extraction and implant. This can cause the tooth to grow in at an angle or become trapped beneath the gum line. I got all four of my wisdom teeth pulled as well as a bottom second molar. Will I need braces to move my midline back or will that happen naturally once the implant is in? He is open to, but not recommending, an extraction. Saw my dentist and he referred me to an orthodontist for a root canal because the tooth had deep fillings and was cracked. So my questions are: Is this a common/not-unusual event? . very unpredicatble at your age. The data indicated that replacing a second molar provides some increased masticatory performance, but first-molar occlusion facilitates 90% chewing efficiency. and transmitted securely. Will my teeth shift? Im not convinced since this started after the 3rd molar was removed. My question is, can i also remove 1,2,3, 14 and 16 and not have implants or are implants a must? Im 33 years old and I hadnt been to the dentist in several years due to phobia, depression & alcoholism. I have a root canal and capping on molar #2. That developed an infection and I needed advil and codeine to manage the pain for 10 days. 2004 Mar 27;196(6):341-8; discussion 337. doi: 10.1038/sj.bdj.4811082. . Do it the right way, the first time. My wisdom teeth is erupting but Im worried about the space. The Cons of Tooth Extraction Infections Pits may form where the tooth was extracted in some patients. Tender, swollen lymph nodes in your neck and jaw. Request an appointment here: https://balharbourdentist.com or call Bal Harbour Smiles at (305) 440-4229 for an appointment in our Surfside office. I am 45 years old. I did not had my bottom left wisdom tooth removed due to it being too near to the nerve. Talk to your dentist about all of your options and ask about payment plans if necessary. Clenching is VERY damaging. I would have pulled it if i could do dental implant later but was told that the possibility is low due to my bone loss. How long can I wait before extracting the tooth? And no need to remove the wisdom tooth. I am 66 years old. Will boneless only occur on the missing tooth? Hey there, bone graft is done. If not, the opposing molar will begin to extrude and may interfere with your bite. Another x-ray was taken and he recommended I see a Temporary put in but the final never was as dentists were shut. pterygoid implants After the dentist takes out the tooth, the patient should anticipate some swelling, tenderness, irritation and discomfort. An implant would be suggested in this scenario. The antibiotics are going to provide a Band-Aid for a while. Not needed in most cases. It was a root canal that went bad and got infected after several years. My question is, should I do extraction+implants OR should I do a braces to fix the alignment of the tooth? Hi Dr. R., Im in a little bit of a tough situation & would be delighted if you helped ease my mind and make a decision. Can you please explain to me the best ways that can help me for the long term. Burbank, California. Thank you Sir, 32 is a wisdom tooth. I have an x-ray of the top and bottom teeth on that side of my mouth and how they meet. Also, how long would you recommend to wait before the bone begins to deteriorate? Unfortunately removing one tooth is not going to space out the others. Im 28 years old and only have my #31 molar left. In some cases, removing one or more teeth may be recommended in order to create more space. In either case, it probably will not effect the appearance of the other teeth. Id be grateful to your answer. Actually went in 5 times for bite adjustments and second opinions and nothing has helped. If not you may want to consider having an implant for #30 and #31. I have been doing some research and am now very concerned that my facial shape may change and become asymmetrical. I dont plan to do the implant of this teeth in the future. Find a dentist that you trust to make a good treatment plan and best to have it all done at once rather than in a piecemeal fashion. At your young age of 23 you will likely need to do some sort of implant repair 20 years from now. Hello Doctor. Sometimes the bone over-erupts as well causing a much more serious problem. The upper second molar is now supra erupting. If the void is not filled, the remaining teeth may naturally move to close the gap and lead to improper bite. Hi Doc, If you loose a second molar the results depend if the opposite molar is in the bite with the first molar. That was in January. Can extract the upper molar, then get a permanent retainer to keep teeth from moving? theres no more pain but theres soft yellow stuff hanging a bit from the extraction site. In some other cases, if enough healthy jawbone is present, it may be possible to place a dental implant the same day a tooth is taken out. The advantages of this procedure include relieving crowding, improving the appearance of your smile, and making it easier to keep your teeth clean. Already have a wisdom tooth , i can see some crown portion inside the tooth socket after 2nd molar extraction. Gauze placed over the extraction site will help absorb any bleeding. I had my lower right wisdom tooth removed a few years ago which was fine ( in order to save molar in front). Thanks. If you are sensitive to heat it is likely the tooth in front or behind it. It sounds like your money might be better spent on orthodontics rather than an implant. Maybe I did not understand your question correctly? Ramsey A. Amin, D.D.S. Bruising: Sometimes bruising can occur around the extraction site. I recently (pre-COVID) was fitted for a crown, but have had the temporary crown in for several months as dentists throughout CT were shut down. As a diabetic should I get an extraction and implant during 1 visit or should I do the extraction 1 day and return later to do the implant? Endo said tooth was not a good candidate for a root canal and needs to be extracted. I know from reading this blog and from what the endo told me that the upper molar can drop down and have to be pulled anyway since it cant meet the bottom one. 16 and not have to wait to get this done in the future well fixed! Was a root canal i get no relief waiting extraction of 17 which is root canal and oral. How they meet ; discussion 337. doi: 10.1016/j.prosdent.2013.10.004 specific tooth numbers unless you are sensitive to heat it likely! And ask about payment plans if necessary 10 days were shut see an oral surgeon have it! Fixing all the things wrong behind it my decision how they meet love. I wanted an implant right side for a while repair 20 years from now options so i appreciate article... Is often better to replace, hi Dr a second molar is the likelihood that my facial may! Come out cant predict the extent of the cavity sending me to an orthodontist a... To think about having an implant for # 30 or molar # 30 and # 18 it! 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