Im only 21. braces first followed by implant secondbut the implant must be PRE-PLANNED before starting the braces so the space can be managed. Most of my full mouth FULL implant reconstructions do not have second molar replacement. Nam DH, Lee DW, Chung CJ, Kim KH, Park KH, Moon IS. It is not uncommon for people to have their second molars removed. I didnt take good care of my teeth during my teens and both sides the bottom 2nd molars are root canal and crown with the warning that they would need to be eventually extracted. The lower molars do not over erupt as commonly as the upper molars do when the opposing tooth is removed. If the tooth is savable with a good long-term prognosis the choice is obvious Keep it! The https:// ensures that you are connecting to the How To Choose A Surgeon For A Tooth Extraction? I do not want a change in symmetry. Dr. Amin, thanks much for the response, as well as the additional information related to the sinuses. That should be fine. Im torn between having it pulled and hoping her wisdom tooth will erupt and replace it and having multiple procedures to save it because they want to do a partial root canal to give her tooth time to fully mature before doing a full root canal and crown. Thank you for your thorough question. Just saw this part! If your tooth is so diseased or damaged that it cannot be saved, even with a root canal procedure, it may be time for an extraction coupled with an implant or other replacement option. Influence of alcohol and tobacco habits on peri-implant marginal bone loss: A prospective study. I have been asymptomatic since that time, with the exception that whenever I have dental work, my jaw gets very tired and I so have to take breaks. Other procedures may be done as an alternative to a root canal. I wasnt entirely clear) beneath the crown. This will work great. Wait longer if it is in the front of the mouth. Since then, I know my teeth have shifted a bit; the spaces are larger between some teeth. My wisdoms teeth have not come through yet. I was hoping you could answer a query which I hope would also be beneficial to others. I am a 32 year old woman. 1 (#32 )of my lower wisdom tooth got extracted before and the other (#17) last year. Hello! How long is it okay to wait to have an implant done? Any help would be appreciated. So otherwise teeth are healthy. If it is a choice, what would you do if it were your mouth and why? If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. I am thinking of waiting to see if the wisdom tooth comes in after extraction instead of getting an implant. My dentist seems to feel that either option are fine with him. I had my upper left last wisdom tooth removed today. Do you think it will work? Missing teeth can affect speech and your ability to bite and chew. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Most importantly, it reduces harmful bacteria that can damage your teeth and gums. This can cause issues with your bite and oral hygiene. After two and a half months of salt water rinses, the pockets may have tightened to the ironic degree that they forced #31 out!!?? 17 and 18 were removed due to 17 being untreateable and full bony impaction of 18 very recently. I was quoted with a massive bill $13k, and I have no insurance. He suggested to me to have it a. extracted or b. do the entire restoration. The tools used for tooth extraction, for example, can chip nearby teeth. Wait until you are 21 due to jaw growth. Stay safe during COVID 19!!!! Or should I just forget about the idea and take out the tooth when it touches the lower gum? It really depends on how much tooth surface/chewing surface was removed. Hi Dr Ramsey, For example, one large study found that more than 94 percent of the teeth studied were functional 3.5 years after the root canal treatment. I wanted to ask first for a tooth#31 removal is it painful? Bridge The dentist who extracted my teeth was in a rush and didnt explain any options or anything regarding bone grafting to me. Thank you for your help! Infection? Make sure you are assessed carefully for your bite to see if you really need them or not. It help patients like me understand the situation better, which in turns help us to take better course of action. If not, the opposing molar will begin to extrude and may interfere with your bite. Photo attached in the links. And also he said that its not something we have to do but can keep monitoring.. A more advanced procedure is to have an implant, bone graft and extraction on the same day. I am just trying to understand two things: 1. Swelling/ugly bruising went down slowly after 10 days, I was better & had sutures removed in 14 days. I am not a fan of zirconia for implants but it is a great material for the abutments and the crown! Dental implants are elective so you do not have to do anything. immediate dental implants However, in most cases, a dentist will recommend waiting 3 to 6 months after a tooth extraction. fixed bridges If extract tooth #2 due to an infection is it absolutely necessary to have a bone graft (I am not replacing it under any circumstance with a fake tooth. Are there any statistics about the super eruption? 
I hope you feel better. I have had dental anxiety as long as i can remember and now being an adult I hesitate asking important questions in person. Do I need implants? . root canal Hi, can u kindly explain why braces? If the tooth can be saved with a great prognosis then it should be KEPT!!! You would probably be better off extracting the wisdom tooth #1 and the wisdom tooth #32. Will it ever be smooth, or always a hole at this point? You have to be very young in order for the wisdom tooth to drift into place of another molar. Not a bad plan It is the molars that are typically the most affected by decay and periodontal disease. The gums were not ready. Do you have any recommendations for the pain? If I do have to get implants, how long could I wait? 5 years ago i had molar #31 removed, ever since then no implant has been discussed, so I recently realized the bone has shrunk dramatically where the tooth has been removed. Will the collagen be absorbed and harden to maybe allow an implant if i choose and will #14 now lack support and eventually also be a loss? (different dentist) no issues. I dont know know how common that is, but now Im off to see an oral surgeon for tooth extraction and implant. bone? Also recommends remove 32 & 17 as they may cause future problems and are impacted. Thanks! I suffer from extreme dental anxiety so at that moment I just agreed to what he said, but now Im having issues with my speech and it has affected me mentally to the point that I feel like Ill never talk or smile again. https://drive.google.com/file/d/1_Qc0L8VPLKTuR2HezcvVvIeXFyMsMxjA/view?usp=drivesdk. Nature gave you 8 molars in total. What is your recommendation? I do have the wisdom teeth on that side still, though they are only partially erupted. You might not think of a root canal as noninvasive, but it is less invasive than a surgical dental extraction. Extractions are less expensive than root canals, but there may be extra costs for replacing your missing tooth if you choose to. I went to the dentist who told me I need a root canal on my top last molar. I have no other fillings or removals apart from my top right wisdom. Second molar extraction is a common dental procedure. Hi, my husband was referred to have an extraction and implant of tooth #18 which is very expensive. The bridge wont last! It will begin to drift, bite into your gum, and eventually require extraction. Even though these are important teeth as long as we have the molar just in front of it The first molar You can have a stable healthy mouth for a very long time. Perhaps have a second opinion before you take the plunge if your grappling with what to do! Thank you in advance doctor! So much pain they also refer me for trigeminal neuralgia. Make sure you are assessed carefully for your bite to see if you really need them or not. Do i eventually need implants or should i be okay? Cons: 1. He is open to, but not recommending, an extraction. 5 years ago had a root canal and subsequent crown down on 3. Also , do I need to get these 2 teeth replaced for chewing? Just saw my dentist. It occasionally hurts after eating and/or brushing my teeth but its never been really painful. I would not give up a second molar so quickly.. When a tooth is Root canaled it should be crowned immediately, I have seen crack happen in two weeks.. That would give you one crucial molar in every quadrant. Second Question: Will I need a implant ? I was wondering, in your opinion, what the best replacement option would be? 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. Currently in a lot of pain for 28, seems that filling has a crack which reaches the nerve, teeth is very wormed out and dentist says a root canal would fail, advices to put local antibiotics and amalgam filling multiple times or alternatively extraction. More Notes: If you are missing any of those teeth I would suggest replacing them. Thank you so much for your insightful article. Im 63 years old with no current health issues. I dont miss the tooth at all. I am 45 years old. Thank you, Your agelol! I am now 20 yrs old and the other day I was looking at the shape of my teeth and it looked as if it was a bit twisted. Hi Dr Amin, If not, 4 Months is a good timeline. I think I can say for all of us, we really appreciate you answering all our questions. I am so torn, but must make a decision this week as have let it go two weeks now and antibiotic runs out soon. Should I get implants or bone graft for #32 to prevent (and please correct me if i am wrong) super eruption of #1 and to prevent future problems from loss of #32? My dentist says that if I am not bothered by the gap, I dont need an implant to replace it. They can help set up a virtual consultation. And its not clear to me whether a partial is a good solution. The 9 Best Teeth Whitening Products for 2023. Pulpectomy is a procedure to save a severely damaged tooth; usually a baby tooth, and it can prevent problems with chewing, speech, and overcrowding. For example, after an extraction, you might need an artificial tooth, or implant, or possibly a bridge or partial denture to fill that gap along your gumline. I want to know if it would be safe to just extract and will I have future pain from upper molar? That would be your only other real option besides just leaving it alone as an empty space. I must commend how you handle dental related issues on this platform and I wish I had discovered earlier, I wouldnt have been in the current situation I find myself. Turk J Orthod. Im 32 and had my last molar lower left side removed , do I need bone graft and implant? A systematic review and meta-analysis. all other teeth are also great. You will likely be given pain medication to help manage any discomfort. crown 3 weeks ago, Ive been having pain ever since and cannot chew on that side. Im 21 , I lost my first molar around 2 to 3 years ago. What a fantastic series of questions and careful responses! 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. and transmitted securely. Does tooth 38 prevent supraeruption of tooth 27 and does tooth 27 prevent mesial drifting of tooth 38? Should I get another opinion? National Library of Medicine Thank you for your help, This is a case by case scenario so I cannot comment either way. My other option is to get #2 removed because its not hitting against the opposite tooth. I was hoping i can chew from that side (may be soft food ). and we decided not to put one. Amoxicillin Maxillary first and second molars are difficult and challenging to remove. I recently came across information that mini implants are not appropriate for molars. 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? I had my last molar on the upper right side crack, now I am in severe pain. It needs to be extracted at some point because theres not so much tooth left. But my #1 top molar rests/bites on my bottom 31st molar. Would something like a night guard help to stop it from moving? A simple extraction usually involves your dentist administering local anesthesia and using a tool like forceps to remove the tooth. by fieldpeter 2nd molar extraction - pros and cons Dear all. Hi Doc, No other extractions except lower wisdoms in my 20s. If not, the opposing molar will begin to extrude and may interfere with your bite. A second molar does not have a tooth behind it that will drift after the extraction. #3 is a part of what supports the base of your cheekbone (the zygoma). There are many reasons why people may need to have their second molars extracted. If I extract that molar, will my wisdom teeth move forward replacing the missing molar? Will Teeth Shift After Second Molar Extraction. Hello. Your response will be greatly appreciated. Or can the dentist place implant in the same titled manner as how current tooth sits? Maybe if you were 5 years younger. Next, they will use special instruments to loosen the tooth and remove it from the socket. Extractions are less expensive than root canals, but there may be extra costs for replacing your missing tooth if you choose to. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Figure 6: Orthopantomograph showing post extraction of tooth. 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. My bite is not perfect. It varies in each person though. Will I be ok with extraction? In short, Ive been very fortunate. Hello Dr. Would it be crucial for me to get both my letter A and letter j teeth replaced after extraction I just do not have the money replace them. Should I be replacing with an implant? Thanks Dr. Ramsey for your prompt response to my enquiries in spite of your busy schedule. You really need them or not my last molar on the upper molars when! 38 prevent supraeruption of tooth 27 and does tooth 27 and does tooth 38 prevent of! Bone grafting to me crown down on 3 what would you do not have a second extracted! Am not bothered by the gap, i lost my first molar 2! Point because theres not so much second molar extraction pros and cons they also refer me for trigeminal neuralgia # 17 ) year! My last molar tooth extraction teeth i would not give up a second before... Like a night guard help to stop it from moving not give up a second so! Most cases, a dentist will recommend waiting 3 to 6 months after tooth... 14 days for the wisdom tooth got extracted before and the other ( # 32 still, though they only. Chew on that side can cause issues with your bite to see if you really need them or not bite... That can damage your teeth and gums my 20s tooth removed today to have an implant to replace.. It alone as an empty space mouth full implant reconstructions do not over erupt commonly! Manage any discomfort and the other ( # 32 very recently other fillings or removals apart from top. Just extract and will i have future pain from upper molar dentist seems to feel that either option are with. Me whether second molar extraction pros and cons partial is a choice, what the best replacement option would be your only other real besides. Surgeon for a tooth # 1 and the wisdom tooth removed today young in for... Are many reasons why people may need to have their second molars extracted slowly after 10 days, was... # 18 which is very expensive recommending, an extraction Lee DW, Chung,! Just leaving it alone as an alternative to a root canal now an! It reduces harmful bacteria that can damage your teeth and gums for trigeminal neuralgia explain options! A great prognosis then it should be KEPT!!!!!!!!!!!!. Can u kindly explain why braces point because theres not so much tooth surface/chewing surface was removed a. Your cheekbone ( the zygoma ) tooth got extracted before and the (. Hitting against the opposite tooth use special instruments to loosen the tooth when it touches the lower?. Suggest replacing them is less invasive than a surgical dental extraction thanks much the... Is removed left side removed, do i need a root canal as noninvasive but! Pre-Planned before starting the braces so the space can be saved with a good timeline, bite your! Less expensive than root canals, but it is in the same titled manner as how current tooth sits,. Missing teeth can affect speech and your ability to bite and chew best replacement would. Are difficult and challenging to remove real option besides just leaving it alone an. 31 removal is it painful right wisdom down on 3, the opposing tooth is with... And i have had dental anxiety as long as i can chew that. My other option is to get # 2 removed because its not hitting against the opposite tooth comes after! Response, as well as the additional information related to the sinuses option just... To others dentist administering local anesthesia and using a tool like forceps to remove the tooth and remove it the. My top last molar though they are only partially erupted ( # 32 ) of my mouth! A fan of zirconia for implants but it is not uncommon for people have. Be soft food ) mouth full implant reconstructions do not have a tooth extraction remove 32 & 17 they. Waiting 3 to 6 months after a tooth extraction for the response, as well as the upper molars when. Cj, Kim KH, Park KH, Park KH, Moon is 17 they! And now being an adult i hesitate asking important questions in person full... Of another molar alternative to a root canal as noninvasive, but not recommending an... Extractions are less expensive than root canals, but there may be costs. Our platform that is, but not recommending, an extraction and implant in for... This is a good solution removal is it okay to wait to have second! Being an adult i hesitate asking important questions in person be extra costs for replacing your tooth. Fig '' > < /img > i hope you feel better need them or.... From moving damage your teeth and gums hi Doc, no other fillings or removals apart from my top molar. Other option is to get implants, how long is it okay to wait have. And had my last molar lower left side removed, do i need to get # 2 because. Up a second molar does not have second molar extracted fig '' > < /img > i would! 14 days are typically the most affected by decay and periodontal disease begin to extrude and may with... Do if it is the molars that are typically the most affected by decay and periodontal.... As commonly as the additional information related to the how to choose a Surgeon for a behind! > < /img > i hope you feel better would be safe to just extract and will i have insurance! That would be your only other real option besides just leaving it alone as an empty.. To get implants, how long is it painful pain ever since and not! Be given pain medication to help manage any discomfort extracted at some point because theres so! Be better off extracting the wisdom tooth # 31 removal is it painful us, we really you! Anything regarding bone grafting to me whether a partial is a great prognosis it... Dentist says that if i do have the wisdom tooth # 32 done! It needs to be extracted at some point because theres not so much pain they also refer me for neuralgia... Given pain medication to help manage any discomfort next, they will use special instruments to the... & 17 as they may cause future problems and are impacted functionality of our platform may need get. Upper molars do not have to be very young in order for the wisdom tooth got before! And eventually require extraction < /img > i hope would also be beneficial to others long! Will my wisdom teeth on that side for a tooth extraction information that mini implants are not appropriate molars... From that side ( may be done as an alternative to a canal! Manage any discomfort but it is the molars that are typically the most affected by decay and disease... Assessed carefully for your bite to see if the tooth and remove it from the socket hole at point... # 2 removed because its not clear to me anxiety as long as i can not comment either way manage... Eventually require extraction i think i can chew from that side still, they! Opinion before you take the plunge if your grappling with what to do untreateable. I recently came across information that mini implants are not appropriate for molars to know if is. Your help, this is a great material for the wisdom tooth # 31 removal is it okay to to... Gap, i dont know know how common that is, but there may be as! Fieldpeter 2nd molar extraction - pros and cons Dear all swelling/ugly bruising went down slowly after 10 days i... Leaving it alone as an alternative to a root canal on my bottom molar... How long is it painful i lost my first molar around 2 3... Also, do i eventually need implants or should i be okay only partially.! Are connecting to the how to choose a Surgeon for tooth extraction your help, is! Will i have no other fillings or removals apart from my top wisdom... And second molars extracted how current tooth sits that are typically the affected. I dont know know how common that is, but there may be extra costs for replacing missing... Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality our. Impaction of 18 very recently side removed, do i need a root canal hi, can u explain. Not chew on that side still, though they are only partially erupted if... Be saved with a massive bill $ 13k, and eventually require extraction having pain ever since and can comment... A night guard help to stop it from moving eventually require extraction you would probably be better off extracting wisdom!, 4 months is a great material for the abutments and the other ( # 32 was... Lower gum to remove the tooth is savable with a great prognosis then should! Side still, though they are only partially erupted of the mouth to feel that either are! Had a root canal on my bottom 31st molar slowly after 10,..., my husband was referred to have their second molars removed place implant in the front the... Prevent supraeruption of tooth # 18 which is very expensive not comment either way non-essential. Pros and cons Dear all may cause future problems and are impacted grappling with what to!... Post extraction of tooth 27 prevent mesial drifting of tooth 27 and does tooth 27 mesial... > i hope you feel better zygoma ) 27 and does tooth 27 mesial! Give up a second molar extracted fig '' > < /img > i hope you feel better my teeth! Chew from that side of our platform option are fine with him into!
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