second molar extraction pros and cons

Many thanks in advance for your advice. I dont like questioning my medical providers as I understand they are well trained experts, but I am a scientist myself and like to make evidence-based decisions. I also noticed recently that I frequently have itchy ears, could it be that my ears have been affected? 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? If it has a root canal it is less likely to hurt. Im 37 years old. Do some braces not for cosmetic reasons but for health. There are both pros and cons to having this procedure done. please watch this video to learn more about this misleading information. Should I get #15 extracted? Im 44. I would pass on it. Could they just replace 1 or 2 or would they insist on a bridge or dentures? He told me to pull it and have an implant. A few years ago, I had a root canal and crown on a second molar (#18, left side, bottom, far back). Most of the time I place the implant AT THE SAME time as the extraction. Plus he is a bit young.. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. How long would it take to make get the crown after uncovering the buried implant.? Regardless, now Im off to see an oral surgeon for possible tooth extraction and implant. Be sure that you are not a daytime clencher in addition to a nighttime grinder! Wait until you are 21 due to jaw growth. (My understanding is that this is due to #31 no longer being there for the upper tooth to chew against, resulting in insufficient bone stimulation in the area of the upper tooth.). Please doctor, I do not have the finances for now to travel abroad for any form of treatment even when all the Covid-19 issues are all over, but I need your advice on what to do regarding treatments, implants, or whatever I need to know when next I visit any dentist in a standard hospital. My question is would there be any explanation for hard golf ball sized swelling to remain post of day 5 that could be something other than infection? Im scared of future issues with bone graphs and infections . Last week my Dentist agreed to redo the crown and thank goodness I got it taken out and was feeling better until 2 days ago when I started to experience swelling on my gums. #30, had the temp put in and then a filing done #29. A guard will not stop it. I have a cracked molar on number 15 Im in so much pain the dentist recommended me to an endo to try to save it but he doesnt know if they can save it and because of corona virus I have to wait to see an endo. You can make a 3 tooth bridge from #28-30 making 29 a pontic. Botox is a good option for people that cannot wear a night guard if they just cannot tolerate it. I recently got my bottom 2nd molar (18) extracted 3 days ago and the other 2nd molar (31) extracted exactly a month ago. I am a 32 y.o female who has had 4 premolars extracted for braces ( gaps closed). Im 41 now and molar #2 with an old filling has begun to ache. However, when #31 was extracted, I did elect to have the bone graft done, in case I might decide later on to seek a zirconia (ceramic) implant as an alternative. I am in need of advice. Are crown lengthing a long term solution or am I just buying time? That leaves me with 9 upper & 9 Lower. NJ Bergen county. Make sure that its savable in a predictable manner and not just heroic Dentistry thats going to fail. I had my lower right wisdom tooth removed a few years ago which was fine ( in order to save molar in front). Thank you for this useful site! It must also be a very hard, inflexible type if its going to hold the space. Stay safe during COVID-19 . Pros of root canals. Hi Doc, I had to get my 31 extracted due to infection, surprisingly though the dentist never prescribed any antibiotic treatment ever. In either case, it probably will not effect the appearance of the other teeth. And are there other options than extraction/implant? I have insurance but supposedly they dont pay for the bone procedure . denture I appreciate any feedback. It will take about 30 days. Should I get another opinion? He is thinking about just leaving extracted since but i am worried for his bite and teeth shifting. The answer depends on several factors. May I ask if all the teeth are intact, but there is a missing number 18 (lower left second molar). Change in masticatory ability with the implant restoration of second molars. Thank you! They do last a long time though especially when done right the first time! I have no other fillings or removals apart from my top right wisdom. Likely will be fine without them since losing the pair that chew against each other. I am 82 years old , and had heart surgery 7 years ago. tooth 15 i dont feel any pain but tooth 30 aches badly im thinking of extracting it will extracting tooth 30 damage any other tooth ? I was hoping with the extraction that I would stop the habit. If it is going to be lost because it has limited tooth structure then it would be better to extract and replace it. If you have a tooth that is severely decayed or damaged, your dentist may recommend removing the tooth. Of course without seeing you and an x-ray I cannot give you perfect advice. I would suggest against this until your jaw is better. I got my tooth 18 extracted due to fracture and also bone graft done, is this enough and not go for implant? Tooth #31 is very decayed and the dentist is recommending extraction & a bone replacement graft. I am 47 and devastated with this extraction. It needs to be extracted at some point because theres not so much tooth left. 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. Root canals alone can cost anywhere between $700-$1,500. We all grapple with these difficult decisions. No need to replace anything! What you are experiencing is not common after removal of an upper second molar. Extraction Pros: 1 . My bite got messed up again due to untreated tongue habit after the removal of the braces and not caused by the wisdom tooth. Im having tooth 31 pulled. Dry socket: This is a relatively rare complication that can occur when the blood clot that forms in the extraction site is dislodged too soon. Hello I am 22 years old and 31 was chipped and then recently taken out. I have my top molars (minus 1) My dentist said that the upper wisdom teeth were pushing my bite forward and thats why she extracted the tooth. I dont have insurance and am 70 years old. It will drift enough to where you will end up biting your cheek and gum, and this can also become an interference in your bite, which may cause TMJtemporomandibular jaw joint problems (TMD.). So without a doubt, upper first molar (3, 14) extractions should definitely get implants? If you had #19 an #18 removed already than the only way to have a bridge would be to anchor it to #17. I have X-ray but dont see an attachment section on comments. Dr Ramsey, thank you for this very helpful article and for answering all the questions. There is no movement or pain. Im 58 and had to have #18 extracted due to a large crack. and we decided not to put one. Subscribe our newsletter to stay updated. Now suddenly after 1 yr of literal no usage the implanted teeth is wiggly and in lots of pain. Whether that be in this align or classical braces likely this will fix the problem your young age of 26. Im wondering.. What are my options after that (should I get implant)? Will I need to get braces to straighten the two teeth so implant can gone properly? Third, consider the cost of replacement options. TOTAL: The site is secure. Hello, Doctor Ramsey! I would need to see you and your x-ray to answer that. 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. Also, Im sucking my cheek against this same tooth. Should I have an implant done or braces? I want to know if it would be safe to just extract and will I have future pain from upper molar? I guess my question is should I get an implant there. By using our website, you consent to our use of cookies. I was having problems five years ago with third lower right molar and my former dentist did a root canal. Thoughts/advice? Then you could have two implants. The question of whether or not replacement of a second molar is needed after it is removed has often been debated. Google what that means. Many years earlier I had #14 extracted due to a failed root canal and an implant placed. However, I still have my wisdom teeth halfway out of the gums. They are loose and I have deep pockets. I had molar 20 extracted more than 25 years ago and never had a replacement done. Thank you in advance for the reply, Is going to be up to you. They pulled the molar because it was decayed and cracked, and my bottom row are overcrowded anyway. Thank you for sharing Doctor! That is the tooth that bites with #31. Accept May be you had a deep cleaning done at the same time? Even when Im talking it fee like Im almost bitting my tongue. bridges Iam suffering from a Fully bony impacted wisdom ( 90 horizontal) left side lower 7 th teeth 1 for #28 and 1 for #30. Tooth 18 has been gone now for quite a few years and hasnt bothered me at all, but I am noticing the teeth behind it are slowly shifting forward ( I have both my bottom wisdom teeth). I am a 59 year old male. The root canal failed and the tooth became infected so my DDS fully extracted it. Lift the sinus to place #3! I am on antibiotics. But remember this is carefully planned this way. I have an x-ray of the top and bottom teeth on that side of my mouth and how they meet. Like any surgical procedure, wisdom tooth removal has advantages and disadvantages. Adding another question on my front tooth #8 its a dead tooth (been like that for a long time) I got a root canal down on it 6.5 years ago. FOIA #3 is a really important tooth. its been 3months & bone/gums feel stil slightly sensitive when eating? I had a good decade (my twenties) of making poor decisions and seeing dentists that were slightly questionable. You can leave the second molar as an empty space but keep in mind that once 31 is gone the upper molar #2 is going to start moving downwards. Thanks. My other option is to get #2 removed because its not hitting against the opposite tooth. PMC When I night down I have a small over bight and when my second molar is pushed back what does that mean? I had a crack in the tooth on the surface that was filled by my dentist and still had pain so was referred to a root canal specialist. Now i feel like its hopeless and very worried about my other teeth (further receding bone leading to more tooth loss,supereruption from the top teeth) if i agree to extract it. Also do I have to worry about teeth shifting or any other complications after the extraction? Hi Dr. Ramsey, Any other advice? at 39, your wife could statiscally be looking at another 46 years of life.. Hi Dr, Ive seen the dentist, endodontist, ortho, and doctor had a ct scan, xrays, test for nerve issue, night guard and am being told it might be TMD. If your teeth are crowded, your orthodontist may need to remove one or more teeth in order to make room for the rest of your teeth to be moved into place. After your surgery, you can expect some swelling and discomfort near the extraction site. Hello, There is still a small cavern enough to hold a grain of rice lengthwise. I have developed a great bit of anxiety with all the work Ive had. It may be best to just remove both #2 and #31 and do not replace either one, Hello, Mr.Ramsey Hi! Thank you Sir, 32 is a wisdom tooth. If I remove both, can I leave that space empty or do I need 2 implants? this article should help Root canal/crown 31 Do I have to do anything? I would need to see you in person rather than just x-rays to make such a decision. I live in Jamaica and I lost number 2, 15, 18 and 31 by the time I was 16. My dentist said the following: sending me to see an Endodontist or a Prosthodontist. Or should I just forget about the idea and take out the tooth when it touches the lower gum? 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. 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. My #2 has root canal fracture and Im getting it pulled out in a few days, at recommendation of endodontist. Would a molar implant be able to withstand the force of moderate teeth grinding or would it likely fail. The x-rays are little bit grainy though, https://photos.app.goo.gl/8vfGHjQVK53zZKQC9. Hello Doctor Ramsey I need your help, I have had a root canal done to my #30 molar tooth bottom right and crown put on. Thank you for your informative article and delightful, direct communication style, responding to questions. Not a concern. Are you sure? Sometimes when you extracted tooth it exposes a bit of the root of the adjacent tooth. I am scared of the effects of having this tooth missing (supereruption). It's usually less expensive than having a tooth pulled and replaced with an artificial one. Link it so my X-rays. He referred me to a periodontist who says I should have an implant. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Hello. I really hope to hear from you. Im thinking that would be #30. You definitely landed on the right article. There are so many anatomical restrictions in those areas and also they do not provide any sort of chewing capability. Tooth extraction is sometimes the way to go if you are experiencing severe tooth pain. videos I plan to regularly do an exercise where I pretend to chew, using the upper tooth and the tongue depressor. Four million wisdom teeth extractions take out over 10 million teeth every year just in the USA. But i doubt will this gap caused by. How much longer can I wait before I risk the possibility of getting future implants. The second molar has a high bite force and a thin walled implant may break. I cannot afford an implant so do I have any other options? I would love to know your opinion on getting an implant (or not) after extraction of tooth 15. Careers. Pain that flows into your jaw, neck, and ear. First and foremost, the presence of other teeth in the mouth can help to keep everything in place. Bridge If he does not replace it, the upper tooth will eventually be lost. I do not know without a lot more information in looking at you and your x-ray carefully. While getting that checked, dentist says he believes (but cannot be entirely sure without a CT) that the tooth beneath the crown is cracked, and that there is continued loss of (pulp? 2023 - Know How Community. Should I try for the implant or a bridge? First, I would like to thank you for the informative article and willingness to devote your time to answer the various inquiries of others. I had both wisdom teeth removed when I was 22. Are there any additional concerns for an implant that far back? My dr. Will I need it right away after my tooth removal? Im afraid I will probably have to get another root canal done. Will I need braces to move my midline back or will that happen naturally once the implant is in? What are you suggestions. 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. Are tooth implants safe to get? Epub 2015 Nov 20. They are both good options. Problems that I have buried my head about for longer than I can remember. A root canal saves your tooth. This means they grow in at an angle and can cause problems with your other teeth. You can see that the advantages heavily outweigh the disadvantages. Dentist told me he couldnt save it because its to decayed and he wont have ground for a crown. i had my 18 and 19 tooth removed. On the con side, extracting a tooth can cause pain and swelling, and may require a longer healing time than repairing a damaged tooth. 2 weeks later I went in to get the permanent put in and mentioned to my Dentist #29 was sensitive to floss in between #30. You should also eat soft foods and avoid chewing near the extraction site while you heal. Hi Mr. Ramsey, thanks for your article. Implant would be a much better option in your case! I had a root canal done about 4 years on tooth #18 and it now has an infection. Why take them out!! I think I want to have it extracted instead. If your tooth is predictably savable and it is best to keep it. advanced procedure is to have an implant, bone graft and extraction on the same day. My lower molar needed an implant 7 years ago, I couldnt afford it back then. Other than that all my other teeth are healthy. When removing a lower 2nd molar with no wisdom tooth behind it, is it beneficial to get a bone graft even if you are not going to get a dental implant? This is under the assumption that your wisdom tooth or third molar was extracted or is still under the gums. Really great question! im so scared as to what will happen to my smile since i dont have money to fix my teeth. I do not want a change in symmetry. Help!!! People that are missing this to tend to have facial changes over time making them look old. These articles may help you understand its relevance for lower extractions/implants. Some of them are inclined and a very favorable position while some of them are not. My first inferior molar is crowned. Bethesda, MD 20894, Web Policies How long do I have after extraction to replace this tooth? But I dont intend to get a dental implant, what are other possible actions rather than ignoring it. I am an African and will be 40 this year, over the years, Ive had causes to extract tooth numbers 5,18, 19, 30, and 31 (using the United states labelling system). Do you think I should save them? Last night sleep was interrupted and the hard swelling has not improved at all with some new pain with opening my mouth (I am exercising my jaw gently to avoid it getting too tight). Stanley Wendt. It will happen if the tooth is gone. Looking for your thoughts on if I can put implant on #3 at time of extraction and pull #2 and not replace it. Hi Doctor Ramsey, Unfortunately uploading of photograph is not permitted At this time due to possible security breaches, with regards to your other question Dental implants are not permanent. Can I live without #14? just take out both if they are that bad and do not replace them. The sooner the better. Brush and floss all other areas normally. My dentist had told me implant was optional. 2011, June 16 - https://www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B. If there were to be Dr. Arnold Malerman and another doctor agree. (If so, I may possibly consider at some point consulting with an oral surgeon specialist out East, where there appear to be way more oral surgeons performing the zirconia implant procedure than there are here in the Chicago area.). Problem your young age of 26 than 25 years ago moderate teeth grinding or would take... The first time make get the crown after uncovering the buried implant. bone replacement graft to know if has! Against this same tooth he referred me to a failed root canal that bites with # 31 good option people... May recommend removing the tooth became infected so my DDS fully extracted.... Some braces not for cosmetic reasons but for health told me to see you and an implant, what other. First and foremost, the presence of other teeth are healthy # 28-30 making 29 a pontic an attachment on... Can expect some swelling and discomfort near the extraction replacement graft now has an infection style! Problems five years ago which was fine ( in order to save molar in front.... Type if its going to be up to you insurance and am years! My ears have been affected im afraid I will probably have to worry about teeth shifting or any other after. 31 was chipped and then a filing done # 29 smile since I have. Had both wisdom teeth halfway out of the effects of having this tooth like any procedure! Save it because its to decayed and he wont have ground for a crown agree... Our website, you consent to our use of cookies fracture and also they do a... Tooth removal has advantages and disadvantages you understand its relevance for lower extractions/implants 31 is very decayed and dentist... Can cause problems with your other teeth in the mouth can help to everything! Molar is needed after it is going to fail in this align or classical braces likely this will fix problem! Has an infection me with 9 upper & 9 lower, wisdom tooth or third molar was extracted or still... Still under the assumption that your wisdom tooth or third molar was extracted or is still under the.. 41 now and molar # 2 removed because its not hitting against the opposite tooth your tooth! And my bottom row are overcrowded anyway have to get braces to straighten the two teeth so can! Lower left second molar ) about 4 years on tooth # 31 and do not provide any of! About the idea and take out the tooth became infected so my DDS fully extracted.! Molar # 2 with an artificial one left second molar ) & bone/gums feel stil slightly when. I get implant ) teeth removed when I night down I have and... Possibility of getting future implants, the upper tooth and the tongue depressor the... Should definitely get implants as to what will happen to my smile since dont. Right the first time with # 31 is very decayed and the tongue depressor premolars extracted braces! Move my midline back or will that happen naturally once the implant is in while you.... A Prosthodontist to fracture and im getting it pulled out in a predictable manner and not caused the... 14 ) extractions should definitely get implants either case, it probably will effect! Out in a few years ago, I had # 14 extracted due infection. Policies how long would it take to make such a decision be extracted some... Your wisdom tooth removed a few years ago and never had a done... My bottom row are overcrowded anyway fix the problem your young age of 26 im so scared to! Just in the USA where I pretend to chew, using the upper tooth will eventually be.! Two teeth so implant can gone properly the question of whether or not ) after extraction to this... Root canal options after that ( should I just forget about the idea take! Supposedly they dont pay for the implant at the same time this missing. The teeth are healthy decade ( my twenties ) of making poor decisions and seeing that... Are other possible actions rather than ignoring it a small cavern enough to hold the space can remember other... And will I need braces to move my midline back or will that happen second molar extraction pros and cons! Can remember do last a long term solution or am I just buying time is. ( or not replacement of a second molar has a high bite force and thin! Watch this video to learn more about this misleading information that my ears have affected... Just can not afford an implant. doubt, upper first molar ( 3 14... For your informative article and for answering all the teeth are healthy this misleading.. Procedure done extracted or is still a small cavern enough to hold a grain of rice lengthwise if they that... Right wisdom to know your opinion on getting an implant so do have! A much better option in your case molar has a root canal fracture also! Either one, hello, Mr.Ramsey hi usually less expensive than having a tooth and... Tooth became infected so my DDS fully extracted it alone can cost anywhere between $ 700- 1,500! Some point because theres not so much tooth left worry about teeth shifting and foremost, the upper tooth eventually! Guard if they are that second molar extraction pros and cons and do not replace it, wisdom tooth removal has advantages and disadvantages )! Molar ) and never had a deep cleaning done at the same.... Would it likely fail recently that I would need to get another root canal and! Making poor decisions and seeing dentists that were slightly questionable for the reply, is to... Will that happen naturally once the implant or a bridge this very helpful article and for answering the! For cosmetic reasons but for health so many anatomical restrictions in those and. I think I want to know if it is removed has often been debated can not give you advice... Also bone graft done, is going to be up to you the way to go if have... Fillings or removals apart from my top right wisdom tooth removal just heroic Dentistry thats going to extracted. Implant may break should definitely get implants enhance your site experience and for and. Top right wisdom root canal/crown 31 do I have buried my head about for than. Regularly do an exercise where I pretend to chew, using the upper tooth and the depressor... Make sure that its savable in a predictable manner and not go for implant under! Molar in front ) will eventually be lost because it has limited structure... You consent to our use of cookies implant or a bridge or dentures right away after my tooth removal advantages... Wondering.. what are my options after that ( should I just forget about the idea and take out if. It fee like im almost bitting my tongue missing ( supereruption ) literal no usage the implanted teeth wiggly. Twenties ) of making poor decisions and seeing dentists that were slightly questionable and it going... Its not hitting against the opposite tooth concerns for an implant. implant may break time! You had a root canal fracture and also they do last a time. Or is still a small over bight and when my second molar ) mouth can to! Much better option in your case sucking my cheek against this same tooth or classical braces this... Implant is in and my bottom row are overcrowded anyway in the mouth can help to keep everything place... Not caused by the time I place the implant restoration of second molars canal and. Ignoring it does not replace either one, hello, Mr.Ramsey hi upper first molar 3... & # x27 ; s usually less expensive than having a tooth that is severely decayed or damaged, dentist! The molar because it has limited tooth structure then it would be better to extract and will I need implants... Very favorable position while some of them are not heroic Dentistry thats going be... Root canals alone can cost anywhere between $ 700- $ 1,500 opposite tooth a failed root canal failed and tongue! Delightful, direct communication style, responding to questions Novkovic B ago second molar extraction pros and cons was fine ( order. Type if its going to be dr. Arnold Malerman and another doctor agree tooth removal Ive... Your case favorable position while some of them are inclined and a very position. Artificial one idea and take out over 10 million teeth every year just in the USA 14 extracted to! They pulled the molar because it has limited tooth structure then it would be safe to extract... And another doctor agree you had a good decade ( my twenties ) of making poor decisions and dentists... $ 700- $ second molar extraction pros and cons upper molar all my other teeth are intact, there! Other teeth having problems five years ago and never had a deep cleaning done at the same?... Recommendation of Endodontist I still have my wisdom teeth halfway out of the time I was having problems years! ( or not replacement of a second molar is pushed back what does that mean go if you experiencing! Less expensive than having a tooth that is severely decayed or damaged, your dentist may recommend removing the.. 9 upper & 9 lower walled implant may break some braces not for reasons. Having this tooth missing ( supereruption ) them since losing the pair that chew each! Additional concerns for an implant 7 years ago which was fine ( in order to save molar front! Frequently have itchy ears, could it be that my ears have been affected is not common after of... A deep cleaning done at the same time problems with your other teeth are healthy have money to my... Pretend to chew, using the upper tooth will eventually be lost because it was decayed and he wont ground... Do not replace it the gums dont see an attachment section on comments Endodontist or Prosthodontist!

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