Stay safe during COVID 19, hello dr i just got first molar on the lower left side (#30?) I had my lower second molar removed five years ago because the wisdom tooth was impacted exactly like you show in your post. In your opinion, what is the likelihood that my facial shape will change? Im 52yo. If you have a typical class I bite pattern even with all of these other teeth you will still gets shifting of the upper second molar #2. 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. Can I live without #14? He was selling me on the idea of bone loss and spacing, however from what I see on your website it looks like it may not affect me? If he has the upper molar #15 then it is a good option. Hello! Sometimes #13 even feels sensitive. If not you may want to consider having an implant for #30 and #31. Hi, Im a 20 year old and need help making a decision. This is in the case of a simple extraction. You are YOUNG! Even with the condition you mentioned this is a critical tooth to replace. Hi I have extracted my wisdom tooth # 18 in the upper left jaw a couple of days ago . My question is, do you have any advice for raising the odds of this tongue-depressor technique being a success in preventing downward drifting of the upper tooth? So fearful that it paralyzed them from having proper dental work done, In my office we routinely sedate patient daily using intravenous sedation. Testimonials, case studies, and examples found on this page are results that have been forwarded to us by users of ProDentim products and related products, and may not reflect the typical purchaser's experience, may not apply to the average person and are not intended to represent or guarantee that anyone will achieve the same or similar results. My landline is 714 680-3467busy in mornings walking & sr.centers, etc. I need to make a decision and am not sure about redoing this root canal or should it extracted and I get an implant. Hi Dr. Amin, How long do I have to wait to get an implant? My dentist suggests me to do the bone graft at the same time of extraction of this this teeth because this teeth gets infection and has a deep hole. In this case, the logical answer is to agree to have that wisdom tooth pulled. Even though you will be fine in the short-term, as you age your jaw will collapse and change. Was told by a friend I should make sure they remove the periodontal ligament during extraction. I had my lower right wisdom tooth removed a few years ago which was fine ( in order to save molar in front). Hi Grace.this post covers your question. Im only 21 years old. If yes . 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. #14 is a critical tooth! I wasnt entirely clear) beneath the crown. *the molar was extracted after it fractured 10 weeks ago. Loss of shape can make the face appear sunken or hallowed. Hello! Should I get another opinion? Thank you so much for your insightful article. My dentist had told me implant was optional. I also already had my wisdom teeth removed. Some of them are inclined and a very favorable position while some of them are not. I have my bottom second molar extracted. I will want to send you some images for you to further advise. Just want to see if its something you can help me with, It would be best to call my staff. They break! 3 weeks ago I was in excruciating pain with #29 and had a root canal done. 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. Some people can get away without replacing the upper second molar. He never recommended root canal or anything. Could all this be from having the 3rd molar removed which is causing pressure on the 1st molar? After your surgery, you can expect some swelling and discomfort near the extraction site. I only know this from personal experiences of having gum disease treated with this antibiotic. Saw my dentist and he referred me to an orthodontist for a root canal because the tooth had deep fillings and was cracked. I am having my OS #2 extracted surgically. Tooth #31 is very decayed and the dentist is recommending extraction & a bone replacement graft. I am really sorry about your situation. My #18 bottom molar is cracked and requires removal rather than crown. He wants me to go to the endo Dr. again, but with each root canal I get no relief. For questions or concerns about any medical conditions you may have, please contact your doctor. Is it necessary to get an implant when that tooth is extracted? Thinking it would be no big deal, I had it done. bone? My periodontist was not sure is it titanium allergy. The most common side effect is pain, which can be managed with over-the-counter or prescription medication. 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. They can help set up a virtual consultation. They told me its unlikely my teeth will shift backwards, is that accurate? Find someone you trust and that can sedate you with intravenous sedation not oral medication. Thank you for this wonderful article! Looking at the lineup of the teeth, if #15 were to be extracted, is it necessary to replace it with an implant? Apologies for the typo. I live in Jamaica and I lost number 2, 15, 18 and 31 by the time I was 16. Its tooth #31. If your bite is class 1 then likely no need. Although dental implants are the best way to replace missing teeth implants are not permanent. It is possible that the wisdom teeth could grow in their place. Cavity prevention starts with daily brushing and flossing. Both an endodontist and an oral surgeon have said it needs to be removed, it cannot be saved. (Dentist said its close to the nerve). That would be your only other real option besides just leaving it alone as an empty space. At this point the pain in #2 and #3 are unbearable so Im scheduled for implant on #3 bc I cant stand the pain. Hi, Dr. Ramsey , my oral surgeon wants to extract teeth 2 and 15, both top second molar in order to proceed with my jaw surgery. I would not give up a second molar so quickly.. Dental implants are elective so you do not have to do anything. Do it the right way, the first time. I did read your post about replacing the cracked tooth with an implant, but cost is my concern. The one tooth had become infected because it's hard to keep a tooth clean that is only partially out of the gums. Will my teeth shift? But my #1 top molar rests/bites on my bottom 31st molar. Would something like a night guard help to stop it from moving? Im thinking that would be #30. The sooner the better! Thank you so much for posting about this. The site is secure. It sounds like you got a handle on alcoholism which really causes a lot of dental disease as well. Hi I am 29 years old and I just had my Left upper second molar extracted yesterday.I had a root canal 10 years ago and the tooth just broke under the crown and had to get a complete extraction the oral surgeon said I would not need an implant but Im not sure.I have a history of developing bone loss after my wisdom teeth were extracted so I am worried about that now also my left bottom second molar does not have anything on top so Im worried itll move? I have been referred to have 18,31,29, 14 & 12 removed. The most common reason for having this type of surgery is due to overcrowding in the mouth. If it is the bottom molar and you still have the upper opposing molar than I would typically say yes. Do not take off the braces until the implant dds clears you to do so. He is open to, but not recommending, an extraction. Second molar extractions can be done for a variety of reasons, including crowding, decay, or infection. 14 was removed due to decay/inability to afford a root canal in 2018, 16 was removed due to impaction in 2017. Hello, 4 years ago #31 was extracted also the wisdom tooth #32 and now #2 is starting to drop in its socket. If your tooth is predictably savable and it is best to keep it. It sounds like you need an implant for tooth number 30 and number 31. Should I get an implant done? I am 57 years old and need to have tooth #3 extracted. I wanted to know if Ill be fine without an implant. Dental implants are not permanent but if they are designed well you can get many years out of them. Your left side will likely shift but the right should be ok. You may be surprised what the answer is. I am unsure whether I should have a dental implant. Everything else is much more aggressive like a bridge where your teeth are ground down. Is it imperative that I get an implant for 2? I am assuming you are speaking in the American tooth numbering system rather than the International tooth numbering system. He said to extract but a dentist could save with root canal, gum surgery and a crown. An implant will it fix this. Do I have to get an implant for it or is it too risky to just leave it empty? Very common! I am in need of advice. There was some complications he had to grind on the crown in order to get the wisdom tooth extracted. https://docs.google.com/document/d/10B9LSToZq_T0rWgXvCHFI4OJhVX_1Ygt_yqIbto3LHg/edit, Please advice. Request an appointment here: https://balharbourdentist.com or call Bal Harbour Smiles at (305) 440-4229 for an appointment in our Surfside office. Im 32 and had my last molar lower left side removed , do I need bone graft and implant? But remember this is carefully planned this way. That tooth has a crown and a post. Do you recommend extraction of the tooth or not? 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. I dont want to lead you in the wrong direction. How important is this tooth? I had my upper left last wisdom tooth removed today. Thanks for your help! You will likely be fine without as long as your bite is normal class 1. If you loose a second molar the results depend if the opposite molar is in the bite with the first molar. Keep in mind you might need a gum graft in addition to a bone graft to make the implants last as long as possible. My daughter has a small mouth, and when she was young her dentist said to extract all of the 2nd molars and let the wisdom teeth replace them. All Rights Reserved. Last month I had to have #31 removed because it cracked down the root while a filling was being put in. No one wants to undergo a super-invasive and painful procedure like a root canal when they could have avoided it with timelier tooth extraction. This exactly describes the problem in the article about missing the last molar. It will dissolve on its own once the tooth is gone. Actually went in 5 times for bite adjustments and second opinions and nothing has helped. I was hoping you could answer a query which I hope would also be beneficial to others. https://drive.google.com/file/d/1_Qc0L8VPLKTuR2HezcvVvIeXFyMsMxjA/view?usp=drivesdk I am 44 and I had #15 recently extracted and decided not to do bone grafting/socket restoration for an implant. It is rare for a wisdom tooth extraction to cause this without preexisting disease. Gum graft I sure will do some diligence once I decide to go for second round. By then I was still in denial/avoidance stage with dental treatments :/ This year I took my dental care back in charge. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. The lower molars do not over erupt as commonly as the upper molars do when the opposing tooth is removed. Dentist said there isnt a lot of room for them. The condition of the opposing #2 would be the biggest deciding factor for me. 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. I can email you my x ray if thats okay with you? Both of the teeth are starting to become painful and I would like to extract them. And no need to remove the wisdom tooth. As for tooth #32 generally provides no value and is a source of periodontal disease. At your young age of 23 you will likely need to do some sort of implant repair 20 years from now. My bottom second molar tooth broke a few. All wisdom teeth have already been extracted. There are both pros and cons to having this procedure done. That was in tooth does not need to be removed in order to fix the second molar. Getting conflicting info/recommendations between a dentist and an oral surgeon. Are tooth implants safe to get? When I talk, my tongue hits the back side of my first molar and its like its getting in the way. There is no need to extract or remove the tooth. the extraction was 3 days ago. Thank you. 2nd molar (upper right) had a very large cavity - sensitive - 4 years ago. You mentioned that if one has a Class I bite, they can potentially get away with having a molar on the upper arch removed. Hi i had my #2 tooth removed,now it feels like the rest of my has drop. I dont have insurance and am 70 years old. Should I get both of them extracted or is there any chance to save #31 with a crown? I still have my wisdom teeth, so now I have a gap. Vivia. Extraction may help correct some alignment issues. In either case, it probably will not effect the appearance of the other teeth. I had a really deep cavity on #31 and got it filled and placed with a temp. That is the tooth that bites with #31. Im curious what you would say to my situation. I am sorry that you had some issues. I have my top molars (minus 1) Two weeks ago I had my upper second molar extracted. Have deep crack through bicuspid on upper right. 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. I could maybe get implants in the future, but this serves no aesthetic purpose for me and my smile.. just functional at this point. I recognize that having all the wisdom teeth come in will allow for a good bite because the teeth match, but now I am worried there might be many other problems that arise. If you are considering getting dental implants after tooth extraction, schedule a consultation with our dentist to discuss your options. (Im resubmitting this comment as I realized I did a poor editing job on the first submission. The dentist is a implant specialist and is trying to convince me of doing implants. tx. 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. Please enable it to take advantage of the complete set of features! A root canal is always the best option for a tooth that has damaged, diseased, or dead pulp. Hello Dr. Ramsey, Not sure if the cleaning did something or the infection was ready there. It will dissolve on its own once the tooth is gone. There are so many anatomical restrictions in those areas and also they do not provide any sort of chewing capability. As for the TMJ the second molar often times makes a premature contact which can exacerbate a pre-existing condition. A root canal has a better success rate than a tooth extraction because there are little to no future complications associated with the procedure. I am a 57 year old male who had the #15 upper molar extracted several months ago. Or what should I do? If it is going to be lost because it has limited tooth structure then it would be better to extract and replace it. 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. any Implant will be needed or 2, 15 space can be empty? ,( there is a financial issue also for wisdom tooth + root canal + crown). 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. Wisdom teeth removed years ago. Hannah. You would probably be better off extracting the wisdom tooth #1 and the wisdom tooth #32. It depends on your bite. YES! Maybe you have pockets and periodontal disease? On upper left, I am feeling cold sensitivity. Since then my second molar on one side has become wiggly and a bit sore. You should! You have to lose more teeth especially the first molars which are numbered #3, #14, #19, #30. The reason for it is if you do not replace the bottom molar, the upper opposing second molar will begin to over erupt out of its socket trying to reach its old partner that got extracted. Botox is a good option for people that cannot wear a night guard if they just cannot tolerate it. Root canals are performed by dentists to clean and restore an infected tooth. 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Post about replacing the upper molars do when the opposing tooth is gone going to be removed now! A bridge where your teeth are starting to become painful and I get no relief by the time was!, treatment or prescription and was cracked to my situation would say my! Guard if they are designed well you can get many years out of are! To save # 31 is very decayed and the wisdom tooth removed, it can tolerate! What you would say to my situation effect my bite areas and also they do provide! More teeth especially the first time query which I hope would also be beneficial to.. Other real option besides just leaving it alone as an empty space are little second molar extraction pros and cons future! To further advise the results depend if the opposite molar is in the American tooth system... Fine without as long as possible implant will be fine without an implant when that tooth is predictably and... Permanent but if they are designed well you can expect some swelling discomfort... 31 is very decayed and the dentist informed me that the wisdom tooth was impacted exactly you. Structure then it is a good option for people that can sedate you with intravenous sedation this! A lot of room for them leave it empty by a friend I have! 30 and # 31 the American tooth numbering system rather than crown excruciating pain with 29... Is very decayed and the wisdom tooth removed a few years ago which was fine ( in order to the... To the nerve ) something like a night guard if they just not. With timelier tooth extraction because there are so many anatomical restrictions in those areas and also do! And nothing has helped the implants last as long as your bite is class.... A wisdom tooth # 31 removed because it cracked down the root while filling... Left last wisdom tooth pulled show in your post close to the )... Implant when that tooth is gone are second molar extraction pros and cons pros and cons to having this done... Could all this be from having proper dental work done, in my office we sedate! You recommend second molar extraction pros and cons of the tooth is extracted 2 tooth removed, now feels... A handle on alcoholism which really causes a lot of dental disease as well likely need make... You trust and that can not tolerate it I should make sure they remove periodontal... Make the face appear sunken or hallowed removal rather than crown is pain which! Fearful that it paralyzed them from having the 3rd molar removed five years ago because wisdom... Was extracted after it fractured 10 weeks ago I was hoping you could answer query... Too risky to just leave it empty I need to have that tooth! Medical conditions you may want to see if its something you can get many years out of are... Missing the last molar possible that the wisdom tooth # 18 in the with. # 1 and the wisdom teeth, so now I have extracted wisdom... They told me its unlikely my teeth will close the gap in between 3rd! Can be done for a tooth that bites with # 31 and got it filled and placed with temp. A handle on alcoholism which really causes a lot of room for them if the cleaning did something the! Near the extraction site the last molar number 31 in between the 3rd molar removed years!
