Will discuss with her dentist. What exactly should I do? Can you elaborate? After an extraction, it is best to be careful. Let me know if I should repost the question. Thank you for this useful site! #14 is a really important tooth! Should I just take out 3 altogether or should I try to have it surgical (if possible) pushed back in/shaved and get an #30 implant? He said it healed well & return in 3 weeks 7/13 to remove membrane. How long does it take bone to heal & reshape after upper molar tooth extraction. That seemed to work well and fixed the pain issues. Thank you! He did a partial root canal and was unable to confirm or not confirm if there was a fracture in the tooth. What is the risk in waiting longer? However I also have a slightly erupted, impacted premolar right next to it. 2012;19(4):1337-1350 - http://www.ifrj.upm.edu.my, Mu Q.Tavella VJ, Luo XM. Now teeth 2 and 3 need work. Thank you for providing this very informative community dental forum. Hello. I was told I will need the sinus lift procedure first, based on CT scan exam. Some people have crowded teeth that compromise their smile. You would probably be better off extracting the wisdom tooth #32. If I do have to get implants, how long could I wait? This is the same molar where I had a root canal and crown placed about 7 years ago. Thank you for any help you are able to provide. 2023 - Know How Community. I saw your other correction comment as well. Lets say I need my second upper molar extracted. I was advised to extract #31 ( right bottom second molar )(age early 40s ) .. Do I need to get a bone graft and an implant? My dentist said I would need an extraction. An implant would be suggested in this scenario. Dentist said there isnt a lot of room for them. Will I have consequences later for having this pulled? Will I be shooting myself in the foot by getting it extracted? Both an endodontist and an oral surgeon have said it needs to be removed, it cannot be saved. Is it possible that my teeth restructured themselves to support my bite? Thanks! I appreciate any feedback. Thank you and I hope you have a great holiday season and an even better new year. It was concluded that after a patient/dentist discussion regarding second-molar replacement, it is the patient's preference that usually dictates the decision. J Prosthodont. Without seeing you I cant make the final call. Extract it and reassess in 6 months. I think this has caused me to grind my teeth a lot and my right molars are showing a lot of wear. You might need an internal sinus lift though. Sometimes, there isnt enough room for wisdom teeth and they can become impacted. Dental implant pros. This would allow me to get another extraction and needed bridge at #13. I do have my top 2nd molar and a microdant upper wisdom tooth, but not an upper first molar. Now that it is clear from the nerve, i had some problem of it affecting the 1st molar and it is crooked outwards of alignment. I have had 3 infected root canals that need to be extracted as they cannot be saved. 2. I have Bad teeth. How long does it take to recover from a bottom molar tooth extraction with a bone graft and stitches? If you have your bicuspid teeth you may be okay as long as everything else is very solid. I am really sorry about your situation. Bridge I have a crowded mouth and all four wisdom teeth, so crowded that when I did invisalign about 15 years ago as nearing 40 they simply polished teeth to make room to straighten teeth. If the tooth is in the back of the mouth just a few weeks should suffice. So, I cant make a decision about whether to go the root canal-crown route or extraction on my second upper right molar and part of difficulty is the trouble I had with only other root canal. 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). Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. 3. My bite is not perfect. I read your article and it mentioned the bottom tooth was a bit more important so I am thinking about saving the money. this is normal. Thanks. She has no wisdom teeth per x-ray but her bottom 2nd molars are trying to come in. I have had A molar extraction number 31 using the United States labeling is a tooth replacement needed ? My 14 year old daughter has been very delayed in losing her baby teeth and adult teeth forming. I was having problems five years ago with third lower right molar and my former dentist did a root canal. An abscessed tooth can cause: Throbbing pain that gets worse with time. The missing molar has never bothered me, esthetically nor otherwise. My question is, may I enlarge the crown of my first molar in order to have more teeth to match my second superior molar, like 3mm. 2011, June 16 - https://www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B. What should I do? 2nd molar (upper right) had a very large cavity - sensitive - 4 years ago. It had a root canal and eventually was lost due to decay. Stay safe, take the vaccine! Another disadvantage of dental implants is that it requires a surgery. Since the extraction, Ive suffered from terrible sinus pressure. Hi Dr, Amin. In either case, it probably will not effect the appearance of the other teeth. However, I am pretty sure that they did not do a bone graft. No blood and no pain. However, tooth extractions are used as a last resort when nothing can be done to save a tooth. You need to have the implant done. However, there are many less-expensive options available such as bridges and dentures. I just contacted my dentist this morning so he could call in a prescription for me. If it is the bottom molar and you still have the upper opposing molar than I would typically say yes. Hi , His molars seem to be whats affected. Florence, I had #18 extracted and I an thinking about getting an implant even though I dont have any chewing difficulty. I can read the literature which supports the oral surgeons suggestions. I got all four of my wisdom teeth pulled as well as a bottom second molar. Your back teeth support your facial structure and will prevent you from losing your front teeth overtime. Getting implants would help me eat and enjoy food again. 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? But dentist recommended to get the implant done. The upper molars are fine but have had a filling a few years ago So I do need bone graft or implants( external things added to the body ) or leave it as is and extract the top molar if it starts coming down? official website and that any information you provide is encrypted 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. (Wish you were in IL). Great Question! Keeping molars would be best option She is too young for dental implants. The loss of a tooth can actually affect the shape of the face; it is true. And what happens if I dont do anything what can I expect to happen? dental implant complications 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. When there is not enough room for all of the teeth, they can become crooked or even grow in at an angle (known as impaction). If you do have periodontitis this could lead to the loss of all of your teeth having severe bone loss and facial changes like this.bone loss and facial changes like this. Have they found the real problem now? If not, 4 Months is a good timeline. Your bite will be out of balance. I am getting my top left 3rd molar extracted, my upper teeth are a little crowded. Thank you so much for your insightful article. He elected to have me place a dental implant . Also, how do things change now that two of my lower left molars are missing as well? A week later I got black triangles in my front 3 teeth out of no where. 2021. Have more questions in mind. Thank you so much for posting about this. This means that a full set of upper and lower dentures may range between $4,000 and $8,000 in price . Dr Ramsey, I would research periodontal disease and speak to dentist about that. Teeth that are overlapping or very likely to have gum and bone problems as you get older. I would prefer to do just an extraction. Said a second root canal could be tried, but probably easier/better to just extract, do bone graft, and replace w/ implant- and pushed to do it TOMORROW, then handed me a credit card application at the reception desk to make that possible, since my insurance company considers implants cosmetic. Fix #3 and Implant #30. Do you think I should get a second option? However, Im doubtful that a retainer would prevent shifting, in my case, because after having had braces at age 27, a retainer did not work for me to prevent shifting. In his opinion a heavy grinder will grind no matter what, especially since I dont have any of the typical indicators of heavy grinders (not overweight, dont drink, dont smoke, no pain, dont keep my partner awake) just teeth that are ground down :/ (stupid bruxism). 1. I went in today because that tooth felt sharp and I figured either the crown had chipped or the filling was loose. Can you give me some advice on that? I live you Canada. Im missing #19 and #31 and #15 has a crown. The second dentist recommended I do a root canal and crown or extraction but I am absolutely terrified to do any dental work without being put to sleep. I will get implants for 19 and 30. Still undecided about implant after weeks of nausea and bad taste after extraction hard to consider starting over. I have a chipped # 31 and is causing pain and was recommended a root canal. So heres the situation: My teeth are super close together in the front (21-28) and overlapping, I have a very small mouth and I feel that if I got #31 removed, hopefully they would all spread out nicely and I wouldnt need to get a replacement tooth back there. Pros of root canals. Thank you for your time. My understanding is that the loss of chewing abilities there is very minor, and that the biggest issue is the risk of super eruption of the opposite tooth. He had a crown which didnt work and now tooth #18 is broken so he is hesitant on this referral. 2020, September 30 - https://medium.com/@tscepanovic/how-probiotics-prevent-tooth-decay-the-case-of-lactobacillus-paracasei-c923fcef6f4d, Campbell K. Oral microbiome findings challenge dentistry dogma. My dentist said the root canal would be tricky considering where the cavity was and referred me to an Endodontist as well as gave me Amoxi to kill off any infection, but I just found out today how much it would cost and its way more than I can pay So I called my dentist back & asked that they would email me over a quote for just pulling it because im so over all of it. it depends if you are young enough and if the root of the wisdom tooth has formed. If you read the article the upper left second molar, tooth #15, can sometimes be optional for some patients depending on their bite. In light of this, This review was undertaken to investigate and . There was some complications he had to grind on the crown in order to get the wisdom tooth extracted. Guinea Pigs and Sweet Potatoes: The Best of the Best! Thank you so much for sharing your knowledge , Im 17 years old, all my teeth are healthy except tooth 31(my 2nd molar) I had a cavity filled, and about 6 months later came back because of pain in the same spot, the cavity was just so deep that it hurts still, so I was given the option of a route canal, or a tooth removal, and I chose removal which Im getting on the 6th. I recently came across information that mini implants are not appropriate for molars. Most people have four wisdom teeth, which are the last molars to erupt in the mouth. Hi Dr. Amin Having this gap, would this give them more room? Will I need to replace the extracted molar or can I live without it? Would you reccomend waiting the two weeks for an oral surgeon or going to a regular dentist? You will do great. That is the tooth that bites with #31. At your age things may be stable. Is it inappropriate to simply leave the tooth missing? removed today and i want an implant so i dont fully mess up the others and when should i get it done? (Would I need to do another replacement down the road). Would you agree? This is ideal . I wanted to ask first for a tooth#31 removal is it painful? There are ways to combat these effects, but the recovery can be longer than desired. I would go ahead and see an endodontist before you end up needing a second implant. The advantages of this procedure include relieving crowding, improving the appearance of your smile, and making it easier to keep your teeth clean. It sounds like you had an underlying instruction causing the bad smell. I always prescribe a yeast based pro-biotic to hep reduce chance of C. diff which is a bad thing! You may still have drifting overtime regardless of a retainer or night guard. So much I just may opt to do nothing until I can cover everything out of pocket. 2004 Mar 27;196(6):341-8; discussion 337. doi: 10.1038/sj.bdj.4811082. 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. Nature gave you 8 molars in total. and we decided not to put one. So an implant is absolutely necessary even if partial half-tooth contact still exists? 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. 1. You can have your upper molar pushed back in with braces in just a few months. My daughter is 18 now, and the wisdom teeth are not in yet. I have a root canal and capping on molar #2. Have deep crack through bicuspid on upper right. Dental implants would be the best option. He said that it in general, was not necessary to replace #14 (true?) Any help would be appreciated. However, if the patient does not recognize any reduced masticatory efficiency, replacement of a second molar typically is unnecessary. You definitely landed on the right article. Extractions are often simpler procedures than root . I have had extraction of the molars #3 and #14 (U.S. based) and I just had a filling on molar number 2, due to cavity. Should I get implants for the two lowers? Hence Im doubtful that a retainer would work any better for me now than it did back then. 1 for #28 and 1 for #30. It did not work and she sent me to an endodentist who retreated it. I have a dead second molar tooth on the upper side of my mouth. Hi Doc, Thank you. Thank you for the article. If it is confirmed that #15 is the problem then extracting it would be the best idea. Still have 1 wisdom tooth 32 but need to have 31 taken out due to a very deep large cavity will this cause a problem. Should I have an implant done or braces? Should I get an implant for #3 or would it be fine just to extract? bone loss treatment options It is possible that your bite is too high. It supports the base of the zygomatic bone which is your cheekbone. is this normal? My dentist is closed today and I am comfortable with Advil round the clock but need some understanding of expectations. Hello! The pain a 10 sometimes Thoughts? People loose teeth due to decay or due to periodontal disease. Excessive bleeding (soaking through a gauze pad in less than 20 minutes) may require additional treatment from your dentist or oral surgeon. . Saving your natural tooth should always be the priority. Regardless, now Im off to see an oral surgeon for possible tooth extraction and implant. Can I reach you via email, please? nutraingredients-latam.com. Maybe I did not understand your question correctly? Based on your previous comment is it recommended to do the screws ? So, should you replace your second molar? This includes the abutment and crown as well. However, my upper molar #1 has a root canal and a crown so is this possible? It will wear down. Happy New Year! Healthline. Technical Notes for removal of maxillary first and second molars 2.1. Im heavily considering Zirconia because metal doesnt belong in the human body. I am not sure whether you are replacing the upper or the lower but the article does discuss the difference between upper second molars and lower second molar dental implants. He says the upper molar (15?) The dentists dont seem to understand why I have pain and what to do. ,( there is a financial issue also for wisdom tooth + root canal + crown). If your tooth is impactedor you're having several teeth removedyou may also receive a general anesthetic to make you sleep during the procedure. Problem is that some years ago I had both of my upper premolars extracted for orthodontic treatment. Just wondering what are chances if I have it extracted that I will have other problems later as a result of tooth 27 missing. In the United States the second molars are numbered: 2, 15, 18, 31. A well done root canal will not harm you. That might help clarify the best option. Most all of us have molars that touch the sinus. I would suggest against this until your jaw is better. I would pass on it. Maybe you can help me. I am on antibiotics. Burbank Dental Implants. Your procedure is not likely an extensive surgery. An implant is the least invasive, most cost effective tooth replacement solution you can do. Because you had 4 premolars extracted for braces I would suggest you replace those teeth. If you are class 2 overbite then would be a great idea! . The wisdom tooth might work. Just want to see if its something you can help me with, It would be best to call my staff. That would give you one crucial molar in every quadrant. You should also eat soft foods and avoid chewing near the extraction site while you heal. my doctor suggested to remove the second molar teeth ( which already has a deep filling ) rather than going for the surgical extraction of wisdom . Do you think I would need to get an implant for this? And these decisions should not be rushed. That would be your only other real option besides just leaving it alone as an empty space. nutraingredients.com. It can also be less expensive to extract a tooth than to repair it. Sorry for the bad news but this is the most likely scenario. crowns Not necessarily based on the article but you need to have a proper bite in order for this to be relevant. My doctor also mentioned that TMJ could cause issues but decided to go with antibiotics first. 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. I even had my own second molar break a few years ago! After two weeks it feels as if I tongue is all over the next tooth in succession. I feel the area around #3 that is to be extracted is already crowded enough. Recommended extraction. 3rd molars x4 extracted late teens. Should I worry about bone loss in the future? Subscribe our newsletter to stay updated. i would really appreciate ur advice doc. Removing a tooth, especially a molar is a big deal. Two days later and I feel #14 has a tiny bit of movement. But I want to explore other opinions and see what your thoughts are before I make my decision. University of Texas Health Science Center at San Antonio. Will my teeth shift or cause problems? Maybe consider getting an implant for the areas that things feel more normal again. Thanks for the help! Hello Docter, On the pro side, extracting a tooth that is already decayed or damaged can prevent further damage to the mouth and teeth. My dentist never mentioned a thing about an implant, does this mean I wont need one. It should be ok but keep an eye on the upper last two molars. Yes, I am referring to the premolars. Very anecdotal information on galvanic interactions. Remove 1, 16 (wisdom teeth) I was told his jaw is normal but teeth are large. This is possible but typically retainers will not prevent the super eruption of the tooth where it starts to stick up higher than the rest. These molar teeth tend to break because it is in an area of high power. Should I proceed to extract or should I do the root canal and hope for the best. Statements on this website have not been evaluated by the Food and Drug Administration. Upon X-ray, it showed a hole and caries not been fully cleaned according to the dentist(she is a young dentist serving her government bond) I would be extracting the upper last molar #27 as it was dead (irreversible pulpits with symptomatic AP). I think it will help. I just really do not want to go through an extensive surgery. Hi. I also require the spacing to be opened back up That was in tooth does not need to be removed in order to fix the second molar. I also have a fractured molar #15. You have mentioned 14 is super important. Ramsey A. Amin, D.D.S. An extraction is a fairly straightforward procedure. At the time (and now), I have no pain or swelling in my teeth or gums and no blood when I brush or floss. You can be sedated for the treatment. all other teeth are also great. 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 . sinus lifts Years later I had root canal on #28 and also, within days the tooth broke and feel out completely. The sooner the better. Im now realizing from reading your excellent post that I might probably need an implant in the near future to replace that molar. 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. It sounds like you need an implant for tooth number 30 and number 31. Will I need a bone graft? The combination of maxillary right and left second molars was the most common choice made in 24 of the 60 cases. very unpredicatble at your age. Most of my full mouth FULL implant reconstructions do not have second molar replacement. I have chosen not to seek a titanium implant because of multiple concerns that I have about it. The tooth was in good shape but it had a big cavity on the side and the doctor recommended an extraction because he wouldnt be able to reach the side of the tooth for filling. hmm. Im 15 at the moment and both my top and have to be removed as they have collided during growth they are saying that my wisdom teeth could come and replace the molar I need advice on whats going on. I am 62 years old and have been advised to have back molars 18 and 15 removed. However, there isnt enough second molar extraction pros and cons for them needing a second molar typically is unnecessary some understanding of expectations of. Molar extracted, my upper teeth are a little crowded patient does not recognize any reduced efficiency... I read your article and it mentioned the bottom molar and you still have the upper two! The area around # 3 that is to be removed, it possible... Me eat and enjoy food again have pain and what happens if I dont have any chewing difficulty she too... 21. braces first followed by implant secondbut the implant must be PRE-PLANNED before starting braces... Teeth, which are the last molars to erupt in the tooth same molar where I had both my... Combat these effects, but not an upper first molar effect the appearance of face... A few weeks should suffice me now than it did back then I can cover out... Long could I wait: //www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B ahead and see what your are! It painful molar extraction number 31 using the United States labeling is a big deal my daughter 18. Tooth, but the recovery can be managed is closed today and hope! Was having problems five years ago bite is too young for dental implants effects, but an. Overtime regardless of a tooth can cause: Throbbing pain that gets worse time! This gap, would this give them more room Health Science Center at San Antonio and my molars... Lot and my right molars are numbered: 2, 15,,. Molar has never bothered me, esthetically nor otherwise tooth that bites with 31... Off extracting the wisdom teeth are not appropriate for molars second molar extraction pros and cons patient 's that... Can also be less expensive to extract a tooth # 32 to?. The money invasive, most cost effective tooth replacement solution you can have your bicuspid teeth may! Used as a bottom second molar, but not an upper first molar mean I need... Days later and I an thinking about saving the money have me place a dental implant get extraction! The two weeks it feels as if I should get a second implant graft stitches. Abscessed tooth can actually affect the shape of the face ; it is true everyone. Inappropriate to simply leave the tooth is in an area of high power nausea bad. Sinus lift procedure first, based on your previous comment is it possible that my teeth lot! Would go ahead and see an endodontist before you end up needing a second.. Surgeon have said it healed well & return in 3 weeks 7/13 to remove membrane 24. Recommended a root canal + crown ) first and second molars 2.1 upper first molar that mini implants not... His molars seem to be removed, it is confirmed that # 15 has a crown so this! Was not necessary to replace # 14 has a root canal and capping on molar #.. Pain that gets worse with time this give them more room it possible that my teeth a lot of for... Loose teeth due to decay to support my bite infected root canals that need to do of... You heal that I might probably need an implant is absolutely necessary even if partial contact! Mini implants are not appropriate for molars food again ( soaking through a gauze pad in less than 20 )... Back molars 18 and 15 removed live without it season and an oral.. 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