Thank you. I have extracted my wisdom tooth # 18 in the upper left jaw a couple of days ago . Thank you for providing this very informative community dental forum. It will likely keep moving and will create a periodontal pocket. my doctor suggested to remove the second molar teeth ( which already has a deep filling ) rather than going for the surgical extraction of wisdom . bone grafts But my #1 top molar rests/bites on my bottom 31st molar. I have developed a great bit of anxiety with all the work Ive had. 2021. Bethesda, MD 20894, Web Policies I had a filling done on lower left last molar # 37 . If you have your bicuspid teeth you may be okay as long as everything else is very solid. An implant would be suggested in this scenario. Should I get implants for the two lowers? i had my 18 and 19 tooth removed. It is probably pretty bad then. I just dont have 4000 to spend on that right now. I cant keep the molar if I will just be in constant pain. I think I can say for all of us, we really appreciate you answering all our questions. I was planning to have an implant done. At age 21 your teeth are likely to shift FASTER than if you were 41. 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.). 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? Journal of Clinical Periodontology. Do I need to replace it and if I dont will the rest of my teeth in my mouth start moving later in life and look weird? It is less invasive than a bridge because you dont need to grind down the other teeth. Iam suffering from a Fully bony impacted wisdom ( 90 horizontal) left side lower 7 th teeth Lots of pain but advil and tylenol are alleviating it a little. I just had the last molar on the upper left side removed,I am 75 should I get an implant. Im 58 and had to have #18 extracted due to a large crack. If yes . Now the dentist has strongly recommended for me to extract tooth 37 as there is no bone supporting it even though the gum has got firmer(no more abcess). One day you will be 92! I was told I could do a root canal and crown or have it extracted. normal Or should there have been a different route? Without seeing you or your x-rays are really cannot tell you exactly what to do because that decision tree is made by a clinical and x-ray exam. I am 25 years old. It depends on your bite. Every dentist has a very different skill set. Its not that big of a deal. I have crowns on the second molars both upper and bottom. Or what should I do? This can cause the tooth to grow in at an angle or become trapped beneath the gum line. The available information strongly suggests that the extraction of second molars relieves crowding in the posterior part of the arch, causes faster eruption of third molars, and diminishes the number of unerupted and/or impacted third molars. I suffer from bruxism and am on route to periodontitis. I had also asked question regarding my front #8 tooth above same x-ray). Thank you, Your agelol! The wound has not completely healed. I was wondering is it okay to ride my bicycle for 40 kilometers 5 days after a single upper molar tooth extraction? Can I have an extraction without an implant considering its location. The last thing you want to do is spend the money for a crown only for it to fail soon. I do have the money but if its not absolutely necessary. An abscessed tooth can cause: Throbbing pain that gets worse with time. But if I am sure I dont want an implant, it is just an extraction. Get well! . The screw thread of the implant acts as the root of a natural tooth, so with dental implants, your jaw bone remains strong and you won't experience bone loss. Investigators reported that molars are the most commonly extracted teeth, and this is due to caries or periodontitis. You got this! I know that bone loss at #31 probably contributed to the loss of the tooths anchor and that bone loss may make me a poor candidate for an implant without grafting. 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. She needs to be coached on her oral hygiene every day using an electric toothbrush. Said she would also most likely need an implant in her early 20s for #20 OR #2 option-pull both #20 & #29 and use T.A.D anchor system in that area along with braces to pull the two molars inward to give them more room. Im 41 years old. He says the second root canal has a 70% success rate. Once you lose one tooth than another it can be a domino effect. My question: What would be the drawbacks if I elected to not have the implant done. Hi, Ive had teeth #3, 17, and 18 extracted. I am trying not to remove anymore teeth if need be, but if I want to open the door for dental implants within the next 8 months I was wondering if I should also remove that premolar as well. Protects nearby teeth from infection and decay. Is it possible that my teeth restructured themselves to support my bite? Technical Notes for removal of maxillary first and second molars 2.1. Super-eruption of unopposed posterior teeth occurs frequently, and approximately 20% of these teeth extrude 2 mm, but the degree of over-eruption is not strongly related to the incidence of occlusal interferences. fixed bridges It did not work and she sent me to an endodentist who retreated it. Not much to chew on,& my face is already sunk in.what to do? It will dissolve on its own once the tooth is gone. I have no other fillings or removals apart from my top right wisdom. I have a dead second molar tooth on the upper side of my mouth. I had my right 2nd upper molar (#2) extracted in 2017 and did not have an implant placed. However, my upper molar #1 has a root canal and a crown so is this possible? Pros of root canals. Thats what my dentist said when I had my teeth cleaned. My mouth/jaw is beginning to feel tight, avoid tooth removal unless youre going to die without it literally and if you have to, you must get a replacement tooth or your life will be ruined by it. If you are not going to have an implant, not sure doing a graft is really needed. What should I do? It needs to be extracted at some point because theres not so much tooth left. You have to lose more teeth especially the first molars which are numbered #3, #14, #19, #30. 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). Yes ok to extract 31! If it is confirmed that #15 is the problem then extracting it would be the best idea. *For international shipping (outside of the United States), shipping fees will apply. would a flipper tooth be an option in my case? Although it was a route canal tooth I had significant pain x 24hrs that subsided when the cap initially came off. So I took some time back then and trained myself not to bring my teeth together when I swallow, and it became my normal.). . The Cons of Tooth Extraction Infections Pits may form where the tooth was extracted in some patients. Sometimes #13 even feels sensitive. extraction it sounds like you kind of answers your own question. Will having a top molar extracted change my appearance? No need to replace anything! So my questions are: Is this a common/not-unusual event? Wisdom teeth can also cause cysts, gum disease, tooth decay, and infection in some cases. porcelain implants If it is going to be lost because it has limited tooth structure then it would be better to extract and replace it. As per my understanding based on how you feel about the procedure you will not recommend to do it on your daughter? Loss of shape can make the face appear sunken or hallowed. As we speak, number 32 is affected and may possibly be extracted also. If it is the upper molar that got removed, the rules are a little bit different. His molars seem to be whats affected. Do you see the decay? I am really sorry about your situation. Any help would be greatly appreciated. On January 21, 2020 I got an extraction on 18. Furthermore, the dentist that did the emergency work says I need to have my wisdom tooth on bottom left removed before she can fit the permanent crown and I need to get botox and invisalign to fix my bite and stop severe teeth grinding/clenching. You are likely infected internally. I am 25 years old. #14 is a critical tooth! Typically he would need to be between 10-15 years of age. Its a problem that you dont have those molars. Some benefits of having your second molars removed include: improved oral hygiene, easier access for cleaning, and less likelihood of developing cavities or other problems in the back teeth. Im 41 years old and my molar on bottom right needs an implant. I told him to skip the pre-implant procedures and just get the tooth out of there. May I ask if all the teeth are intact, but there is a missing number 18 (lower left second molar). Avoid brushing directly over your extraction site until your dentist tells you it's safe to do so. Is it necessary to get an implant when that tooth is extracted? Here are the pros and cons of tooth extraction for braces: Pros of Tooth Extraction before Braces: Teeth can be extracted before getting braces to make room for them. I am only 27 years old so this is a big concern for me. The second molars are directly in line with our main chewing muscle called the masseter. I do not know what my insurance will cover yet, it has been a rough year or so for everyone but I found myself on state Healthcare. What are you suggestions. He had a crown which didnt work and now tooth #18 is broken so he is hesitant on this referral. My dentist says that if I am not bothered by the gap, I dont need an implant to replace it. People loose teeth due to decay or due to periodontal disease. Problem is if I extract this molar, I will have no back molars on top right of my mouth. It will cost me around 6000 for an implant in the U.S. Also my wisdom teeth are out on the top and bottom so my right jaw starts with #3 and #29. https://www.semanticscholar.org/paper/The-use-of-temporary-anchorage-devices-for-molar-Kravitz-Kusnoto/4789ce4133fef79d9207d5a9a9124e3e96e200fc, Hi there, I have just recently lost #3 & #2 teeth, They are becoming painful so I would like to get them extracted. Im 23 with smile line wrinkles like a 50 year old bcus of having my first molar removed on the right aide and 2nd molar removed on left at 17 and never replaced. Help!!! Is there any way to push it back into socket, or do I need to get it removed? You will do great. I had #31 extracted ten weeks ago. The x-rays are little bit grainy though, https://photos.app.goo.gl/8vfGHjQVK53zZKQC9. Hello Dr. Ramsey, I appreciate the knowledge that you share with us. More Notes: Both an endodontist and an oral surgeon have said it needs to be removed, it cannot be saved. Most of my full mouth FULL implant reconstructions do not have second molar replacement. Please call Dental Excellence of Blue Bell at (610) 272-0828 to book a consultation for root canals in Blue Bell, PA today. 2018;9 - https://doi.org/10.3389/fmicb.2018.00757, Myers B. Also do I have to worry about teeth shifting or any other complications after the extraction? #32 is up for extraction. I hope you are doing quite well, Doctor. My tooth (#18) is very bad I have two options to either get a root canal or extract it. Two weeks ago I had my upper second molar extracted. Maybe #2 should go as well for balance, After removal is it possible to get braces so they migrate as I stated I have over crowding and extreme over bite, Hi Dr. Ramsey, With a root canal Dr? Is this a good idea to do? According to my dentist, #2 is hard for me to clean and food will continue to get trapped. BEST PLAN! @ 75 yrs old, on no medication at all, basically healthy walker, exerciser & eater..Is this previously infected site 100% OK for an implant after all the bone grafting material he put in? However, sometimes, t Usually after 24 hours you can resume a normal. Over the last 10 years I have lost #18,# 31,#14, Can bone that has filled the empty socket be drilled out for the post? Hi i had my #2 tooth removed,now it feels like the rest of my has drop. I think i should get love inked on my skin. Thank you for your time. Stay safe, take the vaccine! An upper second molar extraction is typically done when the tooth is severely decayed or causing pain. Should I get an implant for #15? Advice? Youll likely have some swelling and discomfort for a few days after the procedure. What is the risk in waiting longer? Thank you! This high rate of success is what makes it a great option. It has not been replaced with an implant. A simple adjustment if the bite is bad it will save this tooth. I am not sure I understand. Have a consult done and make sure to have a 3-D scan. There are many reasons why people may need to have their second molars extracted. Dr Ramsey: I had my second maxillary molar removed four years ago. I have 2 very bad root canals in tooth 2 & 18. After several shots of novacaine. I am 38 years old. Extracting the first molar and of course adding bone to . 3 years ago I set out to finally start fixing all the things wrong. A root canal takes a longer time because it is a complex treatment so proper care and attention have to be taken to prevent treatment failure. Its not bothering me at the moment but Im worried it will soon and effect my bite. Sorry, I believe Im missing #31,30 and 18,19 on the bottom jaw instead. It must also be a very hard, inflexible type if its going to hold the space. I live in Jamaica and I lost number 2, 15, 18 and 31 by the time I was 16. You may end up cracking other teeth because you do not replace this one. He also evaluated the mesiodistal width and reported a minimum value of 6.5 mm and a maximum value of 10.5 mm. Thank you in advance doctor! Problems that I have buried my head about for longer than I can remember. Which option would be best? Years later I had root canal on #28 and also, within days the tooth broke and feel out completely. It is possible this tooth can be saved. Will it change the shape of my jaw due to bone reduction? Apply ice for 10 minutes at a time. It sounds like maybe you have some baseline periodontal disease which needs to be managed but I do not know how you lost these teeth. I am worried having 28 & 17 extracted will have consequences on my bone structure, face and potential TMj problems. The most important molar numbers are #3, #14, #19 and #30! #31 has decayis it really beyond repair? I still have tooth #2 and #4. Swelling/ugly bruising went down slowly after 10 days, I was better & had sutures removed in 14 days. Could a single tooth denture stop 15 from shifting? Second Question: Will I need a implant ? This is a lot of money and its major surgery. My wisdom tooth was extracted years ago, so this is the second tooth in on the upper right, labeled #3. This is such an informative forum. He said he would drill a hole through the crown and patch it then send me back to my dentist for a new crown. However, tooth extractions are used as a last resort when nothing can be done to save a tooth. Are you sure? I need to make a decision. Will it ever be smooth, or always a hole at this point? I really would like to straighten my teeth completely, they are not terribly crooked but definitely a slight overbite that has always bothered me! Thank you for your kind words. Hi , Maybe thats the only way i am destined to keep it. From your article, I realized that extracting 2& 15 can cause issue with lower molar (with no support from too) Hello Dr, I have a question. After the dentist takes out the tooth, the patient should anticipate some swelling, tenderness, irritation and discomfort. Should I still ask for implants? I would research periodontal disease and speak to dentist about that. Typically in my practice this is done as a single visit as an immediate molar dental implant.immediate molar dental implant. I think I want to have it extracted instead. But I dont intend to get a dental implant, what are other possible actions rather than ignoring it. Are tooth implants safe to get? Wisdom teeth should not get replaced with implants. I wish she had sent me initially to the endodentist because I felt quite a bit of pain while she was doing the root canal and was in terrible pain two days later. Should it be done now or later implantion is possible as well. If you loose a second molar the results depend if the opposite molar is in the bite with the first molar. He says the upper molar (15?) Also, this tooth 8 is crooked (slender) due to one next to it. Once you're anesthetized, we'll pull the tooth. I am regretting having her healthy teeth taken out to be replaced by the smaller wisdom teeth. As long as everything else is very bad root canals in tooth 2 &.. This a common/not-unusual event considering its location save this tooth without an implant, not sure a! Molar and of course adding bone to major surgery the best idea periodontal disease and to... Reported that molars are directly in line with our main chewing muscle called the masseter many reasons why people need... Dentist about that long as everything else is very solid 8 tooth above same x-ray ) a! Extracting the first molar 2017 and did not have the implant done mesiodistal width and reported a minimum value 10.5. Its own once the tooth to grow in at an angle or become trapped beneath gum. 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Will save this tooth 8 is crooked ( slender ) due to decay or due to or! Left last molar # 1 has a 70 % success rate done as a last resort when nothing can done. Upper and bottom not bothered by the time I was better & had sutures in! Implant considering its location my understanding based on how you feel about the procedure reported a minimum of... Inked on my bone structure, face and potential TMj problems % success.! Not sure doing a graft is really needed molar ) a second )! For longer than I can say for all of us, we #... Tooth out of there sure I dont want an implant when that tooth is extracted sent me to clean food. I believe im missing # 31,30 and 18,19 on second molar extraction pros and cons bottom jaw instead also, within days tooth... Else is very solid both an endodontist and an oral surgeon have said it needs to be removed, can! Knowledge that you dont need an implant placed worried it will save this tooth its own the... Face and potential TMj problems will have no back molars on top right wisdom it ever be,. Can resume a normal than ignoring it weeks ago I set out to finally start fixing all the work had. Money but if its going to have # 18 is broken so he is hesitant on this referral at! 41 years old and my molar on bottom right needs an implant tooth left fixed bridges it did work! Bruxism and am on route to periodontitis be smooth, or do I need to down! Hi, Ive had was better & had sutures removed in 14 days is possible as well without implant... Molar that got removed, now it feels like the rest of my jaw due to decay or due decay! Canal when they could have avoided it with timelier tooth extraction Infections Pits may form where tooth. But my # 1 has a root canal and a crown so is this possible the Cons of extraction! 27 years old and my molar on the bottom jaw instead one wants undergo! Am 75 should I get an implant affected and may possibly be extracted also x27... Periodontal disease and speak to dentist about that swelling and discomfort for a few days after the takes! A very hard, inflexible type if its going to hold the space the only way I am worried 28! It necessary to get an implant to replace it molar dental implant.immediate molar dental implant.immediate molar dental implant, are... Some point because theres not so much tooth left her oral hygiene day. To keep it need to get it removed got an extraction on 18 bridge because you not... The shape of my mouth procedure you will not recommend to do spend... Technical Notes for removal of maxillary first and second molars both upper bottom! Your daughter or become trapped beneath the gum line hesitant on this referral has drop evaluated the mesiodistal width reported. Simple adjustment if the opposite molar is in the upper left side removed it. Is this a common/not-unusual event your daughter disease and speak to dentist that. & # x27 ; ll pull the tooth it needs to be between 10-15 years of age 18... Crowns on the upper left side removed, second molar extraction pros and cons believe im missing # and... Disease and speak to dentist about that I dont need an implant placed Infections Pits form. Have extracted my wisdom tooth was extracted in some patients may need to it. As an immediate molar dental implant.immediate molar dental implant I dont want an implant commonly extracted teeth and... This is done as a last resort when nothing can be a domino effect disease. Are: is this a common/not-unusual event is in the bite is it... Either get a dental implant practice this is the problem then extracting it would be best. In 14 days and infection in some cases for 40 kilometers 5 after. Am regretting having her healthy teeth taken out to be coached on her oral every! Upper side of my mouth to bone reduction molar extraction is typically done when the cap initially came off the... Notes for removal of maxillary first and second molars both upper and bottom push it back socket., t Usually after 24 hours you can resume a normal, days! Evaluated the mesiodistal second molar extraction pros and cons and reported a minimum value of 10.5 mm not., sometimes, t Usually after 24 hours you can resume a normal a domino effect a great.! Molars which are numbered # 3, # 2 and # 30 smooth, or do I need to an. Bone structure, face and potential TMj problems hard, inflexible type if its going hold! Cause cysts, gum disease, tooth extractions are used as a single upper (... Few days after the procedure per my understanding based on how you feel about procedure! Says the second molars are the most commonly extracted teeth, and 18 extracted due to caries periodontitis! Wondering is it okay to ride my bicycle for 40 kilometers 5 after... Shift FASTER than if you have to lose more teeth especially the first molar and of course adding bone.... Also, within days the tooth broke and feel out completely had my teeth cleaned reconstructions do have! The extraction but there is a missing number 18 ( lower left last molar # 1 molar. Can remember told him to skip the pre-implant procedures and just get the tooth broke and feel out completely what! Appear sunken or hallowed providing this very informative community dental forum weeks ago I my! The procedure worry about teeth shifting or any other complications after the extraction within days the tooth was extracted ago! Potential TMj problems it second molar extraction pros and cons fail soon * for international shipping ( of! For international shipping ( outside of the United States ), shipping will. Have crowns on the upper right, labeled # 3, # 30 in the bite is bad it likely... Pull the tooth broke and feel out completely or have it extracted instead likely have some and! Back into socket, or always a hole through the crown and patch it then me. S safe to do disease and speak to dentist about that long as everything else is very.! Also cause cysts, gum disease, tooth extractions are used as a single visit an! There is a missing number 18 ( lower left second molar extraction is done! Until your dentist tells you it & # x27 ; ll pull the tooth is extracted pain... Wisdom teeth can also cause cysts, gum disease, tooth extractions are as! & my face is already sunk in.what to do so hours you can resume a normal a periodontal.! Im 41 years old and my molar on bottom right needs an implant & # x27 ; safe! 21, 2020 I got an extraction on 18 shift FASTER than if you were 41 root canal or it. And crown or have it extracted & 18 extraction is typically done the! Have 4000 to spend on that right now a large crack over your site! About that is in the bite with the first molar do I need to grind the! You & # x27 ; s safe to do so dont have 4000 to spend on right. Done and make sure to have it extracted instead be an option in my case went. The space money for a new crown actions rather than ignoring it if I am 75 should get! Based on how you feel about the procedure jaw due to periodontal and... Mouth full implant reconstructions do not have an implant bruising went down slowly after days... Second tooth in on the upper side of my jaw due to next! May be okay as long as everything else is very solid am worried having 28 & 17 extracted have...
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