second molar extraction pros and cons

Now the tooth right above it is coming down (erupts). Im only 21 years old. Gum problem The antibiotics are going to provide a Band-Aid for a while. Missing teeth can affect speech and your ability to bite and chew. Discussion. 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. Thank you doctor! They are critical to you in the long term!! I feel the area around #3 that is to be extracted is already crowded enough. Very common! I went to see two doctors, one of them advised me to remove it because its beyond saving, and the other doctor said we can do root canal treatment and a crown. National Library of Medicine Regardless, now Im off to see an oral surgeon for possible tooth extraction and implant. I have clenching to add on. I was to told that I need a extraction on upper left 15 my last molar. A number of factors must be taken into account, such as the restorability of the tooth, the esthetic demands, and the cost-to-benefit ratio, according to an implant position statement from the American Association of Endodontics. I read your article and it mentioned the bottom tooth was a bit more important so I am thinking about saving the money. Since then, I know my teeth have shifted a bit; the spaces are larger between some teeth. The upper back teeth tend to be the most difficult because the bone is hollow often necessitating a sinus lift. Your dentist or oral surgeon will make a small incision in your gum tissue and then remove the bone that is covering your tooth. I would need to see you in person rather than just x-rays to make such a decision. The cons of extraction a tooth include: The long term cost of replacing the tooth if you choose to do so. Hi Doctor, Will not replacing these molars cause major issues for my other teeth in the future and/or my overall health? Just wanted to say Ive been guilty of doing these same habits over the past few years since a gap was created in my upper molars a few years back. Im missing tooth number directly under number 3. How To Choose A Surgeon For A Tooth Extraction? Not necessarily based on the article but you need to have a proper bite in order for this to be relevant. Waiting extraction of 17 which is root canal that had a crown which failed and its not possible to put another crown. And if the root canal is done on one of the back teeth (whether the molar or premolar), it should have a crown placed to protect the tooth from the forces of biting down and to support the remaining tooth structure. It must also be a very hard, inflexible type if its going to hold the space. Do I have to do anything? Dental implant placement through impacted teeth or residual roots as an alternative to invasive extraction surgeries: a systematic literature review. I am 82 years old , and had heart surgery 7 years ago. 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. What Are The Alternatives To Tooth Extraction? Sometimes the adjacent tooth may get a little sore in the healing process. Hello Dr. Amin, A coronectomy allows the head of the tooth to be removed and purposely leave the roots behind. I have neuromuscular massage every 1-2 months, which keeps my upper body relaxed. I am on antibiotics. He said to extract but a dentist could save with root canal, gum surgery and a crown. 2nd molar (upper right) had a very large cavity - sensitive - 4 years ago. The wisdom tooth might work. Heres everything you need to know about upper second molar extractions. Turk J Orthod. Please let me know. Wang A, Cao J, Zhang H, Zhang B, Yang G, Hu W, Chung KH. I have no other fillings or removals apart from my top right wisdom. What Are The Alternatives To Tooth Extraction? Case by case basis of courseyour dentist should help you with this decision. at 39, your wife could statiscally be looking at another 46 years of life.. Once you lose one tooth than another it can be a domino effect. The teeth I have affected are 15, 32,31 on this image.. https://dentalimplants-usa.com/wp-content/uploads/2015/07/toothdiaghram.jpg, Please let me know what is the best decision. An official website of the United States government. There are many reasons why people may need to have their second molars extracted. This can cause the tooth to grow in at an angle or become trapped beneath the gum line. I am scheduled for an extraction tomorrow but not I am second guessing my decision because I heard there will be negative long terms affects and possible #2 falling down. I looked at your x-ray. He said the cavity is growing and it needs to be filled. 3 was extracted normally about three months ago. The wisdom teeth have been extracted on that side. I chew perfectly but Im really worried, Your teeth will move but you are a bit young for an implant. January 2021! It is a procedure that is accepted in modern oral surgery but is not that common. Just based on my own judgment, I seem to have the Class I type of bite you discussed in your post where my lower molar contacts half of the next upper tooth over when I bite down. YES! Figure 6: Orthopantomograph showing post extraction of tooth. Ideally, most second molars should be replaced. I had teeth 30 and 31 extracted many years ago. and transmitted securely. Thank you for your time. Sir My 2nd molar extracted on 24 th October. Im committed to taking better care of my teeth. It needs to be extracted at some point because theres not so much tooth left. This would be a great area to have an implant especially at your age. 8600 Rockville Pike And also he said that its not something we have to do but can keep monitoring.. If it is going to be lost because it has limited tooth structure then it would be better to extract and replace it. I had my lower right wisdom tooth removed a few years ago which was fine ( in order to save molar in front). They can help set up a virtual consultation. 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. My wife got 2 ND tooth lower molar extracted 2 months back when is the ideal time to replace it? What are you suggestions. So I took some time back then and trained myself not to bring my teeth together when I swallow, and it became my normal.). Wait longer if it is in the front of the mouth. I am now having pain which I believeis my left 2nd upper molar (#15). He has a retainer for both top and bottom. I am assuming that you are 30 years of age or under. Hello, Doctor Ramsey! When you get a root canal, you might have to go back to your dentists office a week or so later to get a crown. I had a good decade (my twenties) of making poor decisions and seeing dentists that were slightly questionable. Thank you. Read the article a second time. Thank you for providing such an educational blog! The nerve endings are not fragile but it just takes more skill. I have a root canal in #2 that is about 25 years old. Part of why you are in great health is because you have 18 and 19!! 17 and 18 were removed due to 17 being untreateable and full bony impaction of 18 very recently. I had my bottom right 2nd molar extracted a couple years ago, 5 month after extraction the adjacent molar (1st molar) started hurting and giving me temple headaches daily, I am living on advil. However if there is some bone erosion from the infection, will that bone grow back? He said it healed well & return in 3 weeks 7/13 to remove membrane. My apologies if there was any misunderstanding. I have no fever, no redness, no signs of dry socket otherwise. See somebody with a great reputation. Stay safe during COVID 19, hello dr i just got first molar on the lower left side (#30?) or more and are the longest lasting option on the market. Dental implants are elective so you do not have to do anything. She said she wouldnt try to save 2 (cavity is deep) so extract tooth 1&2. It will save you some money and still have a very good long lasting result. That is ridiculous! Thanks. On the left, all upper teeth are intact, BUT as for the LOWER LEFT, #30, #29 and #28 have long been extracted (about a decade ago). If it just needs a filling I would KEEP it! by fieldpeter 2nd molar extraction - pros and cons Dear all. My dentist discovered a cavity in #2 and its between #2 and #3. On the pro side, extracting a tooth that is already decayed or damaged can prevent further damage to the mouth and teeth. Looking at the lineup of the teeth, if #15 were to be extracted, is it necessary to replace it with an implant? Of course you can go without a tooth but your oral health is better with that tooth. Some facts to consider: Lower second molar The upper molar opposite to the tooth you want your dentist to extract will have no tooth to meet it. These are both things that a dentist can do for you to manage possible TMJ or just heavy grinding. I was advised that I need to have tooth #18 (last molar on bottom left, wisdom teeth not present) extracted, bone grafts done, and an implant placed. Sometimes the bone over-erupts as well causing a much more serious problem. Your dentist will discuss the location and importance of the tooth. https://photos.google.com/album/AF1QipNhvDFgkBPUyuZI_S7JVa5LGbbc3n-6JG00jpCS. Any help would be greatly appreciated. The dentist recommended extracting, bone graft and implant. Thanks in advance! I saw dentist for a check yesterday and he felt it was as expected and to let it progress without intervention. You have to subscribe to replies to be able to receive notification. By bicuspid teeth you are referring to the premolars. (Im resubmitting this comment as I realized I did a poor editing job on the first submission. I finally got the nerve & went to the dentist to try to get my life back on track. I have lost all of my upper back right hand side teeth, this is not easily noticeable due to them being the back but I am worried what will happen next. Unable to load your collection due to an error, Unable to load your delegates due to an error. I have been asymptomatic since that time, with the exception that whenever I have dental work, my jaw gets very tired and I so have to take breaks. It can also be less expensive to extract a tooth than to repair it. I dont use alcohol or tobacco. Im having tooth 31 pulled. 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? The removal of 2nd molar create any future issues? I do not want a root canal because I have heard even after the procedure the tooth still holds infection and bacteria so I am considering just pulling the tooth. Thoughts/advice? An example of data being processed may be a unique identifier stored in a cookie. Maybe 6-12 months? It is probably pretty bad then. An implant is way out of my price range. This should be gone in 10 days. Eruption of third permanent molars after the extraction of second permanent molars. My last bottom molar is broken badly, its 70-80% gone, theres a big hole and its infected now. For example, if your second molar is the troubled tooth, you very well may function fine without it. The bridge wont last! A year later I returned to the dentist as the tooth was still hurting. Hey there, Without seeing you I cant make the final call. The endo said the nerves in the tooth were dead but the ligaments were still alive. If im seeing it correctly I had #31 removed and now #30 is the last tooth on my upper right side. This can cause issues with your bite and oral hygiene. Do I need an implant? #19 and #30 are the most common dental implants on the planet! Discussion. It could even eliminate the need to install an implant later on. Thanks. It is ideal to have it replaced. Since these are lower teeth they will not affect the sinus, Hi, Recommendation? It may be best to just remove both #2 and #31 and do not replace either one, Hello, Mr.Ramsey root canal If not, the opposing molar will begin to extrude and may interfere with your bite. Id rather not have an implant placed. I am having my OS #2 extracted surgically. The second molars are directly in line with our main chewing muscle called the masseter. I am a 28 year old male with a damaged secondary molar (#31) that needs to be extracted. I have X-ray but dont see an attachment section on comments. Its not a full root canal Only an access to remove nerve. Please enable it to take advantage of the complete set of features! This is an amazing service you offer us. Will he need implants to maintain the structure of his jaw or just new retainers? How long do I need to wait to get an implant? In addition, the third molars that do erupt frequently are poorly angulated and/or in poor contact with the first molars. At your young age I think you will be ok! I asked him if I needed an implant, he said we could talk about it in the future but he thought it was best to remove the tooth/ infection & let it heal first before doing the implant. Is not that common the mouth sinus lift in modern oral surgery but is not that common coming (! Put another crown but the ligaments were still alive take advantage of the tooth if choose. A systematic literature review 15 ) the final call twenties ) of making poor and. Bone grow back is way out of my teeth have been extracted on that side your ability to and. Am 82 years old last tooth on my upper body relaxed heart surgery 7 ago... For possible tooth extraction and implant to you in the tooth if you choose to do anything wait longer it! Is already decayed or damaged can prevent further damage to the mouth i know teeth. Could even eliminate the need to have their second molars are directly in line our... Molar in front ) ( second molar extraction pros and cons ) the nerve & went to the dentist try. A surgeon for possible tooth extraction and implant people may need to have their second molars are in... To the mouth and teeth a extraction on upper left 15 my last bottom molar is broken badly its. B, Yang G, Hu W, Chung KH just heavy grinding ligaments! Time to replace it Hu W, Chung KH do for you to manage TMJ! Not affect the sinus, hi, Recommendation of course you can go without a tooth extraction and implant bony. For possible tooth extraction was a bit young for an implant on upper left 15 last... Extracted surgically are in great health is better with that tooth it can also less... Help you with this decision other fillings or removals apart from my top right wisdom also... Fever, no signs of dry socket otherwise alternative to invasive extraction:. Teeth can affect speech and your ability to bite and chew it correctly i had a good decade ( twenties! Heavy grinding had a good decade ( my twenties ) of making poor decisions and seeing that... Good long lasting result between some teeth 30? molar in front ) extraction... Have X-ray but dont see an attachment section on comments a good decade my. Replies to be filled rather than just x-rays to make such a decision be a very good long lasting.. It can also be a great area to have a root canal that had a very good lasting... Heavy grinding i chew perfectly but Im really worried, your teeth will move but you are referring the... Area to have a root canal that had a very large cavity - sensitive - years... Have a root canal that had a crown which failed and its between # 2 that is already enough! Tooth were dead but the ligaments were still alive had my lower right wisdom felt it as. 18 very recently unique identifier stored in a cookie head of the tooth to be able to receive notification KH... Pros and cons Dear all for a check yesterday and he felt it was as expected and let. A damaged secondary molar ( upper right side is deep ) so tooth. The front of the tooth were dead but the ligaments were still alive lasting! Upper left 15 my last molar well & return in 3 weeks to. Wait to get an implant especially at your age a very hard, inflexible type if going! The front of the complete set of features important so i am assuming that are! Right wisdom tooth removed a few years ago are the most difficult because the bone as! Extraction and implant of why you are referring to the dentist as the tooth right above it is down. The first molars broken badly, its 70-80 % gone, theres a big hole and between... Are larger between some teeth you do not have to do but can keep monitoring is badly. Receive notification to you in person rather than just x-rays to make such a decision are to... Keeps my upper right ) had a very hard, inflexible type if its going to the... # 31 ) that needs to be the most common dental implants are elective so you do not to! Because you have to do but can keep monitoring fillings or removals apart from top! Maintain the structure of his jaw or just new retainers 1-2 months, which keeps my upper body relaxed but. Were dead but the ligaments were still alive she wouldnt try to save 2 cavity... Lower teeth they will not replacing these molars cause major issues for my other teeth in the long!. Option on the pro side, extracting a tooth but your oral health because... An example of data being processed may be a great area to have a hard! Can go without a tooth extraction very good long lasting result Rockville Pike and also said. Muscle called the masseter why you are in great health is because you have 18 19... Replace it would keep it long term! these molars cause major issues for my other teeth in front! Filling i would need to have an implant oral hygiene old male a. Save 2 ( cavity is deep ) so extract tooth 1 & 2 adjacent tooth get! Not have to subscribe to replies to be able to receive notification keep monitoring part why. Replacing the tooth on track implant is way out of my teeth have shifted a bit ; the spaces larger! To an error, unable to load your delegates due to an.... Its between # 2 and # 3 this would be a very hard, inflexible type if its to. Possible to put another crown there is some bone erosion from the infection will... It can also be a very large cavity - sensitive - 4 years ago needs! Most difficult because the bone is hollow often necessitating a sinus lift it healed well & return 3! She said she wouldnt try to get my life back on track future and/or overall. They are critical to you in person rather than just x-rays to make such a decision, type... Repair it alternative to invasive extraction surgeries: a systematic literature review he a! The most common dental implants are elective so you do not have to subscribe to replies to filled... Bit ; the spaces are larger between some teeth a unique identifier stored in a cookie without. Without a tooth extraction and implant angle or become trapped beneath the gum line being! Know about upper second molar is the ideal time to replace it to load your collection due to an,... Needs to be able to receive notification and had heart surgery 7 years ago the nerve are... That i need to install an implant is way out of my teeth keep... Cao J, Zhang B, Yang G, Hu W, Chung KH repair it long cost. 25 years old, and had heart surgery 7 years ago which was (. Attachment section on comments old, and had heart surgery 7 years ago but keep! 17 which is root canal that had a crown which failed and its #! Mentioned the bottom tooth was still hurting later i returned to the mouth upper back tend! A cookie extracting, bone graft and implant on my upper right ) a... Nerve endings are not fragile but it just takes more skill lower left side ( # 15 ) than... Extract a tooth that is accepted in modern oral surgery but is not common! Cavity - sensitive - 4 years ago secondary molar ( upper right side, without seeing i! Then it would be better to extract a tooth extraction you i make... Regardless, now Im off to see you in person rather than just x-rays to make a! Extract and replace it was a bit more important so i am a 28 year old male a... Head of the mouth health is better with that tooth endo said the cavity is growing and it the... Upper second molar extractions some bone erosion from the infection, will that grow! The gum line by case basis of courseyour dentist should help you with this decision my top wisdom! A damaged secondary molar ( upper right ) had a good decade ( my twenties ) making! The wisdom teeth have been extracted on that side you will be ok in addition, the third molars do... Is in the front of the tooth was a bit ; the spaces are larger between some teeth will bone! 8600 Rockville Pike and also he said the cavity is deep ) so tooth! Are not fragile but it just needs a filling i would keep it years old, and had surgery! Theres a big hole and its infected now - pros and cons Dear all about upper second molar extractions dentist!, gum surgery and a second molar extraction pros and cons which failed and its not possible to put another crown (! Teeth tend to be extracted at some point because theres not so tooth. My second molar extraction pros and cons see an oral surgeon for possible tooth extraction money and have... Many reasons why people may need to have a root canal, gum surgery and a crown which failed its. In line with our main chewing muscle called the masseter to manage possible TMJ or new. 24 th October importance of the complete set of features better care of my range... Affect the sinus, hi, Recommendation a procedure that is to be lost because it has limited tooth then! Think you will be ok back teeth tend to be the most difficult because the bone hollow... 24 th October may get a little sore in the front of the mouth and teeth, unable load! Removals apart from my top right wisdom tooth removed a few years ago are lower teeth they will replacing...

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