I am 45 years old. I had a root canal done on molar #18 and it is now infected. Looks like i will have to also remove 15 and 17 as they now have holes. It is call orthodontic intrusion! Hi, It is a slow downward spiral once all the molars on one side have been removed. Im now realizing from reading your excellent post that I might probably need an implant in the near future to replace that molar. 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. There are so many anatomical restrictions in those areas and also they do not provide any sort of chewing capability. 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 #`18 molor has had a root canal many years ago and the root canal has failed. However, if the tooth is interfering with chewing or speaking, or if it is affecting your appearance, you may want to consider replacing it. Symptoms include persistent pain, bad breath, and an unpleasant taste in your mouth. #14 is a critical tooth! The lower molars do not over erupt as commonly as the upper molars do when the opposing tooth is removed. Likely just coincidence!! FYI, I had braces when I was a kid and 4 teeth were extracted. Hi! 1 for #28 and 1 for #30. You should do your own research and confirm the information with other sources when searching for information regarding health issues and always review the information carefully with your professional health care provider before using any of the protocols presented on this website and/or in the product sold here. Second molar extractions can be done for a variety of reasons, including crowding, decay, or infection. I basically left it untreated and now the right side of my face (jaw) is constantly throbbing and cramping up. I even had my own second molar break a few years ago! YES! Thank you x, Thanks for reaching out. A skilled implant dds Will greatly reduce risk of nerve damage and infection. HoweverI now periodically bite my tongue on the right side. Isnt that what he spends the entire article discussing? Most all of us have molars that touch the sinus. The endodentist treatment still didnt work and he retreated it again. Black triangles do not show up for any other reason besides bone loss. How long do you think this will take? These molar teeth tend to break because it is in an area of high power. So do i need to make implants? My wisdom tooth 38 was extracted when i was a teen (now im 39). Is it cheaper cost/ better benefits? I dont smoke. How can those be fixed for cosmetic reasons? And do I need to get an implant or can I just leave that space empty? Is there any issue with this ? When I had mentioned it during consultation with my oral surgeon, he deemed it as having a maybe chance of working, but stressed that chewing isnt the only time the teeth come togetherthat they also come together when we swallow, for example. Really great question! I am a 57 year old male who had the #15 upper molar extracted several months ago. Hello! Thank you for your time. She needs to be coached on her oral hygiene every day using an electric toothbrush. I dont feel pain or sensitivity, Just noticed it randomly. I got second opinion from biological dentist and she said root canal there may have high chance to fail because of condition of tooth. Many teeth do quite well as long as you do your part at home. Guinea Pigs and Sweet Potatoes: The Best of the Best! will they even do an implant since technically i have the right number of teeth on both sides because my left wisdom tooth was not removed? I was told his jaw is normal but teeth are large. Dental Implants Average Costs. Likely will be fine without them since losing the pair that chew against each other. Thanks, NO the crown is not what holds it in place. Both of the teeth are starting to become painful and I would like to extract them. Before My orthodontist suggested to intrude it using screws to put back in place. https://drive.google.com/file/d/1_Qc0L8VPLKTuR2HezcvVvIeXFyMsMxjA/view?usp=drivesdk. Should I worry about bone loss in the future? If so, should I again skip replacing it with an implant? I have a chipped # 31 and is causing pain and was recommended a root canal. 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. Technical Notes for removal of maxillary first and second molars 2.1. My dentist says that if I am not bothered by the gap, I dont need an implant to replace it. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Have they found the real problem now? Thanks, 15 Will not move that far forward. You could also have a slight version of sleep apnea. Im 21 , I lost my first molar around 2 to 3 years ago. If not you may want to consider having an implant for #30 and #31. #29 is a baby tooth that does have an adult tooth that has been slow to form but dentist said it is looking like it will with a little more time. When I have my #2 molar will the wisdom tooth come through? As for the TMJ the second molar often times makes a premature contact which can exacerbate a pre-existing condition. I also have a fractured tooth #15. Dr Ramsey, #15 in place. I guess my question is should I get an implant there. dental implants Various combinations of extraction sites were used to meet individual requirements. Photo attached in the links. Already have a wisdom tooth , i can see some crown portion inside the tooth socket after 2nd molar extraction. My question is can an implant be installed into a socket that has healed over and has had its tooth missing for some time? So, should you replace your second molar? The molar was in bad shape route canal with cap falling off 5 days before extraction. All of my other teeth are perfectly in tact. 3 years ago I set out to finally start fixing all the things wrong. What happens if I dont do a implant? Hello Docter, A couple months later I started having start having pain in the area. Will I loose #2 also because it will start reaching for #31? Will discuss with her dentist. Im wondering if an implant would fix it. Otherwise, my teeth are in good condition and straight. The pain is tooth pain but also in cheek bones, temples, and top of head. Thanks doctor. Booth S. Bacteria in your mouth can affect your brain. Thank you for any help you are able to provide. I am an African and will be 40 this year, over the years, Ive had causes to extract tooth numbers 5,18, 19, 30, and 31 (using the United states labelling system). An abscessed tooth can cause: Throbbing pain that gets worse with time. How long do I have after extraction to replace this tooth? #30, had the temp put in and then a filing done #29. If so, what type of specialist should I see? In 1935, Schwartz 3 evaluated the size of the second molar crown and found the height of the crown varied from 5.7 mm to 8.3 mm. Ive disscused implantation in the socket of 14 with a specialist. This is so amazing. I am 57 years old and need to have tooth #3 extracted. Two weeks ago I had my upper second molar extracted. The nerve endings are not fragile but it just takes more skill. I had the same tooth (last bottom molar but on right side) removed about 15 years ago due to a failed root canal and have not had any issues at all. She stated that if I dont get an Implant that it will cause me to talk funny and my upper molar will start to fall down. They usually come in during the late teens or early twenties. My doctor also mentioned that TMJ could cause issues but decided to go with antibiotics first. keep your teeth if you can.teeth are always best.THEN implants! But the pain is bad. Thank you very much in advance! That will take away all pain while you make final decisions. Have you experienced anything similar with any of your patients? 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. Im getting an implant on #18. People who are nervous about this should think twice about . A review. Hi Dr. Amin, Or what should I do? Link it so my X-rays. First I want to say thank you for this article and for after all this time still replying to the comments. Im a 37 year-old male, with an extracted #15 tooth due to failed root canal. I just recently had tooth 30 removed a few days ago. patient reviews Sorry Dr cant provide you with the photo as it does not support photo attachment. If you have a tooth that is severely decayed or damaged, your dentist may recommend removing the tooth. i dont want to make a braces since its they say i need to remove 4 teeth. Great Question! Do you recommend extraction of the tooth or not? I will want to send you some images for you to further advise. Watch the bone grafting video on this link. Would a molar implant be able to withstand the force of moderate teeth grinding or would it likely fail. Fellow-American Academy of Implant Dentistry I have all my other teeth. Even when Im talking it fee like Im almost bitting my tongue. Not necessarily based on the article but you need to have a proper bite in order for this to be relevant. Be sure that you are not a daytime clencher in addition to a nighttime grinder! It will save you some money and still have a very good long lasting result. And what happens if I dont do anything what can I expect to happen? The sooner the better. Are you sure? I had a crack in the tooth on the surface that was filled by my dentist and still had pain so was referred to a root canal specialist. Should I opt for root canal or implant if #31 will affect my chewing? Is it inappropriate to simply leave the tooth missing? My 14 year old daughter has been very delayed in losing her baby teeth and adult teeth forming. This type of extraction is typically done when the tooth is impacted or has severe decay. Thank you for the article. 2023 - Know How Community. Thank you in advance for the reply, Is going to be up to you. Hi, can u kindly explain why braces? Thanks a million for your expert advice. Hello i need a root canal on tooth 30 but 15 but my insurance will not cover a root canal and i am in pain. 2) Soft tissue complications. I wasnt entirely clear) beneath the crown. I want to know if I could experience any jaw problems or drfting teeth if i dont implant the missing upper second molar ? I just had #15 extracted due to an infection and bone decay around the tooth. I have 11 teeth upper & 11 teeth bottom, the dentist wants to pull all 4 / 2nd molors. 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. I saw dentist for a check yesterday and he felt it was as expected and to let it progress without intervention. Typically I would extract/implant and internal sinus lift all at the SAME time. The dentists dont seem to understand why I have pain and what to do. I really dont want more teeth extracted. From what Ive researched online Ive not been able to find much information in implants for a wisdom tooth. What should I do? How long can I leave the cracked 14 in until extraction? Thank you for your time and help. You mentioned that if one has a Class I bite, they can potentially get away with having a molar on the upper arch removed. And if yes . Thank you, Your agelol! The x-rays are little bit grainy though, https://photos.app.goo.gl/8vfGHjQVK53zZKQC9. It broke while eating ice. Your gums to swell. My wisdom tooth was extracted years ago, so this is the second tooth in on the upper right, labeled #3. Impacted teeth are usually the result of crowded teeth or incorrect jaw growth. First up on a patient's list of aspects to consider before electing for tooth extraction are the following benefits: Smile improvement You can have your upper molar pushed back in with braces in just a few months. It is possible because of the age that you had your second molar removed. Hi Dr Ramsey, But then the molar started to break apart and I had to get an emergency appointment with the oral surgeon to have it removed. What will affect your facial structure is father time, and he cannot be denied. please watch this video to learn more, oral bisphosphonate type of Fosamax medication, Full Arch Implants/ All On 4, 5, 6, 7, 8, Botox for Teeth Grinding, Jaw Clenching & Dental Implants, Subperiosteal Dental Implant Extreme Lower Jaw Bone Loss, Smoking, Vaping, Marijuana and Dental Implants (video & text). Keep in mind this particular tooth is close to the sinus so sometimes the sinus needs to be lifted up a bit at the same time of the surgery or separately depending on the skill and experience of the dentist and your unique situation. 2023 Shreveport Dental Solutions. Saving your natural tooth should always be the priority. I am currently on braces to intrude the upper tooth so that I can do an implant but its not working. The root canal will cost $1600. Would I be okay without any implants? Can I just get an implant on number 3 with the bottom tooth umber it missing or do I have to get two implants? My dentist seems to feel that either option are fine with him. bone loss treatment options 3 was extracted normally about three months ago. . First, we'll give you a local anesthetic to numb your mouth, so you don't experience any discomfort during the procedure. He said the cavity is growing and it needs to be filled. Is this the upper right wisdom tooth or lower left? 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. Even though you will be fine in the short-term, as you age your jaw will collapse and change. Best thing to do would be to take a panoramic x-ray and see where they are positioned. I read that depending on the person I may not need anything to replace it after extraction but my question is down the road is there need for a bone graft? Hi Dr Ramsey, https://burbankdentalimplants.com/wisdom-teeth-extractioncoronectomy-with-simultaneous-baby-tooth-dental-implant-replacement-case-example/. 2nd molar tooth extraction A 36-year-old member asked: How long does it take for recovery from a molar tooth extraction? Im 41 now and molar #2 with an old filling has begun to ache. How long can I wait before extracting the tooth? Thank you. Thank you so much!!! I still have my wisdom teeth, so now I have a gap. I had my upper 2nd molar removed 1 year ago. Gently rinse the area with an antimicrobial mouthwash two to three times a day. . Do I need any implants on my bottom jaw? Would rather not deal with an implant or bridge, but Im concerned about my other teeth shifting due to the open spaces. Nature gives us many molars for reason! The part that bothers me the most is that my top midline has shifted a lot to the left. Cavity prevention starts with daily brushing and flossing. The did the re-root canal 2 months ago and still the pain is there. Is there any way to push it back into socket, or do I need to get it removed? It was 3 days ago. I would prefer to do just an extraction. Very uncomfortable to wear for a very last molar! The extraction of first, second or third permanent molar . I have clenching to add on. I was quoted with a massive bill $13k, and I have no insurance. It is placed into the masseter muscle which is the primary biting muscle in your cheeks. Thanks. Will all of my teeth shift backwards? This is because most people have a class I bite and the molar that is left behind on the bottom usually still has something to bite against. University of Texas Health Science Center at San Antonio. Very common! Dentist wants to remove the old crown, handle the cavity, and replace the crown. NJ Bergen county. The chance if it being your implant is Lower than half a percent or less. Do i need to replace this tooth. I had no pain and 5 years later the infection has made my jaw very painful and throwing. I am assuming you are speaking in the American tooth numbering system rather than the International tooth numbering system. Is it necessary to get an implant when that tooth is extracted? If your tooth is predictably savable and it is best to keep it. This leads to failure of the root canal. Can you please tell what is the life of an implant? But remember this is carefully planned this way. Just wondering what are chances if I have it extracted that I will have other problems later as a result of tooth 27 missing. Whether or not a second molar should be replaced after its removal is debatable. But i doubt will this gap caused by. Apologies for the typo. He took an xray after. What is your recommendation? I have only spoken with an oral surgeon. I want to save #31 to avoid upper tooth from dropping down. Would something like a night guard help to stop it from moving? My first inferior molar is crowned. Make sure that its savable in a predictable manner and not just heroic Dentistry thats going to fail. nutraingredients-latam.com. Im wondering.. The data indicated that replacing a second molar provides some increased masticatory performance, but first-molar occlusion facilitates 90% chewing efficiency. My lower molar needed an implant 7 years ago, I couldnt afford it back then. I would also prefer to not do that but also do not want to risk the teeth shifting (I have naturally perfectly straight teeth on top) or any bone/jaw damage due to the missing tooth. There is no movement or pain. You can still have it done even though you did not do the graft! My #3 is over erupted because I dont have the mate #30. Dr told me I dont need to have implants but I wonder (maybe because its expensive?) How much longer can I wait before I risk the possibility of getting future implants. Will boneless only occur on the missing tooth? Its been years since Ive had my wisdom teeth removed and now I just had my second molar on my right upper side removed. Will fail miserably . My extractions are over 10 years old. Im in a similar position (May need to have #3 extracted) and really dont want to have to get an implant if I can help it. Hello. Would he be ok if he just extracted? Hi there, my #3 needs to be extracted and my #2 needs a crown. Will any other teeth move? 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. Replacing tooth #5 can be straightforward as long as there is no bone or tissue lost requiring a bone and/or gum graft. Am hoping to get away w/ no implant as have already spent thousands and am tapped out. I had dental implants on upper #4 and #5 3 years ago with excruciating pain caused in #3 while healing, especially with the abutment causing pain in #3 and #2 have both had several root canals each. I want to know if it would be safe to just extract and will I have future pain from upper molar? This may cause some TMJ problems down the road and periodontal disease on #2 and #3 because of a pocket that becomes deep. Consider wearing a dentist fabricated night guard and/or Botox to regulate the strength of the jaw muscles. It sounds like you had root canals on teeth that were NOT savable in the first place. Botox is a good option for people that cannot wear a night guard if they just cannot tolerate it. J Prosthet Dent. Will having a top molar extracted change my appearance? My 12 year old daughters tooth #31 took over 6 months to fully erupt and when it finally did the part that was covered eventually chipped badly. I have an x-ray if you would like to see it, Without a clinical exam and x-rays I cannot make that type of recommendation. Having a tooth or teeth extracted creates room for the remaining teeth to be aligned well so that your smile improves and your teeth can work properly as you bite and chew. Which option would be best? Can I live without #14? Hi Mr. Ramsey, thanks for your article. AngelCatMei Jul 30, 2022 AngelCatMei Member Joined Oct 8, 2017 Messages 82 Location Singapore Jul 30, 2022 #1 Hi all, I've scheduled an appointment with my dentist for CT Scan and guided implant planning in a few weeks time and in about a month or so, I'll be able to get the implant in. Would it be ok to leave it open and get the upper molar pulled later if it starts to drop down? Looking at implants what would you suggest please? Just want to get another opinion. Hence Im doubtful that a retainer would work any better for me now than it did back then. This means that a full set of upper and lower dentures may range between $4,000 and $8,000 in price . I have other dental work that needs to be done that is not as urgent as the extraction ( removal of amalgam fillings in adjacent teeth) but I am concerned about the amount of time for the socket to heal over so no amalgam particles and associated liquids get into the open wound. Hello, Dental implants are a very specialized procedure and I find way too many dentist without a lot of experience placing in restoring implants. Will my teeth shift or cause problems? I am at a loss for words with my dental problems. They say 4-6 months is typical, but can it be longer? If the tooth can be saved with a great prognosis then it should be KEPT!!! See an orthodontist asap! Would you like email updates of new search results? I have the photo here: Hi Doctor Its a more complicated procedure than a traditional extraction, so its important to be aware of what to expect. Had TMJ surgery for symmetry back in 1995. https://drive.google.com/file/d/14B6bjynvxCvNgNhez2vDvcj4xg1yAYcf/view?usp=sharing You may be surprised what the answer is. Would you agree? I just had a nice mouth guard made and will wear that every night. Heres the link doc as you can see from the right side xray (which is my left jaw) lower wisdom tooth has been removed and the upper got no support. Though implant surgery is time-consuming and may be uncomfortable for short periods, this type of tooth replacement can be particularly beneficial for patients who are missing a molar tooth. Im torn between having it pulled and hoping her wisdom tooth will erupt and replace it and having multiple procedures to save it because they want to do a partial root canal to give her tooth time to fully mature before doing a full root canal and crown. Also , do I need to get these 2 teeth replaced for chewing? Also, is extraction/implanting painful? There is still a small cavern enough to hold a grain of rice lengthwise. Since it is near my sinus, I will need bone graft also and it will be costly. Perhaps a second opinion? I am 46 years old. I do have the money but if its not absolutely necessary. costs 19 was extracted in my teens and Ive recently had 18 removed. I had tooth #3 extracted as it had decay on a pre-existing root canal and caused me excruciating pain. They do last a long time though especially when done right the first time! Let me know if I should repost the question. 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. Any help would be greatly appreciated. Thank you for your kind words. Would you recommend replacement of 3 with an implant or a bridge? I wanted to know which ones I can get away with not having an implant done on. However, tooth extractions are used as a last resort when nothing can be done to save a tooth. Root canal/crown 31 Whether or not a second molar should be replaced after its removal is debatable. Dental implants are elective so you do not have to do anything. Maybe you can help me. My 3rd molar on the right side is impacted. You might need an internal sinus lift though. They want to remove #32 impacted and #31. Or can it be saved? Any help would be appreciated. Im missing #19 and #31 and #15 has a crown. These are both things that a dentist can do for you to manage possible TMJ or just heavy grinding. If the tooth has very sound structure a root canal and crown can last many years. Root canal therapy is a more conservative treatment. 1. Im currently not eating with my R side. Extraction may help correct some alignment issues. Will it change the shape of my jaw due to bone reduction? Do you think I should do the bone graft if I dont plant to get an implant of this teeth? They do much better in the front. How about a cantilever teeth for a second inferior molar? 2012;45(10):1198-1210 - https://doi.org/10.1111/jcpe.12995, Miremadi F, Shah NP. Have never been out of pain since the implants, just varying degrees of pain. any Implant will be needed or 2, 15 space can be empty? 7-9 Removal of a second molar is estimated to cause a 5% 17 or 7% 18 decrease in chewing efficiency. What a fantastic series of questions and careful responses! I thinks you should get a second opinion with a dentist with an exceptional reputation. Do I need implants? Hannah. I saw your other correction comment as well. The .gov means its official. Can I get an implant in the future if they just fully extract it I dont think the OS does any pre implant stuff. You were not the first 1 I have consulted about this. I am having systemic symptoms such as flu and dry mouth. 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