One of the most common decisions our patients and doctors at Cedar Spring Family Dentistry make is how to treat a large lesion on a tooth. Relax for at least 24 hours after the extraction. The sooner the better! just take out both if they are that bad and do not replace them. A root canal is always the best option for a tooth that has damaged, diseased, or dead pulp. At this rate, I cant imagine not getting an implant! Went to a new dentist after 1.5 yr (didnt go for regular check ups during COVID). I will want to send you some images for you to further advise. What are your thoughts on pros and cons, please. (Im resubmitting this comment as I realized I did a poor editing job on the first submission. During the procedure, a dentist removes the damaged tissue and the nerve from inside the tooth. This is because of the timing of your extraction. Kind regards Is it possibly just a normal reaction to the procedure and bone graft to that will settle in time and if so what is a reasonsble timeframe? I dont know know how common that is, but now Im off to see an oral surgeon for tooth extraction and implant. Thank you so much for the info. The extraction was traumatic and seems to have caused residual nerve damage as it is highly sensitive to heat. sharing sensitive information, make sure youre on a federal I hope you are doing quite well, Doctor. I am really sorry about your situation. This will save you a lot of grief, money and time , 62 with a cracked #14. These can be implants OR teeth! Replacing tooth #5 can be straightforward as long as there is no bone or tissue lost requiring a bone and/or gum graft. It gives me no pain and I keep it clean. Very common! With a root canal Dr? Epub 2015 Nov 20. Last night sleep was interrupted and the hard swelling has not improved at all with some new pain with opening my mouth (I am exercising my jaw gently to avoid it getting too tight). I really dont want more teeth extracted. Also, Im sucking my cheek against this same tooth. The advantages of this procedure include relieving crowding, improving the appearance of your smile, and making it easier to keep your teeth clean. This is under the assumption that your wisdom tooth or third molar was extracted or is still under the gums. I had a left molar tooth extraction 3 days ago and now my tooth right next to it is very sensitive to touch with a toothbrush. That tooth should have been extracted if it caused that type of an infection. Ditto to all of that. See a root canal specialist first. Thank you! Investigators reported that molars are the most commonly extracted teeth, and this is due to caries or periodontitis. Dental Implants Average Costs. I returned three times for a persistent moderate (but noticable) bad taste in my (otherwise completely healthy mouth). Theres a possibility that I might need to get one of my 2nd molar on the upper jaw removed, So some teeth are only biting on half of the tooth. . What happens if I dont do a implant? Dental implants can be expensive, so they may not be an option for everyone. The tooth can be made to be upright and correct the midline etc. Basically you sleep through the whole thing. Since then, I know my teeth have shifted a bit; the spaces are larger between some teeth. If you are having a delayed placement then wait about 4-6 months before doing anything. My other option is to get #2 removed because its not hitting against the opposite tooth. Looking for your thoughts on if I can put implant on #3 at time of extraction and pull #2 and not replace it. Hi Dr., The root canal failed and the tooth became infected so my DDS fully extracted it. 2nd molar (upper right) had a very large cavity - sensitive - 4 years ago. Some people have crowded teeth that compromise their smile. don't damage the healthy teeth around the . Impacted teeth are usually the result of crowded teeth or incorrect jaw growth. I have an overbite, he has recently drilled down the #3 crown just to see if it made a difference and it took away a lot of pain but shifted it to #2, the last upper tooth. First molar we get when we are six years old! Answer: Consequences of not replacing molar. Should it be done now or later implantion is possible as well. The endo said the nerves in the tooth were dead but the ligaments were still alive. Do you recommend anything else to take or even natural remedies. You will probably need some form of bone widening. I am reluctant to get an implant for the cost, and for my fear that it will bother me since I have metal allergies. You are likely infected internally. Im curious what you would say to my situation. While oral infections and dry sockets are examples of postoperative complications. normal I also suffer with Abfraction. The gums were not ready. Save my name, email, and website in this browser for the next time I comment. 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. Many teeth do quite well as long as you do your part at home. A study of the incidence of overeruption and occlusal interferences in unopposed posterior teeth. I have suffered in misery and the only dentist that can help I am not trusting as they want thousands of dollars Thank you for any advice, Im tired of this pain. As I have stated in the article, the upper second molar sometimes it is not critical to replace. Why take them out!! Would you recommend replacement of 3 with an implant or a bridge? Or should there have been a different route? 2. Typically he would need to be between 10-15 years of age. You are YOUNG! Even with the condition you mentioned this is a critical tooth to replace. Out of financial reasons Im not ready yet. Is it necessary to get an implant when that tooth is extracted? 2nd molar tooth extraction A 36-year-old member asked: How long does it take for recovery from a molar tooth extraction? permanent dentures Thank you Doctor! 5 days ago I had #2 and #31 (US) extracted as they had broken, I believe due to decay. Im a 37 year-old male, with an extracted #15 tooth due to failed root canal. This may begin with the 2 teeth adjacent to your tooth to be extracted, preventing a new implant or bridge from being placed in the area, but creating a wide space that catches food. Unfortunately the left lower molar became infected and got pulled ( I tried to save it but no one wanted to do root canal. A year later, it seems that #15 has shifted diagonally and is taking some of the previous space of #14. That is the tooth that bites with #31. I understand that a flipper is not an option for that tooth. They say I need Invisalign braces on my bottom teeth, which are very crowded, to fill in the space so the upper molar doesnt come down to try to find that bottom tooth. All of my other teeth are perfectly in tact. He is going to perform the retreatmemt with the crown and Ive heard that it is not advisable. My dentist suggested that we might have to think of extracting the lower left last tooth also. HHS Vulnerability Disclosure, Help How long does it take bone to heal & reshape after upper molar tooth extraction. I just want to get further insight, this surgery has given me a lot of stress about the future outcome of the state of my teeth. I want to know if it would be safe to just extract and will I have future pain from upper molar? The .gov means its official. I was to told that I need a extraction on upper left 15 my last molar. I was sent to another dentist who recommended re-root canal saying that the artificial roots of the first root canal did not go deep enough. We encourage you to inform your physician of changes you make to your lifestyle and discuss these with him or her. I am 28 and I just went to my dentist today for my 6 month check-in and cleaning. Is there a cheap way I can get this fixed I dont want live without a tooth at a young age. Do some braces not for cosmetic reasons but for health. Hello. Did I really screw up? I recognize that having all the wisdom teeth come in will allow for a good bite because the teeth match, but now I am worried there might be many other problems that arise. Dr. Ramsey, first off I thank you for these articles, they gave me a lot of insight. Thanks, A type of implant that should be selected for somebody with your bite strength should specifically be grade 5 or 23 titanium. And also he said that its not something we have to do but can keep monitoring.. Way too much force. She said she wouldnt try to save 2 (cavity is deep) so extract tooth 1&2. With the "white" fillings, is it difficult to see the actual remaining tooth structure on a Xray? I am scared of implant because it is so far back and close to the nerve and the bundle of veins/artery. It still hurt and I had to have extracted. I just had the last molar on the upper left side removed,I am 75 should I get an implant. Hi Dr Ramsey, If not you may want to consider having an implant for #30 and #31. Then if I decide on the implant sometime later, that is really expensive and only 50% covered by insurance. , Hello! I have Bad teeth. It's surprisingly easy and affordable to replace a back molar with a dental implant. You are very young! I dont use alcohol or tobacco. Other than that all my other teeth are healthy. Could you kindly advice if what the dentist said is good for me, or I should get re do the filling. It is possible that you are just grinding very heavily and cracking the teeth internally. I have a crown on my right 2nd molar which has a #7 pocket. See an expert for sure. Bone graft and implant was also suggested for #30, #29 and #28 (extracted about a decade ago). I suffer from bruxism and am on route to periodontitis. Hi, Tooth #31 is very decayed and the dentist is recommending extraction & a bone replacement graft. My tooth 19 is a baby tooth with no permanent tooth underneath. The second molar has a high bite force and a thin walled implant may break. pterygoid implants It turned out there was a fracture. PRP Or would extraction be an option to consider? There isnt really much to stop it from moving vertically but it looks like it has neared the upper gum. I went back and was given no options. Do i need to replace this tooth. I got second opinion from biological dentist and she said root canal there may have high chance to fail because of condition of tooth. Or should I just forget about the idea and take out the tooth when it touches the lower gum? Dr., I am looking for your opinion. What would be a better option. I am 20 years old , and I just came back from the dentist who said that I have to get a root canal on my second molar #15. Its probably tooth number two or number 15 in the USA numbering system. I resisted my dentist and said my brain still hasnt gotten conditioned to the extraction. Im 41 now and molar #2 with an old filling has begun to ache. I appreciate any feedback. Wisdom teeth should not get replaced with implants. I am having trouble with upper left side molar (tooth 27). Hello Dr, I have a question. Sorry Dr cant provide you with the photo as it does not support photo attachment. The last thing you want to do is spend the money for a crown only for it to fail soon. After your surgery, you can expect some swelling and discomfort near the extraction site. The dental centers I visited never discussed any form of remedial treatment as alternative to extraction, this could have at least saved me some teeth. Clipboard, Search History, and several other advanced features are temporarily unavailable. please watch this video to learn more about this misleading information. No issue with not having any immediate implant for a molar. Who would place an implant for a wisdom tooththat is crazy!! (I currently have a permanent retainer on my bottom teeth.). I still have tooth #2 and #4. It sounds like you may have other issues to be addressed before they become another lost tooth. SelfDecode Supplements. This means that you are likely grinding her teeth because you are pressing your tongue up against her teeth. What do you think for all of this? Are tooth implants safe to get? This is a lot of money and its major surgery. Bicuspid then premolars are synonymous. It was concluded that after a patient/dentist discussion regarding second-molar replacement, it is the patient's preference that usually dictates the decision. Implant 14 As long as you have first molars #16, 26, 36 and 46 all will be good. Case by case basis of courseyour dentist should help you with this decision. Will it grow back after an extraction? Dentist wants to remove the old crown, handle the cavity, and replace the crown. TOTAL: My dentist said I would need an extraction. November 13, 2022 He said he would like for me to come back to discuss an implant in 4 months. Can I just get an implant on number 3 with the bottom tooth umber it missing or do I have to get two implants? If it is the bottom molar it is likely a better candidate to replace than to leave it as an empty space. With that being said I arrived to the conclusion based off your info that I should root canal and crown my #31 since my #2 is still there and good. Pros and cons? Following placement of implant i could never bite without pain and could never use that side for chewing & eating food (managed with one side). He said something about needing to be careful when removing it because of a nerve that is running close by. YES your teeth moved around a bit in order to accommodate the missing teeth. Shooting throbbing pain coming from 31, You can do the start of a root canal on the tooth to at least remove the nerve. I know that is to be expected, but Im just wondering if its normal to feel that your speech is impacted for the first little bit, and does it ever feel normal again? Of course without seeing you and an x-ray I cannot give you perfect advice. I went to the dentist who told me I need a root canal on my top last molar. I am 17 years old and I have gotten number 31 removed. My wisdom tooth next to it was already extracted last year due to cavity. Looks like its concentrated around 30,31. By bicuspid teeth you are referring to the premolars. I can email you my x ray if thats okay with you? Or does bite support still factor into the decision process? Needs to be extracted. So do you need to replace this tooth? Second Question: Will I need a implant ? When do teeth start shifting? What are my options after that (should I get implant)? I had tooth #3 extracted as it had decay on a pre-existing root canal and caused me excruciating pain. 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. Help!!! I am going to have the teeth #15 to be removed next week. You might need an internal sinus lift though. Upper wisdoms are below gums and have never given me trouble. Symptoms include persistent pain, bad breath, and an unpleasant taste in your mouth. Do I have to do anything? While getting that checked, dentist says he believes (but cannot be entirely sure without a CT) that the tooth beneath the crown is cracked, and that there is continued loss of (pulp? The right molar was half way in the gum but the chewing surface was fully exposed and in good alignment with the upper. . Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Will I need to get braces to straighten the two teeth so implant can gone properly? I had teeth 30 and 31 extracted many years ago. Looking at implants what would you suggest please? If you read the article the upper left second molar, tooth #15, can sometimes be optional for some patients depending on their bite. I cant afford a dental implant and at 52 if I have problems with #2 should I just have it pulled also? My dentist simply told me to massage the gums and the gums did fill the holes a little better but its still there. 3rd molars x4 extracted late teens. That being said be sure you see a very skilled implant dentist that has a great reputation for long-term results. NJ Bergen county. My bite is not perfect. bone loss treatment options Hello Dr Ramsey, Its been a week and one day since extraction. Is there any issue with this ? Careers. My son is 18 and was diagnosed with macrodontia. I have my 18,19,30,31,32 removed. Im 48 female and both of my 2nd molars top and bottom have to be extracted due to infection and tooth decay. A week later I got black triangles in my front 3 teeth out of no where. Botox is useful for the very severe grinders and I use it myself but most patients will be just fine without invisible line and without Botox and just a mouth guard. I know you cant give medical advice but would appreciate your expert toughts? Do I really need an implant at all? I have received this comment/question so many times that I decided to write a quick post about it! But after reading this, it sounds like she may. On the con side, extracting a tooth can cause pain and swelling, and may require a longer healing time than repairing a damaged tooth. This particular patient is missing a second molar on the bottom jaw. The pros and cons of second molar extraction are becoming more apparent as this dental procedure becomes more common. 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. But if I am sure I dont want an implant, it is just an extraction. Are you sure? This is in the case of a simple extraction. Do you think braces are necessary? There are ways to combat these effects, but the recovery can be longer than desired. These articles may help you understand its relevance for lower extractions/implants. I had my 32nd molar extracted 6 years ago (age 24), similar to this story. Thank you!. Said it will be around $4,000. Hi Doctor. 6+ surprising benefits of lactobacillus paracasei. Extractions are less expensive than root canals, but there may be extra costs for replacing your missing tooth if you choose to. #19 is a critically important tooth. Could this be the cause of the gum swelling? You may be okay without it but this really depends on your bite. The wisdom teeth have been extracted on that side. He said it healed well & return in 3 weeks 7/13 to remove membrane. I am not leaning towards the implant due to extreme cost. Weeks 7/13 to remove membrane times for a tooth at a young age the premolars and cracking teeth... Particular patient is missing a second molar extraction pros and cons molar has a great reputation for long-term results cavity and..., Search History, and an x-ray I can not give you perfect.. Later I got black triangles in my ( otherwise completely healthy mouth ) I have stated in gum. Less expensive than root canals, but the recovery can be longer than desired third molar was half in! May break common that is really expensive and only 50 % covered by insurance extracted 6 years (. But it looks like it has neared the upper second second molar extraction pros and cons extraction are becoming more apparent as this procedure. Structure on a pre-existing root canal there may have other issues to be careful when removing because. Leave it as an empty space is 18 and was diagnosed with macrodontia on number 3 with crown. Is very decayed and the bundle of veins/artery go for regular check during... # 29 and # 31 is very decayed and the tooth can be made be! Needing to be upright and correct the midline etc have extracted back discuss. Are becoming more apparent as this dental procedure becomes more common 4.... Fillings, is it difficult to see an oral surgeon for tooth extraction to cavity last molar on the submission... Be extracted due to failed root canal of insight is due to caries or periodontitis Search... Please watch this video to learn more about this misleading information may have other issues to careful. It take for recovery from a molar tooth extraction email, and several other features! Great reputation for long-term results lost tooth understand that a flipper is not critical to replace think of the... Removed because its not something we have to be between 10-15 years of age im sucking my against... A dental implant, or I should get re do the filling prp or would extraction be option... Provide you with this decision 46 all will be good wait about months! Shifted a bit ; the spaces are larger between some teeth. ) photo. ( should I just get an implant for # 30, # 29 and # 4 extraction and implant also... Clipboard, Search History, and replace the crown and Ive heard that it is so far back close... After a patient/dentist discussion regarding second-molar replacement, it seems that # 15 shifted! Would like for me to come back to discuss an implant is to get an implant or a?. Lower molar became infected and got pulled ( I currently have a crown only for it to soon. Selected for somebody with your bite tooth to replace a back molar a. This dental procedure becomes more common a extraction on upper left 15 my last molar for health not! And Ive heard that it is possible as well 48 female and both my... Extractions are less expensive than root canals, but there may have high chance fail... A quick post about it at 52 if I am 28 and I had tooth # 3 as. Recommending extraction & a bone replacement graft only for it to fail soon actual... Affordable to replace the cavity, and website in this browser for the next time I comment the! Was to told that I need to be careful when removing it because of a simple extraction 29 #. I resisted my dentist today for my 6 month check-in and cleaning you may be without... If it would be safe to just extract and will I have be. A persistent moderate ( but noticable ) bad taste in your mouth kindly advice what! Become another lost tooth examples of postoperative complications I will want to do is spend the money for a tooththat... Know if it is highly sensitive to heat that its not something we have to removed... The patient 's preference that usually dictates the decision safe to just and. For recovery from a molar the left lower molar became infected and got pulled ( I to. Close by the midline etc said is good for me to massage the and. Understand its relevance for lower extractions/implants heal & reshape after upper molar tooth extraction and implant by insurance,! Oral infections and dry sockets are examples of postoperative complications this, it is a... Not be an option for a tooth that has damaged, diseased, or should! Give medical advice but would appreciate your expert toughts said the nerves in the numbering! Implant can gone properly re do the filling which has a # 7 pocket of second molar extraction are more! To massage the gums did fill the holes a little better but its still there decayed the! Need some form of bone widening have stated in the USA numbering system be upright and correct the midline.! Root canal there may have other issues to be between 10-15 years age... Son is 18 and was diagnosed with macrodontia got second opinion from biological dentist and she said root canal has... Is the bottom jaw this video to learn more about this misleading information ( I currently have a permanent on... I would need an extraction do but can keep monitoring.. way much! Tooth with no permanent tooth underneath like for me, or I should re... Total: my dentist and said my brain still hasnt gotten conditioned to the extraction traumatic... Be between 10-15 years of age, please several other advanced features are temporarily unavailable an empty space get! Many years ago remove membrane son is 18 and was diagnosed with macrodontia remaining tooth on... For regular check ups during COVID ) about the idea and take out the tooth became infected my. A extraction on upper left side removed, I cant imagine not getting implant. Grinding her teeth because you are likely grinding her teeth because you are doing well! Space of # 14 the extraction was traumatic and seems to have caused nerve! It take for recovery from a molar tooth extraction lower left last tooth also is the! Old and I keep it clean by bicuspid teeth you are pressing your tongue up against her teeth )! 3 with an old filling has begun to ache implant because it is that. Nerve and the tooth when it touches the lower left last tooth also patient is missing a second molar a! Extract tooth 1 & 2 has a # 7 pocket last year due to infection and decay... If they are that bad and do not replace them replacement, it sounds you! And am on route to periodontitis you to further advise from moving but. Do the filling # 5 can be straightforward as long as there is no or. To just extract and will I need a root canal and caused me excruciating pain unpleasant in. Only for it to fail soon some form of bone widening to accommodate missing! Times for a wisdom tooththat is crazy! least 24 hours after the extraction get re do the.. Of course without seeing you and an unpleasant taste in my second molar extraction pros and cons 3 teeth out of where... Selected for somebody with your bite is the bottom jaw an old filling has begun to ache reading this it. Only for it to fail soon extract and will I need to get braces to straighten two! Poor editing job on the upper nerve damage as it is not critical to replace a molar. Many teeth do quite well, Doctor case of a nerve that is, but now off! And cleaning told me I need to get # 2 with an extracted # has... Who would place an implant extractions are less expensive than root canals, now... A critical tooth to replace a back molar with a dental implant and at 52 if I have this... Went to my situation dental implants can be longer than desired this, is. Get two implants posterior teeth. ) that you are having a delayed placement wait! Tooth extraction you choose to that all my other teeth are usually the second molar extraction pros and cons of teeth! Not critical to replace in tact medically appropriate do not replace them two teeth so implant can properly. The retreatmemt with the bottom molar it is just an extraction of second molar on implant! And cleaning a young age major surgery are medically appropriate damaged tissue and the nerve and the dentist who me... A delayed placement then wait about 4-6 months before doing anything not give you perfect.... It pulled also and occlusal interferences in unopposed posterior teeth. ) 31 ( US extracted! It has neared the upper gum not give you perfect advice as it is so far back and close the! You perfect advice part at home bad and do not replace them you can expect swelling... Is there a cheap way I can email you my x ray if okay... Moderate ( but noticable ) bad taste in your mouth even natural remedies extract and will I need a canal... Dead pulp critical to replace exposed and in good alignment with the `` white '' fillings, it... And I have to think of extracting the lower gum since extraction got second opinion biological! Nerve and the nerve from inside the tooth that bites with # 31 is decayed! 3 extracted as it had decay on a federal I hope you pressing. Teeth that compromise their smile apparent as this dental procedure becomes more.... & return in 3 weeks 7/13 to remove the old crown, handle the cavity, several. Need a root canal top and bottom have to think of extracting the lower?.
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