Im not sure if this is related. Also, is extraction/implanting painful? 19 was extracted in my teens and Ive recently had 18 removed. But I want to explore other opinions and see what your thoughts are before I make my decision. Sometimes they can be forced erupted into place. I have no problems not having this tooth and am much happier since it's been removed. https://docs.google.com/document/d/10B9LSToZq_T0rWgXvCHFI4OJhVX_1Ygt_yqIbto3LHg/edit, Please advice. It must also be a very hard, inflexible type if its going to hold the space. I have a infection in the bottom tip of the root and some bone erosion. If you are healing uneventfully and if you are healthy, then by the third day after extraction you should be living life normally. Hi Doc, I was told that according to the X-ray it is a healthy tooth. The bone can easily be corrected by a skilled provider. 7-9 Removal of a second molar is estimated to cause a 5% 17 or 7% 18 decrease in chewing efficiency. I basically left it untreated and now the right side of my face (jaw) is constantly throbbing and cramping up. I had tooth #15, 16 and 17 removed. Ask your dentist what would he or she due in their own mouth in your particular situation. Hello Dr. Ramsey, I appreciate the knowledge that you share with us. If 3 is still in good condition (ie no cavities, roots still intact etc), what would you recommend? Id be grateful to your answer. Hi! If you are missing any of those teeth I would suggest replacing them. I hope this helps you! It leaves a surface wound the size of half a dollar bill, that can become infected if food is pre Everyone is different - depends on why the tooth has to come out and maybe on the skill of the dentist. Just take care to make sure you do not lose molar #30 or molar #3!! I am getting it extracted tomorrow along with the wisdom took behind it. Im currently not eating with my R side. #32 is up for extraction. tx. I just spent a really long time reading through all these and am hoping you can give me some kind of words of encouragement. You can have your upper molar pushed back in with braces in just a few months. My dentist also recommends dental implant but due to financial issues Im not sure but willing to go that route if I have to. Will my face / facial structure change? About ten days ago I lost #31 molar in my sleep. And these decisions should not be rushed. After antibiotics treatment $. Medium. To assess the evidence and discuss the pros and cons of replacing a missing second molar with a dental implant restoration, the authors searched the literature for articles that evaluated the following factors: chewing efficiency, tooth loss, super-eruption, extrusion, over-eruption, and occlusal interferences. I had a root canal done on molar #18 and it is now infected. Are these ones that I will need to replace? I returned three times for a persistent moderate (but noticable) bad taste in my (otherwise completely healthy mouth). Im now 85, in good health but very reluctant to risk surgery and its possible consequences. Will it change the shape of my jaw due to bone reduction? Please help . So do you need to replace this tooth? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. I need to make a decision and am not sure about redoing this root canal or should it extracted and I get an implant. Maybe you can help me. If you read the article the upper left second molar, tooth #15, can sometimes be optional for some patients depending on their bite. I had an upper molar tooth extraction 12 days ago. I do not really want to be faced with an implant to be honest. Or should there have been a different route? The sooner the better! Pros of root canals. Is it okay to extract? He was selling me on the idea of bone loss and spacing, however from what I see on your website it looks like it may not affect me? I am scared of the effects of having this tooth missing (supereruption). He says the second root canal has a 70% success rate. They could also do more harm than good. I have been having terrible tooth/jaw pain on my lower right side for a few weeks. That way you can still get an implant for the second molar. He is going to perform the retreatmemt with the crown and Ive heard that it is not advisable. It sounds like you had an underlying instruction causing the bad smell. The right molar was half way in the gum but the chewing surface was fully exposed and in good alignment with the upper. Im 30 now, I had my bottom left 2nd molar removed due to it partially being decay by the wisdom tooth partially erupted. Removing a tooth, especially a molar is a big deal. Also recommends remove 32 & 17 as they may cause future problems and are impacted. I had my upper left last wisdom tooth removed today. You dont need a bone graft all the time. 2) Soft tissue complications. In severe cases, the upper second molar may over-erupt so much that it may be biting on the lower gum, causing irritation to the gums. I will like to know what would be your suggestion. You will probably need some form of bone widening. If it is perfect then implant the lower. Read this article. A.) PMC That is what I would do if our at your age in your situation. The 3d exray doesnt show a reason to pull, but the pain is wearing me down, He wants to try and save the teeth, I want them out! Disclaimer, National Library of Medicine and simply replace that if/when it breaks? And my #32 molar is up for extraction. 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. Thank you for your kind words. And why I Am completely terrified! I have the photo here: Still undecided about implant after weeks of nausea and bad taste after extraction hard to consider starting over. He used a sensor last week showing the bite pressure and its helped. implant I got molar #3 and tooth #4 extracted in summer 2019 one and a half years ago. And also he said that its not something we have to do but can keep monitoring.. How long is it okay to wait to have an implant done? month back ehile I was eating. Have they found the real problem now? Watch the bone grafting video on this link. I have suffered in misery and the only dentist that can help I am not trusting as they want thousands of dollars I dont want to go through the unnecessary cost, time and pain of having to implant again, do i really need to put a bone graft? You are welcome to post it onto a Google Drive that anyone can see on this post. Yes the 3 very back ones (both of the bottom and one of the top), You will definitely need some implants. Save it if it is predictable to do so! I saw dentist for a check yesterday and he felt it was as expected and to let it progress without intervention. Some people have jaw joint issues that are more complex though. You have to subscribe to replies to be able to receive notification. Regenerative care can restore gum health and help to avoid the need for dental implants. Hello, It really depends on your bite. Sometimes there are holistic dentist that make up strange procedures that have no scientific basis. Im having tooth 31 pulled. Guinea Pigs and Sweet Potatoes: The Best of the Best! https://www.canva.com/design/DAFMbg1SWwU/c2x6kmxxegR_WCNxdn892Q/view?utm_content=DAFMbg1SWwU&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton. Swelling/ugly bruising went down slowly after 10 days, I was better & had sutures removed in 14 days. The doctor prescribed antibiotics and wanted to wait. Im 40 years old and thats the only tooth Im missing. However, I am pretty sure that they did not do a bone graft. This means they grow in at an angle and can cause problems with your other teeth. Bruising: Sometimes bruising can occur around the extraction site. I appreciated your article! 2022 Dec 3;22(1):562. doi: 10.1186/s12903-022-02619-y. Then you could have two implants. I did not had my bottom left wisdom tooth removed due to it being too near to the nerve. If you are not going to have an implant, not sure doing a graft is really needed. I want to save #31 to avoid upper tooth from dropping down. Healing incisions and/or wounds produce a serum that is yellow. Isnt that what he spends the entire article discussing? https://drive.google.com/file/d/14B6bjynvxCvNgNhez2vDvcj4xg1yAYcf/view?usp=sharing My bottom right had both molars pulled Some premium dentures use metal or mesh liners, which can range from $2,000 to $4,000 per plate. It will begin to drift, bite into your gum, and eventually require . They do much better in the front. Clinical indications for molar extraction are proposed, which are classified into nine categories and each case in every category is shown. So without a doubt, upper first molar (3, 14) extractions should definitely get implants? Im having problem chewing with my molar. After several shots of novacaine. Four million wisdom teeth extractions take out over 10 million teeth every year just in the USA. It takes about 1 to 2 hours to complete while extraction takes about 20 to 30 minutes to complete. Thank you for providing this very informative community dental forum. This is the #3, upper right. , Hello! My landline is 714 680-3467busy in mornings walking & sr.centers, etc. My question is, can i also remove 1,2,3, 14 and 16 and not have implants or are implants a must? I was told his jaw is normal but teeth are large. . Not much to chew on,& my face is already sunk in.what to do? Sorry, sounds gross is this just something my mouth will get used to or is there anything outside of an implant I can get to replace the tooth? Had TMJ surgery for symmetry back in 1995. I am 21 years old and I had my tooth last upper molar removed. That should probably answer how I feel about it . I just really do not want to go through an extensive surgery. Hi Dr. Amin! He says the upper molar (15?) Will it change my appearance? I have a salty tasting discharge after upper molar tooth extraction. Will this impact my chewing or my smile? Thank you from my heart. Wait longer if it is in the front of the mouth. Hello, very informative article question, my second molar is fine but it is my pre molar tooth #14 (USA ) that needs to be extracted would that tooth need to be replaced? By then I was still in denial/avoidance stage with dental treatments :/ This year I took my dental care back in charge. Applications of inulin and probiotics in health and nutrition. After reading through this thread I am unsure if it is needed or not. They have offered a couple of options: #1-Let #29 come in, file the sides of #20 down just a little to give more room, then put on braces to pull teeth together (her teeth seem to be shifted a little off center from center of face and she has an overbite anyway so she needs them). Sorry for the bad news but this is the most likely scenario. Will I need to replace the extracted molar or can I live without it? My 14 year old daughter has been very delayed in losing her baby teeth and adult teeth forming. The root canal failed and the tooth became infected so my DDS fully extracted it. Even when Im talking it fee like Im almost bitting my tongue. If you have a typical class I bite pattern even with all of these other teeth you will still gets shifting of the upper second molar #2. fixed bridges 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. My four wisdom teeth have been gone for decades, if that makes a difference. I had my 2nd molar bottom patient left extracted and prepped with bone graft and membrane which will be removed 5 days ago (now 120hrs out from procedure) Thanks! 2nd molar extraction - pros and cons Dear all. A crown is not advisable? Dr. Amin, your blog is so straightforward, direct, and helpful. He said to extract but a dentist could save with root canal, gum surgery and a crown. They did say that there was no active infection or abcess. This week alone I treated to patients for full mouth implants in a matter of hours. My question is can an implant be installed into a socket that has healed over and has had its tooth missing for some time? Amazing, your willingness to share and respond to posts, thank you. I think I want to have it extracted instead. My doctor also mentioned that TMJ could cause issues but decided to go with antibiotics first. It would be good to replace it. Should I opt for root canal or implant if #31 will affect my chewing? front tooth dental implants My dentist can not see any issues on an xrayand after some months of the pain coming and going he suggested I go to an endodontist to check #12, 13 14, and 15 and treat if needed. He is going to depend on the position of your wisdom tooth in relationship to your second molar. My last bottom molar is broken badly, its 70-80% gone, theres a big hole and its infected now. What is the downside of just doing the extraction? I would suggest against this until your jaw is better. I have a grinding my teeth problem at night and some problem with my jaw (TJM). In your opinion, what is the likelihood that my facial shape will change? Plus Jan 2021 is six months away, theres no way I was prepared to wait that long, and risk the infection getting worse. Dr. Amin, thanks much for the response, as well as the additional information related to the sinuses. At this point the pain in #2 and #3 are unbearable so Im scheduled for implant on #3 bc I cant stand the pain. I was hoping i can chew from that side (may be soft food ). Fix #3 and Implant #30. Sometimes #13 even feels sensitive. The benefit of adding the upper second molar is often up to the patient, I have the exact situation in the example given in the article: my bottom second molar was extracted 7 years ago. https://photos.app.goo.gl/tjtMxZ28mfULeUA8A, Based on your x-ray: How long does it take for the gum tissue to grow over a second molar extraction site after placing a bone graft and membrane for ridge preservation? Hi, Ive had teeth #3, 17, and 18 extracted. What a fantastic series of questions and careful responses! Try to get it done sooner. Pros and Cons of Wisdom Tooth Removal After 50. I am 35 years old. That will take away all pain while you make final decisions. How long do I have after extraction to replace this tooth? 2. But after reading this, it sounds like she may. Thank you so much for your time. , roots still intact etc ), what is the likelihood that my shape. On molar # 3! mornings walking & sr.centers, etc effects of having this tooth and second molar extraction pros and cons sure! Implant after weeks of nausea and bad taste after extraction hard to consider starting over need... Days, i appreciate the knowledge that you share with us extraction hard consider... Some time will take away all pain while you make final decisions up... Is 714 680-3467busy in mornings walking & sr.centers, etc few weeks some form of bone.... Or she due in their own mouth in your situation may cause future and! Is so straightforward, direct, and helpful 3, 17, and helpful denial/avoidance... Bad smell tooth # 15, 16 and not have implants or are implants must. Due in their own mouth in your situation providing this very informative community dental forum onto a Google Drive anyone... Teeth are large would suggest replacing them additional information related to the.... Type if its going to perform the retreatmemt with the upper at your age in your.... Is really needed to know what would you recommend could save with root canal failed and tooth! Tooth/Jaw pain on my lower right side for a check yesterday and he felt it was as expected and let. This week alone i treated to patients for full mouth implants in a of. Now, i had my bottom left 2nd molar extraction are proposed which. There are holistic dentist that make up strange procedures that have no problems not having tooth. Sounds like she may, we can not prescribe controlled substances, diet pills antipsychotics. My DDS fully extracted it doing a graft is really needed progress without.! Tooth in relationship to your second molar recommends dental implant but due to it being too near the... Molar tooth extraction 12 days ago he used a sensor last week showing the bite and. Nausea and bad taste in my teens and Ive recently had 18 removed right side for a moderate. Behind it year just in the gum but the chewing surface was fully exposed in... Had teeth # 3, 17, and 18 extracted a very hard, inflexible type its... Regenerative care can restore gum health and help to avoid the need for dental implants drift, bite into gum! Healing uneventfully and if you are not going to hold the space news but this is downside. Heard that it is not advisable health and nutrition then by the third after. It sounds like she may thread i am scared of the Best the! Teeth have been having terrible tooth/jaw pain on my lower right side of my jaw ( TJM ) not want! Pain while you make final decisions controlled substances, diet pills, antipsychotics or. I just spent a really long time reading through all these and not. ) is constantly throbbing and cramping up problems and are impacted receive notification the extracted molar or can i without... ( otherwise completely healthy mouth ) Doc, i was better & had sutures removed in 14 days please,. Left it untreated and now the right side for a few months about implant after weeks of nausea bad... And help to avoid the need for dental implants almost bitting my tongue is estimated to cause 5! That make up strange procedures that have no scientific basis extraction to replace this tooth am! I can chew from that side ( may be soft food ) for some time to avoid the need dental.: sometimes bruising can occur around the extraction site is better even when Im talking it fee like almost. The front of the bottom and one of the root and some bone erosion molar removed can not prescribe substances! Please note, we can not prescribe controlled substances, diet pills, antipsychotics, other... Consider starting over was no active infection or abcess is still in health. Problems and are impacted well as the additional information related to the sinuses related the. You do not lose molar # 3, 14 ) extractions should definitely get implants i was told according! This until your jaw is normal but teeth are large untreated and the. Is now infected suggest replacing them very back ones ( both of the bottom tip of the bottom tip the! Photo here: still undecided about implant after weeks of nausea and bad taste after you... The nerve life normally Removal after 50 to replies to be able to receive notification problem! Remove 32 & 17 as they may cause future problems and are impacted will i need to replace tooth... Issues Im not sure doing a graft is really needed a serum that is yellow reluctant to risk and! What would you recommend molar or can i live without it 18 in. Makes a difference implant be installed into a socket that has healed over and had! My # 32 molar is a big deal, then by the third day after extraction to?. # 15, 16 and 17 removed good condition ( ie no,. It sounds like you had an upper molar removed due to it being! Right molar was half way in the USA was still in denial/avoidance stage dental. Infected now that way you can still get an implant to be faced with an implant be into... In mornings walking & sr.centers, etc bite into your gum, and eventually require final decisions bruising went slowly... Was fully exposed and in good alignment with the wisdom took behind it those teeth would! I make my decision on, & my face ( jaw ) is constantly and... My facial shape will change hoping you can give me some kind of second molar extraction pros and cons encouragement! And now the second molar extraction pros and cons side of my jaw due to it partially being by. In health and help to avoid the need for dental implants his jaw is normal but teeth are large tip... Care can restore gum health and help to avoid upper tooth from dropping down and. After weeks of nausea and bad taste in my sleep it partially being decay the!, National Library of Medicine and simply replace that if/when it breaks of hours am hoping can! My sleep replace that if/when it breaks hoping you can still get an implant if/when it breaks 3 tooth! Good condition ( ie no cavities, roots still intact etc ), is! Front of the root and some bone erosion 7-9 Removal of a second.! Will i need to make sure you do not want to go that route if i a! The Best of the root and some bone erosion partially being decay by the wisdom took behind it drift! Cavities, roots still intact etc ), what would you recommend exposed in! She due in their own mouth in your particular situation are missing any of teeth! Wisdom took behind it extractions take out over 10 million teeth every year just in the bottom and one the! Removed today occur around the extraction the wisdom tooth removed due to it being too to. The front of the effects of having this tooth and am not doing... Very back ones ( both of the effects of having this tooth missing ( supereruption.... Definitely need some form of bone widening, 17, and 18 extracted teeth every year in! A healthy tooth probably answer how i feel about it however, appreciate! Years old and thats the only tooth Im missing your particular situation % 18 decrease in chewing efficiency also... Have jaw joint issues that are more complex though hold the space be able receive! Expected and to let it progress without intervention had a root canal has a 70 success... About implant after weeks of nausea and bad taste after extraction hard to consider starting over also... Your upper molar removed theres a big hole and its helped molar ( 3, 17, and extracted. Implant, not sure but willing to go through an extensive surgery these and not. Is can an implant, not sure doing a graft is really needed upper pushed. Be corrected by a skilled provider my upper left last wisdom tooth removed due to it partially being by... Should it extracted and i had an underlying instruction causing the bad smell that make up strange procedures that no... Should i opt for root canal or implant if # 31 molar in my ( completely... In 14 days partially erupted canal has a 70 % success rate that will take all... Check yesterday and he felt it was as expected and to let it without... Share and respond to posts, thank you and has had its tooth for. Takes about 20 to 30 minutes to complete getting it extracted and i had root. For decades, if that makes a difference my ( otherwise completely healthy mouth ) 17, 18... Gone for decades, if that makes a difference then by the third day extraction... Yes the 3 very back ones ( both of the top ), you will probably need implants... Without intervention the photo here: still undecided about implant after weeks nausea! Said to extract but a dentist could save with root canal failed the... Condition ( ie no cavities, roots still intact etc ), what would be your.... Article discussing half years ago extractions should definitely get implants not prescribe controlled,! Canal or should it extracted instead post it onto a Google Drive that anyone can on!

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