FYI, I had braces when I was a kid and 4 teeth were extracted. One common reason for this is when a tooth has a large cavity that cannot be repaired with a filling. Out of financial reasons Im not ready yet. It also helps keep the teeth in place and aligned. Thanks Dr. Ramsey for your prompt response to my enquiries in spite of your busy schedule. i really used to like my smile, and i really want to get this fixed. Infection im 30 years old and i had to get both my lower left side last 2 molars removed, as i didnt have money to get it fix. not likely Will having a top molar extracted change my appearance? If the bite is too heavy especially on a last molar, the implant will fail miserably. Could a single tooth denture stop 15 from shifting? 14 was removed due to decay/inability to afford a root canal in 2018, 16 was removed due to impaction in 2017. It often becomes confusing to answer questions about specific tooth numbers unless you are very specific as to where you live! This is the #3, upper right. I had my last molar on the upper right side crack, now I am in severe pain. I trusted my dentist and we had this done. I had a root canal done on this same tooth 2.5 years ago which went badly wrong I ended up with an abscess and Ludwigs Angina, and spent two days hospitalized (away from my newborn). You should! This doesn't mean you have to spend the money to get all . Basically you sleep through the whole thing. Maybe orthodontics to correct your bite, a night guard and/or Botox to relax the jaw muscular system. 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. Im 33 years old. I cant keep the molar if I will just be in constant pain. What would u recommend I do? hmm. If your bite is class 1 then likely no need. That should probably answer how I feel about it . Im trying so hard to fix all the mistakes Ive made with my dental health but its been a long 3 years and emotionally Im really struggling. Just wondering what are chances if I have it extracted that I will have other problems later as a result of tooth 27 missing. It's usually less expensive than having a tooth pulled and replaced with an artificial one. Is this a good idea to do? Whether or not a second molar should be replaced after its removal is debatable. Also- I really want an implant where #32 was extracted but worried about the lack of bone now as it has shrunk extremely. Hello Dr, I have a question. I was to told that I need a extraction on upper left 15 my last molar. Ive never had straight teeth, or healthy teeth. Save my name, email, and website in this browser for the next time I comment. This site needs JavaScript to work properly. She has no wisdom teeth per x-ray but her bottom 2nd molars are trying to come in. I will def have my tooth extracted, but I am up in the air about getting an implant. My second tooth to the back on the top is falling out what should I do. He has a retainer for both top and bottom. Have a consult done and make sure to have a 3-D scan. The thought of implants and anchors both give me anxiety financially but I am also concerned with the thought of her having upper molars without a lower molar partner after reading your responses. 3. Thank you in advance. My four wisdom teeth have been gone for decades, if that makes a difference. normal? As for tooth #32 generally provides no value and is a source of periodontal disease. Dr told me I dont need to have implants but I wonder (maybe because its expensive?) Hi Dr, Amin. The oral surgeon also mentioned that 32 & 17- bottom wisdom teeth in either side- are very close to the nerve and probably will consider leaving slight tooth in there to not expose the nerve. Role of lactobacillus reuteri in human health and diseases. If so, it is generally stable. Hi Grace.this post covers your question. Usually this happens if you are younger than 15. I dont have insurance and am 70 years old. There are ways to combat these effects, but the recovery can be longer than desired. I had already taken three courses of antibiotics to help with infection which kept coming back and honestly, after 10 weeks of utter misery, I said rip it out. Maybe #2 should go as well for balance, After removal is it possible to get braces so they migrate as I stated I have over crowding and extreme over bite, Hi Dr. Ramsey, Some people can get away without replacing the upper second molar. You would probably be better off extracting the wisdom tooth #32. Could I have TMJ? All Rights Reserved. The reason for it is if you do not replace the bottom molar, the upper opposing second molar will begin to over erupt out of its socket, trying to reach its old partner that got extracted. My landline is 714 680-3467busy in mornings walking & sr.centers, etc. A skilled implant dds Will greatly reduce risk of nerve damage and infection. Cheers! You are very young! He said I should get an implant. CT scans Years later I had root canal on #28 and also, within days the tooth broke and feel out completely. Poor prognosis to save. What a terrific post, informative and concise. I love your way of thinking. I am still in intermittent pain and can only eat soft foods.) Hi, Im 46 and have just had my lower left second molar removed*. I had #31 extracted ten weeks ago. I do have the wisdom teeth on that side still, though they are only partially erupted. You would know there was a problem before it got that bad. I think I want to have it extracted instead. The advantages of this procedure include relieving crowding, improving the appearance of your smile, and making it easier to keep your teeth clean. Some patients do not get this over eruption but most do. My 3rd molar on the right side is impacted. Second molar extractions can be done for a variety of reasons, including crowding, decay, or infection. First molar we get when we are six years old! Once you're anesthetized, we'll pull the tooth. Im 44. Journal of Arak University of Medical Sciences. I had my upper 2nd molar removed 1 year ago. Pros and Cons of Wisdom Tooth Removal After 50. Really it comes down to long-term prognosis. and the last tooth left on my lower left side needs a root canal. And its not clear to me whether a partial is a good solution. 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. If it just needs a filling I would KEEP it! That will cause BIG problems. And my body seems to have rejected the filling weeks later. Your dentist or oral surgeon will make a small incision in your gum tissue and then remove the bone that is covering your tooth. it depends if you are young enough and if the root of the wisdom tooth has formed. Can you elaborate? If you are healing uneventfully and if you are healthy, then by the third day after extraction you should be living life normally. I am trying not to remove anymore teeth if need be, but if I want to open the door for dental implants within the next 8 months I was wondering if I should also remove that premolar as well. The 1st molar has amalgam fillings and I was wondering if that would cause problems with galvanic corrosion. Will having a top molar extracted change my appearance? She is a good age for that! Then if I decide on the implant sometime later, that is really expensive and only 50% covered by insurance. I am 25 and I got an ice cream from Dairy Queen a few days ago there was a rock in the ice cream and when I hit down I shattered and cracked tooth 15. For most patients replacing this tooth would be the right thing to do but perhaps for you given your special circumstances you may want to just skip it. Due to the covid crisis my dentist was closed and I had to go on a waiting list for an emergency consultation. I am 66 years old. Thank you for your time. Will not replacing these molars cause major issues for my other teeth in the future and/or my overall health? It may go away on its own but if infected in the bone you will lose the graft or it will be soft at time of implant leading to poor ling term prognosis if the implant that is placed into it. 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. My bite got messed up again due to untreated tongue habit after the removal of the braces and not caused by the wisdom tooth. , Per the article, replacing BOTH would be awesome. It sounds like your bite was never ideal and perfect on the implant. Removing tooth will not likely be pain-free. Also do I have to worry about teeth shifting or any other complications after the extraction? just remove them In my own hands, the dental implant complication rate is about 1%, but the average is somewhere between 5-10%. #30 also has an infection and the dentist said we may be able to save it with a root canal & crown lengthing. The reason using a straw can be problematic is that the suction created in your mouth can cause the blood clot to come out. I have treated so many patients just like you. Extraction Pros: 1 . 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. The nerve endings are not fragile but it just takes more skill. I just had #18(US)extracted due to decay. 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. Its not bothering me at the moment but Im worried it will soon and effect my bite. If I extract that molar, will my wisdom teeth move forward replacing the missing molar? Yes. After several shots of novacaine. First of all, extarction of second molars should not be deemed so simply. You might need an internal sinus lift though. YES Looking for your thoughts on if I can put implant on #3 at time of extraction and pull #2 and not replace it. I had #15 pulled in January 2018, the socket is all healed over now and I am used to the missing tooth but I am considering the possiblity of an implant. Do I need to replace it and if I dont will the rest of my teeth in my mouth start moving later in life and look weird? Im scared of future issues with bone graphs and infections . I also have a fractured tooth #15. My last molar was extracted Do I need a dental implant? Now Im worried!! Also, how long would you recommend to wait before the bone begins to deteriorate? Are these ones that I will need to replace? Clipboard, Search History, and several other advanced features are temporarily unavailable. However, given my age and the fact that I have always had a lopsided face due to hemifacial microsomia and extraction of tooth #11 as a teenager, is it vital to have an implant? Plus he is a bit young.. I dont want to waste my money if the tooth has extensive decay under crown or should I ask dentist to take crown off first and look to see if I would even have enough tooth left for a crown. If it is the bottom molar and you still have the upper opposing molar than I would typically say yes. Was sent to endo who recommended root canal. I have a crown on my right 2nd molar which has a #7 pocket. Be sure that you are not a daytime clencher in addition to a nighttime grinder! How any days after a molar tooth extraction with a bone graft and stitches do i have to wait before i can use a straw? In his opinion a heavy grinder will grind no matter what, especially since I dont have any of the typical indicators of heavy grinders (not overweight, dont drink, dont smoke, no pain, dont keep my partner awake) just teeth that are ground down :/ (stupid bruxism). Dr told me I dont need to replace I cant keep the if... 4 teeth were extracted if that makes a difference on the upper right side is impacted than! Makes a difference are these ones that I will have other problems later as a result of 27! Per the article, replacing both would be awesome do have the wisdom #... 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