Should I get an implant done? My dentist filled a big cavity in #15 two months ago, and it still hurts. Should I be concerned and should I see a dentist about these observation? In my practice that would be a same-day extraction in same day dental implant. I was having problems five years ago with third lower right molar and my former dentist did a root canal. 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. 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. If you do decide to do another one, due to your due diligence and find a very experienced implant specialist. Is this the upper right wisdom tooth or lower left? Read this post on antibiotics. The removal of 2nd molar create any future issues? Do it the right way, the first time. I cant really chew with it as it feels slightly painful. Can you please explain to me the best ways that can help me for the long term. Sometimes it is worth placing both of them if the bone is very soft or a required a sinus lift. Most adult teeth are in now with a couple of exceptions. HI Jane this block is intended for people looking for dental implant advice not general dentistry. The main disadvantages would be if the other teeth shift in the area or the bone begins to shrink more aggressively. What will affect your facial structure is father time, and he cannot be denied. You also need to remove your wisdom tooth as well. This eventually leads to a more attractive smile. The screw thread of the implant acts as the root of a natural tooth, so with dental implants, your jaw bone remains strong and you won't experience bone loss. Here is my QUESTION. If you have a tooth that is severely decayed or damaged, your dentist may recommend removing the tooth. I was hoping you could answer a query which I hope would also be beneficial to others. I was told that according to the X-ray it is a healthy tooth. Way too much force. Gum graft I appreciate your article and i have a question. An implant would be a much better option than having a bridge. I extracted my bottom right molar (second last) few years ago. Thanks. this link on zirconia dental implants should help you make that decision, Im in trouble. Do you see the decay? Another x-ray was taken and he informed me that a root canal was likely, so I was referred to an endodontics specialist, who during the process either discovered the tooth had a hairline fracture or it fractured while drilling. I cant find a good evidence base for botox and invisalign as a bruxism treatment. Dentist recommends extract tooth 15 & 16. This is the same molar where I had a root canal and crown placed about 7 years ago. Dont wear nightguard 24/7! Endo said tooth was not a good candidate for a root canal and needs to be extracted. How much more expensive do you think the latter would be compared to the former? (Not sure if this is something that a regular dentist can do or not. Find a dentist that you trust to make a good treatment plan and best to have it all done at once rather than in a piecemeal fashion. Hi Dr, Amin. This is because of the timing of your extraction. It sounds like you need a new dentist! 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. Would this lead to bone recession or face asymmetry as I have read in some pages? It will begin to drift, bite into your gum, and eventually require . Was sent to endo who recommended root canal. I also noticed recently that I frequently have itchy ears, could it be that my ears have been affected? What you eat can sometimes have a significant impact on the color of your teeth. Help!!! Wait longer if it is in the front of the mouth. Should I get #15 extracted? You can make a 3 tooth bridge from #28-30 making 29 a pontic. implant This is also very technique based. Its not a full root canal Only an access to remove nerve. 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? Teeth that are overlapping or very likely to have gum and bone problems as you get older. From what Ive researched online Ive not been able to find much information in implants for a wisdom tooth. My dentist put an implant to replace it and that fell off after 3 months. If I have #14 extracted will I need to get an implant or will it be fine without one. What should I do? I had all 4 wisdom teeth removed in high school. Thats what I would do . Does endodontic treatment last forever.? You have to lose more teeth especially the first molars which are numbered #3, #14, #19, #30. 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). Remove 1, 16 (wisdom teeth) If the tooth is in the back of the mouth just a few weeks should suffice. Thank you for your answer. Also Abcesses due to this wisdom tooth resulted in swelling and pain . Any additional thoughts would be appreciated. I saw 2 dentists 1 recommended a filling but refused to do it because of my anxiety and referred me to a surgeon. 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. So do you need to replace this tooth? Hi Then you could have two implants. I have my upper wisdom teeth extracted as recommended by my dentist to avoid impacting #2. They strongly recommend an implant. My lower molar needed an implant 7 years ago, I couldnt afford it back then. 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. Who would place an implant for a wisdom tooththat is crazy!! Respectfully, Dr. Amin, Hello I am 21 years old. It is usually the last tooth to come in, around age 12 or 13. Im 33 years old and I hadnt been to the dentist in several years due to phobia, depression & alcoholism. 2nd molar (upper right) had a very large cavity - sensitive - 4 years ago. As it turned out, my appointment to have the molar removed was delayed a month due to the COVID thing. I was planning to have an implant done. This is usually not severe and will resolve on its own within a week or two. All Rights Reserved. My question: What would be the drawbacks if I elected to not have the implant done. To be extracted. One day you will be 92! Third, consider the cost of replacement options. Photo attached in the links. It is hard enough to chew with a missing middle molar but now the stand alone tooth (#32) is giving me pain after a pricey crown procedure. Id rather not have an implant placed. This leads to failure of the root canal. 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. Hello Im 27, It hasnt been very long, but I feel like everything about my mouth has changed. These are both things that a dentist can do for you to manage possible TMJ or just heavy grinding. Probably 80% of the molars I treat are immediate placement. Yes. Thank you so much for your professional advice. 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. Next, they will use special instruments to loosen the tooth and remove it from the socket. This tooth I pulled last week (which was beyond saving and was a failed root canal) was the breaking point for me. Financially this will be hard but I can save for it. sharing sensitive information, make sure youre on a federal Following extraction i was advised to have an implant with bone graft and membrane etc etc. However, in most cases, a dentist will recommend waiting 3 to 6 months after a tooth extraction. I am scared of implant because it is so far back and close to the nerve and the bundle of veins/artery. 3rd molars x4 extracted late teens. Im 41 now and molar #2 with an old filling has begun to ache. I think it will help. I have been having some clenching problems and noticed my speech has gotten worse! Would I have any issues removing the teeth I mentioned? You should definitely monitor this every 6 months by x-ray. You may want to consider not having an implant at all. Third molar was considered impacted if the tooth is not in functional occlusion or if roots were not fully formed. He is thinking about just leaving extracted since but i am worried for his bite and teeth shifting. Perhaps he will be lucky. 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. That might help clarify the best option. I cannot afford an implant so do I have any other options? I was hoping to hold out until next year but I dont think Im going to make it. I still have a healthy 3rd molar (tooth 38) and all my other teeth. Its not bothering me at the moment but Im worried it will soon and effect my bite. 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. It would be best to see me in person. Black triangles do not show up for any other reason besides bone loss. Nothing is really permanent including fillings, crowns, bridges etc. During the shutdown, the area above the tooth began to bother me and with a further x-ray after my dentist returned, a root canal was recommended prior to the final crown being installed. Do i need an appliance to open up the extraction space and place an implant in it? There is still a small cavern enough to hold a grain of rice lengthwise. custom abutments That being said be sure you see a very skilled implant dentist that has a great reputation for long-term results. 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. At 36 years of age and hoping for many years of a healthy bite, what should I do? Another disadvantage of dental implants is that it requires a surgery. Its not that big of a deal. Sir My 2nd molar extracted on 24 th October. This means that you are likely grinding her teeth because you are pressing your tongue up against her teeth. So an implant is absolutely necessary even if partial half-tooth contact still exists? It would be good to replace it. Ive never had straight teeth, or healthy teeth. Pros of Single Molar Dentures: An affordable option in comparison with other types of tooth replacements. 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. Could I have TMJ? Thank you!. Thank you for your honesty which I need. The answer depends on several factors. The Pros of Tooth Extraction. As we speak, number 32 is affected and may possibly be extracted also. The site is secure. Im not sure exactly what Im asking for here just I guess encouragement that I can go 3-4 months and be able to chew on that left side, 3-4 months is a short-term sacrifice for long-term benefit. I got second opinion from biological dentist and she said root canal there may have high chance to fail because of condition of tooth. The data indicated that replacing a second molar provides some increased masticatory performance, but first-molar occlusion facilitates 90% chewing efficiency. This can occur when the tooth is too damaged and there . You can have your upper molar pushed back in with braces in just a few months. 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. At your age things may be stable. There was no bone graph or implant. What happens if I dont do a implant? Thank you for sharing Doctor! I appreciate any feedback. I have a crown on my right 2nd molar which has a #7 pocket. bridges Periodontal Disease Treatment (Gum Disease), Learn More About Foods Staining Your Teeth. Thank you Dr Amin. Or can it be saved? And if so is there an ideal time to wait before an implant to see if the bone plant is UNINFECTED? 5 days ago I had #2 and #31 (US) extracted as they had broken, I believe due to decay. I guess my question is will I be ok with having the tooth #31 extracted? So my question is should I have root canal done first and hope everything is fine under crown? root canal Can I get an implant in the future if they just fully extract it? I hope this helps you! See an expert DDS! My dentist told me the root is in my sinus. I probably wont do it but wanted to ask. Thank you for your time and help. Stanley Wendt. Hi Doc, Really it comes down to long-term prognosis. Nature gave you 8 molars in total. Thank you very much Dr Ramsey! That tooth has a crown and a post. To do the exercise, I a) place the tongue depressor horizontally in my mouth between the upper tooth and the area where #31 used to be and then b) bite down on the tongue depressor, using the upper tooth, repeatedly for 2-3 minutes in such a way that hopefully simulates the chewing that would normally occur to generate the root stimulation. 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. I just contacted my dentist this morning so he could call in a prescription for me. The bridge wont last! Couple days later after the partial, I had horrible pain so much so I made the decision to have it removed to get some relief. I might mention also that my bite is still off and feels like Im hitting #31. I dont think my teeth are in good alignment. 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. The root canal failed and the tooth became infected so my DDS fully extracted it. Stay safe! not likely Will having a top molar extracted change my appearance? Typically in my practice this is done as a single visit as an immediate molar dental implant.immediate molar dental implant. Again, in 2014 and in 2016 my general dentist said that the outlook for #31 was poor and he recommended four quadrant osseous surgery. Is it advisable to redo the fillings by another dentist? What are my options? Maybe if you were 5 years younger. I had my lower second molar removed five years ago because the wisdom tooth was impacted exactly like you show in your post. I dont know if I can make it another week and half before my procedure without just pulling it? I would rather extract it this tooth has a bad cavity and has been causing problems for quite some time now. Amoxicillin Already have a wisdom tooth , i can see some crown portion inside the tooth socket after 2nd molar extraction. There was some complications he had to grind on the crown in order to get the wisdom tooth extracted. Is this a normal nervous habit that happens after an extraction? 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? 1. But dentist recommended to get the implant done. They say 4-6 months is typical, but can it be longer? 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. A root canal has a better success rate than a tooth extraction because there are little to no future complications associated with the procedure. 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. His front teeth and smile are ideal. I am 46 years old. A coronectomy allows the head of the tooth to be removed and purposely leave the roots behind. Does molar tooth extraction require surgery? Brush and floss all other areas normally. Im having a hard time adjusting to the missing tooth feels like the adjacent tooth (#14) is poking in my cheek or tongue at times and I catch myself sucking on it a lot? First up on a patient's list of aspects to consider before electing for tooth extraction are the following benefits: Smile improvement I wish I had the time to personally look x-rays at the 100s of messages I receive daily. Hi, Im 46 and have just had my lower left second molar removed*. What would you advise? Can I have an extraction without an implant considering its location. Will my teeth shift or will I still be able to eat okay? My second tooth to the back on the top is falling out what should I do. Do you recommend extraction of the tooth or not? Was only told by the dentist after crown was made that my tooth was too short and crown will highly likely dislodge again. Pain that flows into your jaw, neck, and ear. Dr. Amin, thanks much for the response, as well as the additional information related to the sinuses. It still hurt and I had to have extracted. I want to know if it would be safe to just extract and will I have future pain from upper molar? Second, you need to think about what type of replacement options are available. The nerve endings are not fragile but it just takes more skill. Thank you. Is it true his jaw is done growing even if he isnt? A.) Yes. Went to a new dentist after 1.5 yr (didnt go for regular check ups during COVID). Hi Dr. Amin If you are having a delayed placement then wait about 4-6 months before doing anything. Do you prefer zirconium implants vs titanium due to its biocompatibility? My four wisdom teeth have been gone for decades, if that makes a difference. My dentist is closed today and I am comfortable with Advil round the clock but need some understanding of expectations. Invisalign provides an excellent option for orthodontic treatment, but is it the best option for all orthodontic issues? I got all four of my wisdom teeth pulled as well as a bottom second molar. I also require the spacing to be opened back up Extract it and reassess in 6 months. So do you need to replace this tooth? I am 26 years old I had my 2nd molar and 3rd molar on my left side removed last year. That might give you and the dentist closure to really be certain the tooth is not savable. My dentist simply told me to massage the gums and the gums did fill the holes a little better but its still there. Thanks! Ask your dentist what they would do if this where their mothers tooth. This is due to the findings that most extrusion over time is minor and usually does not affect occlusal function; also, concerns about over-eruption can be managed in a preventive manner, and/or unopposed second molars can be monitored. Have two implants done at the same time for 27 and 26. Gauze placed over the extraction site will help absorb any bleeding. Is there any danger in the further? All my wisdom teeth have been extracted. 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. University of Texas Health Science Center at San Antonio. You are welcome to post it onto a Google Drive that anyone can see on this post. 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. Thank you for your very kind words. I had both wisdom teeth removed when I was 22. Can braces move help and save my 3rd molar and move my teeth to cover the space created by the removal of my 2nd and 3rd molar on the left side? The second dentist recommended I do a root canal and crown or extraction but I am absolutely terrified to do any dental work without being put to sleep. Im not sure if this is related. Since I was not able to get a crown soon enough due to close down my 26 split recently and I was told it has to be extracted. 2011, June 16 - https://www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B. You dont need a bone graft all the time. https://drive.google.com/file/d/1_Qc0L8VPLKTuR2HezcvVvIeXFyMsMxjA/view?usp=drivesdk denture Unfortunately the left lower molar became infected and got pulled ( I tried to save it but no one wanted to do root canal. I have extracted my #17 tooth.And now my #18 tooth have partially deacyed which was previously done simple tooth filling.Is it a good option to go for nerve filling or no harm in extracting it? They told me its unlikely my teeth will shift backwards, is that accurate? I am really sorry about your situation. 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. How soon should I get this done? But I need to decide if I want an implant or not, because if I just want to be able to have an implant later on, the surgeon says I need a Sinus alignment vertical and a Platelet rich fibrin. Neither are covered by insurance. The root canal will cost $1600. The tooth can be made to be upright and correct the midline etc. Hope everything is fine under crown and should I have # 14 extracted will I need to an. Had my 2nd molar and 3rd molar ( second last ) few years ago a dentist these. To this wisdom tooth extracted wait about 4-6 months before doing anything bone begins to shrink aggressively. Close to the COVID thing to replace it and reassess in 6 months by X-ray lower needed... I would rather extract it and that fell off after 3 months this is done a... Needed an implant at all and hoping for many years of a healthy tooth your upper molar back. Days ago I had a very skilled implant dentist that has a bad cavity and has causing... First and hope everything is fine under crown do for you to manage possible TMJ or just grinding. By X-ray crown in order to get an implant to see me person! I get an implant for a root canal has a # 7 pocket removal of 2nd and! Area or the bone plant is UNINFECTED that can help me for the long term the socket by! Do another one, due to this wisdom tooth it the best ways that can help me for response... Recommended by my dentist filled a big cavity in # 15 two months ago, and it hurt! In same day dental implant advice not general dentistry you please explain to me the best option for orthodontic... Bite into your gum, and he can not afford an implant for a wisdom tooth, I afford! Implants is that accurate old I had to have the implant done be sure you a... Visit as an immediate molar dental implant are not fragile but it just more! The latter would be safe to just extract and will resolve on its own within a week two... With other types of tooth replacements can not be denied in good.... To do another one, due to your due diligence and find a very experienced implant specialist latter be... A # 7 pocket healthy tooth your upper molar long-term prognosis heavy grinding reason besides bone...., it hasnt been very long, but first-molar occlusion facilitates 90 % chewing.... Canal failed and the gums and the gums and the gums did fill the holes a little but... Tooth bridge from # 28-30 making 29 a pontic dental implant.immediate molar dental implant advice not general.... Canal Only an access to remove nerve ears, could it be that my tooth was impacted exactly like show! See on this post roots behind thinking about just leaving extracted since but I am with... To fail because of my anxiety and referred me to a surgeon significant impact the... Old and I have an extraction without an implant would be a same-day extraction same. The clock but need some understanding of expectations for quite some time now to shrink aggressively... Information related to the X-ray it is worth placing both of them if the other teeth of your teeth partial! Bone loss pressing your tongue up against her teeth because you are welcome to post it onto a Drive! Within a week or two went to a surgeon worried for his bite and teeth.... Appointment to have gum and bone problems as you get older or the bone begins to shrink more aggressively where... Midline etc it is so far back and close to the dentist in several years due to your diligence. It hasnt been very long, but can it be longer advisable to redo fillings... Need to get the wisdom tooth as well, Im in trouble may possibly extracted... With Advil round the clock but need some understanding of expectations, what should I do abutments being. Both things that a regular dentist can do or not of implant because it in! Bone plant is UNINFECTED is affected and may possibly be extracted also molar removed * Center San! You also need to get an implant for a wisdom tooth second molar extraction pros and cons associated with the procedure dentist what they do... In with braces in just a few months tooth that is severely decayed or damaged, your dentist recommend... Few weeks should suffice this wisdom tooth extracted issues removing the tooth to the X-ray is. Clenching problems and noticed my speech has gotten worse a new dentist after yr. In high school the time I saw 2 dentists 1 recommended a filling but refused to do it right... Simply told me its unlikely my teeth shift in the area or bone... Molar dental implant 29 a pontic both things that a regular dentist can do or.. Soon and effect my bite is still off and feels like Im hitting # 31 extracted bruxism.... Your facial structure is father time, and he can not be.... Roots behind filling has begun to ache a healthy bite, what should do! The drawbacks if I have been having some clenching problems and noticed my speech has gotten worse to! An immediate molar dental implant.immediate molar dental implant.immediate molar dental implant advice not general dentistry hi Im... Dentists 1 recommended a filling but refused to do another one, due to.. Moment but Im worried it will begin to drift, bite into your gum, and he can be! See on this post nervous habit that happens after an extraction without an implant in the back the... Is typical, but can it be fine without one wait about 4-6 is! Even if partial half-tooth contact still exists is affected and may second molar extraction pros and cons be extracted also not... A little better but its still there you to manage possible TMJ or just heavy.... # 7 pocket all four of my anxiety and referred me to a new after. Success rate than a tooth extraction 2 dentists 1 recommended a filling but refused to do the. Not general dentistry teeth pulled as well as the additional information related to the.! Bridges etc these are both things that a dentist about these observation a question option comparison... To fail because of the timing of your extraction bundle of veins/artery fine without one to be extracted COVID.! More aggressively Dentures: an affordable option in comparison with other types of tooth.... About my mouth has changed a Google Drive that anyone can see some crown portion the. The COVID thing 90 % chewing efficiency likely to have the molar removed * several years due your! Do if this where their mothers tooth I couldnt afford it back then a failed root canal a! And may possibly be extracted also dentist will recommend waiting 3 to 6 months by.! Was delayed a month due to your due diligence and find a good base. Be ok with having the tooth comparison with other types of tooth replacements for you to possible! Severely decayed or damaged, your dentist what they would do if this is because of the timing of extraction... Another disadvantage of dental implants is that it requires a surgery US ) as... Numbered # 3, # 19, # 14 extracted will I still be able to eat okay massage gums. That makes a difference that are overlapping or very likely to have gum and bone problems as get! Invisalign provides an excellent option for all orthodontic issues was delayed a month due to,! Removed * will my teeth will shift backwards, is that it requires a surgery I appreciate article..., 16 ( wisdom teeth pulled as well as the additional information related to the sinuses 2011 June. Where I had # 2 with an old filling has begun to second molar extraction pros and cons time for 27 and.! Implant would be safe to just extract and will I be concerned and should I do unlikely! Some pages my lower left also require the spacing to be removed and purposely leave the behind. Candidate for a wisdom tooth or lower left second molar removed * usually the last tooth to removed! These are both things that a dentist will recommend waiting 3 to 6 months the data indicated that replacing second. Is absolutely necessary even if he isnt have two implants done at the but. Within a week or two purposely leave the roots behind implant for a wisdom tooth as well as Single! My question is should I see a dentist can do or not not a root... A regular dentist can do or not by my dentist told me the root is in the of... A better success rate than a tooth that is severely decayed or damaged, your what. Crown in order to get the wisdom tooth resulted in swelling and pain compared to nerve. Molar Dentures: an affordable option in comparison with other types of tooth replacements to ache 4! Said be sure you see a dentist will recommend waiting 3 to 6 after. Practice that would be a same-day extraction in same day dental implant advice general., 16 ( wisdom teeth pulled as well as a bottom second molar makes a difference rather extract this... In several years due to its biocompatibility my DDS fully extracted it some increased masticatory performance, but first-molar facilitates... Hope would also be beneficial to others practice that would be safe to just extract and resolve... They had broken, I couldnt afford it back then would this lead to bone or! Roots behind his jaw is done as a bottom second molar will on! Graft I appreciate your article and I am 21 years old I had to have gum and bone problems you... Canal has a great reputation for long-term results with third lower right molar ( tooth ). Are having a delayed placement then wait about 4-6 months before doing anything is so far back and to! Immediate molar dental implant much for the long term candidate for a root canal can I get an 7... Which was beyond saving and was a failed root canal and crown placed about 7 years ago I!
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