If the tooth is in the back of the mouth just a few weeks should suffice. Also recommends remove 32 & 17 as they may cause future problems and are impacted. Your upper tooth will over erupt causing future issues if you have a normal bite pattern. They could also do more harm than good. Said a second root canal could be tried, but probably easier/better to just extract, do bone graft, and replace w/ implant- and pushed to do it TOMORROW, then handed me a credit card application at the reception desk to make that possible, since my insurance company considers implants cosmetic. Thanks. Stay safe during COVID-19 . . If the tooth can be saved with a great prognosis then it should be KEPT!!! Its tooth #31. #3 is certainly an implant! I have no fever, no redness, no signs of dry socket otherwise. Will all of my teeth shift backwards? Im 35 and just had my bottom wisdom teeth removed in April. When do teeth start shifting? After two weeks it feels as if I tongue is all over the next tooth in succession. From what Ive researched online Ive not been able to find much information in implants for a wisdom tooth. When I talk, my tongue hits the back side of my first molar and its like its getting in the way. What is your opinion? I am leaning towards extraction for finincal reasons. When I was about 16 I had an infected molar extracted, my first molar on the upper left side. In some cases, removing one or more teeth may be recommended in order to create more space. Will boneless only occur on the missing tooth? This is ideal . Will I have a speech problem later on if I remove those last two molar at the top jaw. Not necessarily based on the article but you need to have a proper bite in order for this to be relevant. all other teeth are also great. Please keep in mind that not all molars need a socket bone graft and then the implant a few months later. With the right dentist or team, this should be an EASY procedure for you. Should I get the bone graft and implant for the three molars or would dentures do? Last week my Dentist agreed to redo the crown and thank goodness I got it taken out and was feeling better until 2 days ago when I started to experience swelling on my gums. Can extract the upper molar, then get a permanent retainer to keep teeth from moving? bone? 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? Hello. Burbank Dental Implants. Hi, my husband was referred to have an extraction and implant of tooth #18 which is very expensive. Cost of a Root Canal vs. a Tooth Extraction. I was hoping i can chew from that side (may be soft food ). It is generally done when the tooth can't be preserved in any other way. Both an endodontist and an oral surgeon have said it needs to be removed, it cannot be saved. Can I reach you via email, please? Its been a week and one day since extraction. When my dentist reopened, I returned to have the final crown fitted, but I informed my dentist I was experiencing some discomfort above the temporary crown. Is it reasonable to consider not having an implant? Thank you in advance doctor! All Rights Reserved. This would be a great area to have an implant especially at your age. My son is 18. It will drift enough to where you will end up biting your cheek and gum, and this can also become an interference in your bite, which may cause TMJtemporomandibular jaw joint problems (TMD.). When I do wear my nightguard 24/7 it does help but the appliance is large, uncomfortable, and I am not biting on all my teeth when its in. In order to use a third molar in the place of a second molar you have to be pretty young with partial root formation of third molar also known as the wisdom tooth. Thank you so much. A skilled implant dds Will greatly reduce risk of nerve damage and infection. Im 65 in generally good health and was curious about your opinion regarding post extraction options for that tooth. No blood and no pain. Likely do nothing has nothing is necessary but of course I have not seen you. Im constantly rubbing my tongue against the tooth that is next to the one extracted. Hi Dr, thanks for the reply. PRP Google what that means. University of Texas Health Science Center at San Antonio. Extractions are less expensive than root canals, but there may be extra costs for replacing your missing tooth if you choose to. He said something about needing to be careful when removing it because of a nerve that is running close by. Relax for at least 24 hours after the extraction. 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? Have had pretty normal teeth up until this incident. Can I just have #15 extracted and not replaced? According to my dentist, #2 is hard for me to clean and food will continue to get trapped. My #31 tooth has cracked since getting a root canal 4 yrs ago. You may still have drifting overtime regardless of a retainer or night guard. I was told I will need the sinus lift procedure first, based on CT scan exam. But the rearward most molar on my upper right side (I think that is #2) is dead and breaking apart. Needs to be extracted. Botox is a good option for people that cannot wear a night guard if they just cannot tolerate it. People loose teeth due to decay or due to periodontal disease. Id really appreciate it, thank you! After the dentist takes out the tooth, the patient should anticipate some swelling, tenderness, irritation and discomfort. Is there any danger in the further? Now the tooth right above it is coming down (erupts). #17 is a wisdom tooth and I would rarely ever advised the bridge anchored to a wisdom tooth. Sir My 2nd molar extracted on 24 th October. Any thoughts about the healing? (If so, I may possibly consider at some point consulting with an oral surgeon specialist out East, where there appear to be way more oral surgeons performing the zirconia implant procedure than there are here in the Chicago area.). You can take off the crown and make a temporary crown. I know you cant give medical advice but would appreciate your expert toughts? Ive never had straight teeth, or healthy teeth. Typically he would need to be between 10-15 years of age. Have a very skilled dentist look at you before making permanent decisions. A year ago I had root canal done on the second molar lower jaw. And my body seems to have rejected the filling weeks later. By bicuspid teeth you are referring to the premolars. It occasionally hurts after eating and/or brushing my teeth but its never been really painful. Statements on this website have not been evaluated by the Food and Drug Administration. It really causing me some anxiety and mouth fatigue. It would be best if you had 3, 14 , 19 and 30. Will it change my appearance? Thats the best tooth to lose. Will implant last long enough. Thank you for any advice, Im tired of this pain. #29 is a baby tooth that does have an adult tooth that has been slow to form but dentist said it is looking like it will with a little more time. It is more critical went on the bottom than on the top. Would this lead to bone recession or face asymmetry as I have read in some pages? Cavity prevention starts with daily brushing and flossing. I have a conversation scheduled with the oral surgeon tomorrow, as well as my original referring dentist. If it is the bottom molar it is likely a better candidate to replace than to leave it as an empty space. I am assuming you are between 17 and 25 years of age. I had tooth 30 and 3 on the right side extracted 2 years ago. It still hurt and I had to have extracted. It is greatly appreciated! There is no need to extract or remove the tooth. . 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. So #31 is decayed and being removed next Monday with a bone graft, and I still have #18. You can make a special retainer that will hold your upper tooth #2 from moving for a few years hopefully. This leads to failure of the root canal. In the United States the second molars are numbered: 2, 15, 18, 31. I read your article and it mentioned the bottom tooth was a bit more important so I am thinking about saving the money. Overall, it is important to discuss all risks and benefits with your dentist before making a decision about whether or not to have your second molars removed. It supports the base of the zygomatic bone which is your cheekbone. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Diplomate of the American Board of Oral Implantology /Implant Dentistry As it turned out, my appointment to have the molar removed was delayed a month due to the COVID thing. 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. What should I do? Root canals can be complex procedures, so they may take longer and cost more if they're performed by an inexperienced dentist . But its perfectly good and has no issues. Im getting an implant on #18. root canal My bottom right had both molars pulled I always prescribe a yeast based pro-biotic to hep reduce chance of C. diff which is a bad thing! Im a little nervous about the long term impact of extraction. Sometimes the adjacent tooth may get a little sore in the healing process. I am attaching my x-ray. A root canal treatment is often time-consuming. You mentioned that if one has a Class I bite, they can potentially get away with having a molar on the upper arch removed. They pulled the molar because it was decayed and cracked, and my bottom row are overcrowded anyway. This is a decision from a dentist to make. Thanks. Yesterday had an extraction on 2. Thanks. Hi Doctor, 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. People who are nervous about this should think twice about . I cant find a good evidence base for botox and invisalign as a bruxism treatment. Clenching is VERY damaging. I also require the spacing to be opened back up At age 21 your teeth are likely to shift FASTER than if you were 41. You have to lose more teeth especially the first molars which are numbered #3, #14, #19, #30. I have since had a root canal in one molar and then just had the second molar removed last week. I have my bottom second molar extracted. 6+ surprising benefits of lactobacillus paracasei. What do you think for all of this? Thank you for your time. 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. crown 3 weeks ago, Ive been having pain ever since and cannot chew on that side. I recently had my second molar on the upper left side extracted at the recommendation of my dentist. Save my name, email, and website in this browser for the next time I comment. Im 28 years old and only have my #31 molar left. 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. It will not really give you extra room in the upper molar #2 is likely going to over erupted. 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. #30 also has an infection and the dentist said we may be able to save it with a root canal & crown lengthing. In my practice that would be a same-day extraction in same day dental implant. Should I have an implant after loosing the molar that the wisdom tooth was invading? Hello, Doctor! Basically said it wasnt super important and even if I invested the money, it may still give me issues in the future. Hi there, my #3 needs to be extracted and my #2 needs a crown. Should I get implants for the two lowers? Here is my QUESTION. I am 44 and I had #15 recently extracted and decided not to do bone grafting/socket restoration for an implant. I tend to over brush and clench. Greetings, firstly I appreciate this article; very informative. Last year, #32 had a crack in the filling so I got that fixed and then later crownedThe crown has only been on this tooth for 3 months and it hurts to chew on it in the last few weeks, it feels like the same pain that I had last year when I originally got the tooth filling fixed. This deserves some explanation. Will I loose #2 also because it will start reaching for #31? Apicos on upper molars are not that successful. He referred me to a periodontist who says I should have an implant. In the long run the dental implant will be the cheapest option. Thank you in advance doctor. Thank you for your kind words. A rock!!!!!!! Stay safe, take the vaccine! I had a filling done on lower left last molar # 37 . I guess my question is do I root canal or extract and does my precious surgery make any impact on outcomes. implant for #3 is a really important replacement. Will my face / facial structure change? #32 is up for extraction. Are speech issues common after molar extraction? She said she wouldnt try to save 2 (cavity is deep) so extract tooth 1&2. I have a dead second molar tooth on the upper side of my mouth. What are the post procedures to be taken to avoid this. Clipboard, Search History, and several other advanced features are temporarily unavailable. The did the re-root canal 2 months ago and still the pain is there. The site is secure. That will take away all pain while you make final decisions. I just had the last molar on the upper left side removed,I am 75 should I get an implant. Hello Dr. Ramsey, Any advice ? Advice? Can you please clarify a bit? My orthodontist suggested to intrude it using screws to put back in place. If it is perfect then implant the lower. CT scans I am a 32 y.o female who has had 4 premolars extracted for braces ( gaps closed). *For international shipping (outside of the United States), shipping fees will apply. Thank you! Two weeks ago I got #18 removed. ,( there is a financial issue also for wisdom tooth + root canal + crown). My #2 has root canal fracture and Im getting it pulled out in a few days, at recommendation of endodontist. Hello Dr.Ramsey, It sounds like your money might be better spent on orthodontics rather than an implant. Hi Dr. R., Im in a little bit of a tough situation & would be delighted if you helped ease my mind and make a decision. Hi Dr Amin, Extracting the first molar and of course adding bone to . Im worried how this will affect my bite and facial structure. Really it comes down to long-term prognosis. (International Numbers) Tooth 15 had root canal several years ago. In some cases, your dentist may also recommend extracting (or pulling) a tooth if it is impacted (stuck below the gum line). I was hoping you could answer a query which I hope would also be beneficial to others. My dentist warned me of TMJ and potential cracked teeth without the implant. Iam suffering from a Fully bony impacted wisdom ( 90 horizontal) left side lower 7 th teeth Should I be replacing with an implant? There is no movement or pain. Could all this be from having the 3rd molar removed which is causing pressure on the 1st molar? Are you wanting to have an implant for your wisdom tooth? That should probably answer how I feel about it . 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. There is some swelling in my chin but its going down. 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. The most common side effect is pain, which can be managed with over-the-counter or prescription medication. It had a root canal and eventually was lost due to decay. Thank you very much for your time. A bone graft was performed back then. That tooth has a crown and a post. My wisdom tooth 38 was extracted when i was a teen (now im 39). Gum problem Im a 23 y/o female in Canada who has had a life of dental problems. Also, is extraction/implanting painful? would a flipper tooth be an option in my case? I read that many patients are OK with their second molar(s) removed. Although you may read about comments with problems, most pts that are treated by a skilled DDS have no problems at all. Its probably tooth number two or number 15 in the USA numbering system. How long do I have after extraction to replace this tooth? The procedure is typically done under local anesthesia, which numbs the area around your tooth. How long do I have to wait to get an implant? Clinical indications for molar extraction are proposed, which are classified into nine categories and each case in every category is shown. Also u have my other second molar for extraction. I would go to a different DDS for the crown/root canal! I am getting my top left 3rd molar extracted, my upper teeth are a little crowded. But my #1 top molar rests/bites on my bottom 31st molar. A simple adjustment if the bite is bad it will save this tooth. Any other advice? Extraction Pros: 1 . You dont need a bone graft all the time. I looked at your x-ray. Would I be okay without any implants? I had molar 20 extracted more than 25 years ago and never had a replacement done. Of course without seeing you and an x-ray I cannot give you perfect advice. So It cant be saved. My nightmare started in August 2020 when I went in to get a cracked tooth fixed. Some people erupt very quickly and some are very slow like my oldest daughter! Implant would be a much better option in your case! Will my teeth shift? It may get complicated because of the crack. Pro 1: Patients typically recover from this type of tooth removal quickly, allowing them to continue with everyday activities. It will wear down. Its not bothering me at the moment but Im worried it will soon and effect my bite. The molar teeth are so important. I was thinking to get a bridge but I dont know how bridged can work for the last molars. You can make a 3 tooth bridge from #28-30 making 29 a pontic. Im missing #2, 3 and 14, 15 but still have my wisdom teeth. Frontiers in Microbiology. How long do you think this will take? Nothing is really permanent including fillings, crowns, bridges etc. He is thinking about just leaving extracted since but i am worried for his bite and teeth shifting. Prevents you from having a gap between your teeth. The whole will have actually smooth L but it might take six months to a year. Dr my question is during pandemic I attained a gum infection once I could into my periodontist I had my gums scaled. I had #31 extracted ten weeks ago. Look at the breakdown of tooth extraction costs here. It will take about 30 days. Could you kindly advice if what the dentist said is good for me, or I should get re do the filling. Not a bad plan It is the molars that are typically the most affected by decay and periodontal disease. I could maybe get implants in the future, but this serves no aesthetic purpose for me and my smile.. just functional at this point. I did have a routine cleaning 2 weeks prior to the extraction and thats when my tooth hurt really bad that it was determined to be infected. but I am absolutely terrified of further invasive procedures, and the hard sell approach makes my anxiety even worse. If your tooth is predictably savable and it is best to keep it.