He recommends apioectomy and root canal re-treatment. It seems that the filling didnt work out well for my tooth because nearly 3 weeks later I have a lot of pain. ? I just had #30 extracted as apparently it couldnt be saved. Please let me know that you got this reply. (Not sure if this is something that a regular dentist can do or not. Thank you in advance doctor. I also require the spacing to be opened back up When I night down I have a small over bight and when my second molar is pushed back what does that mean? I had teeth 30 and 31 extracted many years ago. i really used to like my smile, and i really want to get this fixed. I really am so annoyed at myself for not dealing with this sooner but even now I feel sick at the thought of even trying to book an appointment. How to Wash the dishes without using detergent, How to Clean a pasta Maker: A Comprehensive Guide, Make Tea Without a Tea Bag How to Make Delicious and Quick, Vintage Lamp Collectors Guide: How to Choose the Right Lamp. A year later, it seems that #15 has shifted diagonally and is taking some of the previous space of #14. I thought he would extract them right there and then because theyre infected instead he asked me to come back tomorrow and keeps pressuring me in getting a bone graft. I already have the last molar (wisdom tooth beside it) removed previously. Im 33 years old. Course consult with your dentist about this. 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. 3 weeks ago I was in excruciating pain with #29 and had a root canal done. Im 33 and the idea of a denture is horrifying. 5 years ago i had molar #31 removed, ever since then no implant has been discussed, so I recently realized the bone has shrunk dramatically where the tooth has been removed. It can only be saved if the bone is perfect. Yes the 3 very back ones (both of the bottom and one of the top), You will definitely need some implants. If I end up getting the upper molars extracted, is an implant necessary? I have no pain or bleeding. Just saw my dentist. I have received this comment/question so many times that I decided to write a quick post about it! This is the #3, upper right. The root canal will cost $1600. I have X-ray but dont see an attachment section on comments. The procedure is typically quicker and less painful than an extraction. Then you could have two implants. I have a filling in my #2 molar. Impacted wisdom teeth need to be removed by a dentist or oral surgeon. Most of the time I place the implant AT THE SAME time as the extraction. fixed bridges I recently (pre-COVID) was fitted for a crown, but had the temporary crown in for several months as dentists throughout CT were shut down. 3 was extracted normally about three months ago. I have very very bad cavities in tooth #2 and #18. That is a good brand. 2017 Jul;26(5):376-380. doi: 10.1111/jopr.12399. 2011, June 16 - https://www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B. They recommend I extract, which Im okay with due to root canal and extraction cost difference. Have more questions in mind. 2 and 4 remain and are in healthy condition. Hell doctor, thank you for this great article. Should I get implants or bone graft for #32 to prevent (and please correct me if i am wrong) super eruption of #1 and to prevent future problems from loss of #32? Hi Doctor Ramsey, Can extract the upper molar, then get a permanent retainer to keep teeth from moving? Sure you can build up and put posts into anything and it will work for a while but if it is really broken down the crown will not likely last. I have been told that implants are difficult to take care of. However, my upper molar #1 has a root canal and a crown so is this possible? Hi Dr, Did I really screw up? I saw dentist for a check yesterday and he felt it was as expected and to let it progress without intervention. This exactly describes the problem in the article about missing the last molar. Epub 2015 Nov 20. I woke up to find it in my mouth complete with roots and years-old crown intact. A low-cost denture can cost $300 to $500 for one arch or approximately up to $1000 for a complete set. He says the second root canal has a 70% success rate. My dentist said I have abscess on the gum(there is no discharge just a tiny bump) above my upper right 2nd molar. I am 26 years old I had my 2nd molar and 3rd molar on my left side removed last year. Plus Jan 2021 is six months away, theres no way I was prepared to wait that long, and risk the infection getting worse. Make sure you see a very skilled orthodontist and do your due diligence. My lower left 2nd molar cracked a piece off of it (I think due to a filling) and Ive got a temporary crown on it. same day dental implants No one wants to undergo a super-invasive and painful procedure like a root canal when they could have avoided it with timelier tooth extraction. So, should you replace your second molar? Have deep crack through bicuspid on upper right. Dr told me I dont need to have implants but I wonder (maybe because its expensive?) I think I want to have it extracted instead. I will like to know what would be your suggestion. It will likely keep moving and will create a periodontal pocket. Upon X-ray, it showed a hole and caries not been fully cleaned according to the dentist(she is a young dentist serving her government bond) I would be extracting the upper last molar #27 as it was dead (irreversible pulpits with symptomatic AP). I just had #18(US)extracted due to decay. Also, do you think a bone graft is necessary to prevent any asymmetry? They are critical to you in the long term!! , Hello! HHS Vulnerability Disclosure, Help Do you have any recommendations for the pain? Thank you for the article. Generally you would still need to be in your teens for this to work but sometimes it happens! permanent dentures 2005 Dec;32(10):605-8, 610. doi: 10.12968/denu.2005.32.10.605. I was told I could do a root canal and crown or have it extracted. You may end up cracking other teeth because you do not replace this one. Is it safe or should I get implants immediately? It really depends on how much tooth surface/chewing surface was removed. If so, it is generally stable. What would you suggest? Then place 30 as well! Would it be OK to be left without replacing it. I have chosen not to seek a titanium implant because of multiple concerns that I have about it. If anything I would just replace tooth #31 and not worry about 15, 32. When there is not enough room for all of the teeth, they can become crooked or even grow in at an angle (known as impaction). Molar tooth extraction can be simple with no surgery involved in many cases. Find someone you trust and that can sedate you with intravenous sedation not oral medication. Some patients do not get this over eruption but most do. The upper second molar is now supra erupting. Ill like your advice about implants. Would I see any negative long term affects? That would give you one crucial molar in every quadrant. This includes the abutment and crown as well. I wanted to know if Ill be fine without an implant. That would be your only other real option besides just leaving it alone as an empty space. The molar teeth are so important. My bite got messed up again due to untreated tongue habit after the removal of the braces and not caused by the wisdom tooth. Second, you need to think about what type of replacement options are available. I would love to know your opinion on getting an implant (or not) after extraction of tooth 15. This deserves some explanation. Just want to get another opinion. My #32 (US) cracked and from the message above I understand I should get an implant otherwise the upper molar might shift. Basically said it wasnt super important and even if I invested the money, it may still give me issues in the future. So an implant is absolutely necessary even if partial half-tooth contact still exists? It's usually less expensive than having a tooth pulled and replaced with an artificial one. It is possible because of the age that you had your second molar removed. Thanks for your response doctor. It often becomes confusing to answer questions about specific tooth numbers unless you are very specific as to where you live! As per my understanding based on how you feel about the procedure you will not recommend to do it on your daughter? Was sent to endo who recommended root canal. 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. I was having problems five years ago with third lower right molar and my former dentist did a root canal. My other option is to get #2 removed because its not hitting against the opposite tooth. She said she wouldnt try to save 2 (cavity is deep) so extract tooth 1&2. The question of whether or not replacement of a second molar is needed after it is removed has often been debated. Im 52, never had this much problem with any of my teeth before and it really has been a stressful time during all of this not to mention the anxiety. This means that a full set of upper and lower dentures may range between $4,000 and $8,000 in price . which is often all we need. I wish she had sent me initially to the endodentist because I felt quite a bit of pain while she was doing the root canal and was in terrible pain two days later. Im 40 years old and thats the only tooth Im missing. It's surprisingly easy and affordable to replace a back molar with a dental implant. Also recommends remove 32 & 17 as they may cause future problems and are impacted. These can include: discomfort and swelling after surgery, temporary numbness in the lips and tongue, increased risk of infection, and possible damage to nearby teeth. A root canal has a better success rate than a tooth extraction because there are little to no future complications associated with the procedure. I have clenching to add on. Please call Dental Excellence of Blue Bell at (610) 272-0828 to book a consultation for root canals in Blue Bell, PA today. Removed tooth #2 and do not bother replacing 31. My surgeon told me there is a good chance the top molar would shift down, since teeth need contact with one another. Dr., I am looking for your opinion. My understanding is that the loss of chewing abilities there is very minor, and that the biggest issue is the risk of super eruption of the opposite tooth. The advantages of this procedure include relieving crowding, improving the appearance of your smile, and making it easier to keep your teeth clean. Are there any additional concerns for an implant that far back? My wisdoms teeth have not come through yet. I had one of my back most molars pulled a few years ago. He said it healed well & return in 3 weeks 7/13 to remove membrane. First of all, extarction of second molars should not be deemed so simply. Have a very skilled dentist look at you before making permanent decisions. I did not had my bottom left wisdom tooth removed due to it being too near to the nerve. Do I need an implant? Can I just get an implant on number 3 with the bottom tooth umber it missing or do I have to get two implants? He is going to depend on the position of your wisdom tooth in relationship to your second molar. Do you recommend extraction of the tooth or not? I have over some crowding, front bottom teeth overlap a little. Needs to be extracted. I noticed the lower 2nd molar below it is a bit higher than the adjacent teeth. An implant is way out of my price range. Will my face / facial structure change? This means they grow in at an angle and can cause problems with your other teeth. Replace this one //www.livestrong.com/article/472086-what-is-the-purpose-of-dicalcium-phosphate/, Novkovic B needed after it is possible because of multiple concerns that i have very... 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