It was a root canal that went bad and got infected after several years. I cant really chew with it as it feels slightly painful. I went to the dentist who told me I need a root canal on my top last molar. This is because most people have a class I bite and the molar that is left behind on the bottom usually still has something to bite against. 
I dont think my teeth are in good alignment. is starting to come down and suggests I get an implant in 18.
This will necessitate an additional "late" period of fixed-appliance therapy to bring these teeth into good occlusion. Extract it and reassess in 6 months.
It seems that the filling didnt work out well for my tooth because nearly 3 weeks later I have a lot of pain. My molars were extracted in August 2018 when I decided fully detox my body and get rid of teeth that once had mercury fillings and composite fillings due to their toxicity to the body. I have a crowded mouth and all four wisdom teeth, so crowded that when I did invisalign about 15 years ago as nearing 40 they simply polished teeth to make room to straighten teeth.
Thanks. My guess is that you have a root canal that is not looking good but your body is holding it back from spreading into your brain or adjacent teeth. NJ Bergen county. Thank you in advance doctor. What is the risk in waiting longer? He is going to perform the retreatmemt with the crown and Ive heard that it is not advisable. But my fear is that my teeth will shift, I still have my wisdom teeth they havent really grown in yet fully. Stay safe, take the vaccine!
A year later I returned to the dentist as the tooth was still hurting. Its like.
Looks like its concentrated around 30,31. Please let me know. Hi, Dr. Ramsey , my oral surgeon wants to extract teeth 2 and 15, both top second molar in order to proceed with my jaw surgery. Hi I am 29 years old and I just had my Left upper second molar extracted yesterday.I had a root canal 10 years ago and the tooth just broke under the crown and had to get a complete extraction the oral surgeon said I would not need an implant but Im not sure.I have a history of developing bone loss after my wisdom teeth were extracted so I am worried about that now also my left bottom second molar does not have anything on top so Im worried itll move? I finally got the nerve & went to the dentist to try to get my life back on track. The site is secure.
Here is my QUESTION. 
Having this gap, would this give them more room? I have been in a constant state of anxiety over this and would really appreciate your input. Feel free to use this one for responding.). If the tooth has very sound structure a root canal and crown can last many years. 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. They do much better in the front. I had tooth 30 and 3 on the right side extracted 2 years ago. Thank you so much for posting about this. Or I can have it extracted which Im leaning towards. Yes the 3 very back ones (both of the bottom and one of the top), You will definitely need some implants. Thank you Dr Amin. 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 bruxism and have for years. Can I get an implant in the future if they just fully extract it I dont think the OS does any pre implant stuff. How long can I wait from the time my implant post is placed, to having the crown put on? If the tooth is savable with a good long-term prognosis the choice is obvious Keep it!
That way you have one molar that opposes the other! 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.
People that are missing this to tend to have facial changes over time making them look old. when i bite down i only feel it on my right side. 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 hope I am not too late on the post.
Will my teeth shift or will I still be able to eat okay? 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. You may want to consider not having an implant at all.
Do you practice holistic dentistry that assess every aspects of your patient before proceeding with such a major dental work? After two weeks it feels as if I tongue is all over the next tooth in succession.
My question: What would be the drawbacks if I elected to not have the implant done. Removing your affected tooth gives you the best chance for optimal oral health. https://drive.google.com/file/d/1uX0ZeE1V0L5892qyDgwzQ19imBS3Q5Xv/view?usp=sharing. 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? I still have my first molar as well as my lower molars(save for the wisdom teeth). In my practice that would be a same-day extraction in same day dental implant. Generally you would still need to be in your teens for this to work but sometimes it happens! Will he need implants to maintain the structure of his jaw or just new retainers? Make an informed decision for your dental health.
Recommended extraction.
Mon&Thru: 7:00 am-4:00 pm Tue-Fri: 7:00 am-5:00 pm. Second, you need to think about what type of replacement options are available. Generally, when an existing tooth can be saved, its viewed as the more beneficial procedure. My wisdom teeth were removed in college. He says she wont need a replacement tooth. My question is, can i also remove 1,2,3, 14 and 16 and not have implants or are implants a must?
Each situation is unique. WebSecond molar extraction has been recommended as an orthodontic treatment option. I have been told it will either need root canal + crown lengthening + crown or extraction and the of course extraction + implant. Hello! Im 33 years old.
The part that bothers me the most is that my top midline has shifted a lot to the left. I have not got my wisdom tooth extracted. Whether or not a second molar should be replaced after its removal is debatable. This particular patient is missing a second molar on the bottom jaw. In some cases, dental implants may fail due to a variety of factors. Cons: 1. It will happen if the tooth is gone. This is a critical tooth that anchors the upper jaw at the base of your cheekbone. Do I need to get an implant? I lost my dental insurance so cost is definitely an important factor at this time. Using that exercise, I hope to cause sufficient, substitute root stimulation in the area of the upper tooth, so that the upper tooth does not start to drift downward. 2. He said he would like for me to come back to discuss an implant in 4 months. I didnt take good care of my teeth during my teens and both sides the bottom 2nd molars are root canal and crown with the warning that they would need to be eventually extracted. But after reading this, it sounds like she may. While it is certainly possible for teeth to shift following the extraction of a second molar, there are a number of factors that will affect whether or not this occurs. #31 has decayis it really beyond repair? 1 for #28 and 1 for #30. #30, had the temp put in and then a filing done #29.
It needs to be extracted at some point because theres not so much tooth left. Any help would be greatly appreciated. #3 is certainly an implant!
Would you recommend that an implant is needed? The gums were not ready. A week or two later, youll return to your dentists office, so they can remove the temporary filling and put a crown or other type of restoration on top, if necessary. I dont use alcohol or tobacco.
Sometimes #13 even feels sensitive. Find one when they're used. Is it true his jaw is done growing even if he isnt? It may be best to just remove both #2 and #31 and do not replace either one, Hello, Mr.Ramsey Furthermore, the dentist that did the emergency work says I need to have my wisdom tooth on bottom left removed before she can fit the permanent crown and I need to get botox and invisalign to fix my bite and stop severe teeth grinding/clenching. I have only spoken with an oral surgeon. Do you think braces are necessary?
@ 75 yrs old, on no medication at all, basically healthy walker, exerciser & eater..Is this previously infected site 100% OK for an implant after all the bone grafting material he put in? I cant keep the molar if I will just be in constant pain. Once it healed, the crown was placed but within a year there was a cavity underneath the crown and they did the filling by drilling through the crown (told this is common practice).
Will I need to replace the extracted molar or can I live without it?
That is the tooth that bites with #31. The jawbone that supports the nearby teeth can be affected as well, causing the underlying teeth to loosen over time. any Implant will be needed or 2, 15 space can be empty? Was only told by the dentist after crown was made that my tooth was too short and crown will highly likely dislodge again. Leave 18 as is unless you can correct it with braces Now the dentist has strongly recommended for me to extract tooth 37 as there is no bone supporting it even though the gum has got firmer(no more abcess). FOIA
Since these are lower teeth they will not affect the sinus, Hi, If #18 a #19 are removed and nothing is done over time it will certainly affect your bite and facial structure. I am 66 years old.
2021 Mar 6;13(1):15-21. doi: 10.34172/japid.2021.002.
It varies in each person though. I am 23 a female. 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?
Thanks in advance! Left untreated, a decayed or damaged tooth can wreak havoc on your smile, causing a domino effect of problems. Now teeth 2 and 3 need work. That tooth should have been extracted if it caused that type of an infection.
Im not sure if this is related.
Hi Doctor, Last year I had my wisdom tooth extracted and the dentist left a metal tip, root, tooth parts, etc inside my mouth. Extractions are often simpler procedures than root canals . 
Its tooth #31. 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.). 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. You would be best off extracting and placing an implant. Thank you for your informative article and delightful, direct communication style, responding to questions. By then I was still in denial/avoidance stage with dental treatments :/ This year I took my dental care back in charge.
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They told me its unlikely my teeth will shift backwards, is that accurate?
hmm. Trusted Source. That should probably answer how I feel about it . Once the block wore off the pain was excruciating and I have required round the clock pain medicine for the last 5 days. A number of factors must be taken into account, such as the restorability of the tooth, the esthetic demands, and the cost-to-benefit ratio, according to an implant position statement from the American Association of Endodontics. It supports the base of the zygomatic bone which is your cheekbone. So, I cant make a decision about whether to go the root canal-crown route or extraction on my second upper right molar and part of difficulty is the trouble I had with only other root canal.
What would you advise?
I also require the spacing to be opened back up Google what that means. Your left side will likely shift but the right should be ok. I had cdiff from long term abx for a difficult upper implant in my past so to date have not been on abx for this procedure. And if that is a concern, how much time do I have? This is the same molar where I had a root canal and crown placed about 7 years ago. Risks include: Infection at the implant site Injury or damage to surrounding structures, such as other teeth or blood vessels Nerve damage, which can cause pain, numbness or tingling in your natural teeth, gums, lips or chin Sinus problems, when dental implants placed in the upper jaw protrude into one of your sinus cavities How you prepare I was told I will need the sinus lift procedure first, based on CT scan exam. The dentist who extracted my teeth was in a rush and didnt explain any options or anything regarding bone grafting to me. Thats generally a very quick procedure. I previously had 8 teeth extracted for braces ( 21,28, 5 , all wisdom teeth and a lower 2nd molar.) That is what I would do if our at your age in your situation. Help i am a female, 29, in the United States. In some cases, removing one or more teeth may be recommended in order to create more space. My #`18 molor has had a root canal many years ago and the root canal has failed. Since the extraction, Ive suffered from terrible sinus pressure. Still have 1 wisdom tooth 32 but need to have 31 taken out due to a very deep large cavity will this cause a problem. 2002 Oct;24(5):501-18. doi: 10.1093/ejo/24.5.501.
The tooth can be made to be upright and correct the midline etc. Bleeding: Some oozing of blood is to be expected for the first day or two. Part of why you are in great health is because you have 18 and 19!! I am having my OS #2 extracted surgically. My tooth 27 (international numbering) was extracted last year due to decay, and a root canal was done to tooth 26 right before pandemic. Im thinking that would be #30. I also have a fractured tooth #15.
Course consult with your dentist about this. However, there are many less-expensive options available such as bridges and dentures. I have had no difficulty eating or chewing. Accessibility Hmm. If it is going to be lost because it has limited tooth structure then it would be better to extract and replace it. Needs to be extracted. I am a 28 year old male with a damaged secondary molar (#31) that needs to be extracted. 2005 Dec;32(10):605-8, 610. doi: 10.12968/denu.2005.32.10.605. 77 The indications for the extraction of the second molars include: Presence of severe caries. . Since then, I know my teeth have shifted a bit; the spaces are larger between some teeth. Im 58 years old. The pros and cons of second molar extraction are becoming more apparent as this dental procedure becomes more common. Hadilou M, Ebrahimi P, Karimzadeh B, Ghaffary A, Gholami L, Fathifar Z. J Adv Periodontol Implant Dent. Just saw my dentist. The parameters reviewed include the timing of extractions and the effect of extractions on third molar eruption, posterior interdigitation, and incisor imbrication.
Also I have notice bite marks on the sides of my tongue in the mornings because it is pressed against the spaces between my teeth when I sleep. So I took some time back then and trained myself not to bring my teeth together when I swallow, and it became my normal.). This has led my dentist to saying getting the second molar extracted as it is causing me discomfort they did mention a root canal but they were against the idea as it is very hard to do on that tooth and there is no guarantee that it wont occur again in a couple of years just leading me to pay more and more. Finally, they will suture up the incision and provide you with detailed instructions for post-operative care. 2023 Mar 7;19(1):5. doi: 10.1186/s13005-023-00353-6. The devoleped cyst in my root cause facial swelling and pain. When a tooth is Root canaled it should be crowned immediately, I have seen crack happen in two weeks..
bone? I am 67 I think if I spend 900 dollars on a root canal and another 500 on a crown the cost would be about the same for an implant. Hi Doc, I had to get my 31 extracted due to infection, surprisingly though the dentist never prescribed any antibiotic treatment ever. I have done 100s of these with great success, An bad implant can case bone loss but unlikely. The pain a 10 sometimes Thoughts? I am going to have the teeth #15 to be removed next week. You may be surprised what the answer is. Although you may read about comments with problems, most pts that are treated by a skilled DDS have no problems at all. crown 3 weeks ago, Ive been having pain ever since and cannot chew on that side. WebDiscover the pros and cons of tooth extraction, including potential benefits and risks.
I am 38 years old.
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