How important is it to replace a molar and what are my options?

Last Updated: Nov 25, 2014

I to have my molar #3 pulled. The #2 molar has a partial root canal (I know it is an odd case) and tooth #4 is a potential root canal so neither tooth adjacent to the lost molar is in very good shape. Is an implant my best option? Is doing nothing a bad idea? My bite ever since the extraction has been off (2 weeks out) so am worried about that too, not to mention both adjacent teeth are very tender yet. I realize I have to wait a while before doing anything but I like to do my research ahead of time.

2 Comments on How important is it to replace a molar and what are my options?

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Dr. Carlos Boudet

11/25/2015

Replacing the molar with an implant is your best option. You did not mention a bone graft, so the potential for greater bone loss after an extraction is greater than if you had grafted the bone. I suggest placing the implant as soon as possible. In 4 to 5 weeks the extraction site should be coveredand the dentist can place an implant and let it heal covered for a few months, then a crown will be made for it. If the adjacent teeth are damaged but strong enough to benefit from crowns, a three unit bridge is my second choice. It lets you protect the damaged teeth and replace the missing one at the same time. Good luck! Dr. Carlos Boudet

Dr. Michael Tischler

11/25/2015

The answer is an implant is always the best option to replace a missing tooth, but the adjacent teerth need to be accessed for long term survival. If the adjacent teeth are not going to be there in 5 years or so, then an overall plan to replace them also with dental implants might be the best option. Only a clinical exam with x rays and eventually a CT Scan can really offer you the right answer.Dr. Michael Tischler

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