Sunday, August 2, 2009

If I pull out a molar and does not put in an implant, can it have bad effects on the surrounding teeth/gum?

I'm trying to decide whether to go through with a complete root canal or just pull the the molar out. And if i do pull it out, i plan on not having an implant unless it will impact negatively on my surrounding teeth/gum otherwise.





Does anyone know? like maybe the gum will loosen up on surrounding teeth or the teeth may shift from their original position into the gap

If I pull out a molar and does not put in an implant, can it have bad effects on the surrounding teeth/gum?
Hi Wendy,


If you do choose to go with the extraction, you must consider some sort of tooth replacement. If you were to not replace the space, you are correct that the surrounding teeth with shift. They will try and compensate for the open space. The opposing tooth, and surrounding tooth will be the ones to move first. Other teeth may shift accordingly. I have seen some people with very little movement, and others with massive movement. In some cases people have actually lost the opposing tooth, because it over grew from the socket, and lost very important bone support. I would recommend if you can save your tooth, save it. Root canals are not bad. Implants are not bad. But not replacing the space WOULD be a bad idea.
Reply:when you have a molar pulled closer to the front then the ones further back will move forward
Reply:If you have a root canal treatment done then you will also need the tooth rebuild and have a crown put on it or it will break down within the next year or two. All of this together will cost you about as much as an implant with crown (depending on insurance). The healthier route is the implant because a root canal treated tooth always carries left over bacteria into your bloodstream. If you have your tooth pulled and leave it like that the tooth behind it does not move into it's spot but much rather tips over in the next few years and will cause you additional problems. Also the tooth above (or below) can grow into that spot and then you will loose that tooth, too. If the molar is the very last tooth it may be okay not to do an implant.



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