The aims of second molar extraction treatment are:
- Creation of space in the posterior part of the dental arch
- Easier uprighting of mesially tipped first molars
- Avoiding third molar impaction.
Full Answer
Do I need to replace a 2nd molar?
Whether or not a second molar should be replaced after its removal is debatable. However, if the patient does not recognize any reduced masticatory efficiency, replacement of a second molar typically is unnecessary. Read remaining answer here. In respect to this, what happens if I don't replace a molar?
How to pull out a loose molar without pain?
- Suck on some ice chips right before you try to pull your tooth out. ...
- Try sucking on some ice chips throughout the day to help relieve the pain after you have pulled out a tooth.
- Do this 3-4 times per day for 10 minutes.
- Make sure that you give yourself a break after sucking on ice chips for a while. ...
Is the extraction of the 2nd upper right molar painful?
Typically, a patient feels pressure but not pain when teeth are being removed, because anesthesia is used during the procedure. Feeling a bit of tugging or mild pressure is normal during a molar extraction. Unlike with other teeth, molars are often a bit more difficult to extract from the gums.
How to remove mesially tilted lower 2nd molar?
Regardless of the etiology, a number of negative outcomes may result, including:
- Failure of eruption or partial eruption of the permanent second molar (Figure 2)
- Gingival inflammation around the partially erupted molar or pericornitis involving the unerupted second molar (Figure 3)
- An osseous defect (most likely anatomical in nature) on the mesial root of the unerupted second molar (Figure 4)
Is it okay to extract 2nd molar?
Second molar extraction has been recommended as an orthodontic treatment option. 77 The indications for the extraction of the second molars include: Presence of severe caries. Ectopically erupted or severely rotated molars.
How long does it take to extract 2nd molar?
If you're just having one tooth extracted, the entire process can be completed in 20-40 minutes. However, if you're having multiple teeth extracted, expect to spend a little more time in our office. Each additional tooth will take another 3-15 minutes of appointment time, depending on its location.
Is second molar extraction painful?
No, despite what you may have imagined, you having nothing to worry about. Having a tooth extracted, whether surgically or not, should not hurt. Usually you'll feel a slight pinch as the area is numbed using anesthetic, then after this you will not be able to feel the procedure.
What happens after 2nd molar extraction?
You'll most likely feel some discomfort, soreness, or pain after your extraction. It's also normal to see some swelling in your face. The painkillers you'll get from your doctor will help reduce these symptoms. They may also recommend a number of over-the-counter medications.
Which teeth are hardest to extract?
What is the most difficult tooth to extract? Impacted wisdom teeth are wisdom teeth that have failed to erupt properly. They are generally considered to be the most difficult teeth to extract.
Are 2nd molars important?
If your occlusion is relatively normal, most people do most of their chewing at or about where their first molar is and just forward of the first molar. The second molar provides some chewing efficacy, but not a tremendous one if the first molars and teeth forward of the first molar are intact.
Does tooth extraction hurt more than root canal?
In addition, healing from an extraction takes longer and is often more painful than healing from a root canal, and pulling the tooth means even more dental procedures and healing time to replace it later.
Does tooth extraction affect brain?
It's a very common myth that tooth extraction may effect brain and eyes or a person's hearing. It does not. You need to understand that the blood and nerve supply of the teeth is very different from that of eyes or brain. There will be no side effects to brain or eyes or ears after extraction.
How long is the recovery for a tooth extraction?
Typically, your oral surgeon will ask that you at least take about 48-72 hours to relax afterward so the treatment area is allowed to clot. After that, a patient should be able to return to normal physical activity. The soft tissue will usually fully heal in about 3-4 weeks.
What you Cannot do after tooth extraction?
Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket. After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water. Do not drink from a straw for the first 24 hours.
Do and don'ts after tooth removal?
Do's & Don'ts After a Tooth ExtractionDo: Get Adequate Rest. ... Do: Allow the Extraction Area to Clot. ... Do: Get Your Fluids. ... Do: Address Any Swelling or Pain. ... Don't: Smoke. ... Don't: Drink Carbonated Beverages or Alcohol. ... Don't: Eat Chewy or Hard Foods. ... Don't: Disturb the Clot.More items...•
How painful is a tooth extraction?
Whether you get a simple or surgical extraction, the process will begin with an anesthetic for the tooth, gum, and surrounding tissue. At this point, you may feel a slight “bite” from the needle. However, many patients find it to be painless and for the discomfort to only last a split second.
How long does it take to remove a tooth?
Six weeks: Removing a tooth, especially a molar is a big deal. It leaves a surface wound the size of half a dollar bill, that can become infected if food is pre ... Read More
Why do teeth get extracted?
Several Causes: Teeth are extracted for several reasons. If impacted or advanced periodontal bone loss, then some of the root surface on the tooth next to it may be e ... Read More
What does it mean when a tooth extraction is yellow?
Tooth extraction : Healing incisions and/or wounds produce a serum that is yellow. With no pain this is likely part of the healing of the extraction. If there were to be increasing pain and/or swelling this could and likely would indicate infection.
Can you get a molar out of a broken tooth?
Not always: Molar tooth extraction can be simple with no surgery involved in many cases. Sometimes if a tooth is badly broken, or has had a root canal treatment in past that tooth may not come out easily and will need surgery. Also most unerupted and impacted third molars will need surgery to extract.
How are the mesial and distal roots separated?
Mesial and distal roots are also separated by removing interradicular bone at trifurcation as a figure of T. Luxator number 3 (Hu-Friedy) can be used gently with finger movement to separate the mesial and distal roots from the remaining portion of the crown (Fig 3).
Is extraction of maxillary first and second molars difficult?
Introduction. The extraction of maxillary first and second molars is often difficult and challenging especially if they are heavily restored. Teeth with large restorations and/or which are root canal treated are prone to fracture during a forceps removal and a planned surgical technique must be used to start with.
Is it difficult to remove a second molar?
Maxillary first and second molars are difficult and challenging to remove. Morphology of tooth, divergent roots, thin buccal plate and approximation of sinus floor makes surgical removal challenging. The technique described here is easy to learn and implement.
What is the number of second molars?
In the United States the second molars are numbered: 2, 15, 18, 31. These correspond to the international numbers of 18, 28, 38 and 48. It often becomes confusing to answer questions about specific tooth numbers unless you are very specific as to where you live! Ideally, most second molars should be replaced.
Why do my second molars break?
The second molars are directly in line with our main chewing muscle called the masseter. These molar teeth tend to break because it is in an area of high power.
Can teeth drift?
Without contact with another tooth, our teeth tend to drift. 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 “TMJ”…temporomandibular jaw joint problems (TMD.)
Do lower molars over erupt?
The lower molars do not over erupt as commonly as the upper molars do when the opposing tooth is removed. Sometimes the bone over-erupts as well causing a much more serious problem. Upper Vs. Lower Molar Implants. Please keep in mind that not all molars need a socket bone graft and then the implant a few months later.
Abstract
Introduction
- The extraction of maxillary first and second molars is often difficult and challenging especially if they are heavily restored. Teeth with large restorations and/or which are root canal treated are prone to fracture during a forceps removal and a planned surgical technique must be used to start with. These extractions are further complicated by the close proximity of these teeth to the maxi…
Technical Notes For Removal of Maxillary First and Second Molars
- 2.1. Pre-operative assessment of the patient’s medical and social history, ensuring that there are no contraindications for surgical procedures. Informed consent is mandatory before the start of the procedure. This must include the warning that prophylactic closure of maxillary sinus may be required. 2.2. Proper clinical and radiographic examination is essential. During examination asse…
Discussion
- Maxillary first and second molars are difficult and challenging to remove. Morphology of tooth, divergent roots, thin buccal plate and approximation of sinus floor makes surgical removal challenging. The technique described here is easy to learn and implement. It preserves bone and minimizes trauma as well as avoiding complications such as perforation of maxillary sinus floor…
Conclusion
- Good pre-operative assessment clinically as well as radiographically is of prime importance before attempting removal of upper molar teeth. The success of the procedure depends on efficient planning, meticulous tissue handling and post-op care.
References
- 1.Fatfat K, Mundra V. Extraction of a maxillary molar tooth -simplified (A case report). IOSR-JDMS 2017; 16:8: III, 61-65. 2.Bhargava V, Renton T. Routine Exodontia: Preventing failed extractions. Dent Update 2019; 46:866-879.