Is an implant necessary after extraction of an upper second molar?

Question

I had my upper, left, second molar extracted today due to a large hole in the tooth. I still have my upper left wisdom tooth, which is about to erupt, and I am curious if it might shift to fill the gap. Or, should I start saving money for an implant? How soon after extraction should I try and get an implant, if needed? What is the average cost for an implant?

Amber Garcia, DDS · Answer

I'll try to answer all of your questions in order.1) I wouldn't try to close the space with a wisdom tooth. The wisdom tooth will shift into the empty space if there isn't anything there to fill in the space, but it would be difficult to move it that far that the whole space would be closed.2) I don't always recommend implants to replace 2nd molars. It usually doesn't affect people too much and an upper 2nd molar extraction can be difficult and comes with risks to the sinus cavity.3) I usually recommend allowing the bone to heal for 3-6 months before placing an implant. With an upper 2nd molar, you want to do it soon because waiting can cause the sinus floor to shift. If that happens, you would need a sinus lift and additional grafting prior to having an implant.4) The average cost in my area for implants, including the crown and abutment, is $5000-$7000.

Ramin Mahallati, DDS · Answer

Hello and thank you for your question. The best way to answer this is with an in-person evaluation, but yes, dental implants are a great option and may be the best choice for your situation. There are several steps in creating dental implants. The Provisional (Temporary Crowns) are critical in finalizing the esthetics and look of the final restorations (Permanent Crowns). During the Provisional phase the shape, contour arrangement, position and color of the teeth can be tried and assessed to make sure you like the results. Then the temporary crowns can be used as a template for making the permanent crowns this will ensure the subsequent crown matches the color and shape of the surrounding teeth so and once it is placed will fit in naturally with the rest of your teeth. Because the crown is matched to your other teeth, it may be possible to have them completed in different times. I recommend getting a consultation with a prosthodontist to determine if you’re a candidate. A prosthodontist is a dental specialist who has advanced training in restoring and replacing teeth and can create a customized treatment using the latest techniques in dental implants.

Is an implant necessary after extraction of an upper second molar?

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Is an implant necessary after extraction of an upper second molar?

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Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.