Should I Extract or Fill My Decayed Upper Second Molar?

Cavity in the second molar?

Doctor, I have a cavity in my upper left second molar, and that tooth is misaligned.
The molar behind it and my lower wisdom tooth have both been extracted.
The dentist I visited said that the tooth does not occlude properly, so it would be fine to extract it.
However, I am very concerned that I might need a denture or an implant later, which my family cannot afford.
So, should I have my second molar extracted or should it be filled?

Xuanri, 20~29 year old female. Ask Date: 2016/03/22

Dr. Zeng Guanghui reply Dentistry

In the above situation, if you want to preserve the second molar, it is recommended to first fill the cavity and then use orthodontic treatment to align the teeth properly, so as not to affect the occlusion.
You should consult a dentist to evaluate whether this treatment is feasible.

Reply Date: 2016/03/22

More Info

When faced with the decision of whether to extract or fill a decayed upper second molar, several factors must be considered, including the extent of decay, the tooth's structural integrity, and your overall dental health.
Firstly, it's essential to understand the condition of your second molar. If the decay is extensive and has compromised the tooth's structure significantly, extraction may be the best option. However, if the decay is limited and the tooth can be restored, filling it could be a viable choice. Dentists typically evaluate the tooth's health through clinical examination and X-rays to determine the extent of decay and the tooth's remaining structure.

In your case, since your dentist mentioned that the second molar does not occlude (make contact) with the opposing teeth, this could influence the decision. Teeth that do not participate in chewing may be less critical to retain, especially if they are not causing any pain or discomfort. However, it is also important to consider the potential long-term implications of losing a tooth.
If you choose to extract the tooth, you may face the possibility of needing a replacement in the future, such as a dental implant or bridge, which can be costly. On the other hand, if you opt for a filling, you may be able to preserve the tooth and avoid the need for more invasive and expensive procedures later on.
Additionally, maintaining your second molar could help prevent adjacent teeth from shifting, which can lead to further dental issues down the line. If you are concerned about the cost of future dental work, it may be beneficial to discuss this with your dentist. They can provide options that fit your budget, such as payment plans or alternative treatments that may be less expensive.

In summary, the decision to extract or fill your decayed upper second molar should be made based on the extent of decay, the tooth's structural integrity, and your financial situation. It is advisable to seek a second opinion if you are uncertain about your dentist's recommendation. Ultimately, preserving your natural teeth is often the best option, but it must be balanced with practical considerations regarding your dental health and financial capacity.
If you have further concerns, consider discussing them with your dentist, who can provide personalized advice based on your specific situation. They may also be able to refer you to financial resources or programs that can assist with the costs of dental care.

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