Will Tooth Extraction Lead to Collapse of Surrounding Teeth?

Is it normal to experience pain after an unexpected tooth root extraction?

I originally just wanted the doctor to extract a small (mini) tooth.
I have a wisdom tooth on the lower right side, and only the root remains next to it.
There was a small piece on the root that I wanted the doctor to remove because it was painful and wobbly when I bit down (I considered extracting it myself but was worried about infection).
However, the doctor ended up removing the entire root, leaving a large gap.
I would like to ask, since I had only the root left for over a year and didn’t have it extracted because I heard that removing it could cause the adjacent teeth to collapse, I know that the adjacent teeth might tilt, but with the root providing support, they wouldn’t completely fall.
However, the doctor removed it directly.
Is it very easy for the teeth to collapse? I never intended to have it extracted, yet it was removed.

Xiao Xi, 20~29 year old female. Ask Date: 2016/03/25

Dr. Huang Zhicheng reply Dentistry

Hello, based on the situation described, the small tooth you mentioned is likely a residual root of a molar.
Since you indicated that it hurts when you bite down and it is loose, the basic treatment would be to extract the residual root.
The residual root should be removed to prevent bacterial retention and proliferation.
Having a residual root in the mouth can also lead to accidental biting, resulting in oral ulcers.
Regarding whether the wisdom tooth will shift, this can be addressed through orthodontic treatment to reposition the wisdom tooth and align the anterior teeth.
The patient should also pay attention to oral hygiene and periodontal health; a healthy periodontal environment (similar to the soil for a tree) is essential for maintaining stable teeth.
Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Attending Dentist, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/25

More Info

Tooth extraction, especially of a tooth that has been compromised, can indeed lead to changes in the surrounding teeth and the overall dental structure. When a tooth is removed, the immediate area where the tooth was located can experience bone resorption, which is the process where the jawbone diminishes in density and volume due to the lack of stimulation that the tooth root previously provided. This can lead to a variety of issues, including the tilting or shifting of adjacent teeth, which may eventually result in misalignment and bite problems.

In your case, since the extraction was performed on a tooth that was already compromised and only had a root remaining, it is understandable to be concerned about the implications of this procedure. The surrounding teeth may indeed begin to shift toward the empty space left by the extracted tooth, especially if there is no immediate plan for replacement, such as with a dental implant or bridge. This shifting can lead to further dental complications, including increased wear on the remaining teeth, gum disease, and even changes in your bite that could affect your jaw joint (TMJ).

It is important to note that while the extraction of a tooth can lead to these changes, the extent and speed at which they occur can vary significantly from person to person. Factors such as age, the health of the surrounding teeth and gums, and overall oral hygiene play crucial roles in determining how much shifting or collapse may happen.
If you are concerned about the potential for your remaining teeth to collapse or shift, it is advisable to discuss your options with your dentist. They may suggest several approaches to mitigate these risks, including:
1. Dental Implants: If financially feasible in the future, dental implants can be an excellent option to replace the extracted tooth. Implants help preserve the jawbone and prevent the adjacent teeth from shifting.

2. Dental Bridges: A bridge can be used to fill the gap left by the extracted tooth. This involves placing crowns on the adjacent teeth and attaching a false tooth in between.

3. Orthodontic Treatment: If there is significant shifting, orthodontic treatment may be necessary to realign the teeth properly.

4. Regular Monitoring: Keeping regular dental appointments will allow your dentist to monitor the situation closely and address any issues before they become more serious.

In conclusion, while tooth extraction can lead to the potential collapse or shifting of surrounding teeth, proactive measures can be taken to minimize these risks. It is crucial to maintain open communication with your dentist about your concerns and to explore all available options for tooth replacement or stabilization. Taking these steps can help ensure the long-term health of your remaining teeth and overall oral health.

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