Tooth Loss After Wisdom Tooth Extraction: What to Expect - Dentistry

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The tooth next to the one that was extracted has fallen out..?


Hello doctor, I had my upper right wisdom tooth extracted today, and the adjacent tooth fell out as well.
The doctor initially intended to reattach it, but after trying, he said it couldn't be done and decided to give up.
He also mentioned that I have a bit of a thick bite (which I know is true).
That tooth wasn't really used for chewing food, so it doesn't affect my ability to chew.
I'm wondering if this is the right approach...
Will the loss of that tooth cause my bite to become thicker over time?

Verna, 20~29 year old female. Ask Date: 2016/04/15

Dr. Zeng Guanghui reply Dentistry


The adjacent tooth to the wisdom tooth may have pre-existing periodontal issues and mobility, which could be affected during the extraction process.
It is advisable to consult the original dentist to understand the reasons behind this.

Reply Date: 2016/04/15

More Info


Tooth loss after wisdom tooth extraction can be a concerning experience, especially when it involves adjacent teeth. It’s important to understand the implications of losing a tooth and what to expect in terms of recovery and future dental health.

When a wisdom tooth is extracted, it is not uncommon for neighboring teeth to be affected, especially if they were already compromised due to decay or structural issues. In your case, it seems that the adjacent tooth was unable to be saved and had to be extracted as well. This situation can arise for several reasons, including the proximity of the roots of the teeth, the condition of the surrounding bone and gum tissue, and the overall health of the tooth itself.

The dentist's decision to abandon the attempt to save the adjacent tooth may have been based on a thorough assessment of its condition. If the tooth was not functional (as you mentioned it could not bite food) and was likely to cause further problems, it may have been in your best interest to remove it. While it can be disheartening to lose a tooth, especially one that is adjacent to a recently extracted wisdom tooth, it is crucial to focus on the long-term health of your mouth.

Regarding your concern about becoming "thicker" or having more dental issues, it’s essential to maintain good oral hygiene practices. Losing a tooth can lead to changes in your bite and the alignment of your remaining teeth. Over time, the adjacent teeth may shift into the space left by the extracted tooth, which can lead to further complications, including misalignment and increased wear on your remaining teeth.
To mitigate these risks, consider the following steps:
1. Regular Dental Check-ups: Schedule regular visits with your dentist to monitor your oral health. They can assess the condition of your remaining teeth and gums and provide guidance on any necessary treatments.

2. Oral Hygiene: Maintain a rigorous oral hygiene routine that includes brushing twice a day, flossing daily, and using an antibacterial mouthwash. This will help prevent decay and gum disease, which can lead to further tooth loss.

3. Consider Replacement Options: If you are concerned about the gap left by the extracted tooth, discuss replacement options with your dentist. Dental implants, bridges, or partial dentures can restore function and aesthetics, preventing adjacent teeth from shifting.

4. Diet and Lifestyle: Pay attention to your diet and avoid hard or sticky foods that could stress your remaining teeth. If you smoke, consider reducing or quitting, as smoking can impede healing and contribute to gum disease.

5. Watch for Symptoms: Be vigilant for any signs of discomfort, swelling, or changes in your bite. If you experience any issues, contact your dentist promptly.

In summary, while losing a tooth can be a setback, it does not necessarily mean that you will face more significant dental issues if you take proactive steps to care for your oral health. By working closely with your dentist and maintaining good hygiene practices, you can minimize the risk of further complications and ensure a healthier mouth moving forward. Remember, your dentist is there to help you navigate these changes and provide the best care possible for your dental health.

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