Impact of Losing Second Molars at 60: Health Implications Without Implants - Dentistry

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Recently, I have lost four second molars consecutively?


I am 60 years old and have had 6 dental implants.
Recently, 4 of my second molars have fallen out one after another.
I do not want to get implants again.
What impact will this have on my health?

Wang Li, 60~69 year old female. Ask Date: 2016/04/17

Dr. Huang Zhicheng reply Dentistry


Hello, according to the patient's own account, tooth loss has no impact on your health.
The cause of tooth loss is likely due to long-term periodontal disease.
However, to ensure the wound is clean, please visit a clinic for an examination.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/17

More Info


Losing second molars at the age of 60 can have several health implications, particularly if you choose not to replace them with dental implants or other restorative options. The second molars play a crucial role in your oral health and overall well-being, and their loss can lead to various complications.

Firstly, the second molars are essential for chewing and grinding food. They help break down food into smaller pieces, making it easier for your digestive system to process. Without these teeth, you may find it challenging to chew certain foods, which could lead to dietary restrictions. This can result in inadequate nutrition, as you might avoid hard or fibrous foods that are essential for a balanced diet. Over time, this can contribute to deficiencies in vitamins and minerals, impacting your overall health.

Secondly, the loss of second molars can lead to changes in your bite and jaw alignment. When teeth are missing, the surrounding teeth may shift into the empty space, leading to misalignment. This can cause issues such as uneven wear on other teeth, increased risk of tooth decay, and even temporomandibular joint (TMJ) disorders, which can result in pain and discomfort in the jaw, neck, and head.

Moreover, the loss of teeth can also affect your speech. Certain sounds require the presence of specific teeth for proper articulation. Missing molars can lead to changes in how you pronounce words, which may affect your confidence in social situations.

From a psychological perspective, losing teeth can impact your self-esteem and body image. Many people feel self-conscious about their appearance when they have missing teeth, which can lead to social withdrawal or anxiety. This emotional aspect is often overlooked but is crucial for overall mental health.

Additionally, the long-term effects of not replacing lost teeth can lead to bone loss in the jaw. The roots of your teeth stimulate the jawbone, promoting bone density. When teeth are lost, the lack of stimulation can lead to resorption of the bone, which can change the shape of your face and lead to further dental issues down the line.

If you are considering not replacing your second molars, it is essential to consult with a dental professional. They can provide you with information on the potential consequences of tooth loss and discuss alternative options, such as partial dentures or bridges, which may be less invasive than implants but still provide support for your oral health.

In conclusion, while it may seem manageable to live without your second molars, the implications can be significant. From nutritional deficiencies to changes in bite and jaw alignment, as well as psychological effects, the decision to forgo replacement should be made with careful consideration and professional guidance. Regular dental check-ups and open communication with your dentist can help you maintain your oral health and address any concerns that arise from tooth loss.

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