Should I Extract My Second Molars or Opt for Root Canal Treatment?

second molar

I recently had severe decay in my upper second molar, and my dentist recommended root canal treatment followed by a crown.
However, I’ve heard that getting a crown can affect the adjacent teeth.
A few years ago, I had a similar issue with my other second molar, and the dentist suggested extraction since my wisdom teeth had not erupted yet, which might actually provide space for the wisdom teeth to grow.
After the extraction, I didn’t find any issues with chewing.
Should I also ask my dentist to extract the second molar this time? I feel that after root canal treatment, the tooth may not last long, and I would have to spend $500 to $600 on an unattractive silver crown.
Please give me some advice; I’m only 20 years old and my teeth are deteriorating, which makes me anxious.
Thank you.

Miss Lin, 20~29 year old female. Ask Date: 2016/09/19

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Lin,
Hello! As mentioned, this is a matter of choice! If you have a third molar, you can certainly choose to have it extracted to allow space for the wisdom tooth to grow.
However, we believe that every tooth is important, and if it can be saved, we should try to save it, as wisdom teeth do not always erupt properly or in the correct position.
Please communicate more with your dentist!
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/09/19

More Info

When faced with the dilemma of whether to extract your second molars or opt for root canal treatment, it's essential to weigh the pros and cons of each option carefully. Given your situation, where your second molar has significant decay, the decision can be challenging, especially considering your age and the potential long-term implications for your dental health.

Root canal treatment (RCT) is a procedure designed to save a tooth that is infected or severely decayed. During RCT, the dentist removes the infected pulp from inside the tooth, cleans and disinfects the inner chambers, and then fills and seals the space. Afterward, a crown is typically placed on the tooth to restore its function and appearance. While RCT can be successful in preserving the tooth, it does require a commitment to follow-up care, including maintaining good oral hygiene and possibly dealing with the placement of a crown, which can be costly and may not always match the aesthetics of your natural teeth.

On the other hand, extracting the tooth may seem like a straightforward solution, especially if you have had a previous experience where extraction was recommended and you felt comfortable afterward. If your wisdom teeth have not yet erupted, removing the second molar could indeed create additional space in your mouth, potentially allowing for better alignment of your remaining teeth. However, it's important to consider that extracting a tooth can lead to other complications, such as shifting of adjacent teeth, changes in your bite, and potential bone loss in the jaw over time.

Given your age of 20, it's crucial to consider the long-term implications of either choice. While extraction might provide immediate relief and a simpler solution, preserving your natural teeth through RCT can contribute to better overall oral health in the long run. Teeth play a vital role in maintaining the structure of your jaw and face, and losing them prematurely can lead to further dental issues down the line.

Before making a decision, I recommend discussing your concerns thoroughly with your dentist. Ask about the success rates of root canal treatments for your specific situation, the potential for complications, and what the long-term outlook would be for both options. Additionally, consider seeking a second opinion from another dental professional, particularly one who specializes in endodontics (the branch of dentistry that deals with the treatment of the dental pulp).

In summary, while extraction may seem like a viable option, especially if you have had a positive experience with it in the past, preserving your second molar through root canal treatment could be beneficial for your long-term dental health. It’s essential to have an open dialogue with your dentist about your concerns, the implications of each option, and to make an informed decision that aligns with your overall health goals. Remember, taking care of your teeth now can save you from more significant issues in the future.

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