Tooth Extraction and Post-Treatment Options

Questions about tooth extraction and subsequent treatment?

Hello, doctor.
A few days ago, I visited a nearby dentist due to pain in my upper right gums.
The dentist informed me that the last three teeth in the upper right quadrant had reached a point where extraction was necessary, but they would temporarily fill them first.
After the filling, I returned home, but the swelling has not subsided.
Initially, I thought it was due to the recent dental work, but after a day or two, the swelling persisted.
I have come to terms with the need for extraction.
After reading some articles online, I realized that leaving gaps from missing teeth can lead to further complications.
My question is, if I need to extract three consecutive teeth, will I not be able to use traditional dentures for subsequent treatment, and will I only have the option for implants? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/07/22

Dr. Zeng Guanghui reply Dentistry

1.
If the dental crown is severely damaged or if advanced periodontal disease affects chewing function, extraction is recommended.
2.
If multiple teeth have been extracted, resulting in a large edentulous area, traditional fixed dental bridges may not be suitable, and dental implants or removable dentures should be considered instead.

Reply Date: 2017/07/22

More Info

When it comes to tooth extraction and the subsequent treatment options, it's essential to understand the implications of losing multiple teeth and the available restorative solutions. Based on your situation, where the dentist has indicated that the last three molars on the upper right side need extraction, and you are experiencing persistent swelling after a temporary filling, it is crucial to address both the immediate concerns and the long-term consequences of tooth loss.

Firstly, persistent swelling after a dental procedure, such as a filling, can indicate an underlying issue, such as an infection or inflammation in the gums or surrounding tissues. If the swelling does not subside after a few days, it is advisable to return to your dentist for further evaluation. They may need to perform additional treatments, such as drainage or antibiotics, to address any infection.

Regarding the extraction of multiple teeth, especially molars, there are several considerations for post-treatment options. Traditionally, if a patient loses one or more teeth, they might consider options like dentures (removable prosthetics) or dental bridges. However, when multiple adjacent teeth are extracted, the situation becomes more complex.

1. Traditional Dentures: While you can still opt for traditional dentures after multiple extractions, they may not be the most stable solution, especially for molars. Dentures rely on the surrounding gum tissue for support, and if there is significant bone loss due to the extraction of multiple teeth, the fit and comfort of the dentures can be compromised. Additionally, traditional dentures may not provide the same chewing efficiency as natural teeth or implants.

2. Dental Implants: Dental implants are often considered the gold standard for tooth replacement, especially when multiple teeth are lost. Implants are surgically placed into the jawbone and act as artificial tooth roots, providing a stable foundation for crowns, bridges, or even implant-supported dentures. If you are considering implants, it is essential to have sufficient bone density in the jaw to support them. If bone loss has occurred, bone grafting procedures may be necessary before implant placement.

3. Implant-Supported Bridges: If you are missing several adjacent teeth, an implant-supported bridge could be a viable option. This involves placing implants at either end of the gap and attaching a bridge to those implants. This solution provides stability and prevents the shifting of adjacent teeth, which can occur when teeth are missing.

4. Considerations for Treatment: After extraction, it is crucial to allow the gums to heal properly before considering any restorative options. This healing period can vary but typically lasts a few months. During this time, your dentist may recommend a temporary solution to maintain aesthetics and function, such as a partial denture.

5. Long-Term Effects of Tooth Loss: It is important to understand that failing to replace missing teeth can lead to several complications, including shifting of remaining teeth, bite misalignment, and even changes in facial structure over time. The jawbone may also deteriorate due to lack of stimulation from the roots of the teeth, leading to further complications.

In conclusion, while traditional dentures are an option after multiple extractions, dental implants or implant-supported solutions are often more effective in providing stability and function. It is essential to consult with your dentist or a specialist in restorative dentistry to discuss your specific situation, evaluate your oral health, and determine the best course of action for your needs. They can provide a comprehensive treatment plan that considers your dental health, lifestyle, and preferences.

Similar Q&A

Understanding Dental Cysts: Treatment Options Beyond Tooth Extraction

Last August, I experienced persistent pain in my lower right second molar (which had undergone root canal treatment, and my wisdom tooth had also been extracted). However, due to difficulty in scheduling a dental appointment and the pain subsiding the next day, I did not seek tre...

Dr. Lin Jiayong reply Dentistry
Hello: If a cyst has not resolved after long-term observation following root canal treatment, tooth extraction is indeed an option. Wishing you peace and health.

Understanding Wisdom Tooth Extraction: Key Considerations and Options

Hello Doctor, I would like to ask you about having my wisdom tooth extracted at the dentist. The tooth in front of my upper right wisdom tooth has previously undergone root canal treatment and is relatively fragile. The dentist suggested that I should either get a dental prosth...

Dr. Zeng Guanghui reply Dentistry
(1) In the above situation, regardless of whether wisdom teeth are extracted or not, it is recommended to use a dental crown for protection, as it can better withstand greater occlusal forces. (2) If a dental crown is not used, it is advised to avoid biting down on hard objects t...

Loose Tooth After Root Canal: Options Beyond Extraction and Implants

I have a tooth in the upper left that has undergone root canal treatment. Last year, it seemed to have a minor fracture and looseness after biting down on something hard. Given this situation, do I need to have it extracted and get an implant? I have financial constraints, so are...

Dr. Zeng Guanghui reply Dentistry
Hello Ms. Hsieh: We need to assess the extent of the fracture and whether there is enough remaining tooth structure to place a dental post and cover it with a crown. If the fracture is extensive and a crown cannot be placed, extraction followed by dental implant placement is reco...

To Extract or Treat: What to Do with a Damaged Tooth?

If a tooth is decayed, is it better to extract it or to treat it? Should I opt for treatment or extraction?

Dr. Zeng Guanghui reply Dentistry
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: If the tooth is severely damaged, with extensive loss of structure, or if only the root remains, making it irreparable, or if it has led to a root infection tha...