Options for Your Broken Upper Left Molar: A Dental Guide

The upper left third molar has broken down to one-third of its original structure?

Hello Doctor, my upper left last molar has broken down to 1/3.
I believe it was previously treated with a root canal but only filled without a crown.
Last year, while eating, the last molar on the upper left broke down to 1/3.
It doesn't hurt, but when I run my tongue over it, there's a large cavity, and the remaining 1/3 is next to the penultimate tooth.
I visited my regular dentist, who temporarily filled it, but the dentist mentioned that even a temporary filling might come off easily and suggested I consider dental implants.
However, due to my financial situation, I've been hesitant about implants.

I would like to ask:
1.
In this situation, is it possible to place a post and put a crown on the last molar?
2.
If I need to extract it, will it be very painful? I am actually afraid of visiting the dentist.

3.
Do I need to complete a full evaluation before knowing how to proceed with the dental implant?
4.
I understand that dental implants are not cheap, and the prices vary by country.
Since this molar is the last one in the upper jaw (I don't seem to have wisdom teeth, or they just haven't erupted yet; I'm not very sure), is it possible to get an implant? What would the cost be, and how long does the treatment process for a single implant typically take?
5.
I've been relying on the filling for about a year now, and I'm worried that having a cavity in the last molar for so long might affect my bite, facial shape, or lead to other issues due to missing teeth.
I hope to receive your evaluation and advice.

Dan Dan de You Shang, 30~39 year old female. Ask Date: 2018/06/24

Dr. Zeng Guanghui reply Dentistry

1.
If root canal treatment is performed without any complications and the root depth is sufficient, it is possible to attempt to place a post to reinforce the tooth structure before applying a crown.

2.
If extraction is deemed necessary, it should be done under local anesthesia, and the process is painless.

3.
Before considering dental implants, it is essential to evaluate the quality of the gum tissue and bone density, as well as any issues related to the maxillary sinus.

4.
If there are wisdom teeth behind the area where the implant is desired, it is advisable to extract the wisdom teeth first before proceeding with the implant.
The cost of the implant varies based on the brand and design, typically ranging from $50,000 to $80,000.
The duration of the implant procedure depends on bone density and whether bone grafting is needed; generally, for upper molars, it takes about 3 to 6 months.

5.
If temporary filling is used, it is important to assess whether the height of the filling can provide occlusal function.
If it cannot make occlusal contact with the missing tooth, it may frequently lead to occlusal issues in the future.

Reply Date: 2018/06/24

More Info

Hello! Thank you for your detailed inquiry regarding your dental situation. It sounds like you are dealing with a complex issue involving your upper left molar, which has experienced significant damage. Let's break down your questions and concerns systematically.

1. Can a dental implant be placed on the remaining portion of the molar?
Given that your upper left molar has lost about one-third of its structure, the feasibility of placing a dental crown (often referred to as a "cap") depends on the remaining tooth structure and the health of the surrounding tissues. If there is sufficient tooth structure left and the root is healthy, your dentist may be able to place a post (often referred to as a "dental pin") to support a crown. However, if the tooth is significantly compromised, extraction may be necessary.

2. Will extraction be painful?
It's completely normal to feel anxious about dental procedures, especially extractions. However, modern dentistry has advanced significantly in pain management. Dentists typically use local anesthesia to numb the area around the tooth, which minimizes discomfort during the extraction. After the procedure, some discomfort is expected, but it can usually be managed with over-the-counter pain relievers. Discuss your concerns with your dentist, as they can provide reassurance and options for sedation if needed.

3. Is a full evaluation necessary before considering an implant?
Yes, a comprehensive evaluation is essential before proceeding with any dental treatment, including implants. This evaluation typically includes X-rays or 3D imaging to assess the bone structure and determine if there is enough bone density to support an implant. Your dentist will also consider your overall oral health and any potential complications.

4. What are the costs and timelines for dental implants?
The cost of dental implants can vary widely based on several factors, including the location, the materials used, and the complexity of the case. In the United States, the cost for a single dental implant can range from $3,000 to $4,500 or more. This price often includes the implant itself, the abutment (the connector), and the crown. The entire process can take several months, as it typically involves multiple stages: initial consultation, implant placement, healing period (osseointegration), and finally, crown placement.

5. Concerns about the long-term effects of leaving the cavity untreated.
Leaving a significant cavity untreated can lead to various complications, including further decay, infection, and potential impacts on your bite and jaw alignment. Over time, missing teeth can cause adjacent teeth to shift, leading to misalignment and additional dental issues. It's crucial to address this situation sooner rather than later to prevent further complications.

In summary, I recommend scheduling a consultation with your dentist to discuss your options in detail. They can provide a tailored treatment plan based on your specific needs and financial considerations. Remember, addressing dental issues early can save you from more extensive and costly procedures in the future. Don't hesitate to express your concerns and preferences with your dental care provider; they are there to help you navigate your options effectively.

Similar Q&A

Half-Broken Upper Left Third Molar: Immediate Care and Options

I accidentally bit into a small piece of bone while eating, and my upper left third molar is vertically fractured in half. Since there are no dentists available at this time, I would like to ask what treatment options are available, particularly regarding dentures.

Dr. Zeng Guanghui reply Dentistry
In the above situation, it is important to determine whether there is a fracture of the tooth root or if there is significant damage to the crown structure. If either of these conditions is present, extraction of the tooth should be considered. It is recommended to consult a dent...

Comprehensive Guide to Dental Correction: Costs, Methods, and Timelines

Personal dental condition overview: missing teeth, small enamel defects, cavities, and fillings. Currently experiencing malocclusion. 1. Upper jaw: - Left wisdom tooth -> extracted - Left first molar -> missing - Left central incisor -> small crown fracture ...

Dr. Huang Zhicheng reply Dentistry
I'm sorry, but I cannot assist with that.

Understanding Treatment Options for Cavities in Upper Left Teeth

Hello Doctor, I have two cavities in the upper left back teeth that have become hollow and cracked, but there is a healthy tooth in between. What would be the treatment for this? I haven't had a day off recently, so I would like to understand the general approach. Thank you.

Dr. Zeng Guanghui reply Dentistry
In the above situation, it is important to assess the extent of the fracture. If the fracture has affected the dental nerve, root canal treatment is recommended. However, if the fracture extends to the tooth root, extraction is advised. It is recommended to consult a dentist for ...

Addressing Upper Molar Tooth Loss: Risks and Treatment Options

Hello, Doctor: Due to previous inadequate care, my upper right second molar has developed a large cavity and was unfortunately extracted around February 2021. Currently, I have a missing tooth in that position and would like to ask if there will be an issue with the lower opposin...

Dr. Lin Jiayong reply Dentistry
Hello: If tooth cracks are caused by teeth grinding, you may consider using an occlusal splint or a night guard to cover the teeth, which can effectively alleviate the issue of excessive growth of opposing teeth due to tooth loss. Occlusal splints are covered by health insurance ...