Do You Need a Dental Implant After Removing Wisdom Tooth and Molar?

Is dental implant necessary after the extraction of the lower right horizontal wisdom tooth and the adjacent molar?

Hello Dr.
Huang: After the extraction of the lower right horizontal wisdom tooth and the adjacent molar, is it acceptable to leave the space of the missing molar empty without any intervention?

Mr. Wang, 40~49 year old female. Ask Date: 2019/11/16

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Wang,
Regarding the extraction of the lower right horizontal wisdom tooth and the adjacent molar, is dental implant necessary? Actually, dental implants can increase the occlusal surface area! However, it is also possible to forgo the implant, but the upper second molar may drift down towards the lower ridge.
In this case, the upper second molar would need to be extracted.

Take care! Wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/11/16

More Info

After the removal of a wisdom tooth and an adjacent molar, the question of whether to pursue a dental implant or leave the space empty is a common concern. The decision largely depends on several factors, including the overall health of your remaining teeth, your bite alignment, and your long-term dental health goals.

Leaving a gap from a missing tooth can lead to several complications. Firstly, the adjacent teeth may begin to shift into the empty space, which can cause misalignment and bite issues. This shifting can lead to further dental problems, including increased wear on your remaining teeth and potential jaw pain due to altered bite dynamics. Additionally, the bone in the area where the tooth was removed can begin to resorb or shrink over time, which can complicate future restorative options if you decide to pursue an implant later on.

A dental implant is often recommended after tooth extraction because it serves as a replacement root, helping to maintain the integrity of the jawbone and preventing the aforementioned complications. Implants are typically made of titanium and are surgically placed into the jawbone, where they fuse with the bone over time in a process called osseointegration. This provides a stable foundation for a crown that mimics the appearance and function of a natural tooth.

If you are considering an implant, it is essential to consult with a dental professional who can evaluate your specific situation. They will assess the condition of your jawbone and surrounding teeth, as well as your overall oral health. If your bone density is insufficient, bone grafting may be necessary to create a solid foundation for the implant.

In some cases, if the gap is small and not causing any immediate issues, some patients may choose to leave it empty temporarily while monitoring the situation. However, this is generally not advisable for the long term. Regular dental check-ups are crucial to ensure that no further complications arise from leaving the space unfilled.

In summary, while it may be possible to leave the space empty after the removal of a wisdom tooth and molar, it is not typically recommended due to the potential for complications. A dental implant is a viable solution that can help maintain your dental health and prevent future issues. Always consult with your dentist or oral surgeon to make the best decision for your individual circumstances.

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