Can I Extract My Second Molar Like Wisdom Teeth? A Dental Inquiry

second molar

Hello, doctor.
I have severe cavities in my upper left second molar with a large hole, which easily traps food.
The doctor said it needs to be extracted.
I had my four wisdom teeth removed three years ago, and my lower left second molar is a prosthetic tooth.
I would like to know if the second molar can be extracted and the wound sutured like the wisdom teeth were? The cost of dental implants is really high.
Thank you.

Pengpeng, 30~39 year old female. Ask Date: 2021/07/13

Dr. Zeng Guanghui reply Dentistry

Severe cavities in the upper left second molar can lead to food trapping.
If the decay is too severe to preserve the tooth, extraction is recommended, followed by a period of healing.
If biting becomes inconvenient afterward, dental implants are suggested for restoration.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/07/13

More Info

When it comes to the extraction of a second molar, it is indeed possible to treat it similarly to wisdom teeth. The extraction process for a second molar is generally straightforward, especially if the tooth is severely decayed and causing discomfort or complications, such as food impaction. In your case, since the left upper second molar has significant decay and is prone to trapping food, extraction may be the best course of action.

The extraction of a second molar can be performed under local anesthesia, and the procedure typically involves the dentist or oral surgeon removing the tooth and then suturing the extraction site if necessary. This is similar to the extraction of wisdom teeth, where the area is cleaned, and stitches may be placed to promote healing. The recovery process for a second molar extraction is usually comparable to that of wisdom teeth, with some swelling and discomfort expected in the first few days post-surgery.

Regarding your concern about the cost of dental implants, it is important to note that while implants are a long-term solution for missing teeth, they can be quite expensive. If you are not ready to invest in an implant immediately after the extraction, there are alternative options to consider. For instance, a temporary partial denture can be used to fill the gap left by the extracted tooth until you are ready for a more permanent solution. This can help maintain your bite and aesthetics while you plan for future treatment.

It’s also worth mentioning that if you choose to extract the second molar, you should discuss with your dentist the potential implications for your overall dental health. The absence of a second molar can affect your bite and the alignment of adjacent teeth over time. Therefore, it’s crucial to have a comprehensive treatment plan that addresses not only the extraction but also the long-term management of your dental health.

In summary, yes, you can extract your second molar in a manner similar to wisdom teeth. The procedure is standard, and the recovery is manageable. However, it’s essential to have a follow-up plan for replacing the tooth, whether through a temporary solution or considering an implant in the future. Always consult with your dentist to ensure that you are making the best decision for your oral health and financial situation.

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