Is It Necessary to Get Dentures After Lower Left Molar Extraction? - Dentistry

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Is it necessary to get a dental prosthesis after the extraction of the lower left second molar?


After the extraction of the lower left wisdom tooth and the lower left second molar, the dentist recommended getting a removable denture to prevent the upper left molar from drifting down.
Is it necessary to get a denture? After all, it requires grinding down the two teeth in front of the lower left second molar to accommodate the removable denture.
Thank you for your response.

Yao, 40~49 year old female. Ask Date: 2021/12/15

Dr. Lin Jiayong reply Dentistry


Hello: Typically, removable dentures do not require significant reduction of tooth structure, unless you are planning to have a fixed prosthesis, in which case the tooth will need to be reduced in size.
It is advisable to discuss thoroughly with the treating dentist whether you are opting for a fixed or removable prosthesis.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/12/15

More Info


After the extraction of your lower left molar and wisdom tooth, the decision to get dentures, specifically a removable partial denture, is indeed a significant one. While it may not be strictly necessary to get dentures, there are several important factors to consider that can help guide your decision.

Firstly, the primary reason for considering dentures after tooth extraction is to maintain the integrity of your dental arch and prevent adjacent teeth from shifting. When a tooth is lost, the surrounding teeth can begin to drift into the empty space, leading to misalignment and potential bite issues. This can create a domino effect, where the misalignment of teeth can lead to further dental problems, including increased wear on the remaining teeth, jaw pain, and even temporomandibular joint (TMJ) disorders.

In your case, since your dentist has recommended a removable denture to prevent the upper left molar from dropping down, it suggests that they are concerned about the long-term stability of your dental structure. If the upper molar were to shift into the space left by the extracted teeth, it could lead to complications such as uneven wear, increased risk of cavities in the adjacent teeth, and potential gum issues.

Moreover, the process of fitting a removable denture often involves reshaping the adjacent teeth to ensure a proper fit. While this may seem daunting, it is essential for the overall health of your mouth. The reshaping of the adjacent teeth is done to create a stable foundation for the denture, ensuring that it functions effectively and comfortably.

Another consideration is the aesthetic aspect. If the extraction has left a noticeable gap, you may feel self-conscious about your smile. Dentures can help restore your confidence by providing a complete and natural-looking smile. This can be particularly important in social situations or professional settings.

However, if you are hesitant about getting dentures due to the need to reshape adjacent teeth, it is worth discussing alternative options with your dentist. Dental implants, for example, are a more permanent solution that can replace missing teeth without affecting the surrounding ones. Implants are surgically placed into the jawbone and can provide a stable and functional replacement for your molars. They also help preserve the bone structure in the jaw, which can be beneficial in the long term.

In conclusion, while it may not be absolutely necessary to get dentures after the extraction of your lower left molar and wisdom tooth, it is highly advisable to consider the potential consequences of not replacing the missing teeth. The decision should be made in consultation with your dentist, who can provide personalized recommendations based on your specific dental health, the condition of your remaining teeth, and your overall oral health goals. If you have concerns about the procedure or the implications of getting dentures, don't hesitate to voice these to your dentist. They can help address your fears and provide you with the information you need to make an informed decision.

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