Late extraction of wisdom teeth can lead to erosion of the molars?
During a previous dental cleaning, the dentist discovered through X-rays that my wisdom tooth had decayed too late and caused erosion to the adjacent molar.
However, the cavity is located within the gum tissue, and the dentist was unsure how to proceed, so they referred me to another specialist.
The dentist I consulted currently suggested that I need to get a dental crown to protect the tooth and prevent further decay.
Yang A-Dai, 20~29 year old female. Ask Date: 2022/06/04
Dr. Lin Jiayong reply Dentistry
Hello: The first step is to recommend the extraction of the impacted wisdom teeth, after which we can fully address the damage to the anterior molars.
Whether a crown is needed for protection will depend on the clinical situation.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/06/04
More Info
Late wisdom tooth extraction can indeed lead to complications, including erosion of adjacent molars, as you've experienced. When wisdom teeth (or third molars) are left untreated, especially if they are impacted or decayed, they can exert pressure on neighboring teeth, leading to decay or erosion. This situation can be further complicated if the decay is located beneath the gum line, making it difficult for dentists to access and treat effectively.
In your case, it seems that the wisdom tooth decay has progressed to a point where it has affected the adjacent molar. The recommendation to consider a dental prosthesis, such as a crown or bridge, is a common approach to protect the remaining tooth structure and restore function. Here are some considerations and steps you might take:
1. Seek a Specialist: If your current dentist is unsure about the best course of action, it may be beneficial to consult an oral surgeon or a prosthodontist. These specialists have extensive training in complex dental issues and can provide a more comprehensive evaluation of your situation.
2. Treatment Options: Depending on the extent of the decay, treatment options may include:
- Restoration: If the adjacent molar is still structurally sound, your dentist may recommend a filling or crown to restore its integrity.
- Extraction: If the molar is too damaged, extraction may be necessary, followed by options for replacement, such as a dental implant or bridge.
- Prosthetic Solutions: If the tooth is extracted, a dental implant can provide a permanent solution, while a bridge can replace the missing tooth by anchoring to adjacent teeth.
3. Preventive Measures: To prevent further decay, maintaining excellent oral hygiene is crucial. This includes:
- Regular Brushing and Flossing: Brush at least twice a day and floss daily to remove plaque and food particles from between teeth.
- Routine Dental Check-ups: Regular visits to your dentist for cleanings and check-ups can help catch issues early before they become more serious.
- Dietary Considerations: Limit sugary foods and beverages that can contribute to tooth decay.
4. Addressing Anxiety: If you are feeling anxious about the procedures, discuss your concerns with your dentist. They can provide options for sedation or other methods to help you feel more comfortable during treatment.
5. Follow-Up Care: After any dental procedure, follow your dentist's aftercare instructions carefully. This may include avoiding certain foods, taking prescribed medications, and scheduling follow-up appointments to monitor healing.
6. Smoking Cessation: If you smoke, consider reducing or quitting, as smoking can impede healing and increase the risk of complications after dental procedures.
In summary, while late extraction of wisdom teeth can lead to complications such as molar erosion, there are effective treatment options available. Consulting with a dental specialist and maintaining good oral hygiene practices will be key to managing your dental health moving forward. Remember, early intervention is always preferable, so don't hesitate to seek a second opinion if you're unsure about the recommended treatment.
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