Dealing with Tooth Cracks and Wisdom Tooth Extraction: What You Need to Know

Q: Dealing with Tooth Cracks and Wisdom Tooth Extraction: What You Need to Know

Hello： 1. <br>Generally, minor cracks can be filled. <br>2. <br>It is recommended to wait for the healing of the extraction site in the upper right (at least 3 months) before considering the issue on the upper left. <br>Otherwise, performing invasive treatments on both sides or h

Suspected tooth fracture and tooth extraction issues?

1.
I had my upper right wisdom tooth extracted on April 10th, and when I checked with my tongue on April 13th, I thought I felt something hard stuck there.
Later, I discovered a slight crack at the edge of my upper right second molar.
It doesn't affect my ability to eat.
Is it possible that the dentist damaged the molar while extracting the wisdom tooth? Is there any way to remedy this?
2.
My upper left second molar has a cavity at the bottom, which was filled a year and a half ago.
The first dentist advised me to get it refilled, while the second dentist suggested two options.
There is no standard answer: I could continue to refill that molar, but it is likely that I will need to keep getting it refilled.
Alternatively, I could have the wisdom tooth extracted, which would allow the healthy wisdom tooth to move forward.
However, since I didn't address this issue sooner, there may be a spacing problem, and it is "possible" that it won't align perfectly with the adjacent tooth.
The dentist mentioned that the filling method used a year and a half ago was not ideal because the bottom is close to the pulp, making it prone to recurrent cavities.
Should I choose the second option? Is it correct that the wisdom tooth can move forward without braces? How long would this take? If it doesn't align perfectly in the end, are there any remedial options available? Are there any methods for localized correction without braces?

eric, 20~29 year old female. Ask Date: 2023/04/14

Dr. Lin Jiayong reply Dentistry

Hello: 1.
Generally, minor cracks can be filled.
2.
It is recommended to wait for the healing of the extraction site in the upper right (at least 3 months) before considering the issue on the upper left.
Otherwise, performing invasive treatments on both sides or having wounds on both sides could severely impact daily activities, including eating.

Reply Date: 2023/04/14

More Info

Dealing with tooth cracks and wisdom tooth extraction can be a complex issue, especially when considering the potential impact on surrounding teeth and the best course of action for maintaining oral health. Here’s a comprehensive overview based on your questions.

1. Impact of Wisdom Tooth Extraction on Adjacent Teeth: It is not uncommon for the extraction of a wisdom tooth to inadvertently affect nearby teeth, particularly if the wisdom tooth was impacted or positioned awkwardly. In your case, the slight crack you noticed on the edge of your upper second molar could be a result of the extraction process, especially if there was significant pressure or manipulation during the procedure. However, if the crack is minor and not causing pain or affecting your ability to chew, it may not require immediate intervention. Regular monitoring is essential, and if you notice any changes such as increased sensitivity, pain, or further cracking, you should consult your dentist for an evaluation.
2. Options for Treating Cavities in Adjacent Teeth: Regarding the cavity in your left upper second molar, it’s crucial to address this issue promptly to prevent further decay. The two options presented by your dentists—continuing to fill the cavity or extracting the tooth—each have their pros and cons. If the tooth has been filled previously and is prone to recurrent decay, it may be more beneficial in the long run to extract it, especially if the wisdom tooth can shift into its place. This could potentially eliminate the need for a crown or other extensive restorative work. However, the success of this approach depends on the alignment of your teeth and the distance between the wisdom tooth and the second molar.
3. Movement of Wisdom Teeth and Orthodontic Considerations: The idea that the wisdom tooth can naturally move into the space left by an extracted second molar is plausible, but it is not guaranteed. Teeth do have a tendency to shift over time, but this process can be unpredictable and may not result in a perfect alignment. If the gap is significant, the wisdom tooth may not fully close the space, leading to aesthetic concerns or functional issues.
4. Timeframe for Tooth Movement: If you decide to go ahead with the extraction and allow the wisdom tooth to move forward, the timeframe can vary significantly. It may take several months for any noticeable movement to occur, and this is contingent on various factors, including your age, the position of your teeth, and your overall dental health.
5. Alternative Solutions: If the wisdom tooth does not adequately fill the gap left by the extracted second molar, there are several options available. These include orthodontic treatments such as braces or clear aligners, which can help to reposition teeth more effectively. Additionally, if the gap remains, restorative options such as dental implants or bridges can be considered to maintain function and aesthetics.

In conclusion, it is essential to have a thorough discussion with your dentist about the best course of action tailored to your specific dental health needs. Regular check-ups and open communication with your dental care provider will help ensure that any issues are addressed promptly, and you can maintain optimal oral health.

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