Do You Need Implants for Your Second Molars? - Dentistry

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Does the second molar need to be replaced with a dental implant?


The upper and lower first and second molars on the left side have decayed down to the roots.
The dental clinic I originally visited said that extraction and dental implants are necessary.
I am considering going to a regional teaching hospital, Chang Gung Memorial Hospital, to get a second opinion.
If it turns out that the teeth are beyond saving, will the second molar also require an implant?

Hong, 20~29 year old female. Ask Date: 2023/12/25

Dr. Lin Jiayong reply Dentistry


Hello: Considering your age, if a physician has confirmed that the damaged tooth is untreatable or can only undergo ineffective treatment, dental implants would indeed be a better restorative option.
Chang Gung Memorial Hospital is a medical center and should provide you with excellent advice and a treatment plan, so there is no need to worry.

Reply Date: 2023/12/25

More Info


When it comes to the question of whether you need dental implants for your second molars, there are several factors to consider. Based on the information provided, it seems that your second molars have significant decay that has affected the roots, leading to the recommendation for extraction and potential implants.
First, let's discuss the role of second molars in dental health. Second molars are crucial for chewing and grinding food, and they play a significant role in maintaining the alignment of your teeth. If these teeth are lost and not replaced, it can lead to a variety of dental issues, including shifting of adjacent teeth, bite problems, and even jaw pain. Therefore, replacing a missing second molar is often recommended to maintain oral function and health.

If your dentist has suggested extraction and implants, it is likely because the tooth is beyond repair. Dental implants are a common solution for replacing missing teeth, as they provide a stable and durable option that mimics the function of natural teeth. An implant consists of a titanium post that is surgically placed into the jawbone, which serves as a root for a crown that will be placed on top. This process can help preserve the jawbone and prevent further dental complications.

However, before proceeding with implants, it is essential to assess the condition of your jawbone. If the bone has deteriorated due to the absence of the second molar, you may require a bone graft before an implant can be placed. Additionally, the healing process after extraction and implant placement can take several months, during which you may need to adjust your diet and oral hygiene practices.

Regarding your concern about whether to seek a second opinion at a teaching hospital, this is a wise choice. Teaching hospitals often have access to a range of specialists and advanced technologies that can provide a more comprehensive evaluation of your dental situation. They may also offer different treatment options that could be less invasive or more cost-effective.

In summary, if your second molars are severely decayed and extraction is necessary, dental implants are generally a recommended solution to restore function and prevent further dental issues. However, it is crucial to have a thorough evaluation by a qualified dental professional to determine the best course of action tailored to your specific needs. Always feel free to ask questions and express any concerns you may have during your consultations, as understanding your treatment options is vital for making informed decisions about your dental health.

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