Should You Extract Wisdom Teeth Before Dental Crown Procedure? - Dentistry

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Is it necessary to extract the wisdom tooth behind the second molar before performing dental sculpting on the second molar?


Hello, doctor.
Due to the loss of filling material in my second molar, and because the area of damage is extensive, the doctor has suggested doing a dental crown for repair.
However, before proceeding with the crown, I need to have my impacted wisdom tooth extracted to achieve better treatment results.
Currently, I find myself in an awkward situation: the extraction of the wisdom tooth requires a recovery period, during which if the temporary filling material falls out, I will need to have it refilled again.
Is it possible to complete the dental crown first and then extract the wisdom tooth?

Mr. Chen, 20~29 year old female. Ask Date: 2024/06/15

Dr. Lin Jiayong reply Dentistry


Hello: If you strongly prefer not to have your wisdom teeth extracted, it is advisable to discuss with your dentist the potential consequences and complications of not having the extraction and proceeding with dental restoration immediately.
If you understand the risks and are willing to accept them, then you may proceed.
However, if you initially had the intention to have your wisdom teeth removed, it is recommended to have the extraction done first, as it would be more meaningful and save time and effort.

Reply Date: 2024/06/15

More Info


When considering whether to extract wisdom teeth before undergoing a dental crown procedure, there are several factors to take into account. Wisdom teeth, or third molars, often pose a risk of complications due to their positioning and the potential for impaction. If your dentist has recommended the extraction of your wisdom teeth prior to proceeding with a dental crown, it is likely based on the assessment that the presence of these teeth could interfere with the success of the crown placement or the overall health of your dental structure.

In your situation, where you have a second molar that requires significant restoration, it is crucial to address the underlying issues effectively. If the wisdom tooth is horizontally impacted and could potentially affect the adjacent second molar, extracting it before the crown procedure may be advisable. This is particularly true if the wisdom tooth is likely to cause future problems, such as infection or misalignment of the surrounding teeth.

However, you mentioned the concern about the recovery period following the extraction and the risk of temporary filling materials falling out during this time. It is indeed a valid concern, as the healing process can vary from person to person, and any disruption during this period could necessitate additional dental work.
In general, dental professionals often recommend addressing all problematic teeth before proceeding with restorative procedures like crowns. This is because any ongoing issues, such as infection or misalignment, can compromise the integrity of the crown and the surrounding teeth. If the wisdom tooth is extracted first, it allows for a clearer path for the dentist to work on the second molar without the risk of complications arising from the wisdom tooth.

If you are hesitant about the timing of the extraction and the crown procedure, it is essential to have an open discussion with your dentist. They can provide you with a personalized treatment plan that considers your specific dental health, the condition of your wisdom teeth, and the urgency of restoring your second molar. They may also suggest temporary solutions to protect the second molar while you recover from the extraction.

In some cases, dentists may allow for the completion of the crown procedure before extracting the wisdom tooth, especially if the wisdom tooth is not currently causing any issues. However, this approach carries risks, as the presence of the wisdom tooth could lead to complications later on, potentially affecting the longevity and success of the crown.

Ultimately, the decision should be made collaboratively with your dental care provider, taking into account the potential risks and benefits of each option. They can help you weigh the pros and cons of extracting the wisdom tooth first versus completing the crown procedure beforehand, ensuring that you make an informed choice that prioritizes your oral health.
In summary, while it may be tempting to complete the crown procedure first, extracting the wisdom tooth beforehand is often the more prudent choice to ensure a successful and lasting restoration. Always consult with your dentist to determine the best course of action tailored to your unique dental situation.

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