Addressing Dental Concerns: Wisdom Teeth, Implants, and Jaw Issues - Dentistry

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Dental-related issues?


Hello Dr.
Lin,
I have had all my molars extracted, and currently, I only have my upper and lower wisdom teeth intact on the right side (the posterior teeth).
During a school dental check-up, the dentist advised me to have my wisdom teeth moved forward; otherwise, the gaps between my front teeth will widen.
I would like to ask Dr.
Lin if moving the wisdom teeth forward to the position of the molars is safe? Are there any side effects? Is the cost expensive? (I have financial considerations due to family budget issues.)
Additionally, my left molar and wisdom tooth have both been extracted.
Would it be suitable for me to get dental implants? What would the approximate cost be?
Another issue I have is that ever since the extraction of my posterior teeth, I have experienced increased saliva production, and I often find saliva at the corners of my mouth.
I have to swallow frequently while speaking.
This did not happen before the extractions.
Could this be related to the fact that I had multiple teeth removed? Also, my left cheek has a clicking sound when I eat hard foods (it also clicks when I yawn) due to an accidental hit from my sister.
Sometimes, I feel like something is stuck in my bone.
Is this related to the temporomandibular joint or some kind of jaw displacement?
Please help me, Dr.
Lin! Thank you!

JJ, 20~29 year old female. Ask Date: 2007/01/20

Dr. Lin Qingye reply Dentistry


After Miss JJ has her tooth extracted, it is important to address the situation promptly, as delaying treatment may affect the alignment of adjacent teeth.
In addition to dentures, orthodontic treatment or dental implants can also be considered.
However, all treatments require a thorough evaluation to determine the appropriate course of action and associated costs.
It is advisable to inform the dentist about any existing medical or oral health issues prior to treatment, so that the dentist can provide the best possible care.
Dr.
LIN 2007/01/22

Reply Date: 2007/01/20

More Info


Hello! Thank you for reaching out with your dental concerns. It sounds like you are dealing with several issues related to your wisdom teeth, potential implants, and jaw problems. Let’s break down your questions and address them one by one.

Firstly, regarding the idea of moving your wisdom teeth (third molars) forward to occupy the space of your missing molars, this is generally not a common practice in dentistry. Wisdom teeth are typically not positioned ideally for functional use, as they are often impacted or misaligned. Moving them forward could lead to complications, such as increased risk of decay or periodontal disease, as these teeth may not have the proper root structure or alignment to function effectively. Additionally, the process of moving teeth can involve orthodontic treatment, which can be time-consuming and costly. It’s essential to consult with an orthodontist or oral surgeon to evaluate the feasibility and safety of this approach.

As for the cost of orthodontic treatment, it can vary widely based on the complexity of your case, the type of treatment required, and your geographical location. Typically, orthodontic treatment can range from a few thousand to several thousand dollars. If cost is a significant concern, discussing payment plans or financing options with your dental provider may be beneficial.

Regarding your question about dental implants, they can be a suitable option for replacing missing teeth, including molars. However, the success of implants depends on several factors, including the quality and quantity of the bone in your jaw where the implant will be placed. Since you mentioned that your left molars and wisdom teeth have been extracted, a thorough evaluation by a dental professional is necessary to determine if you have enough bone density for implants. If not, bone grafting may be required, which can add to the overall cost and complexity of the procedure.

The cost of dental implants can also vary significantly, typically ranging from $3,000 to $4,500 per implant, depending on the specific circumstances and the materials used. Again, discussing your financial situation with your dentist can help you explore options that fit your budget.

Regarding the increased saliva production and the discomfort in your jaw, these symptoms can sometimes occur after tooth extractions. The body may react to the changes in your oral environment, and increased saliva production can be a way to aid in healing. However, if this is persistent and bothersome, it’s worth discussing with your dentist.
The clicking or popping sound in your jaw when you eat or yawn could indicate a temporomandibular joint (TMJ) issue. TMJ disorders can arise from various factors, including trauma, teeth grinding, or misalignment of the jaw. If you suspect a TMJ disorder, it’s crucial to have a dental professional assess your jaw function and determine the best course of action. Treatment options may include physical therapy, bite guards, or, in some cases, surgical intervention.

In summary, I recommend scheduling a comprehensive evaluation with a dentist or oral surgeon who can assess your specific situation, including your wisdom teeth, potential for implants, and any jaw issues. They can provide tailored advice and treatment options that consider both your dental health and financial situation. Remember, maintaining open communication with your dental provider about your concerns and budget is key to finding the best solution for your dental health. Thank you for your questions, and I hope this information helps guide you in addressing your dental concerns!

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