Should I Extract Wisdom Teeth Before or After Filling Cavities? - Dentistry

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My wisdom teeth are causing me a lot of trouble?


Doctor, I have a toothache in the molar in front of my wisdom tooth, and it is clearly decayed.
Should I get the second molar filled first before extracting the wisdom tooth, or should I extract the wisdom tooth first and then fill the second molar? The second molar has been inflamed recently, and it hurts when I eat! Also, since I live in Miaoli and I'm not very confident in the dentists here, could you recommend a skilled dentist in Miaoli? After extracting the wisdom tooth, how large is the wound approximately?

A-Rong, 20~29 year old female. Ask Date: 2010/08/11

Dr. Yang Zhiren reply Dentistry


Hello, if the cavity is located on the distal surface of the second molar, it is recommended to extract the wisdom tooth first before proceeding with the filling of the second molar.
I am not familiar with the doctors in Miaoli, but you can consult Dr.
Wei Gong.
If surgery is performed for extraction, sutures will be required.
The wound is not large and will take about a month to heal.
Dr.
Yang Zhiren, the director of the dental department at Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2010/08/11

More Info


When it comes to the decision of whether to extract wisdom teeth before or after filling cavities, there are several factors to consider. The primary concern is the health of your teeth and the potential for complications.
In your case, since you mentioned that the second molar (the tooth in front of the wisdom tooth) is painful and has a noticeable cavity, it is crucial to address that issue promptly. If the second molar is infected or has significant decay, it may require immediate attention. In many cases, dentists recommend treating the more problematic tooth first, especially if it is causing pain or discomfort. Filling the cavity in the second molar can alleviate pain and prevent further complications, such as an abscess or the need for a root canal.

However, if the wisdom tooth is also problematic—such as being impacted, infected, or contributing to the decay of the adjacent tooth—then it might be wise to extract the wisdom tooth first. This is particularly true if the wisdom tooth is likely to cause further issues down the line, as wisdom teeth often lead to overcrowding and can make it difficult to maintain proper oral hygiene, which can exacerbate decay in neighboring teeth.

In summary, if the second molar is currently causing you pain and has a cavity, it may be best to fill that tooth first. After addressing the immediate issue, you can then consider extracting the wisdom tooth, especially if it poses a risk to your oral health.
Regarding your question about the extraction procedure, the size of the wound after wisdom tooth extraction can vary depending on the complexity of the extraction. Generally, the incision made during the extraction will heal within a week or two, but the surrounding gum tissue may take longer to fully heal. It's essential to follow your dentist's post-operative care instructions to minimize the risk of infection and ensure proper healing.

As for finding a reputable dentist in Miaoli, I recommend looking for a dental clinic with good reviews and recommendations from local residents. You can also check online platforms for patient feedback or ask for referrals from friends or family members who have had positive experiences with dentists in your area.
In conclusion, prioritize treating the painful second molar first, and then plan for the extraction of the wisdom tooth if necessary. Always consult with your dentist to make the best decision based on your specific dental health needs.

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