After the extraction of the second molar, the first molar shifts towards the space of the second molar?
Hello Dr.
Chuang, I had my upper right second molar extracted ten years ago, and I have a dental implant for my lower right first molar due to inflammation, which is going to be removed.
My lower right second molar is a natural tooth but has a crown, and my lower right wisdom tooth is impacted and buried deep.
I would like to ask if, after the extraction of the lower right first molar, it is possible to move the lower right second molar into the position of the lower right first molar since there is no corresponding upper right second molar above it.
This way, I could avoid having to create a bridge or implant for three teeth.
Would this be more durable and cost-effective? How long would this process take?
Mr. Chen, 40~49 year old female. Ask Date: 2010/08/17
Dr. Zhuang Suhui reply Dentistry
Hello: Your idea is generally feasible, but it is essential to consult an orthodontist for an evaluation, as moving the molars parallelly is not an easy task.
Reply Date: 2010/08/17
More Info
When it comes to dental health, particularly regarding the shifting of lower molars after extraction, there are several important factors to consider. Your situation involves the extraction of a lower molar and the potential for adjacent teeth to shift into that space. This is a common concern in dentistry, and understanding the mechanics behind tooth movement can help you make informed decisions about your treatment options.
Firstly, it is essential to recognize that teeth are not static; they are constantly influenced by various forces, including chewing, biting, and even the natural movement of adjacent teeth. When a tooth is extracted, the surrounding teeth may begin to shift into the empty space. This can lead to misalignment, bite issues, and even further dental complications if not addressed properly.
In your case, you mentioned that the right lower first molar (which is a false tooth) will be extracted due to inflammation, and you are considering the possibility of moving the right lower second molar into the space left by the first molar. This is a viable option, known as "tooth migration" or "tooth drift," and can be accomplished through orthodontic treatment. However, there are several factors to consider:
1. Orthodontic Evaluation: Before proceeding, it is crucial to have a thorough evaluation by an orthodontist. They will assess the alignment of your teeth, the health of your gums, and the overall structure of your jaw. This evaluation will help determine if the second molar can be safely moved into the position of the first molar without causing further complications.
2. Timeframe: The duration of treatment can vary significantly based on individual circumstances. If orthodontic treatment is necessary, it may take several months to a couple of years to achieve the desired results. The exact timeline will depend on the complexity of your case and the specific treatment plan developed by your orthodontist.
3. Cost Considerations: Moving a tooth into a new position may be more cost-effective than placing a bridge or implant, especially if you can avoid the need for multiple procedures. However, the overall cost will depend on the specific orthodontic treatment required, as well as any additional dental work that may be necessary to ensure the health and stability of your teeth and gums.
4. Long-term Stability: While moving the second molar into the space of the first molar can be a practical solution, it is essential to consider the long-term stability of this arrangement. Teeth that are moved may require retainers or other forms of maintenance to prevent them from shifting back to their original positions.
5. Potential Risks: As with any dental procedure, there are risks involved. Moving teeth can sometimes lead to discomfort, changes in bite, or even damage to the roots of adjacent teeth. It is essential to discuss these risks with your dental professional to make an informed decision.
In conclusion, while it is possible for the lower molars to shift after extraction, there are several dental solutions available to address this issue. Moving the right lower second molar into the position of the first molar is a feasible option, but it requires careful planning and evaluation by a dental professional. Be sure to discuss all your concerns and options with your dentist or orthodontist to determine the best course of action for your specific situation.
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