surgical removal of lower left 2nd molar,? sore

[Bryanna]

Hi cvcman,

Your questions are all valid and believe me, I'm always more steps ahead of myself than I need to be..... so I understand

To answer your questions....

<<1) would you do an implant if possible ??>>
Sure! If you are a good candidate for doing one. A good candidate is someone who has adequate size healthy bone (in the area in question), no periodontal disease, good oral hygiene, non smoker, non alcoholic and no uncontrolled autoimmune disease.

<<2) how to fing the best implant surgeon ??>>
Referral from your dentist or someone you know that had a good experience with a dentist when they had a dental implant done. Some general dentists have taken special training to place dental implants and if they have done alot of them, they can be very good at it. Oral surgeons and periodontists also place dental implants. I would not choose the dentist because his/her fee was less expensive than someone elses...... their experience in performing the procedure, their willingness to answer my questions and the cleanliness of their operatories would help me make my choice.

<< 3) partial ??>>
Partial dentures are designed to accomodate a variety of missing tooth scenerios. It is ideal to have a tooth behind the missing one(s) to clasp the denture onto, but it is not always required. When there is no back tooth, the partial is designed to clasp onto other existing teeth and rest on the gum area of the missing tooth.... in your case #18 would be the area where the partial would rest on the gum. I have seen many patients who have NO posterior teeth and wear a partial just fine. It really all depends on your own anatomy, your bone level and the craftmanship/artistry of dentist and the lab fabricating the appliance.

You are 50 yrs young!! A well fitting partial denture would not ruin your other teeth.

If your tooth is cracked above the gumline and the crack is not deep, then a crown could serve to protect that tooth for a very long time.

I have a suggestion........ go see your dentist for an xray. Ask them to use the tooth sleuth (bite stick) to check for fractures. Neither of these are 100%accurate but the results may put your mind at ease or give you some options of what you could do at this time.

Ahahahaha....... this advisor is usually not too far away

Bryanna

Originally Posted by cvcman

Bryanna, stress time again,lol

I know I am getting ahead of myself but IF this 1st molar IS cracked and has to ( God forbid ) come out and I have to make a decision what to do.

1) would you do an implant if possible ??

2) how to fing the best implant surgeon ??

3) partial ??

can I do a partial now for tooth # 18 and 30 ?? There is no tooth behind #18 so my neighbor said you cant do a partial because there is nothing to anchor it to ?? I swear I have seen people with a partial that were missing 1st and second molars on both sides in bottom ??

Given im 50 yrs old would a partial ruin my other teeth that they attach to ??

I really really hate this....I am avoiding the 1st molar on your suggestion but preparing myself for the worst..

Also if it is cracked can a crown repair it for a long time IF its not into the root ??

Thanks again and again and again

[cvcman]

Hey your home ! I am still being carefull and again normal food its ok, pickles, or something firm it feels uncomfortable not a sharp nerve pain like my removed tooth felt rather a dull pressure, hard to explain.

My regular dentist is back in a week and a half. I may go to the oral surgeon who did the ext and ask her opinion, I am sure she will not admit to prying on it IF she did but she may xray etc.

Then I may go to my reg dentist too if I dont feel comfortable with her answer. If it is determined that its cracked what then ?? Should the oral surgeon cover the cost of the crown or whatever??

If the bite stick, xray show nothing what then ?? Will they just start drilling into the crown looking ???

Im stressing again

[Bryanna]

Hi cvcman,

Still being careful with that tooth is good

I agree to have the dentist take an xray.......I think it can wait until your GD gets back. Chances that the oral surgeon caused the tooth to fracture during the removal of the other tooth are pretty slim and if that had occured you would most likely have more intense symptoms than you have mentioned here.

It would be normal for this tooth to be uncomfortable when chewing on it from the stress on the jawbone from the other tooth being removed and because it is a single tooth in an area that should have other teeth to chew on. So the least amount of stress you put on this tooth as the bone heals, the better the outcome.

If the tooth looks ok clinically, nothing shows on the xray and the bite stick test is normal...... the dentist will check your bite (occlusion) with a piece of carbon paper to see if you are hitting that tooth harder than others. If you are, then he will adjust that tooth so it's in balance with the others. If the occlusion is ok, then he will tell you to NOT chew on that tooth for a little while longer

Anytime a tooth is removed, it is common for the bite to shift just enough to cause undue pressure on a tooth/teeth. This can be easily checked with the carbon paper.

Ok stop stressing now.....make an appt when your dentist comes back and take it from there. OK??

Bryanna

Originally Posted by cvcman

Hey your home ! I am still being carefull and again normal food its ok, pickles, or something firm it feels uncomfortable not a sharp nerve pain like my removed tooth felt rather a dull pressure, hard to explain.

My regular dentist is back in a week and a half. I may go to the oral surgeon who did the ext and ask her opinion, I am sure she will not admit to prying on it IF she did but she may xray etc.

Then I may go to my reg dentist too if I dont feel comfortable with her answer. If it is determined that its cracked what then ?? Should the oral surgeon cover the cost of the crown or whatever??

If the bite stick, xray show nothing what then ?? Will they just start drilling into the crown looking ???

Im stressing again

[cvcman]

ok, hey if thats the only problem with the tooth when I , by accident, had the bottom of my tooth brush, on the hard plastic, hit the point of the inside rear cusp I felt a twing, normal ??

I sure hope you are right and the tooth just needs more time, its been over 5 weeks..

[Bryanna]

cvcman......... yes, that would be normal in most cases. Be gentle with that area of your mouth.... clean it thoroughly but not aggressively. Think of it as being wounded like a broken bone. It takes TIME to heal....

If any other symptoms occur or you get a toothache in that tooth, then you know there is something definitely wrong.

So...... Did I read somewhere on here that you are from Northern New Jersey?? Are you a baseball fan..... yankees or phillies??

Bryanna

Originally Posted by cvcman

ok, hey if thats the only problem with the tooth when I , by accident, had the bottom of my tooth brush, on the hard plastic, hit the point of the inside rear cusp I felt a twing, normal ??

I sure hope you are right and the tooth just needs more time, its been over 5 weeks..

[cvcman]

nope dont follow baseball just work and pay dentists !

It seems as though when I brush across the top of the crown of that tooth when brushing my teeth there is some tingling there also, I dont like having this ....

I am hopefull YOU are correct, If they had to pull this one I am not sure how well I will handle that

[cvcman]

byanna, still feeling pain/pressure when biting certin ways/things.

I made an appt with both my GD and the oral surgeon that pulled the tooth for next week. I am scared to death that the tooth is broken and will need pulling, I HOPE I am wrong..


What do you think the chances are that the problem is just the tooth moving and the area behind it is causing the pain ??

The socket is sore if you press on it near the tooth in front of the socket.

I have to go for a colonoscpy Friday so I need to deal with one day at a time....

IF it is cracked what would you do as far as talking to the surgeon that pulled it, again I NEVER had a problem with this tooth before..

[Bryanna]

Hi cvcman,

So I guess you have continued to eat on that tooth since it still hurts to "chew" on it????

I think it's wise to have it evaluated and it can wait until next week since you are not having a toothache and there is no swelling. You said that the socket is sore if you press on it near that tooth..... that could be a part of the normal healing.......or gum recession...... or an accumulation of plaque along the gumline ...... or you could have irritated that area with food because you really should not be eating on it.

If the tooth is cracked, it does not necessarily mean that the oral surgeon caused that to happen when he was removing the other tooth. The tooth could have been cracked before and you didn't realize it because it shared the chewing forces with the tooth behind prior to the extraction. Now it stands alone and is taking a beating every time you eat on it.

The treatment options for a cracked tooth depend on where and how deep the crack is and if there is decay. MANY times the cracked portion of the tooth can be drilled away and either a regular tooth colored filling or an onlay or crown can be placed over the tooth. Again it depends on where and how deep the crack is.....

At this point, please try not to worry about this tooth. It sounds like you have more pressing issues to deal with and the tooth can take a back seat
right now. I would however, try not to eat on it until it is evaluated ~'.'~

Bryanna

Originally Posted by cvcman

byanna, still feeling pain/pressure when biting certin ways/things.

I made an appt with both my GD and the oral surgeon that pulled the tooth for next week. I am scared to death that the tooth is broken and will need pulling, I HOPE I am wrong..


What do you think the chances are that the problem is just the tooth moving and the area behind it is causing the pain ??

The socket is sore if you press on it near the tooth in front of the socket.

I have to go for a colonoscpy Friday so I need to deal with one day at a time....

IF it is cracked what would you do as far as talking to the surgeon that pulled it, again I NEVER had a problem with this tooth before..

[cvcman]

I am trying NOT to eat there but sometimes a pc of crust etc will end up there I m trying hard not to and I havent gotten anything hard on the socket.

I can feel the socket is somewhat sore the upper one where the wisdom tooth was is slightly sore also but the lower one where she did the most work is more tender.


Is there really any other answer other than a crack that would cause a pain when a small pc of firm food lands on it ?? There seems to be only one area of the socket that is tender and that is right up against the sore tooth.

No pain if no foos gets there but this morning eating oatmeal I didnt realize a pc was there and when I bit down I felt it.

If and again I hope not it has to come out would a partial be an option, I think you said it would. Would a regular dentist do that ??

The colonoscopy is jut the 50 year old Dr advise...

Again I am TRYING to stay away from it and the dentists

[Bryanna]

Hi cvcman,

I hope everything went well for you today.........

I really cannot tell you exactly what is wrong with your tooth because it could be a number of things. I think the dentist will give you the answer when he examines it. Hopefully it is something that is easily remedied.... so keep an optimistic attitude until you know for sure otherwise!!

Have a nice weekend...... please try not to worry ~'.'~

Bryanna

Originally Posted by cvcman

I am trying NOT to eat there but sometimes a pc of crust etc will end up there I m trying hard not to and I havent gotten anything hard on the socket.

I can feel the socket is somewhat sore the upper one where the wisdom tooth was is slightly sore also but the lower one where she did the most work is more tender.


Is there really any other answer other than a crack that would cause a pain when a small pc of firm food lands on it ?? There seems to be only one area of the socket that is tender and that is right up against the sore tooth.

No pain if no foos gets there but this morning eating oatmeal I didnt realize a pc was there and when I bit down I felt it.

If and again I hope not it has to come out would a partial be an option, I think you said it would. Would a regular dentist do that ??

The colonoscopy is jut the 50 year old Dr advise...

Again I am TRYING to stay away from it and the dentists