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Medical Forum / General / Dentistry / November 2008

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Extracting Tooth 31 Next To Impacted 32

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goldbanjo - 17 Nov 2008 22:52 GMT
A few years ago I had tooth 29 and 30 extracted due to bone loss. They
were crowned and loose. I still have 31 with some minor cracks and
some bone loss. The dentist feels it probably needs a crown, maybe
even a root canal which he'd know once he goes in. If it's in really
bad shape, he said it should come out. My question is: tooth 32 is
horizontally impacted. Would extracting 31 cause a problem to 32?
Infection or something else? My dentist and every specialist has told
me that if I made it to 40 with no problems, it should stay ok. I am
now 60. The last thing I want is to go through surgery of 32. I'll
chew on the other side if it means saving 31. Have you seen such a
scenario...stirring things up by removing 31 or a similar tooth on any
side?
Mark & Steven Bornfeld - 18 Nov 2008 00:04 GMT
> A few years ago I had tooth 29 and 30 extracted due to bone loss. They
> were crowned and loose. I still have 31 with some minor cracks and
[quoted text clipped - 8 lines]
> scenario...stirring things up by removing 31 or a similar tooth on any
> side?

    Unless there is a large cyst around #32, it's very unlikely to cause a
problem taking out 31, esp. if it is periodontally involved.  Obviously
#32 has been seen by a specialist and deemed more of a risk for removal
than leaving it in.  I hope 31 can be saved, considering you've lost 29
and 30, but if you have a good competent surgeon I wouldn't worry about 32.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

dacconverter - 19 Nov 2008 05:21 GMT
My question is: tooth 32 is
> horizontally impacted. Would extracting 31 cause a problem to 32?
> Infection or something else? My dentist and every specialist has told
[quoted text clipped - 3 lines]
> scenario...stirring things up by removing 31 or a similar tooth on any
> side?

Actually, the extraction of 31 would be a very good opportunity for
the extraction of 32. The difficulty in treating impactions are
overrated. From my experience, only 5% of wisdom impactions are in
close vicinity to vital structures and might be better off untreated.

It's hard to comment without seeing your teeth, so don't quote me on
this. The extraction of 31 can make 32 more visible. And then your
dentist can remove the interradicular bone ( if any ) to the mesial of
32 and then try elevating it out with minimal buccal bone removal.
Bill - 19 Nov 2008 19:57 GMT
> A few years ago I had tooth 29 and 30 extracted due to bone loss. They
> were crowned and loose. I still have 31 with some minor cracks and
[quoted text clipped - 8 lines]
> scenario...stirring things up by removing 31 or a similar tooth on any
> side?

This sheds some light on your earlier posting about the "high" tooth
#2.

If you have had bone loss in the past, it is quite possible that your
other teeth have varying bone loss too. That can reduce the support on
tooth #2 and allow it to become slightly mobile, which can generate a
"high" feeling

But the real clincher here is the fact that #29 and 30 are missing.
That means that the majority of the masticatory and occlusal forces on
that side are on tooth #2!

It is no suprise if tooth #2 feels "high" when it undergoes the strain
of bearing the chewing force of three teeth. After all, it's only one
tooth.

Perhaps occlusal adjustment can help, but problems may continue if
tooth #2 continues to bear excess occlusal forces.

Also, the periodontal condition of tooth #2 will greatly affect its
ability to function well.

- dentaldoc
Mark & Steven Bornfeld - 19 Nov 2008 23:52 GMT
>> A few years ago I had tooth 29 and 30 extracted due to bone loss. They
>> were crowned and loose. I still have 31 with some minor cracks and
[quoted text clipped - 32 lines]
>
> - dentaldoc

Very good points--I hadn't put the posts together in my head.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 20 Nov 2008 00:56 GMT
>>> A few years ago I had tooth 29 and 30 extracted due to bone loss. They
>>> were crowned and loose. I still have 31 with some minor cracks and
[quoted text clipped - 36 lines]
>
>Steve

Me neither, good catch Bill.
Bill - 21 Nov 2008 18:48 GMT
On Nov 19, 4:56 pm, New...@bix.nex wrote:
> On Wed, 19 Nov 2008 23:52:15 GMT, Mark & Steven Bornfeld
>
[quoted text clipped - 41 lines]
>
> Me neither, good catch Bill.>

Thanks, guys.   :-)    I didn't notice it myself until I realized that
the same poster had put up the two separate threads on two different
teeth.

Things have a tendency to become more clear when a dentist has the
opportunity to examine the whole patient. And as we all have mentioned
for years, we all know how thorough our "Usenet exams" of a patient
generally can be.      :-)

- dentaldoc
 
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