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Medical Forum / General / Dentistry / October 2007

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After an extraction?

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Robert W - 28 Oct 2007 20:26 GMT
I have heard of people getting bridges and implants after an extraction. But
I have recently heard of people doing nothing.  Are there any here who have
chosen that route, and if so: which tooth was it, how have you fared, and
would you choose it again?  I'm sure many here would be interested. Thanks.
Steven Bornfeld - 29 Oct 2007 02:32 GMT
> I have heard of people getting bridges and implants after an extraction. But
> I have recently heard of people doing nothing.  Are there any here who have
> chosen that route, and if so: which tooth was it, how have you fared, and
> would you choose it again?  I'm sure many here would be interested. Thanks.

    It is a choice many make, and not always the wrong one.  Obviously an
upper incisor would tend to be replaced if at all possible, but not
infrequently an upper second molar will be difficult to replace, and in
many cases not worth the effort.
    Every situation is different, and you really can't make a judgement
about what a person is best off doing next time--you have to evaluate
the particular tooth in the particular patient at the particular time.

Steve
Robert W - 29 Oct 2007 03:00 GMT
>> I have heard of people getting bridges and implants after an extraction.
>> But I have recently heard of people doing nothing.  Are there any here
[quoted text clipped - 13 lines]
>
> Steve

Thanks. What are the risks in not replacing a lower first molar?
Steven Bornfeld - 29 Oct 2007 03:46 GMT
> Thanks. What are the risks in not replacing a lower first molar?

    The most common risks are drifting of the lower second molar--typically
a tipping forward of the second molar into the space.  Sometimes the
second molar will tilt backwards.  The upper molar occasionally will
drift down (but is usually limited in its movement by the lower second
molar).  This can lead potentially to food impaction between the teeth
and food impaction can lead to decay and/or periodontal disease on these
teeth.

Steve
 
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