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REP
medicine forum addict
Joined: 28 Apr 2005
Posts: 73
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 Posted: Thu Jun 22, 2006 12:43 pm Post subject:
Very General Question - Vague Opinions Wanted (Bad #17)
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I'm serious, but since I no matter how close I hold my tooth to the
monitor, general questions are about the best I can and vague opinions
what I should expect!
Years ago, a composite filling was put in #17 (I think; it's the one
before the wisdom tooth). The tooth opposing it also was filled with
composite by the same dentist and (I was told by another dentist) it was
done badly, causing it to "blow out" and that tooth had to be extracted,
so there is nothing opposing #17. #17 has since 'turned' so the chewing
surface is grazing my cheek and is now very badly decayed. It doesn't
hurt much, but it has an *enormous* hole on one side and less dreadful
but awful decayed spot on the cheek side.
I don't have dental insurance, and will be paying out-of-pocket. My
first impulse is to have it pulled; even if could be pulled back into
line, I have feeling it'd stray again since there's no opposing molar (I
am not a candidate for implants, even if I did win the lottery). Aside
from not losing (another) tooth, would their be any advantage to trying
to save the tooth, perhaps with a crown?
I have plans to discuss this in person with a dentist very soon, but
would like to know a little more beforehand. Thanks!
--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather |
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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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| Posted: Thu Jun 22, 2006 3:14 pm Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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REP wrote:
| Quote: | I'm serious, but since I no matter how close I hold my tooth to the
monitor, general questions are about the best I can and vague opinions
what I should expect!
Years ago, a composite filling was put in #17 (I think; it's the one
before the wisdom tooth). The tooth opposing it also was filled with
composite by the same dentist and (I was told by another dentist) it was
done badly, causing it to "blow out" and that tooth had to be extracted,
so there is nothing opposing #17. #17 has since 'turned' so the chewing
surface is grazing my cheek and is now very badly decayed. It doesn't
hurt much, but it has an *enormous* hole on one side and less dreadful
but awful decayed spot on the cheek side.
I don't have dental insurance, and will be paying out-of-pocket. My
first impulse is to have it pulled; even if could be pulled back into
line, I have feeling it'd stray again since there's no opposing molar (I
am not a candidate for implants, even if I did win the lottery). Aside
from not losing (another) tooth, would their be any advantage to trying
to save the tooth, perhaps with a crown?
I have plans to discuss this in person with a dentist very soon, but
would like to know a little more beforehand. Thanks!
|
You haven't given me any reason to doubt that your impulse to extract
the tooth is incorrect. If there is a hugh hole and the tooth is in bad
position, think of all the work that would be necessary to save a tooth
that isn't chewing against anything!
I have occasionally done crowns and even root canals on third molars.
This is usually when it is the only back tooth on that side and it can
serve as an abutment (holding tooth) for a partial denture. But the
vast majority of these teeth should be taken out.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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REP
medicine forum addict
Joined: 28 Apr 2005
Posts: 73
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| Posted: Thu Jun 22, 2006 5:57 pm Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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In article <ftymg.3309$NZ6.1356@trndny07>,
Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote:
| Quote: | REP wrote:
I'm serious, but since I no matter how close I hold my tooth to the
monitor, general questions are about the best I can and vague opinions
what I should expect!
Years ago, a composite filling was put in #17 (I think; it's the one
before the wisdom tooth). The tooth opposing it also was filled with
composite by the same dentist and (I was told by another dentist) it was
done badly, causing it to "blow out" and that tooth had to be extracted,
so there is nothing opposing #17. #17 has since 'turned' so the chewing
surface is grazing my cheek and is now very badly decayed. It doesn't
hurt much, but it has an *enormous* hole on one side and less dreadful
but awful decayed spot on the cheek side.
I don't have dental insurance, and will be paying out-of-pocket. My
first impulse is to have it pulled; even if could be pulled back into
line, I have feeling it'd stray again since there's no opposing molar (I
am not a candidate for implants, even if I did win the lottery). Aside
from not losing (another) tooth, would their be any advantage to trying
to save the tooth, perhaps with a crown?
I have plans to discuss this in person with a dentist very soon, but
would like to know a little more beforehand. Thanks!
You haven't given me any reason to doubt that your impulse to extract
the tooth is incorrect. If there is a hugh hole and the tooth is in bad
position, think of all the work that would be necessary to save a tooth
that isn't chewing against anything!
|
I picture many, many dollars flying out of my wallet...
| Quote: | I have occasionally done crowns and even root canals on third molars.
This is usually when it is the only back tooth on that side and it can
serve as an abutment (holding tooth) for a partial denture. But the
vast majority of these teeth should be taken out.
|
Thank you for your answer. Is the third molar the same as a wisdom
tooth? If so, that impacted beauty is long gone and I miscounted my
teeth; it's the one that would be in front of the wisdom tooth if it
were still there (#16?). I'm still missing the wisdom tooth and the
molar next to it on te lower jaw, so with the tooth in question gone,
there'd be an equal amount of gum space above and below.
--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather |
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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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| Posted: Thu Jun 22, 2006 6:07 pm Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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REP wrote:
| Quote: | In article <ftymg.3309$NZ6.1356@trndny07>,
Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote:
REP wrote:
I'm serious, but since I no matter how close I hold my tooth to the
monitor, general questions are about the best I can and vague opinions
what I should expect!
Years ago, a composite filling was put in #17 (I think; it's the one
before the wisdom tooth). The tooth opposing it also was filled with
composite by the same dentist and (I was told by another dentist) it was
done badly, causing it to "blow out" and that tooth had to be extracted,
so there is nothing opposing #17. #17 has since 'turned' so the chewing
surface is grazing my cheek and is now very badly decayed. It doesn't
hurt much, but it has an *enormous* hole on one side and less dreadful
but awful decayed spot on the cheek side.
I don't have dental insurance, and will be paying out-of-pocket. My
first impulse is to have it pulled; even if could be pulled back into
line, I have feeling it'd stray again since there's no opposing molar (I
am not a candidate for implants, even if I did win the lottery). Aside
from not losing (another) tooth, would their be any advantage to trying
to save the tooth, perhaps with a crown?
I have plans to discuss this in person with a dentist very soon, but
would like to know a little more beforehand. Thanks!
You haven't given me any reason to doubt that your impulse to extract
the tooth is incorrect. If there is a hugh hole and the tooth is in bad
position, think of all the work that would be necessary to save a tooth
that isn't chewing against anything!
I picture many, many dollars flying out of my wallet...
|
First of all, I misspoke with my florid language. What I meant to say
is that I agree the tooth probably should be extracted.
The situation is a bit more equivocal for second molars (the tooth
directly in front of the wisdom tooth--third molar). This is because
root canals are more reliably done, and second molars usually have
longer, more well-formed roots.
| Quote: |
I have occasionally done crowns and even root canals on third molars.
This is usually when it is the only back tooth on that side and it can
serve as an abutment (holding tooth) for a partial denture. But the
vast majority of these teeth should be taken out.
Thank you for your answer. Is the third molar the same as a wisdom
tooth? If so, that impacted beauty is long gone and I miscounted my
teeth; it's the one that would be in front of the wisdom tooth if it
were still there (#16?). I'm still missing the wisdom tooth and the
molar next to it on te lower jaw, so with the tooth in question gone,
there'd be an equal amount of gum space above and below.
|
The answer I would want to give is very individual. It would depend
upon the condition of the second molar (If you had to upright it, do
root canal, crown, etc., what kind of shape would it be in afterward?
Is it periodontally sound?), as well as your willingness to undergo the
treatment necessary to save the tooth. If the tooth is not contacting
any teeth in the opposite jaw, it is unlikely you will miss it for
chewing. However, if your other teeth in this area are in poor shape
and you lose them too, you may regret having removed the second molar so
cavalierly. IOW, we have to look at the entire mouth.
Of course, the other factor is that many dentists will no longer do
anything like heroics to save a tooth like this. If it turns out you do
miss the tooth, it is likely you can get an implant-supported
replacement later.
Ya, not cheap. The least expensive alternative is certainly removing
the tooth and finding you don't miss it.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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REP
medicine forum addict
Joined: 28 Apr 2005
Posts: 73
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| Posted: Thu Jun 22, 2006 7:42 pm Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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In article <S%Amg.6$Xn.2@trnddc05>,
Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote:
| Quote: | Of course, the other factor is that many dentists will no longer do
anything like heroics to save a tooth like this. If it turns out you do
miss the tooth, it is likely you can get an implant-supported
replacement later.
Ya, not cheap. The least expensive alternative is certainly removing
the tooth and finding you don't miss it.
|
Thank you again. That's that what I suspect - due to its position and
condition, it's best left out of my dentition.
I have been told that due to my severe non-diabetic kidney disease as
well as my diabetes that I am a very poor candidate for implants (too
prone to severe infections and healing issues). This was a few years
ago, and my kidneys have only gotten worse, so I suspect it's still true.
--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather |
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Erik
medicine forum beginner
Joined: 21 Jun 2006
Posts: 3
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| Posted: Thu Jun 22, 2006 9:30 pm Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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With kidney disease I would try to avoid potential hazards caused by
rooth canal treatments / metal crowns.
An additional advantage of pulling the useless molar is that you can
take care for the largest and all important first molar as good as
possible ( keep it clean ) so it will stay in the best condition
possible.
Erik |
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Joel M. Eichen
medicine forum Guru
Joined: 24 Mar 2005
Posts: 4062
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| Posted: Mon Jun 26, 2006 12:08 am Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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REPLY
If you see Jan Drew, ask her opinion .....
***
You wrote,
Re: Very General Question - Vague Opinions Wanted (Bad #17)
--------------------------------------------------------------------------------
With kidney disease I would try to avoid potential hazards caused by
rooth canal treatments / metal crowns.
An additional advantage of pulling the useless molar is that you can
take care for the largest and all important first molar as good as
possible ( keep it clean ) so it will stay in the best condition
possible.
Erik
--
Joel344
------------------------------------------------------------------------
Joel344's Profile: http://dentalcom.net/forum/member.php?userid=12
View this thread: http://dentalcom.net/forum/showthread.php?t=4567 |
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REP
medicine forum addict
Joined: 28 Apr 2005
Posts: 73
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| Posted: Mon Jun 26, 2006 8:49 am Post subject:
Re: Very General Question - Vague Opinions Wanted (Bad #17)
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In article <Joel344.29zg38@dentalcom.net>,
Joel344 <joeleichen@yahoo.com> wrote:
| Quote: | REPLY
If you see Jan Drew, ask her opinion .....
|
HA! I'm the one with the bad teeth (and kidneys) and I'm going to have
all my composites replaced with amalgams. These goddamn composites have
been nothing but trouble and have cost me three teeth, including my
soon-to-be-gone molar. I don't know if it was bad dentistry (placing
such large composite fillings in molars or just bad work) or that
composites suck, but I still have the teeth with amalgams.
I less than three amalgam!
--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather |
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