Dental Knowledge
Should a loose molar tooth be extracted?
Molar tooth are usually the larger molars, either number 6 or number 7. These are permanent teeth that do not naturally replace themselves like baby teeth. Both young children who are not yet conscious of oral care and adults who do not properly care for their teeth have a risk of developing oral diseases. So, what should be done in the case of loose molar tooth? This article will analyze this issue in detail, so let’s follow along!
The reasons for loose molar tooth
molar tooth are deep within the dental arch and play a vital role in the chewing and grinding of food into smaller pieces. Due to their deep location, it is difficult to observe and properly clean the food debris that may get stuck on the teeth.
Over time, these food particles can accumulate and form plaque, creating an environment for bacteria to grow and invade the teeth, leading to various dental problems. This can cause loose molar tooth.
Calcification of the teeth
Food debris that is not removed or cleaned for a long time, along with the acidic environment in the mouth, can lead to the formation of dental calculus (also known as tartar). Tartar forms a thick and hard layer on the tooth surface, providing a suitable environment for bacteria to thrive, leading to gum diseases such as swollen gums, bleeding gums, not only in the area of the loose canine tooth but also in other teeth.
Tooth decay and pulp inflammation
There are several reasons why molar tooth may become loose, one of which is severe tooth decay that has reached the pulp. When the tooth decay reaches the pulp, it can cause inflammation and infection, weakening the tooth structure, leading to tooth looseness and the risk of tooth loss.
Developing gum diseases
The gums play a crucial role in supporting and stabilizing the molar tooth in the dental arch. Severe gum diseases, such as periodontitis, can significantly affect the health of the teeth and may contribute to the looseness of the molar tooth.
Jaw bone resorption
Jaw bone resorption occurs when a tooth is missing for an extended period without a replacement. If there is a missing tooth near the location of the canine tooth, it can lead to jaw bone resorption, causing the surrounding teeth, including the canine tooth, to shift towards the gap. As a result, the canine tooth may not be properly positioned, lacking support, and over time, it can become loose, along with the neighboring teeth.
Physical impact from external factors
In addition to internal factors, physical impact from external factors can also contribute to the looseness of the canine tooth. This can include trauma from accidents or using the teeth to bite on excessively hard or sharp objects.
Loose teeth can eventually lead to tooth loss. When experiencing loose molar tooth, it is important to seek timely treatment to prevent further complications and potential tooth loss.
Should loose molar tooth be extracted?
If molar tooth are loose due to dental diseases, they often come with prolonged pain and discomfort, affecting the chewing and daily activities. The prolonged inconvenience makes many people wonder if loose molar tooth should be extracted.
Molar tooth are permanent teeth that serve many important functions and have connections with nerve fibers. Therefore, Molar tooth need to be preserved and should not be extracted arbitrarily when not necessary. Additionally, removing any tooth position or Molar tooth can leave consequences for the patient, such as crooked jaws, misaligned bites, and jaw bone resorption. Therefore, when the Molar tooth are loose, it is not recommended to use the method of extracting them.
In addition, cases where Molar tooth are loose due to severe dental diseases that have no treatment method or cannot be treated require the extraction of Molar tooth to limit more serious conditions and prevent spreading to neighboring teeth. In such cases, after extracting the Molar tooth , measures for the quickest possible denture restoration should be taken to ensure the oral health and daily activities of the patient.
Measures to overcome loose Molar tooth
Molar tooth are loose due to dental diseases
Dental diseases such as tooth decay, pulpitis, or gum inflammation can cause loose Molar tooth, so they need to be treated thoroughly to overcome loose Molar tooth . The dentist will remove the harmful factors causing the disease, infection, and apply fixed dental measures.
If the gum or jawbone is severely damaged, additional gum grafting and artificial bone grafting may be necessary to aid in faster recovery. For deep cavities and treated pulpitis, the tooth may need to be filled or covered with a dental crown to preserve it optimally.
Molar tooth are loose due to external physical impact
When Molar tooth are loose due to external impacts, it often involves trauma to the tissues. Therefore, it is necessary to treat the damaged tissues and then proceed with dental crown placement for restoration. In cases where the tooth is severely damaged and only the root remains, treatment will not be effective. In such cases, the dentist will recommend extracting the tooth and implanting a dental implant to maintain the functions of the jaw.
Methods for dental restoration of Molar tooth
Depending on the condition of the oral cavity, the position of the missing tooth, and the individual’s body, different methods of dental restoration after extracting Molar tooth will be appropriate. The dentists will examine and advise you on the most suitable method. Currently, there are three methods for implanting Molar tooth on the market:
Implant tooth transplantation
Implant tooth transplantation or dental implantation is a procedure that involves the placement of a titanium post, an abutment connector, and a ceramic tooth crown. The titanium post is surgically inserted into the jawbone to replace the missing tooth root. It provides a stable foundation for the ceramic crown, allowing the patient to chew and eat comfortably without worrying about loose teeth.
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Implant teeth are designed to resemble our natural teeth in both color and shape.
Advantages:
- Prevents bone loss and facial aging.
- High aesthetic appeal, with the implanted tooth having a natural color.
- Suitable for cases of missing Molar tooth .
- Does not require the grinding down of adjacent teeth, minimizing the risk of further tooth loss.
- Prevents misalignment of surrounding teeth due to the gap from the missing tooth.
- Minimizes oral diseases and bad breath.
- Provides durability and allows for near-natural chewing ability, allowing for comfortable eating, including soft and hard foods.
- Safe and compatible. The implant post is made of titanium and is directly implanted into the jawbone, ensuring a high level of compatibility.
- Long lifespan, lasting up to 20 years or even permanently with proper care.
- Safe for cases of missing Molar tooth or large gaps in the jaw.
Disadvantages:
- High cost, but it only needs to be done once.
- Implant treatment time is long, ranging from 3-6 months, with some cases lasting up to 9 months.
Methods for making ceramic tooth bridges.
A ceramic tooth bridge is a fixed prosthesis that is attached to the positions of missing teeth, with a minimum of 3 ceramic tooth crowns. To install the ceramic tooth bridge, the adjacent natural teeth need to be ground down.
The dentist will grind the teeth according to a predetermined ratio based on the available framework. The process involves grinding the teeth to create abutments, then covering them with ceramic crowns, which act as replacements for the missing teeth and form the central part of the ceramic tooth bridge. Each step is done precisely and accurately to ensure the chewing function of the jaw and maintain the shape of the teeth.
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Advantages:
- Relatively short implementation time, taking only 2-3 days.
- Convenient and easy oral hygiene, minimizing oral diseases.
- Fixed teeth provide good chewing force.
- High aesthetic appeal and better durability compared to removable dentures.
On the other hand, the method of making a ceramic tooth bridge for missing Molar tooth has the following disadvantages:
Disadvantages:
- Bone loss in the jaw still occurs, leading to gum recession.
- Only applicable for cases of missing canine tooth number 6.
- Grinding down the adjacent teeth to install the ceramic tooth bridge. This method cannot be used for cases of missing both Molar tooth number 6 and 7.
- The natural teeth become weakened after the grinding process.
- Limited lifespan. The bridge needs to be replaced whenever there is bone loss in the jaw, and each replacement requires expanding the bridge, meaning the natural teeth need to be ground down again.
- There are still many drawbacks compared to the dental implant method.
Method of removable dentures.
Removable dentures are composed of two parts: a plastic base and the false teeth. The plastic base is designed to resemble the gum and also serves the role of the real gum. It can be made of flexible or rigid plastic. It can also be attached with metal clasps or without clasps, depending on the structure of the jaw.
To ensure aesthetics and chewing ability, the false teeth and gum are designed to resemble real teeth as closely as possible. However, this level of resemblance is only average.
This is a temporary restoration method with a shorter lifespan and lower chewing function. It only achieves 30-40% of the function of real teeth and still carries risks such as gum inflammation and jaw bone loss. Therefore, this method is not recommended for cases of missing molar tooth.
However, depending on individual needs and circumstances, some people may choose this method for restoring missing teeth.
BeDental – a reputable dental clinic in the market.
Molars are important and vulnerable, so any impact related to loose molars needs to be carefully considered. Choosing a reputable dental clinic and skilled dentist is crucial. For cases of loose molars, it is necessary to have competent dentists for the most accurate observations and diagnoses. Due to the connection of molars with nerve fibers, precision is essential. These issues require a skilled dentist to ensure accuracy and safety for the patient’s health and future oral health.
At Be Dental, we take pride in being a trusted dental clinic in the market. With a team of highly skilled dentists and state-of-the-art equipment, we provide the best dental services, especially in handling cases of loose molars and providing reliable molar restoration methods that guarantee no unnecessary mistakes. At Be Dental, children will be advised on the most suitable methods at reasonable prices.
Recently, there have been concerns about the question of whether loose molars should be extracted or not. If you have any doubts, please contact bedental.vn for the earliest possible clarification.
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