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Dental Implants

User Level:
Patient
Posted by: helpplease  (9 years ago)
I had a root canal on my second molar on the upper right side 5 years ago. About 2 years ago I had a retreatment of the root canal after a few abcess. Recently I had an infection and was prescribed Amoxicillian. One dentist told me the tooth needs to be extracted, bone grafting done then an implant. A second opinion stated the tooth should be removed but thats all. The dentist said implants are difficult in that area due to the the soft bone and sinuses. Also, it is hard to manuever instruments in that area. Also, she stated my lower 2nd molar is half touching the first upper molar preventing supraeruption. What do you reccommend. I do not want shifted teeth or a differing jaw line due to bone loss.
User Level:
Dentist
I had a root canal on my second molar on the upper right side 5 years ago. About 2 years ago I had a retreatment of the root canal after a few abcess. Recently I had an infection and was prescribed Amoxicillian. One dentist told me the tooth needs to be extracted, bone grafting done then an implant. A second opinion stated the tooth should be removed but thats all. The dentist said implants are difficult in that area due to the the soft bone and sinuses. Also, it is hard to manuever instruments in that area. Also, she stated my lower 2nd molar is half touching the first upper molar preventing supraeruption. What do you reccommend. I do not want shifted teeth or a differing jaw line due to bone loss.

It is always nice, but not always possible, to have teeth back to the second molars on which to chew. However, it is true that upper second molar implants are the most difficult to do. I helped with one on my own mother and it was no picnic, but it worked.

If you want to be able to have a second molar implant, the procedure is to have a bone graft with the extraction. Let it heal a few months, then have a CAT scan to see how much bone you have left. If you are short of bone, possibly you can have either a closed or open sinus lift when you have the implants placed. In my mind, placing an implant less than 10mm of length is risky. Therefore, to be safe, you need 11 to 12 mm of bone below the maxillary sinus to place an upper implant.
Posted 9 years ago
User Level:
Patient
Posted by: helpplease  (9 years ago)
Thank you for your advice. Do you think even if I don't decide to get an implant I should get a bone graft just to rplace any lost bone?
User Level:
Dentist
Thank you for your advice. Do you think even if I don't decide to get an implant I should get a bone graft just to rplace any lost bone?


If you plan never to have an implant in this location, a socket preservation graft would be a waste of money, unless the extraction is unusally difficult and destroys much more bone than expected.
Posted 9 years ago
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