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Tooth extraction & implants advice needed

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jeanyus27
Life is beautiful

Member since 8/08

2543 total posts

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Tooth extraction & implants advice needed

So dh has a cracked tooth all the way int back, in front of a wisdom tooth. It needs to be extracted. His options are:
1. Extract the tooth only
2. Extract it & get bone grafting (supposed to help the gym line from getting soft)
3. Extract & bone grafting...and then get an implant.

Anyone have any experience with this? Will he really have issues down the line if he just gets it extracted? Should he at least get the bone grafting done? We really don’t want to do the implant because it’s expensive & I feel can lead to issues later on (he’s 35 years old).

Any advice is appreciated, thanks!

Posted 7/31/19 8:22 PM
 
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NervousNell
Just another chapter in life..

Member since 11/09

54921 total posts

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..being a mommy and being a wife!

Re: Tooth extraction & implants advice needed

I had the exact same situation about 10 years ago. Same tooth, same crack to the root, tooth couldn't be saved
They gave me all those same options.
The implants /bone graft was very expensive and my insurance wouldn't cover an implant.
I ended up doing nothing.
It is so far in the back that it does not show at all and over time the gap got smaller as my teeth naturally shifted a bit into the space. (The shift was not noticeable on any of my teeth that are visible) But now the space back there is so small I couldn't do an implant if I wanted to.
I have zero issues from not replacing it. Zero
I'm glad I never wasted the money to be honest

Message edited 7/31/2019 8:28:53 PM.

Posted 7/31/19 8:28 PM
 

Christine2
LIF Adult

Member since 2/09

1217 total posts

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Re: Tooth extraction & implants advice needed

Second molar implants aren't really worth the time and money according to my dentist. I trust that opinion.

Posted 7/31/19 10:42 PM
 

jeanyus27
Life is beautiful

Member since 8/08

2543 total posts

Name:

Re: Tooth extraction & implants advice needed

Thank you both so much, we were leaning towards just the extraction, I think that’s what we’re gonna go with.

Posted 8/1/19 12:49 AM
 

mommywantsababy
LIF Adolescent

Member since 12/12

583 total posts

Name:
shh

Tooth extraction & implants advice needed

I just had the same tooth extracted and did nothing

Posted 8/1/19 7:00 AM
 

lightblue
LIF Adult

Member since 1/17

2249 total posts

Name:

Re: Tooth extraction & implants advice needed

I’ve had extraction and implants before but they were front teeth and visible so necessary (chipped due to childhood accident, root canal failed years later). The process is long and expensive. My dental insurance covered little of it. I did get bone grafting done the same time as the extraction then 4-5 months later got the implant, then another 4-5 months got the crown. I did have an issue with one of the implants getting rejected so I had to have it redone. If it’s not a necessary tooth and you can live with it, id probably just leave it.

Posted 8/1/19 7:31 AM
 

Hofstra26
Love to Bake!

Member since 7/06

27915 total posts

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Re: Tooth extraction & implants advice needed

I had a tooth (top back) extracted a few months ago and I just had the bone grafting done, I did not get an implant. It was an easy, fast procedure and the recovery was quick. It felt a little funny at first having a tooth gone (especially when I was eating) but over a few weeks I got use to it. Now I don't really notice it all anymore. Good luck to your DH.

ETA - The extraction and grafting was inexpensive, it's really not a big thing to get the graft. They just insert a piece of artificial bone into the space where the tooth was and then stitch it closed. The stitches dissolve on their own.

I recommend getting the graft because it makes he gum more rigid and sturdy which is helpful when you're eating otherwise the area will be so much softer. I was worried about eating at first even with the graft so I think the extraction and graft is the better option.

Message edited 8/1/2019 7:56:17 AM.

Posted 8/1/19 7:49 AM
 

Sash
Peace

Member since 6/08

10312 total posts

Name:
fka LIW Smara

Re: Tooth extraction & implants advice needed

I think it depends on the person and how bad your gums / teeth are. My husband waited too long get his implant and his teeth shifted causing him problems.

When I got my tooth extracted, I did the bone graft. You should minimum do that because it is good for your gums. I ended up getting the implant 4 years after, my gum in the area where the tooth was missing was sensitive and I was tired of eating only on one side. It was uncomfortable. When I finally got the implant they said it was good I got the bone grafting because it was easier to get an implant.

Posted 8/1/19 8:20 AM
 

jeanyus27
Life is beautiful

Member since 8/08

2543 total posts

Name:

Re: Tooth extraction & implants advice needed

Thank you all for the replies, it’s so helpful to hear real experiences! The bone grafting sounds like the way to go...but he won’t do the implant. So scary that it can be rejected, but also not necessary since it’s all the way in the back. I know that dentistry is a business...but I can’t stand how they try to convince you of something you don’t need when they know it will cost so much. Thanks again!

Posted 8/1/19 9:41 AM
 

Momma2015
Mommax2

Member since 12/12

6656 total posts

Name:

Re: Tooth extraction & implants advice needed

I had that same tooth extracted. My dentist didn't even offer an implant. She just doesn't really do them for that tooth unless requested. It's been a few years and I never felt any different, never had any trouble eating.

Posted 8/1/19 9:42 AM
 

Hofstra26
Love to Bake!

Member since 7/06

27915 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by jeanyus27

Thank you all for the replies, it’s so helpful to hear real experiences! The bone grafting sounds like the way to go...but he won’t do the implant. So scary that it can be rejected, but also not necessary since it’s all the way in the back. I know that dentistry is a business...but I can’t stand how they try to convince you of something you don’t need when they know it will cost so much. Thanks again!



My dentist (who is also my uncle so I REALLY trust him lol) said if it's a back tooth, which mine was, you really don't need it. And, if you have a wisdom tooth back there that is down, over time it'll likely shift over and fill in the gap from that missing tooth. Honestly, after just a few weeks I stopped even noticing it was missing and I have no issues with eating or sensitivity. Go for the bone graft, it is worth it.Chat Icon

Posted 8/1/19 10:04 AM
 

NervousNell
Just another chapter in life..

Member since 11/09

54921 total posts

Name:
..being a mommy and being a wife!

Re: Tooth extraction & implants advice needed

Posted by Hofstra26

Posted by jeanyus27

Thank you all for the replies, it’s so helpful to hear real experiences! The bone grafting sounds like the way to go...but he won’t do the implant. So scary that it can be rejected, but also not necessary since it’s all the way in the back. I know that dentistry is a business...but I can’t stand how they try to convince you of something you don’t need when they know it will cost so much. Thanks again!



My dentist (who is also my uncle so I REALLY trust him lol) said if it's a back tooth, which mine was, you really don't need it. And, if you have a wisdom tooth back there that is down, over time it'll likely shift over and fill in the gap from that missing tooth. Honestly, after just a few weeks I stopped even noticing it was missing and I have no issues with eating or sensitivity. Go for the bone graft, it is worth it.Chat Icon



That is exactly what happened to me. It was so far back and the hole is practically gone now.
I had no issues with sensitivity or eating at all either.

Posted 8/1/19 10:31 AM
 

PitterPatter11
Baby Boy is Here!

Member since 5/11

7619 total posts

Name:
Momma <3

Tooth extraction & implants advice needed

I had the same thing happen. I got the tooth extracted - that’s it. I still wear my retainer from 2000 - lol - and my teeth haven’t shifted

Posted 8/1/19 12:35 PM
 

Bonsai
LIF Toddler

Member since 11/18

463 total posts

Name:

Tooth extraction & implants advice needed

I had the same tooth extracted a long time ago, never got an implant. The only issue i am having is i do have TMJ and it is getting worse, it was suggested now to think about an implant to help off set my bite, but I probably won't do that at this point. I can survive..

Posted 8/1/19 3:17 PM
 

jeanyus27
Life is beautiful

Member since 8/08

2543 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by Hofstra26

Posted by jeanyus27

Thank you all for the replies, it’s so helpful to hear real experiences! The bone grafting sounds like the way to go...but he won’t do the implant. So scary that it can be rejected, but also not necessary since it’s all the way in the back. I know that dentistry is a business...but I can’t stand how they try to convince you of something you don’t need when they know it will cost so much. Thanks again!



My dentist (who is also my uncle so I REALLY trust him lol) said if it's a back tooth, which mine was, you really don't need it. And, if you have a wisdom tooth back there that is down, over time it'll likely shift over and fill in the gap from that missing tooth. Honestly, after just a few weeks I stopped even noticing it was missing and I have no issues with eating or sensitivity. Go for the bone graft, it is worth it.Chat Icon



Thanks so much, good to hear that from a dentist too!

Posted 8/1/19 4:54 PM
 

Christine2
LIF Adult

Member since 2/09

1217 total posts

Name:

Re: Tooth extraction & implants advice needed

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.

Posted 8/3/19 9:11 PM
 

Hofstra26
Love to Bake!

Member since 7/06

27915 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by Christine2

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.



Both my dentist and the oral surgeon recommended the bone graft even though I had no intention of getting an implant because it helped with the healing and it preserved and protected the socket after the extraction.

Posted 8/4/19 7:40 PM
 

Christine2
LIF Adult

Member since 2/09

1217 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by Hofstra26

Posted by Christine2

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.



Both my dentist and the oral surgeon recommended the bone graft even though I had no intention of getting an implant because it helped with the healing and it preserved and protected the socket after the extraction.




Maybe so, but longterm bone biology is the same. The graft will resorb without opposing forces. So if money is an issue I would not bother. Not really sure how it would help with the healing. Preserving socket in short term, yes. In longterm, no.

Posted 8/5/19 12:51 AM
 

Hofstra26
Love to Bake!

Member since 7/06

27915 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by Christine2

Posted by Hofstra26

Posted by Christine2

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.



Both my dentist and the oral surgeon recommended the bone graft even though I had no intention of getting an implant because it helped with the healing and it preserved and protected the socket after the extraction.




Maybe so, but longterm bone biology is the same. The graft will resorb without opposing forces. So if money is an issue I would not bother. Not really sure how it would help with the healing. Preserving socket in short term, yes. In longterm, no.



Honestly, it was VERY inexpensive. (of course that depends on your insurance and surgeon) OOP I paid around $200 for the extraction and the graft.

------------------------------------------

Bone Grafts After a Tooth Extraction

The most common reason for a dental bone graft is to prevent bone loss following a tooth extraction. These are called "socket grafts" because the bone-graft material is inserted into the empty socket left by the extracted tooth.

Do all extraction sockets absolutely need a bone graft? The answer is no. But, many of them do, especially if you have a lot of soft tissue missing, such as when you have serious periodontal disease. Or, if a significant amount of bone is already missing from your alveolar ridge, you should get a bone graft right after any extraction.

Message edited 8/5/2019 11:46:32 AM.

Posted 8/5/19 11:34 AM
 

lightblue
LIF Adult

Member since 1/17

2249 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by Hofstra26

Posted by Christine2

Posted by Hofstra26

Posted by Christine2

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.



Both my dentist and the oral surgeon recommended the bone graft even though I had no intention of getting an implant because it helped with the healing and it preserved and protected the socket after the extraction.




Maybe so, but longterm bone biology is the same. The graft will resorb without opposing forces. So if money is an issue I would not bother. Not really sure how it would help with the healing. Preserving socket in short term, yes. In longterm, no.



I agree. But honestly, it was VERY inexpensive. (of course that depends on your insurance and surgeon) OOP I paid around $200 for the extraction and the graft.



Wow that is a good price. I had to pay $500 for my bone graft and that was a "reduced" price. The extraction was covered by my dental insurance but I think they billed $300 for it.

Posted 8/5/19 11:46 AM
 

Hofstra26
Love to Bake!

Member since 7/06

27915 total posts

Name:

Re: Tooth extraction & implants advice needed

Posted by lightblue

Posted by Hofstra26

Posted by Christine2

Posted by Hofstra26

Posted by Christine2

If you extract and graft, the graft will preserve bone BUT for only a short time. Without any opposing force (from a tooth) the bone will resorb anyway. The graft is just delaying the inevitable. Only do the graft if you were seriously considering an implant as a possibility at some point in the future.



Both my dentist and the oral surgeon recommended the bone graft even though I had no intention of getting an implant because it helped with the healing and it preserved and protected the socket after the extraction.




Maybe so, but longterm bone biology is the same. The graft will resorb without opposing forces. So if money is an issue I would not bother. Not really sure how it would help with the healing. Preserving socket in short term, yes. In longterm, no.



I agree. But honestly, it was VERY inexpensive. (of course that depends on your insurance and surgeon) OOP I paid around $200 for the extraction and the graft.



Wow that is a good price. I had to pay $500 for my bone graft and that was a "reduced" price. The extraction was covered by my dental insurance but I think they billed $300 for it.



I was surprised it was so inexpensive, I actually expected to pay WAY more. I guess my insurance must have picked up a good portion of it.

Posted 8/5/19 11:47 AM
 
 

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