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Impacted 4th molar - Should I get it extracted?

tooth extraction

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#1 The Immortalist

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Posted 11 January 2013 - 05:02 PM


On my bottom row of teeth and my upper left set of teeth I have 4 molars after my canine teeth. On my upper right set of teeth I have 3 Molars visible after my canine.

The 4th molar on my upper right side is impacted. On x-ray it is fully encapsulated in the gum and turned sideways. I found out when I was 13 and nothing has come of it since.

Should I get this impacted molar extracted or should I just leave it since it isn't causing any problems for me whatsoever

By the way I do not have wisdom teeth and I'm 19 so all my teeth are probably done growing.

I have another question. Since my 4th molar never erupted on the right side could this have made the length of my mandible on the right side slightly shorter then on the left?

Is it possible for a surgeon to uncover the tooth and to set it upright?

EDIT:

According to this chart the tooth I was referring to is actually called the "second molar". Also note that I do not have any third molars on the upper or lower set of teeth.

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Edited by The Immortalist, 11 January 2013 - 05:23 PM.


#2 Danail Bulgaria

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Posted 12 January 2013 - 07:26 AM

Remove impacted teeth only if they make You problems. If there is no swallowing, pain, inflammations etc., leave them to be where are they now.

#3 The Immortalist

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Posted 12 January 2013 - 08:31 PM

Remove impacted teeth only if they make You problems. If there is no swallowing, pain, inflammations etc., leave them to be where are they now.


I've heard that after a long time impacted teeth can decay. I've also heard that a tumor could develop at the site of impaction I don't know if any of this is true though.

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#4 1kgcoffee

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Posted 13 January 2013 - 12:54 AM

I don't know dentistry, but a few years ago it was revealed that a pool of stem cells are kept underneath the wisdom teeth. Since you don't have any wisdom teeth, maybe yours are kept underneath the back molars... or maybe you don't have that extra pool. Either way, I think leaving them in place is the best option.

#5 The Immortalist

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Posted 13 January 2013 - 01:07 AM

I don't know dentistry, but a few years ago it was revealed that a pool of stem cells are kept underneath the wisdom teeth. Since you don't have any wisdom teeth, maybe yours are kept underneath the back molars... or maybe you don't have that extra pool. Either way, I think leaving them in place is the best option.


All teeth have stemcells in the pulp. www.google.ca/url?sa=t&rct=j&q=teeth stem cells&source=web&cd=2&cad=rja&ved=0CDwQFjAB&url=http://www.dailymail.co.uk/health/article-2226193/The-little-girl-milk-teeth-save-life-future.html&ei=LQjyUKb_LYK2rQGXk4G4Dg&usg=AFQjCNHS3yRJb646QCV00xgVLpEYdu3Dgw&sig2=O8teMfODaMC-vFGyC76alg&bvm=bv.1357700187,d.aWM

#6 Danail Bulgaria

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Posted 13 January 2013 - 05:53 PM

If the molar is not in correct position, then it can be uncovered surgically, and then pulled where it has to be using orthodontics. However, it is expensive.

#7 The Immortalist

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Posted 14 January 2013 - 05:43 PM

If the molar is not in correct position, then it can be uncovered surgically, and then pulled where it has to be using orthodontics. However, it is expensive.


If money were no issue then would it be worth it? Would it cause any problems down the road?

#8 Danail Bulgaria

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Posted 15 January 2013 - 05:56 AM

If money were no issue, then it worths having one more tooth in Your mouth.

#9 The Immortalist

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Posted 16 January 2013 - 05:02 AM

If money were no issue, then it worths having one more tooth in Your mouth.


Well ok then let me change the question a bit:

Would it be in my best interests for my oral aesthetics/health to uncover this tooth?

In this case why? It's just second molar. If I hadn't have been x-rayed I probably would still be ignorant of my impacted tooth. To uncover it offers seemingly no positive aesthetic or functional quality whatsoever. You can't see a persons second molars when they are smiling nor do you need them to chew food properly.

#10 Danail Bulgaria

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Posted 18 January 2013 - 07:41 AM

For the seconf molar it is the function, not the esthetics, that is important.

If You do not have functional issues, You may simply leave it as You thought.

If it is in wrong position it may however some day to start disturbing the neighbouring teeth.




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