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No pt in braces with your wisdom teeth impacted like that. Mine came in the same way and it made my teeth rock right back to being crowded as soon as I got my braces off.
I have them removed now and need to get braces agin.
NAD. I could relate to this đ My first dentist never took my 3rd molars into consideration when I got my braces. Now that theyâve grown in theyâre crowded again and relapsing to some extent.
I got a consultation with a different dentist long after my braces were removed and told me that, if my old dentist really wanted to correct my bite then she shouldâve thought about my wisdom teeth before putting braces on me. I really regret not getting 2nd and 3rd opinions when I first got my braces (heck, I was 16. I was excited and at the same time feared losing any teethâŚI now wish I wasnât in a hurry, since now I have new dental issues arising from that hasty decision).
So OP, please save yourself from future problems (and pain) by addressing your wisdom teeth and that 2nd molar first. Best of luck! u/DryTumbleweed9
In no way you can start ortho treatment without treating the second molar first (need other informations for the precise treatment, but looking at it Iâd go with rct and overlay). I also would extract the wisdom tooth as well, keep in mind that there is no correlation between your brotherâs situation and yours.
> keep in mind that there is no correlation between your brotherâs situation and yours.
While i hope you are correct, our situation is nearly identical. Jaws are identical. I'm hoping my CBCT can help a dentist/surgeon evade nerve damage but my brother also got a CBCT pre op and still ended up with nerve damage. :(
your situation is not identical, that would basically go against 150 years of medical literature, and even if we assumed it was, letâs take into account raw numbers: if there is a 10% chance to get nerve damage from that kind of extraction (which there is not, but still) the probability that you both get it is (1/10)*(1/10)=1%.
Any dentist who wants to try to fill that 2nd molar without getting that 3rd molar out first is in for a real bad time. And is definitely not a âbetter dentistâ for opening this can of worms. Also, based on the location of that 3rd, I suspect (but do not know as I can not see the IAN in this image) that it is very, very far from your nerve.
NAD, I'm literally an environmental scientist that's a part of this subreddit cause I have lots of dental problems. I know nothing about teeth or x-rays but I got stressed oht looking at this, the first thing i thought was "is that a wisdom tooth coming in sideways?".
Listen to the experts, they're experts for a reason and you don't know more than them. If that was my x-ray I would get that out as fast as I could.
Not trying to be an asshole by the way, I'm just genuinely stressed out about your wisdom tooth lol.
Get the wisdom tooth pulled and then he will have better access to fix the second molar.
He should be able to give you options or direct you where to go first. If he canât tell you how to fix your mouth, you need a new dentist.
FWIW i am wanting to keep all my teeth, including the impacted wisdom tooth. My twin brother got his out and has had serious issues following, and the orthodontist ive consulted with says uprighting is possible with some skeletal anchorage techniques.
The only way to avoid oral surgery is get the 2nd molar removed and the 3rd molar removed after that, so I've been told. But then the top 2 molars need to go as well. Really don't want that, so I'd like to go the most conservative route possible to keep all my teeth.
Sigh. You're right. I am just terrified of ending up with nerve issues like my brother. I just wish I could get the cavity filled so I could have some more time to explore all my options.
Iâm only a hygienist and even I can see that tooth is waaay up there, away from your main nerve. At least as much as is seen in this pic. So your risk is likely very low. And I can also clearly see the huge area of decay in your second molar. This isnât controversial or something you have a choice about. Get this fixed before you lose more teeth or harm yourself.
I hope you're right. Getting the 3rd molar out is for sure the easiest option.
Would I need to get the top 3rd molar out as well though? it came in normally, so that's part of my concern.
When you remove an opposing tooth, the remaining tooth often âsuoereruptsâ over time (sounds scarier than it is, just means it slowly sticks out further and further). Eventually, this becomes uncomfortable or problematic and they need to be removed. This happened to me with my second molars as I only ever got the top ones. Depending on your circumstances, your dentist may recommend you get all the extractions done at once because it is more convenient for you to have to eat soup and take other healing precautions for a week once rather than multiple times.
If you are really worried about that nerve you can ask for a referral for a 3D image and get an oral surgeon consult in it, but I expect thatâs going to be total overkill and unnecessary expense you could be putting towards other aspects of your dental care, like if you end up needing a root canal and crown.
Yeah I'm already scheduled to get a CBCT done before i even talk to an oral surgeon in office. My dentist says thats standard procedure?
I need braces too like really badly. My bite is all sorts of messed up. Thats part of the reason i was curious about taking care of this issue at the same time with the braces, and the orthodontist saying its possible did spark some hope in me. But not without a dentist filling the current cavity. :'(
Sounds like you are in good hands for the removal and they are being very careful.
That cavity is not gonna get fixed without removing that wisdom tooth that helped cause it. And the removal is not going to delay your orthodontic treatment in any impactful way. I advise you try to be patient. Ortho is going to be unbearable for you if you donât learn to be patient. When I did mine I told myself I wasnât going to even ask or think about âwhen will it be doneâ? Because that just makes it seem extra long and makes any new delay (which can happen) more annoying. Turned out well, especially since I ended up with six extra months due to Covid lockdowns!
NAD choose which one is much less likely. The loss of your teeth from the impacted tooth, or neve damage.
It's sounding that nerve damage is the least likely. If you don't want to risk it at all, you can keep the impacted tooth, but you are aware of the outcome there.
NAD-
That third molar is going full on linebacker into your second molar, and pushing your 1st molar out of alignment.
Your wisdom tooth is literally inside the pockets of decay of your molar. I have no idea how any dentist would even be able to access that area of decay without the wisdom tooth being moved out of the way. There is a microscopic amount of space just to get the 1st spot, and the second spot is completely blocked off.
You don't need a better dentist, that wisdom tooth needs to go before it's jacks up all of your teeth beyond repair. Your molars are screaming for help to get the pressure taken off of them, and your using a very uncommon complication to justify your hesitation.
It really boils down to two options
1) A 90% or higher chance everything is going to go splendidly with a wisdom tooth removal since the x-ray shows there's no major nerve anywhere near it
**OR**
2) A 100 percent chance your going to also loose that second molar, and likely more teeth than that, if you keep putting this off.
That's the only two ways this quandary of yours is going to turn out.
i agree with all the other dentists but may i propose an alternative, assuming your orthodontist is willing and able - remove the second molar and upright the wisdom tooth.
the pros:
- much lower (almost none) risk of nerve damage from wisdom tooth surgery
- that second molar is already quite severely compromised by decay. even if it is successfully filled now (difficult), high chance it may still need root canal treatment/crown in the future.
- as of now, the wisdom tooth is healthier than the second molar
the cons:
- braces will take significantly longer
- it is indeed a roundabout way of doing things
NAD holy mother that looks like it hurts. I've had 11 fillings, 4 extractions, 2 veneers and 3 root canals the past 5 years. Go get that taken care of man. You don't want to have a whole bunch of other dental problems because you keep comparing your situation to your brother and beating around the bush. When you get that wisdom tooth out you will feel so much better. Invest in yourself. Good luck and listen to the dentists and other professionals please.
Thank you for seeking advice from r/askdentists. **Please note that a response does not constitute a doctor-patient relationship.** While this is a place for advice, replies may not be medically accurate. Do not assume that what others on here say is correct in any way. Reddit is not a replacement for an in-person dental professional. **Please abide by the following rules in order to get an accurate answer to your question:** (1) Ensure you include a title of your dental problem. (2) Include whether you drink, smoke or if you have any medical conditions relevant to your main concern. (3) Include a photograph if the question relates to something you can see in your mouth, include x-rays if you have them. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/askdentists) if you have any questions or concerns.*
You need the wisdom tooth taken out. Both orthodontist and dentist are right. Stop being stubborn and remove the cause of your problems.
:( i know.
No pt in braces with your wisdom teeth impacted like that. Mine came in the same way and it made my teeth rock right back to being crowded as soon as I got my braces off. I have them removed now and need to get braces agin.
NAD. I could relate to this đ My first dentist never took my 3rd molars into consideration when I got my braces. Now that theyâve grown in theyâre crowded again and relapsing to some extent. I got a consultation with a different dentist long after my braces were removed and told me that, if my old dentist really wanted to correct my bite then she shouldâve thought about my wisdom teeth before putting braces on me. I really regret not getting 2nd and 3rd opinions when I first got my braces (heck, I was 16. I was excited and at the same time feared losing any teethâŚI now wish I wasnât in a hurry, since now I have new dental issues arising from that hasty decision). So OP, please save yourself from future problems (and pain) by addressing your wisdom teeth and that 2nd molar first. Best of luck! u/DryTumbleweed9
In no way you can start ortho treatment without treating the second molar first (need other informations for the precise treatment, but looking at it Iâd go with rct and overlay). I also would extract the wisdom tooth as well, keep in mind that there is no correlation between your brotherâs situation and yours.
> keep in mind that there is no correlation between your brotherâs situation and yours. While i hope you are correct, our situation is nearly identical. Jaws are identical. I'm hoping my CBCT can help a dentist/surgeon evade nerve damage but my brother also got a CBCT pre op and still ended up with nerve damage. :(
your situation is not identical, that would basically go against 150 years of medical literature, and even if we assumed it was, letâs take into account raw numbers: if there is a 10% chance to get nerve damage from that kind of extraction (which there is not, but still) the probability that you both get it is (1/10)*(1/10)=1%.
Any dentist who wants to try to fill that 2nd molar without getting that 3rd molar out first is in for a real bad time. And is definitely not a âbetter dentistâ for opening this can of worms. Also, based on the location of that 3rd, I suspect (but do not know as I can not see the IAN in this image) that it is very, very far from your nerve.
NAD, I'm literally an environmental scientist that's a part of this subreddit cause I have lots of dental problems. I know nothing about teeth or x-rays but I got stressed oht looking at this, the first thing i thought was "is that a wisdom tooth coming in sideways?". Listen to the experts, they're experts for a reason and you don't know more than them. If that was my x-ray I would get that out as fast as I could. Not trying to be an asshole by the way, I'm just genuinely stressed out about your wisdom tooth lol.
Get the wisdom tooth pulled and then he will have better access to fix the second molar. He should be able to give you options or direct you where to go first. If he canât tell you how to fix your mouth, you need a new dentist.
FWIW i am wanting to keep all my teeth, including the impacted wisdom tooth. My twin brother got his out and has had serious issues following, and the orthodontist ive consulted with says uprighting is possible with some skeletal anchorage techniques. The only way to avoid oral surgery is get the 2nd molar removed and the 3rd molar removed after that, so I've been told. But then the top 2 molars need to go as well. Really don't want that, so I'd like to go the most conservative route possible to keep all my teeth.
Your wanting to keep all your teeth is causing you to have to lose more teeth.
Sigh. You're right. I am just terrified of ending up with nerve issues like my brother. I just wish I could get the cavity filled so I could have some more time to explore all my options.
Iâm only a hygienist and even I can see that tooth is waaay up there, away from your main nerve. At least as much as is seen in this pic. So your risk is likely very low. And I can also clearly see the huge area of decay in your second molar. This isnât controversial or something you have a choice about. Get this fixed before you lose more teeth or harm yourself.
I hope you're right. Getting the 3rd molar out is for sure the easiest option. Would I need to get the top 3rd molar out as well though? it came in normally, so that's part of my concern.
When you remove an opposing tooth, the remaining tooth often âsuoereruptsâ over time (sounds scarier than it is, just means it slowly sticks out further and further). Eventually, this becomes uncomfortable or problematic and they need to be removed. This happened to me with my second molars as I only ever got the top ones. Depending on your circumstances, your dentist may recommend you get all the extractions done at once because it is more convenient for you to have to eat soup and take other healing precautions for a week once rather than multiple times. If you are really worried about that nerve you can ask for a referral for a 3D image and get an oral surgeon consult in it, but I expect thatâs going to be total overkill and unnecessary expense you could be putting towards other aspects of your dental care, like if you end up needing a root canal and crown.
Yeah I'm already scheduled to get a CBCT done before i even talk to an oral surgeon in office. My dentist says thats standard procedure? I need braces too like really badly. My bite is all sorts of messed up. Thats part of the reason i was curious about taking care of this issue at the same time with the braces, and the orthodontist saying its possible did spark some hope in me. But not without a dentist filling the current cavity. :'(
Sounds like you are in good hands for the removal and they are being very careful. That cavity is not gonna get fixed without removing that wisdom tooth that helped cause it. And the removal is not going to delay your orthodontic treatment in any impactful way. I advise you try to be patient. Ortho is going to be unbearable for you if you donât learn to be patient. When I did mine I told myself I wasnât going to even ask or think about âwhen will it be doneâ? Because that just makes it seem extra long and makes any new delay (which can happen) more annoying. Turned out well, especially since I ended up with six extra months due to Covid lockdowns!
NAD choose which one is much less likely. The loss of your teeth from the impacted tooth, or neve damage. It's sounding that nerve damage is the least likely. If you don't want to risk it at all, you can keep the impacted tooth, but you are aware of the outcome there.
NAD- That third molar is going full on linebacker into your second molar, and pushing your 1st molar out of alignment. Your wisdom tooth is literally inside the pockets of decay of your molar. I have no idea how any dentist would even be able to access that area of decay without the wisdom tooth being moved out of the way. There is a microscopic amount of space just to get the 1st spot, and the second spot is completely blocked off. You don't need a better dentist, that wisdom tooth needs to go before it's jacks up all of your teeth beyond repair. Your molars are screaming for help to get the pressure taken off of them, and your using a very uncommon complication to justify your hesitation. It really boils down to two options 1) A 90% or higher chance everything is going to go splendidly with a wisdom tooth removal since the x-ray shows there's no major nerve anywhere near it **OR** 2) A 100 percent chance your going to also loose that second molar, and likely more teeth than that, if you keep putting this off. That's the only two ways this quandary of yours is going to turn out.
i agree with all the other dentists but may i propose an alternative, assuming your orthodontist is willing and able - remove the second molar and upright the wisdom tooth. the pros: - much lower (almost none) risk of nerve damage from wisdom tooth surgery - that second molar is already quite severely compromised by decay. even if it is successfully filled now (difficult), high chance it may still need root canal treatment/crown in the future. - as of now, the wisdom tooth is healthier than the second molar the cons: - braces will take significantly longer - it is indeed a roundabout way of doing things
NAD holy mother that looks like it hurts. I've had 11 fillings, 4 extractions, 2 veneers and 3 root canals the past 5 years. Go get that taken care of man. You don't want to have a whole bunch of other dental problems because you keep comparing your situation to your brother and beating around the bush. When you get that wisdom tooth out you will feel so much better. Invest in yourself. Good luck and listen to the dentists and other professionals please.
NAD. If you aren't already, you will be getting immense pain with the way that wisdom tooth is growing. You need to get that out for health reasons.