chriswaterguy ([info]chriswaterguy) wrote,
@ 2008-08-13 03:38:00
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Entry tags:personal, tooth extraction

What happens when a tooth is removed?
Any perspectives appreciated! If a wealthy Westerner has a tooth extracted, they can have a replacement screwed into the jaw to replace the lost tooth. I'm told it costs thousands of dollars, but at least they have that option. What happens to a poor person, who can't afford thousands of dollars to have this done?

I imagine the remaining teeth spread out to fill the gap. If a molar is removed, the rest of the teeth would shift around and things would become asymmetrical - less of an issue for aesthetics if it's on the lower jaw, but a big issue if it's on the lower jaw. I also imagine there'd be bigger gaps between all of the teeth - worse for getting food caught, but at least it would be easier to floss.

I'm facing this question for myself, for a lower jaw molar that lost its crown, and needs to leave. Spending thousands, severely interrupting my travel, and going through all the dental work are all things I really don't want. And it seems silly that I spend thousands on this when there are others in the world who can't afford the life-saving treatment they need for AIDS or whatever, at a fraction of the cost.

But I need to have a better idea of what the consequences are before I make the decision - so your collective wisdom would be appreciated. Exactly how bad is it to just remove a tooth and leave nothing in its place?

Then there's the question of when to extract. I want to go to Burning Man, and I'm concerned about being in a remote place with a freshly extracted tooth. But it's probably better than this slight, constant pressure in my jaw, and plenty of mouthwash might help manage things.
 




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[info]about_right
2008-08-13 06:48 am UTC (link)
Um, how far are you from Nevada or is this a different Burning Man you're talking about? Sorry about your molar. My sis had hers removed. Quick procedure but quite painful once the anesthetic wore out, so you might want to give yourself some time to recover.

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[info]chriswaterguy
2008-08-13 05:22 pm UTC (link)
Thanks.

I'm in Boston, so I have far to go to Nevada... I have a few hindrances in getting to Burning Man, including the tooth, but it's not something I want to miss.

I've had root canal therapy on the tooth, so I suspect that will reduce but not eliminate the pain. Hmm.

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[info]aunty_del
2008-08-13 08:55 am UTC (link)
To my understanding, teeth don't naturally move around to fill the gap, hence the need for orthodontists to fit braces to kids whose teeth need rearranging/straightening.

If the tooth is professionally extracted, the only consequences I can see (once the gum has healed) other than aesthetics are food getting caught there, which is fixed by brushing, and possibly a slight unevenness in your chewing. My ex had a dead/broken molar he was too afraid (of dentists) to get removed and the only way it worried him was food occasionally getting caught.

My suggestion is to go to a dentist and get his/her opinion on the cost of extraction, how long before it would be comfortable to travel and the risk of going to a remote area with a dodgy tooth. (I wonder if there's a risk in flying with a dodgy tooth? I half-remember something about air force pilots in WW2 getting dental checkups before missions?) I wouldn't bother getting a replacement unless the look of a gap when you say Aaah worries you, and I'm guessing it wouldn't.

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[info]chriswaterguy
2008-08-13 05:27 pm UTC (link)
Thanks - that's helpful.

I've definitely had teeth move together while waiting for crowns to be made and fitted (the dentist was surprised by the speed in my case, but she managed to fit the crowns anyway) - but perhaps there's a limit to how far it closes. That dentist had had a tooth removed on one side as a child, and her teeth had moved around, and the front lower teeth were off to one side as a result (I wouldn't have noticed unless she told me and I looked closely). But I don't know how young she was at the time.

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