First molar extraction: implant, braces or leave gap?

JamesH2888

I’m 42 and currently have all my adult teeth. I have a few composite fillings but have had no dental work other than that.

Unfortunately, a CBCT scan has revealed a cracked root in my UL6 (first molar), with extensive external root resorption, which apparently means the tooth is unrestorable. The tooth isn’t causing me any pain but I’ve been told that it needs to be extracted.

Coincidentally, before getting the scan, I was considering orthodontic treatment to improve the appearance of my front teeth, which are slightly crooked, with some uneven wear occurring on the edges of my upper central incisors that I’m told is caused by my bite.

I’m now torn between three treatment options, all of which I can afford (albeit by using savings), after I’ve had the UL6 (first molar) extracted:

1) Get in implant after extracting the UL6 (first molar)

2) Attempt to close the gap left by the UL6 (first molar) using orthodontics/braces

3) Just leave a gap where UL6 currently is

I’ve had consultations with two orthodontists and two non-ortho dental specialists who have conflicting opinions, so am pretty confused and unsure what route to go.

Orthodontist 1 is confident they can close the UL6 gap with braces and advises against leaving a gap there.

Orthodontist 2 says it’s best to not try to close the gap and instead just correct the front teeth and either leave the gap or have an implant.

I’d be grateful for any views/input from dentists or orthodontists on what the best option would be, and whether trying to close the gap orthodontically is advisable.

Also, does anyone have any experience of having gaps in their teeth left by a molar extraction closed with orthodontics? If so, did it work for you?

Many thanks.

e1-co6amfdc

I ain't a dentist, but a gap can cause your other teeth to shift to compensate for the missing tooth. However, that issue can be remedied by a bridge. I am not a dentist. I am just going by what my dentist told me about molar extractions. I hope this helps you.

roashter

https://www.boards.ie/discussion/2058283986/first-molar-extraction-implant-braces-or-leave-gap

Hi OP,

Am in almost the exact same boat as yourself. Had my UL6 extracted a few months ago as it had cracked, and now considering my options between an implant, bridge or doing nothing.

Just wondering what way you went in the end?

Duke of Schomberg

I had UL6 extracted in May 2000 as it was impacted. The Dental Surgeon at Leeds Dental Hospital said it would be fine to leave a gap - within twelve months the remaining teeth had shifted and the gap closed, no problems whatsoever and no need for expensive dental treatment.