When a Small Molar and Wisdom Teeth Are Missing, What Is the Process for Dental Implants and Safe Extraction at Sadang Dental Clinic?

Hello, this is Sadang Dental Clinic.

I’m Director Park Jeong-gi of Seoul Remember.

Did everyone enjoy the Golden Holiday at the beginning of May?

After eating lots of delicious food with family or friends and spending a pleasant time,

after a long holiday passes, it seems many patients come in with unexpected oral problems.

If even one tooth in the mouth is missing, it cannot perform its function properly,

and some teeth, such as wisdom teeth, are located all the way in the back and do not have a major effect on eating.

That is why, when you feel that there is a problem, it is important to receive a precise diagnosis and the necessary treatment.

Today, I wanted to provide related medical information on the topic of wisdom teeth and missing teeth, so I decided to write this post.

Please take a look at the photos for better understanding, and I will explain along with them.

2024.08.11

In the case I am explaining at Sadang Dental Clinic today,

the lower left second premolar (tooth #35) was missing, and all four wisdom teeth in the upper left, upper right, lower left, and lower right were present.

A missing tooth can cause many problems, such as reduced chewing function, movement of adjacent teeth, and extrusion of the opposing tooth.

In particular, the second premolar plays an important role in chewing, so when it is missing, appropriate prosthetic treatment is needed.

So, if only one tooth is missing like this, it is better to restore function and aesthetics similar to a natural tooth without placing burden on the surrounding teeth by using an implant.

Also, wisdom teeth are located at the very back of the mouth and are the third molars, meaning the molars that grow in third.

Because it is difficult for a toothbrush to reach them, hygiene management is not easy and the risk of cavities is high,

and depending on the eruption state, they can cause inflammation in the surrounding tissues or lead to caries and periodontal disease in adjacent teeth.

2024.08.11

In the photo shown at Sadang Dental Clinic as well,

the empty space from the missing premolar and the presence of the third molar at the very back can be confirmed.

If left as it is, various problems like those explained in the introduction can occur,

so it would be better to place the implant first, and during the recovery period, remove the third molar in order so that preventive treatment can be provided.

At this time, depending on how the treatment sequence is decided, the total treatment period and number of visits may vary,

so at Sadang Dental Clinic, I think it is important to carefully consider this part as well for the patient’s benefit.^^ Let’s look at how everything looks after the treatment is complete.

2024.11.30

After implant placement, if sufficient fixation is achieved through the osseointegration process, a prosthetic restoration is placed on top.

In general, the lower jaw requires a healing period of 2–3 months,

after which it takes about 3–4 months until chewing function and aesthetics are restored through placement of the prosthesis.

The third molar also requires healing of the extraction site after removal,

and in the initial stage, blood clot formation and granulation tissue formation occur, then bone formation gradually progresses, and finally the area where the tooth was removed heals.

2024.11.30

The implant prosthesis has settled well, the surrounding gum tissue has also adapted well,

and the extraction site has healed well, so now it is important to maintain thorough oral hygiene.

If you neglect brushing from time to time or do not pay attention to infection control,

inflammation may develop at the extraction site or peri-implantitis may occur around the implant,

so at such times, please be sure to follow carefully the precautions explained by the medical staff.

Also, at Sadang Dental Clinic, we emphasize regular checkups even after all treatment is complete. This is because the oral environment has changed after treatment.

A tooth has been placed where there was none before, and the wisdom teeth have been removed, so now it is only natural to pay attention to the back side of the premolar in front of it, right?

I hope the explanation from Sadang Dental Clinic today was helpful, and I will end the post here.

Thank you for reading.

This was Director Park Jeong-gi of Seoul Remember.

Treatment period: 2024.08.11 ~ 2024.11.30