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There Is a Reason Why Implants for the Very Last Molar Fail First.

Seoul Bardi Dental Clinic · ✅ 강동구 상일동역 서울바르디치과 · April 16, 2025

Hello~ This is Director Yoon Tae-ho of Seoul Vardi Dental Clinic. Strangely, only the teeth at the very back have broken down. When getting an implant for a molar for the first tim...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Seoul Bardi Dental Clinic

Original post date: April 16, 2025

Translated at: April 20, 2026 at 5:03 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello~

This is Director Yoon Tae-ho of Seoul Vardi Dental Clinic.

Strangely, only the teeth at the very back have broken down.

When getting an implant for a molar for the first time, it is often the very last tooth.

This is not just a coincidence.

There is a reason why implants for the very last molar fail first.

In fact, the area where gum disease starts first is right at the very last molar~

Today, I’ll explain a case of an implant for the very last molar. This is a patient who had both upper and lower molars at the very back extracted.

There Is a Reason Why Implants for the Very Last Molar Fail First. image 1 230516

“Only the teeth at the very back keep getting worse...”

“Am I not taking care of them properly...?”

They were worried about this.

They were also afraid that the front teeth might get worse too.

It wasn’t just on one side, but on both upper and lower sides, with only the teeth at the very back extracted,

so it’s understandable that they would be concerned.

There are three main reasons why the implant for the very last molar is often needed first.

  1. The hardest place for a toothbrush to reach

The very back tooth does not have a clear field of view, and it is the most difficult area for a toothbrush to reach.

It is also a difficult area to treat, haha.

There Is a Reason Why Implants for the Very Last Molar Fail First. image 2 230725 Since the very last molar doesn’t get brushed well, cavities developed~

Because it is not cleaned well, cavities can form easily, and food debris tends to remain there.

No matter how carefully you brush, it can easily become a blind spot in care~

  1. The place where the greatest chewing force is applied

The very last molar, being large, does a lot of work.

There Is a Reason Why Implants for the Very Last Molar Fail First. image 3 There is a big difference in molar size, right~? Their actual names are premolars and molars.

Because a lot of chewing force is applied, it also places a greater burden on the gums.

Molar teeth are in a position where they bear a lot of force but can still be the first to fail.

  1. Wisdom teeth

When problems arise with wisdom teeth, it is easy to see the surrounding gum bone being resorbed.

There Is a Reason Why Implants for the Very Last Molar Fail First. image 4 230710

This is especially true when a wisdom tooth has partially erupted, because brushing is difficult and food gets stuck.

Wisdom teeth often cause the tooth in front of them to decay or the gums to recede.

Also, the very last molar is a tooth that erupts only once in a lifetime.

It is not a baby tooth that falls out and gets replaced~

Since it is a tooth used for life, from elementary school age onward, it can break down easily.

Is an implant for the very last molar necessary?

Because it is located at the very back, it does not cause discomfort when eating, so many people wonder, do I really need an implant..?

There are certainly cases where it is not necessary, under the premise that there is no change in the bite and it does not negatively affect the other teeth.

However, in the end, because the work that the large molar used to do is now being shared by the other teeth,

the burden can increase.

It’s like an excessive workload~ haha

There Is a Reason Why Implants for the Very Last Molar Fail First. image 5 231125

It is best to proceed with an implant for the very last molar, matching the number of teeth as if they were in the original state when first born,

but since every patient’s circumstances are different, it is difficult to say that it is absolutely necessary.

In conclusion... The very last molar does a lot of work, and it is also difficult to brush, so it is the part where problems can arise first.

Because it is an area with a high likelihood of needing an implant,

it is necessary to develop the habit of brushing carefully, even in areas you cannot see, haha.

| This post was written directly by Seoul Vardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. We recommend that the information provided be used only as a reference, and for symptom assessment and accurate management methods, please visit a medical institution and receive guidance from a medical professional. All procedures/surgeries performed at the dental clinic may carry risks depending on the individual (such as inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of the patients who completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |

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