clean white image of a molar from distal and occlusal view after molar removal

Molar Tooth Extraction: Procedure, Cost and Healing


General and Cosmetic Dentist


Whether you need your upper or lower molar removed, or you’re concerned about the cost, it’s important to be informed before making a decision. In this post, we’ll cover everything you need to know about molar extraction, including the cost and what to expect during the procedure.

Table of Contents Molar Extractions

Molar Extraction | Molar Removal – Dentist Houston

Molar extraction is a very common dental procedure. In fact, in our office here in keem smile dentistry Houston TX 77084, for every 3 patients that needs to get a tooth pulled at least one of them is a molar. The procedure involves removing completely, one or more of the molars from the socket in the jaw. There are different types of molar extractions including.
Upper molar extractions
Lower molar extractions
First Molar Extraction
Second Molar Extraction
3rd Molar Extraction. (a.k.a wisdom tooth extractions):
maxillary sinus on the upper molar teeth-min

Upper Molar Extractions:

The most important factor to consider when doing upper molar extractions is the sinus. Sinuses are air-filled spaces above the upper teeth. The floor of the sinus is usually closest to the roots of the tooth at the back of the mouth usually around the molars so When an upper molar is extracted, there is a risk that the extraction site may be too close to the sinus, which could result in the sinus membrane being perforated during the extraction. In these cases, a procedure known as a sinus lift may be necessary to elevate the sinus and create space for the tooth to be extracted without causing damage to the sinus.inferior alveolar nerve 3d illustration showing roots of the molar

Lower Molar Extraction

Lower molar extractions carry a higher risk of nerve damage and jaw breakage than upper molar extractions due to the anatomy of the lower jaw. The inferior alveolar nerve runs along the lower jaw and is located in close proximity to the roots of the lower molars. The nerve supplies sensation to the lower lip, chin, and teeth, and damage to the nerve during extraction can result in numbness or tingling in these areas.

Upper Molar Extraction VS Lower Molar Extraction

Nerve damage and Jaw breakage are two common possible complications during lower molar extractions due to the shape of the lower jaw. The mandible (lower jaw) is more U-shaped than the maxilla (upper jaw), which makes it more susceptible to fractures during surgical procedures. Additionally, the lower jaw tends to be thicker and denser than the upper jaw, which can make it more difficult to extract teeth from this area. The inferior alveolar nerve runs along the lower jaw and is located in close proximity to the roots of the lower molars.

image of first second and third molar labeled in the mouth

First and second Molar Extractions What to expect. 

The first molar is the first of the three large teeth at the back of the mouth. It is the large tooth located at the back of the mouth, behind the two premolars. It is also one of the most important teeth for chewing and grinding food, and is typically one of the first permanent teeth to erupt in the mouth. If you need to have a first molar pulled, it is good to know that First molar extraction Compared to the third molar or wisdom tooth is that first molar extractions are generally less risky and have fewer potential complications, including nerve damage or jaw breakage or sinus lift.

image of first second and third molar labeled in the mouth

Third Molar Extraction / Wisdom Tooth Extraction

Third Molars also known as Wisdom Teeth are the last set of teeth to develop in the mouth. They typically emerge between the ages of 17 and 25. They have being known to cause problems for some patients during and after eruption. Because the third molar comes in last, sometimes there is not enough room in the mouth for them to grow properly and we would have a procedure called Third Molar Removal Procedure.
Third molar extraction is a common procedure, but relative to the first and second molar removal, chances for possible complications are highest for third molar extractions and would often cost the most to remove. One of the main reasons for the high cost is the risks associated with wisdom teeth removal, one of which is nerve damage.

Possible Complications Associated with Molar Extractions

There are some risks associated with molar extractions, especially third molars. These risks are generally minor and can be easily managed, but it is important to be aware of them before you have the procedure done. Some of the major risks associated with molar tooth removal includes:

  • Nerve Damage
    The roots of the Third Lower Molar (wisdom teeth) are often located near important nerves in the jaw, and if those nerves are damaged during the extraction process, it can result in pain, numbness, or even loss of sensation in the mouth or face. In most cases, nerve damage is temporary and resolves within a few weeks or months. However, in some cases, the damage can be permanent. 
  • Sinus perforation 
    Molar extraction can also result in sinus perforation. This is because molars sometimes have complex root structures and can be located near important structures like sinuses. A sinus perforation is a hole in the bone that separates the mouth from the sinuses. Sinuses are hollow cavities in the bones of the skull that are lined with mucus membranes. They help to produce mucus, which traps dust and other particles and helps to keep the airways clean. A sinus perforation can occur during a molar tooth extraction, especially if the tooth is close to the sinus. The perforation can allow air and bacteria to travel from the mouth to the sinus, which can lead to an infection.
  • Jaw breakage
    jaw breakage after third molar extraction 3d full mouth xray

Also known as mandibular fracture, Jaw breakage is a rare complication of lower molar removal that results in the breakage of the bone of the lower jaw during a molar extraction procedure. It can occur when the dentist uses too much force to remove the tooth, or if the patient has a medical condition that weakens the bones, such as osteoporosis. Third molars, with roots close to the jaw line are exceptionally prone to jaw fracture. The treatment for jaw breakage will vary depending on the severity of the fracture. In some cases, the fracture may be able to be treated with a splint or cast. In more severe cases, surgery may be necessary to repair the fracture. If jaw breakage is not treated promptly, it can lead to a number of complications, including Infection and Difficulty speaking.

Molar Extraction Cost

When it comes to molar extraction costs, the price will vary depending on the type of molar being extracted. Generally, first molar extraction and second molar extraction is less expensive than third molar extraction.
The cost of a first molar or second molar extraction may range from $150 to $250 per tooth, while the cost of a third molar extraction can range from $150 to $500 per tooth at keem smile Dentistry
The higher cost for third molar extraction is often due to the complexity of the extraction process, as well as the potential for complications. It is important to note that the actual cost of molar extraction can vary based on the specific circumstances of the extraction. Patients would need to come in for a consult with our dentist to get a more accurate estimate of the cost of molar extraction in their particular case.

What To Expect: Molar Tooth Extraction Healing

dental implant post op instructions teeth showing stitches

After a molar tooth extraction, it’s natural to have questions about what to expect during the healing process. It should be noted that each individual’s experience will vary, so also will the healing time for a molar extraction vary. This will all depend on each    individual and the complexity of the extraction. Generally, you can expect the extraction site to start to heal within a few days, and it can take up to a few weeks for the site to fully heal. Things to expect during the healing phase includes.
Bleeding: Some bleeding is normal after a tooth extraction, especially in the first 24 hours. You can expect some oozing of blood from the extraction site, but it should start to slow down within a few hours. Our dentist will pack gauze in the extraction site to help control initial bleeding.

Swelling: Swelling is also common after a molar extraction, and it can last for a few days. You can apply a cold compress to the affected area to help reduce swelling.

Discomfort: Pain and discomfort are normal after a tooth extraction, but the severity can vary depending on the individual and the complexity of the extraction. You may be prescribed pain medication or over-the-counter pain relievers to help manage the discomfort.
Stitches: If our Dentist had to place stitches after the molar extraction, they will usually dissolve on their own within a week or two or it will become loose and fall out as your gums heal.

Will Teeth Shift after Molar Extraction?

YES, your teeth may shift after molar extraction. This is because there is a gap in your jawbone where the molar used to be, and your remaining teeth will try to fill that space. This can cause misalignment, bite problems, gum recession, and facial changes. The degree of shifting depends on several factors, such as the location of the extraction, the size of the gap, the condition of your gums and bones, and the pressure from your tongue and cheeks.

To prevent or minimize teeth shifting after molar extraction, you have several options. One is to get a dental implant, which is a titanium post that replaces the root of your missing tooth and supports a crown. This is the most natural-looking and durable solution, as it preserves your jawbone and prevents bone loss. Another option is to get a dental bridge, which is a false tooth that is attached to the adjacent teeth with crowns or metal clasps. This is a less invasive and more affordable option, but it may require more maintenance and cause damage to the neighboring teeth. A third option is to get braces or clear aligners, which can move your teeth back to their proper position and close the gap. This is a good option if you have other alignment issues or if you want to improve your smile.

Affordable Molar Tooth Extraction – Dentist in Houston Texas 77084

Are you in need of a molar tooth extraction? Look no further! Keem Smile Dentistry, 6434 Highway 6 N Houston, TX 77084 offers affordable molar tooth extractions. Our dentist Akeem AJAYI DDS has over 20 years’ experience, is gentle and fast. He will ensure that your procedure is as comfortable and painless as possible. Don’t let tooth pain hold you back any longer. Contact us 832-906-6127 today to schedule your appointment you can also book an appointment online.
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