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Can 3rd molar replace 2nd molar

The he suggested to remove the 2nd molar, so the 3rd molar could take its place, since a root treatment there could be too complicated and not as worthwhile. He also considered to remove it immediately. But since I wasn't ready for something like this spontaneously, we left it at that Yes a Third Molar can definitely take the place of a Second Molar. What your orthodontist conveys is correct. Its not seen that a third molar would move in a second molar space in the ideal position. Usually the Tooth tips completely mesially and is no good as either a functional unit or as an abutment of any prosthetic work

Can a 3rd molar replace a bad 2nd molar? : askdentist

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Can the third molar replace a missing lower second molar

  1. Missing teeth can lead to additional dental woes, but implants and bridges can restore your smile and improve your dental—and overall—health. Few of us will make it through life with a full set of 32 teeth. By age 50, the average American has lost 12 permanent teeth to decay, gum disease, or injury
  2. A missing rear molar can be replaced by a dental implant. Contact a member of our experienced staff at Charlottesville Oral Surgery & Dental Implant Center to learn more about dental implants and how they might benefit you. Call 434-295-0911 to schedule your visit. Filed under tooth replacement
  3. It is usually better to replace missing teeth if you can but many people do fine without teeth. I've had patients with no teeth at all that have nothing they can't eat. Everyone is different but take things slow and you should be okay. belladee April 5, 2014, 10:08pm #18. rsat3acr:.
  4. Gradually, remaining teeth will also lose support and begin shifting. Your teeth will become misaligned leading to decay, gum diseases, and falling out of other teeth. Though a missing tooth may look normal, it can become a cause of concern over the time. Once you have a missing molar, you need to choose a tooth replacement option before there.

Whether or not a second molar should be replaced after its removal is debatable When a patient is just missing one molar, a single dental crown can be used to replace that tooth. In cases of more extensive tooth loss, different options will be considered. For a few teeth missing (say molars and premolars), a dental bridge can help replace multiple teeth in a row It is not easy to move a third molar into the second molar position, if the third molar is in optimal position as to move it, you might think about it but it definitively would take a long time to do and the probability of it to ideally placed is not very high Most mandibular third molars also upright and acceptably replace the second molars after extraction. Unsuccessful third-molar eruption is most common in older patients with higher Nolla developmental stages. Most unsuccessful eruptions are due to excessive mesial tilting or lack of proximal contact

Do I need to replace a 2nd molar? - Dental Fear Centra

  1. And if you have all your premolars and front teeth, you can get along okay with just first molars and no second molars - that is enough teeth to chew on adequately. Having said that, I believe it's always best to save a second molar. It can come in handy especially if you later lose a first molar. And it will reduce your chewing efficiency
  2. Dr. Stan Shih answered. 18 years experience Dentistry. 1-2 weeks: After an extraction, it is best to be careful. Avoid crispy, hard, crunchy foods for at least a week after the extraction. 0. 0 comment. 1. 1 thank. Send thanks to the doctor
  3. No one can predict when third molar complications will occur, but when they do, the circumstances can be much more painful and the teeth more difficult to treat. replacement at the lower left second molar tooth #18. This 39 year old female patient is scheduled for replacement of crown #18. The impacted third molar teeth should first b
  4. They can replace one or more teeth. Endosteal implantsare artificial roots used to hold replacement teeth. Dental bridgesare false teeth that are held in place by the teeth on either side
  5. If molar tooth decay or damage encompasses the pulp- the center of the tooth containing nerves and blood vessels- bacteria in the mouth can enter the pulp, resulting in infection. Frequently this can be fixed with root canal therapy (RCT), however if the infection is so severe that antibiotics or RCT do not treat it, extraction may be had.
  6. If the wisdom tooth/third molar is present behind the second molar, it may tip forward into the space of the second molar and result in an area which is difficult to clean. In these situations, replacing of the extracted tooth would be ideal. There are other factors to consider as well, with regards to the dental implant
  7. So, if you're missing a second molar but all your first molars remain, the decision to replace the missing tooth with an implant may have more to do with psychological comfort than functional necessity. If you're missing a first molar and it's impacting your ability to chew effectively, tooth replacement may be a sensible option

1rst molar (#19) needs to be extracted. The wisdom tooth (3rd Molar ie #17) is still there, but has not erupted due to no room in the mouth. However, once #19 is extracted there will be plenty of room! So instead of an implant I'd love to move 2nd molar (#18) forward to take the spot of where #19 used to be For a molar extraction, you can typically expect to recline on your back in a dentist's chair with your mouth open until the dentist successfully removes the tooth. This may prove difficult for you if you have difficulty keeping still for significant periods of time or have back pain that makes lying on your back uncomfortable

dentistry - Can wisdom teeth replace 2nd molars

The molars you get around ages 6 and 12 are known as your first and second molars. The third molars are your wisdom teeth, which you'll get between the ages of 17 and 30 . Molar pain can range. In some children, the first permanent molars are the first to emerge; in others, the incisors are the first to emerge. By the age of 13, most of the 28 permanent teeth will be in place. One to four wisdom teeth, or third molars, emerge between the ages of 17 and 21, bringing the total number of permanent teeth up to 32 While a missing molar isn't as noticeable as a missing front tooth, losing one can make eating much more difficult. Luckily dental implants provide you with a way to easily replace any missing tooth in your mouth, including a molar. If you've recently lost a molar and you'd like to replace it, a dental implant can be a low-maintenance option Broken Molar: Symptoms, Risks, and Costs. If you are currently facing a dental emergency, whether it be an abscessed tooth or another instance, you can use our 24/7 dentist hotline or Call 24/7: 1 (877) 507-0879 to get immediate help. Our hotline is free, offers fast service and is easy to use. Our molars—those big grinders at the back of our.

In Fig. 2, on your left (the patient's right), you can see where a cavity (dark shadow) is starting (arrow) on the 2nd molar due to the presence of the impacted third molar. On the other side, the angular impaction has caused severe bone loss on the distal (backside) of the second molar (other arrow) Ideally, first permanent molar extractions should be followed by successful eruption of the second molars to replace them and ultimately, the third molars. However, achieving this can be. Millones de Productos que Comprar! Envío Gratis en Pedidos desde $59

Should Lower Second Molars Routinely Be Replaced with

Can a wisdom tooth replace a bad molar? - Quor

Orthodontic treatment after autotransplantation (PDF

Missing a back molar? Don't want to wear a partial denture? Have you been told you will need a sinus lift for a traditional implant? In some cases all of these issues can be solved with a mini dental implant. X-ray of the missing upper teeth. Notice on the upper jaw the limited amount of bone that is left. 4 OCO crown and bridge head mini dental implants in place to anchor two molar size crowns Second molar: 25 to 33 months: 10 to 12 years Lower Teeth Second molar: 23 to 31 months: 10 to 12 years: First molar: 14 to 18 months: 9 to 11 years: Canine (cuspid) 17 to 23 months: 9 to 12 years. The indicated third molar was completely removed with minimal trauma to the adjacent second molar. After bone removal, an absorbable collagen sponge was inserted to prevent delayed postoperative bleeding, and one or two sutures were placed. Pain in the adjacent tooth after extraction of the third molar can be improved by limiting the. The distal root of the second molar (yellow arrow) is seen at the anteromedial aspect of the lesion. (b) Sagittal CT image shows the crown of an impacted third molar (black arrow) projecting into the lucent lesion. The lesion abuts the distal root of the second molar (white arrow), but there is no evidence of tooth displacement or root resorption

Two options for replacing lost teeth - Harvard Healt

Once you determine the chakras and organs, give Reiki to jaw, Throat chakra, and affected chakra or the organs (as per meridian). Emotions attached to the tooth show what emotions need to be healed. Let us start with Upper teeth. Consider the front two teeth as number 8 and 9. The number 8 being the upper front right tooth and 9 being the upper. Although a competent surgeon can reduce serious problems later in life by appropriate removal of third molars, routine prophylactic removal is now regarded by many researchers as ill advised. 68 A review of 12 studies on prophylactic removal found 'there is little justification for the removal of pathology free impacted third molars.' 69. The loss of one tooth can result in the shifting of the adjacent teeth which causes a potential collapse of bite support. Dear Mary, Because missing front teeth are considered aesthetically and socially unacceptable, most people consider their replacement a higher priority than back (posterior) teeth normally hidden from sight Impacted wisdom teeth (upper and lower third molars) located under the second molars that started to resorb the roots of the second molars to such an extent that both third AND second molars had to be extracted. (courtesy of Dr G. Noreau) Upper third molar eruption problems. Only a radiograph can detect this anomaly (25-year-old woman)

Lost Back Molar: What are my tooth replacement options

The extraction of permanent molar teeth was first introduced in 1976 as a substitution for premolar extraction in cases with mild crowding. Since then, a number of studies have investigated the effect of permanent molar extraction on dentofacial harmony lacking at least one third molar. European populations have an incidence of at least one missing third molar of between 10-15% with 80% of those effected involving one or two teeth only. The frequency of agenesis of other teeth ranges from 1.6-9.6%, with the maxillary second premolar (P4)and mainly the lateral inciso Most of us will develop a third molar tooth in each quadrant of our mouths, upper left, upper right, lower left lower right. The molars are the large grinding teeth in back. The last molars in the line are called 3rd molars or more popularly wisdom teeth. These teeth usually erupt, break through the gum tissue after the age of 17

(2021, June 29). Pulling wisdom teeth can improve long-term taste function, research finds: Study shows positive long-term effects of third molar extraction on taste. ScienceDaily. Retrieved July. In humans, the molar teeth have either four or five cusps.Adult humans have 12 molars, in four groups of three at the back of the mouth. The third, rearmost molar in each group is called a wisdom tooth.It is the last tooth to appear, breaking through the front of the gum at about the age of 20, although this varies from individual to individual 18 December, 2018. Children typically have eight primary, or baby, molar teeth -- the first and second molars, two on each side of the upper and lower jaws. The average age for loss of these primary molars is 10 to 12 years, with children having at least all of their first and second permanent, or adult, molars by the age of 13 to 15 years of age

First described in 1989, immediate placement of dental implants into fresh molar extraction sockets is an accepted procedure. 1-6 Advantages of immediate molar implant placement versus delayed protocol include the need for fewer surgical procedures and patient visits, lower cost of treatment, and less time required from the start of treatment to its completion. 7 The cumulative survival rate. The 6-year molars are the first set of permanent teeth that come in that don't require baby teeth to fall out in order to replace. Your child's second set of molars will come in around age 12 or 13, with their wisdom teeth being (or third molars) the final teeth to come in anytime before their early twenties There are three main ways to replace missing teeth. The first is with a removable false tooth (or teeth) - called a partial denture. The second is with a fixed bridge. A bridge is usually used when there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth. The third way is by the use of dental 'implants'

Can you chew with 3 missing molars - In My Humble Opinion

Molar tooth autotransplantation also dates back over half a century, with specifically third molar autotransplantation providing an alternative option to replace a missing or hopeless prognosis. 3rd premolars (2nd cheek teeth) 3 years. 4th premolars (3rd cheek teeth) 4 years. 1st molars (4th cheek teeth) 9-12 months. 2nd molars (5th cheek teeth) 2 years. Motorized instruments have replaced molar cutters and chisels because there is less chance of tooth damage. Tall malocclusions may require several treatments spread over 12 to 18. Third Tooth. In 20 mins. Replace a missing tooth. Third Tooth is one of the greatest innovations in implants. It is the fastest and least painful procedure to replace a missing tooth. Trademarked and brought to you exclusively by The Dental Implant Centre- Joe Gillespie DDS The lower arch was also segmented in three parts: (1) between second bicuspids; (2) second molar to third right molar, and (3) second molar to third left molar. This segmentation was done in order to prepare for installation of T-loops, and because a segmented arch technique was planned, this needed to be done

First molars are missing in one-third of the cases, the second molars in almost all the cases and the wisdom teeth are always missing. For those patients, the implant step in the posterior mandible is tricky (Fig. 11.11).Transversal relationships are frequently inverted, bone thickness is reduced and the implant height is insufficient, because, even if the vertical dimension is weakly affected. The lateral incisors are lost and replaced during the seventh to ninth years, and the canines in the ninth to twelfth years. The first premolars generally appear between the ages of 10 and 12, the second molars between 11 and 13, and the third molars, or wisdom teeth, between 17 and 22. It is not uncommon for the third molars to fail to erupt Aftercare for an extracted tooth can vary slightly depending on a few factors. These include which tooth the dentist took out, as some teeth have deeper roots than others and take longer to heal mo·lar (mō'lăr), Do not confuse this word with molal. 1. Denoting a grinding, abrading, or wearing away. 2. Synonym(s): molar tooth 3. Massive; relating to a mass; not molecular. 4. Denoting a concentration of 1 g.-molecular weight (1 mol) of solute per liter of solution, the common unit of concentration in chemistry. Compare: molal. 5. Denoting.

Tooth Replacement Options. The most affordable and common option to replace a back molar is with a bridge or crown. While both are effective, there are some downsides that come with these options. For example, you won't have the same biting force or appearance of a natural tooth. Plus, your surrounding teeth are more prone to tooth decay and. Around the age of 6-7 years the first adult teeth begin to erupt in the mouth starting with the first permanent molars, also known as 6 year molars. They erupt behind the second primary molars (which will later be replaced by the second permanent premolars)

The last molars to erupt are wisdom teeth, or third molars, which usually come through between the ages of 17-21. These sit at the end of the row of teeth, in the far corners of the jaw A dental implant is a surgical procedure in which a replacement tooth root is placed and fused with the jawbone. While dental implants work well when replacing a single tooth, they may not be the best option for multiple teeth replacement. That said, dental implants provide the look and feel of natural teeth and can last for years, if not. Congenitally missing teeth are much more common, and therefore more noticeable, in permanent teeth. Less than 1% of children will have a congenitally missing baby tooth, and for those who do, it's likely there isn't a permanent tooth developing in the gums underneath it, either. In most cases of hypodontia, there will only be one or two. A single tooth implant may range from a couple to several thousand dollars but it really depends on which tooth is being replaced and your insurance. Replacing front teeth will be more expensive than back teeth. Since they last the longest you can say they're the most cost effective replacement Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap -- these two or more anchoring teeth.

Missing Teeth: Do I Need to Replace My Back Molar

30 year old: Facial structures are properly supported and in natural proportion maintaining a youthful appearance.Click to enlarge. 45 year old: Loss of teeth resulting in subtle structural changes (cheeks can sink-in slightly) even at the age of 45.Click to enlarge. 60 year old: As bone loss progresses, the loss of facial support is pronounced. The cheeks and lips lose their support creating. A cantilever dental bridge can last up to 10 years, and sometimes longer, with good oral hygiene. Typically, cantilever dental bridges, like other bridges, last about 5 - 7 years. The average life expectancy depends on the type of material used to make the bridge. Certain types can last even over a decade, with the potential to last a lifetime The typical cost of a simple (non-surgical) tooth removal without insurance ranges from $75 to $300. A general practitioner can perform a simple extraction that does not require surgery, which means you fork over less money. However, expect the office to charge an extra $300-$450 if the dentist needs to perform emergency work after-hours, on. The above human teeth dental chart are of children's 20 primary teeth. Cutting teeth takes time and can be painful for babies, which is usually completed by the age of 3. Teeth start to fall out at various times throughout childhood and by the age of 21; all 32 of the permanent teeth have usually erupted 2) If tooth #2 (the 2nd molar) is present, then it is very likely that #2 will start to tilt forward at an angle. It will never come close to closing the gap, but given enough time, it may tilt at an angle that results in trapping more food at the gum line, leading to gum disease and bone loss

Thankfully our molars and incisors are up to the tough task. Even with daily brushing and regular dental check-ups, an adult tooth can become loose. Do you have a wiggly tooth or maybe a few loose permanent teeth? This can be a sign of some serious dental problems that you should address as soon as possible The numbers continue to the right and back to tooth number 8,which is the third molar.The numbers sit inside an L-shaped symbol used to identify the quadrant.The L is right side up for the teeth in the upper right quadrant.The teeth in the upper left use a backwards L.For th While dental implants traditionally are successful tooth-replacement options, complications can occur. Replacement with another implant is an option, but survival rates vary and have been reported to be in the range of 69% to 91%. Dr. Scott Froum, editorial director of Perio-Implant Advisory , discusses three clinical methods he uses to improve the survival rate of replacement dental implants. Below is the sequential naming pattern of Universal Numbering System as designated by ADA: Number 1: 3rd Molar commonly known as wisdom tooth. Number 2: 2nd Molar. Number 3: 1st Molar. Number 4. The Various Options to Replace Missing Teeth. To avoid such outcomes, it is advised that the patient invest in their future dental health by opting for a replacement tooth. The type of replacement will depend on the severity of the case and how many teeth need to be replaced, as well as, what the patient can afford

The Need to Replace a Missing Second Molar With a Dental

The partially erupted third molar with its pericoronal follicular tissues, combined to the force of the eruption pathway, can compress the vessels due to lack of oxygenation and eliminate the cementoblasts on the root of the associated lower second molars, thus initiating an external inflammatory resorption process (arrows) Unlike the third molars, removing teeth elsewhere in the mouth can change how your jaws fit together. If the tooth to be extracted is prominent or affects how your jaws close, removing it can make your bite feel different almost immediately. And over time, this type of extraction can lead to a shift in tooth alignment Crowns don't last forever. On average, a dental crown lasts between 5 and 15 years. If they are damaged or if decay reinfects the tooth they will need to be replaced. Simple wear and tear can take a toll on the condition of a crown over time. There are some instances when a root canal might not be done properly Wisdom teeth are the last teeth to erupt in permanent human dentition. Wisdom teeth removal is a surgical process to remove unwanted third molar teeth which are causing pain or damage to the gums

During this time, a temporary tooth replacement option can be worn over the implant site. Often, a second step of the procedure is necessary to uncover the implant and attach an extension. This temporary healing cap completes the foundation on which your new tooth will be placed Premolars and molars play a vital role in the process of grinding and chewing. In this post, we will discuss some differences between molars and premolars: Molars are the largest teeth in the mouth. There are 12 molars in an adult mouth. They are classified into 3 pairs -first, second and third molars. The third molars are popularly known as. The mandibular and maxillary second molars had very similar replacement rates to each other (16.7% and 16.4%) and came in at the 3rd and 4th most replaced locations, respectively. Placement and replacement rates of amalgam and composite restorations on posterior teeth in a military populatio The grief of losing teeth increases especially when you lose your first, second or third, which could lead to losing some self-confidence. Losing or cracking teeth can make you look older from your current age. Thanks to our team of dentists at 'Sleep Dream Smile', who can replace the defective teeth and bring back your brightest confident.

Dental Implants for Missing Molars: What Patients Should Kno

Surgically, likewise, when the tooth is being extracted and it offers resistance, insisting will not be the best strategy, but rather getting a new image and knowing if it has no concrescence, or even ankylosis and replacement resorption. A maxillary third molar, in particular with the second molar, may lead to the loss of the latter in case of. The teeth (singular: tooth; collective term: dentition) can be both primary and secondary, with the eruption of permanent teeth occurring over a long period between the ages of 6 and 24 years.When an individual has a complete set of teeth, they are said to be dentate, if some are missing they are partially dentate.Complete absence of the teeth is termed edentulism, if only a few teeth are.

Tooth removal. If your tooth is damaged or decayed and can't be repaired with a filling or crown first, your dentist may decide to remove (extract) the tooth as a last resort. When your tooth can't be repaired, tooth removal may be the best option for you. However your dentist will talk through your options with you during your consultation diolucency in close proximity to the third molar, suggesting a follicular cyst. The third molar was extracted and the cyst underwent curettage. The second molar had to be extracted to enable complete removal of the cyst and to achieve primary closure of the wound, which would have been impossible without repositioning the molar. Wit Synonyms for second molars in Free Thesaurus. Antonyms for second molars. 1 synonym for molar: grinder. What are synonyms for second molars

Killing tissues/organs such as your teeth, then trapping the bacteria in the teeth, deprived of oxygen, makes the baddies become super-psychos. That's a gross oversimplification, but a google search on those two bacteria reveal that my own two breeds of baddies cause heart attacks, impaired immune response, and infections! 2. Shudder When considering an extraction of an upper tooth, if the conventional x-rays show that the tooth's roots are near the sinus floor above, or if there are signs of an infection or abscess, then it is critical to obtain a pre-surgical cone beam CT scan (CBCT). A CBCT can assess the proximity of the roots to the sinus or assess the degree of. From 6-12 years, children have a mixture of adult and baby teeth. The baby molars are replaced around 12 years of age. By about 12, most children have all their adult teeth except for the third molars (wisdom teeth). There are 32 adult teeth. If your child's baby teeth came late, the adult teeth will probably be late too The adult second premolar that replaces a primary second molar is called a(n) _____ tooth. A. odontoblast B. crown C. succedaneous D. exfoliation D. Succedaneous teeth are permanent teeth that replace primary teeth. A. during the second trimester. B. during the third month in utero. C. immediately following birth Transplantation preserves alveolar bone volume and replaces a missing tooth without involvement of adjacent teeth, as, e.g. in tooth-supported prosthetic treatment. The tooth that can be used for such transplantation is a maxillary third molar, which has approximately the same crown size as a mandibular second primary molar

Replace Second Molar with Wisdom Tooth or Implant

Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom A tooth extraction is a procedure to remove 1 or more teeth. A tooth extraction can cause pain, swelling, and minor bleeding. It can also cause you to have trouble opening your mouth completely. DISCHARGE INSTRUCTIONS: Return to the emergency department if: You have bleeding that has not decreased within 12 hours after your tooth extractio Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom. If a wisdom tooth doesn't have room to grow (impacted wisdom tooth), resulting in pain, infection or other dental problems, you'll likely need to have it pulled Take geckos, for example, who will replace all 100 teeth, or so, every 3 to 4 months. And since geckos can live for 6 to 10 years, they'll grow anywhere from 1,800 to 4,000 teeth in a lifetime! It.

Spontaneous third-molar eruption after second-molar

Those would likely be second molars now. Wisdom teeth are 3rd molars. If it bothers you a dentist can help now. Samantha says: September 18, 2015 at 4:20 am. Hi there! I'm 14 and I've been experiencing pain and stiffness on my jaw area. I'm not able to yawn or eat certain foods without feeling at least a little bit of pain and is mostly seen in mandibular second molars. Careful assessment of preoperative radiograph is a key step for its subsequent management, and this assessment might impact greatly on the treatment outcomes. Key words: C-shaped canals, mandibular second molar, thermoplasticised gutta-percha, Smart Dentine Replacement. INTRODUCTIO According to the British Dental Association, there are deciduous molars, all of which eventually fall out by around age 12, and permanent molars, which do not necessarily fall out. All the deciduous molars appear by the time a child is around 2 1/2 years old. The British Dental Association states that the first permanent molars begin coming. We each get three sets of molars during our lifetime - the first molars arrive at age six, the second at age 12, and the third molars develop during the late teens and early twenties. Because it is during this age that children become wiser and transition into adulthood, we refer to the third molars as wisdom teeth

Do I need to save my second molar? - Cosmetic Dentistry Blo

ATT can successfully replace removable dentures as a restoration option in a growing patient, while implants can be placed only after skeletal maturity is attained. Case Presentation. In this case, we presented an immediate ATT of the third molar with unformed roots to the extraction socket of the first molar with evidence of continued root. When properly shaped, the temporary tooth simply clicks into place - no adhesives or dental cement required. Temptooth uses a high-grade material that has been third party tested for safety and efficacy for oral use. High grade, non-toxic and FDA-approved material. Contains enough material to create up to 10 teeth

2nd molar tooth extraction Answers from Doctors HealthTa

Instant Smile Complete Your Smile Tooth Replacement Kit Replace a tooth in minutes from the comfort of your own home! Each Complete Your Smile Tooth kit includes 4 rows of teeth so that you can choose the best shade to match your missing tooth. There are 4 shades- Bright White, Bright Natural, Natural and Dark in third molar surgery, there is not yet a consensus in this regard4,9. The flap was replaced, an X suture was performed on the distal of the second molar and another suture on the relaxing incision. Silk 4-0 sutures were used. For the upper molars, following anesthesia, an incision was performed on the. Maxillary tuberosity fractures during molar teeth extraction can occur commonly in dental practice; however, very few cases are reported and discussed in the literature. This article presents a case of large fracture of maxillary tuberosity during extraction of first maxillary molar tooth and its conservative treatment outcomes