I am scheduled to see a periodontist to potentially save a tooth (as I have bone loss on my first molar on the top right side.) I have lost the first molar on the left side (root canal but no crown and tooth broke off).....anyhow my dentist wants me to see a periodontist to save the other first molar and then potentially remove both my wisdom teeth.

I'm just looking for more opinion....I was thinking of probably just removing the first molar on the right side to match the missing one on the left side, and then getting braces to pull the secondary molar and wisdom teeth forward to replace the missing first molars. Is this a realistic option?


Whether the first molar is worth saving depends on how much and in what manner bone has been lost around it. For instance, if there is very little or no bone between the roots, all efforts to save the tooth are uncertain. The outcome of periodontal treatment to save the tooth also depends on other factors. Most importantly, if you smoke it is very unlikely that you can get new bone around the tooth.

The best possible treatment thus depends on the general situation and health of your teeth and mouth.

Removing the first molar and moving the remaining two molars on both sides forward with orthodontics might be a realistic option if the first molar with bone loss is the only tooth with such a periodontal problem and if all the remaining teeth are in good condition both periodontally and in regard to restorations.

When judging the orthodontic treatment option, also the general interrelationship of the jaws and the manner in which the upper and lower teeth come together when the mouth is closed must be taken into consideration.

I suggest that you see both a periodontist and an orthodontist. They will explain how they see the situation and what kind of treatment would be best.


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Marketta Hormia, DDS, PhD


I am a periodontist living and working in Helsinki, the capital of Finland, where I have my private dental practice. I am an international member of the American Academy of Periodontology. I have a Ph.D degree and a long background in research and teaching at the University of Helsinki and at the University of Turku, Finland. I function as an adjunct Professor at these Universities. I have also worked as a visiting scientist at the Scripps Clinic and research Foundation, la Jolla, CA. I can answer any question in the fields of dentistry and periodontics.


Private practitioner in Helsinki, Finland over 20 years. Former researcher and teacher at two Finnish Universities.

The Finnish Society of Dentists, Division of Periodontology, American academy of Periodontology

Over 30 scientific research articles published in peer-reviewed international scientific journals (can be found on PubMed)

D.D.S., Ph.D, Specialist in Periodontology. Adjunct Professor.

Awards and Honors
Visiting Scientist at the Scripps Research Foundation, San Diego, California, 1992-1994. NIH grant

Past/Present Clients
Dental patients, national and international. All kinds of dental, oral and temporomandibular joint problems

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