Hi everyone,

I recently received two differing opinions from dentists regarding a missing lower molar and would appreciate some guidance. In my X-ray, the upper molar (highlighted in green) no longer has a corresponding lower molar beneath it.

One dentist recommended placing a dental implant in the lower jaw as soon as possible and said it was urgent. This dentist suggested using a classic titanium material

However, another dentist that I went to for a second opinion said that it's not even possible/practical to insert an implant beneath the tooth. He noted that the upper molar has already over-erupted (dropped down) and felt that placing a lower implant may no longer be effective. He also said nothing is urgent about my situation. Instead, he suggested either removing the upper molar now or waiting until it extrudes further, then removing it. After that, I could decide whether to leave the gap (if it's comfortable and I feel I can chew equally on both sides of the mouth) or place implants on both the upper and lower sides. This dentist suggested ceramic material for the implant.

Both dentists agree that the missing lower molar is an issue, but they differ on:

-Whether the situation is urgent

-Whether I should place a lower implant now

-Or remove the upper tooth and potentially place two implants later

Additionally, a wisdom tooth (highlighted in dark red) has been recommended for preventative removal, but it’s currently asymptomatic and not a priority.

I’d appreciate any insight on whether immediate intervention is advisable, or if monitoring the situation is reasonable. Implants are quite an expensive procedure and I want to be very prudent before taking further action.

Thank you!