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Ingrown molar in between two others (pics)

I haven't been to a dentist in a good 10 years but I brush twice regularly, floss etc. I've always had this in grown molar on my left upper jaw that is stuck between two other teeth. It's never given me any problems but recently it bleeds once in a while, especially when I wake up in the morning, my spit is sort of bloody, thanks to this ingrown tooth. The gap smells pretty foul too now. It has NO pain however. I've taken a few pictures to help you guys see what it looks like.

I was hoping to get some guidance as to what I should do. Granted i need to visit a dentist if i want to correct the problem, I was trying to figure out what the procedure would be and how much it would cost etc. I have no dental insurance sadly :(

http://img212.imagevenue.com/img.php?image=79140_CIMG2856_122_480lo.JPG
http://img129.imagevenue.com/img.php?image=79146_CIMG2857_122_1098lo.JPG
http://img220.imagevenue.com/loc126/th_79147_CIMG2859_122_126lo.JPG
http://img226.imagevenue.com/img.php?image=79151_CIMG2860_122_423lo.JPG

1 Responses
540545 tn?1377626518
MEDICAL PROFESSIONAL
Its probably due to insufficient hygiene of that area, especially if you haven't had a dentist clean your teeth over those years.  There are probably only two options you have, which is to basically keep the tooth knowing that there will be occassional problems and potential for infection and pain, or to remove the tooth and replace it with either a bridge/implant or close that space with orthodontics.  Or you can remove the tooth and leave it alone and let it drift into that spot potentially, although there's no guarantee that it'll close up.  

The space between those two teeth may be too small to place a bridge or implant, in which case removing the teeth and leaving it alone may be fine.  Its in the back area so its not a cosmetic area luckily.  

If you were to keep it and maintain your hygiene, you may avoid having problems but there's always a potential for it to become infected and painful.  Also, you may develop an abscess which can be dangerous, especially if you don't see your dentist regularly for check ups.  Sometimes abscesses have minor pain and then suddenly become painful and swelling within a few days.  It can be life threatening.

I would consult with your dentist but I would recommend removing the tooth.

I can't comment on cost cause each dentist charges differently for all procedures and different areas of the country may have different standards.  Usually billing for a non-insurance (or cash) patient is determined by what is UCR (Usual, Customary and Reasonable fee guide).
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