do i need remove 3 teeth for implant the other tooth

[luoliluo]

I removed 1 bad tooth last year and planed to do implant it this year. My previous dr. left the org some time last year. The new dr. changed my plan after my yesterday's visit.

He asked me to remove 3 teeth before implanting the removed one.
The 3 teeth are,
2 were decayed teeth but haven't had problem almost 15 years, they are wisdom teeth. One is 2 teeth away from the one to implant, 1 is far away at the other end.  
For the 3rd one need to remove, i agree with the Dr. It is bad and need implant, but i planed to do it after this implant.
do i really need remove those 3 teeth before implant the removed one? thanks a lot.

[Jerome Tsang, DDS]

Well if the wisdom teeth are bad, then you should get them out when you can.  It depends on how bad each tooth is.  If #3 is split, it would be best to get it out because the split can extend down into the jaw bone and cause damage to the bone itself, resulting in bone loss and a less ideal implant site.  

You might be able to wait on the wisdom teeth but I don't know how likely it may become infected or cause symptoms.

[luoliluo]

thanks a lot for your advice.

#3 is a split tooth. there is no pain, no problem for years. I basically don't like to remove nature tooth till #14 was so bad.

If I remove #3 before implant #14, is the whole environment close to an ideal world? say 80% or higher? if not, then how close? (keep #17 and #32 )

do you agree with my previous Dr. on #17 and #32 ?

[Jerome Tsang, DDS]

Probably not the biggest issue since its not as close physically nearby.  In an ideal dental treatment world, you would remove all the bad teeth to prevent any future problems before doing any major reconstructive work.  I guess it depends on how bad #3 is and whether he feels it'll go bad in a few weeks, months or if it can hold on for longer.  The implant would probably take about 4-5 months before its completely done but if it is successful, he would probably know in about 4-6 weeks after placing it cause if it is was to fail, there would be an infection around it or it wouldn't be stable even though the bone should've healed to stabilize it by that time (4-6 weeks).

[luoliluo]

sorry, should be "and remove #3" in the last sentence.

[luoliluo]

he gave me the similar answer as yours. The single tooth is ready for implant but he wanted the big environment is perfect, nothing to worry.

I was surprised by the number of tooth to remove and the order of implant the one and remove the others.
According to my previous Dr., the 2 wisdom teeth are not necessary to remove for the implant. they are #17 and #32.  The one is ready to implant is #14. The bad one is # 3 which I plan to implant after #14.

If I do implant on #14 now and remove #14, then do implant, not remove #17 and #32, is the risk for implant failure high?

thanks again.

[Jerome Tsang, DDS]

Perhaps your new doctor is afraid you'll have problems with those other teeth or that the infection that may be present on the other teeth may infect the implant.  You may want to ask him/her their reasoning.