Are Dental Implants Necessary for Molars?

Reviewed by Dr. Matthew Young, DDS

Reading time: three minutes

When a back tooth goes missing, it’s easy to think you can get by without replacing it—after all, no one can see it, right? But skipping a molar implant can have serious consequences for your bite, jawbone, and overall oral health. 

In this blog, we’ll break down when molar implants are necessary, what happens if you skip them, and what the implant process involves.

Table of Contents

Key Takeaway

If you’ve lost a molar tooth, replacing it with a molar implant is one of the best ways to protect your oral health long-term. The implant process might take a few months, but the results are durable, functional, and worth the investment in your smile and oral health.

Why Molar Implants Matter

Molars are the flat, wide teeth at the back of your mouth responsible for grinding food. Because of their key role in chewing and maintaining jaw stability, replacing a missing molar tooth is more important than many people realize.

Even if your smile looks fine, tooth loss in the back of the mouth can lead to:

  • Shifting of surrounding teeth
  • Bite imbalances and jaw strain
  • Difficulty chewing tougher foods
  • Bone loss in the jaw
  • Changes to your facial structure over time

Molar implants help preserve these essential functions and restore long-term comfort and stability to your bite.

When Is a Dental Implant for Molars Necessary?

A dental implant is often recommended if you have lost a molar due to decay, fracture, gum disease, or after a failed root canal. Here’s when a molar tooth implant becomes especially important:

  • You have lost one or more molar teeth
  • You experience jaw pain or bite problems from missing teeth
  • You want to prevent future complications like bone loss or shifting
  • You are not a candidate for a traditional dental bridge 

Some patients might delay treatment, thinking the gap won’t matter. But over time, the surrounding teeth will begin to shift, and your jawbone will start to resorb (shrink), which can complicate future treatment.

What Happens If You Don’t Replace a Molar?

When a molar tooth is removed and not replaced:

  • The bone density in that area starts to deteriorate
  • The opposing tooth may grow into the gap (super-eruption)
  • You may develop TMJ symptoms due to an imbalanced bite
  • Your chewing function becomes compromised

All of this affects not just your smile but your overall dental health.

What Is the Implant Process Like?

Getting molar implants is a multi-step process, but it’s one of the most durable solutions in modern oral surgery.

Here’s what to expect:

  1. Consultation & imaging: Your dentist will evaluate your jaw and take X-rays or a CBCT scan to check bone density and determine if you need bone grafting.
  2. Bone graft (if needed): If the area doesn’t have enough support, a bone graft may be placed to prepare for the implant post.
  3. Implant surgery: A titanium post is placed into the jawbone where it will fuse over time.
  4. Healing period: This can take several months while the implant integrates with the bone.
  5. Dental restoration: Once healed, a custom dental crown is placed on top to complete the tooth.

The result is a strong, natural-looking tooth replacement that restores both function and aesthetics.

Are Molar Implants Worth It?

Absolutely, especially if you want to protect the long-term health of your bite and jaw. Compared to other options, molar implants:

  • Prevent bone loss
  • Provide strong chewing ability
  • Don’t rely on neighboring teeth (unlike bridges)
  • Last decades with proper care

They are also easy to clean, don’t decay, and look and feel just like natural teeth.

Alternatives to Molar Implants

Not everyone is a candidate for dental implant surgery, and that’s okay. If you’re not ready for a molar implant, your dentist may recommend:

  • Dental bridge: Uses neighboring teeth for support, but doesn’t prevent bone loss.
  • Partial denture: A removable option that replaces several teeth, but may be less stable for chewing.

Each option has pros and cons, and we’ll help you choose what’s right for your goals and lifestyle.

Book a Dental Implant Consultation

Book a consultation with our San Francisco implant team to find out if a molar implant is right for you. We will walk you through your options, timeline, and cost so you can make an informed decision.

To book an appointment at our dental office in San Francisco, CA, today at (415)-392-8611. Visit us at 490 Post Street Suite 830, San Francisco, CA.

FAQs

How long does it take to get a molar implant?

The process usually takes about 3 to 6 months from placement to the final crown. This timeline includes healing and the time needed for the implant to fuse with the bone. In some situations, additional procedures like bone grafting can extend the process.

Is bone grafting always required?

No, bone grafting is not always needed. It depends on factors like the amount of bone you have, how long the tooth has been missing, and whether the bone is strong enough to support an implant.

Can I get a molar implant if I have gum disease?

You will need to treat any active gum disease before getting an implant. Healthy gums and bone are essential for the implant to heal properly and stay stable over time. Your dentist can help create a plan to get your mouth ready for treatment.

What’s the success rate for dental implants?

Dental implants have a very high success rate. With good oral hygiene and regular checkups, more than 95% of implants remain healthy and functional for many years.