The Most Difficult Tooth to Extract, Ranked

Choose the tooth you think is the most difficult!

Author: Gregor Krambs
Updated on Jun 21, 2024 06:34
Dental professionals often face challenges in their practice, one of which includes the extraction of teeth that are difficult to remove due to their position, condition, or root structure. Understanding which teeth frequently present complications can aid dental students and practitioners in preparing more effectively for these procedures. This site allows users to vote on which teeth they believe are the most challenging to extract, based on personal experiences or professional knowledge. The collected votes contribute to a live ranking that reflects the community's collective insights, potentially guiding educational focus and practical preparations.

What Is the Most Difficult Tooth to Extract?

  1. 1

    Upper Canine

    Upper canines are similar to lower canines in difficulty due to their long root, but they are also close to important facial structures.
    • Root Length: Long
  2. 2

    Lower First Molar

    The lower first molar typically has two or three roots with multiple canals, making its extraction more complicated than that of most other teeth.
    • Number of Roots: 2-3
    • Root Complexity: Moderate
  3. 3

    Upper Third Molar

    The upper wisdom teeth, while slightly easier to extract than their lower counterparts, still present significant challenges due to their root structure and proximity to the sinuses.
    • Root Complexity: Moderate to High
    • Risk of Sinus Exposure: Moderate
  4. 4

    Upper Second Molar

    Similar to the lower second molar, the upper second molar has a complex root system, but its extraction can be complicated by its proximity to the maxillary sinus.
    • Root Complexity: Moderate
    • Risk of Sinus Exposure: Moderate
  5. 5

    Lower Canine

    Lower canines have long, thick roots, which make them more difficult to extract than many other teeth.
    • Root Length: Long
  6. 6

    Upper First Molar

    Extraction of the upper first molar is complicated by its three roots, which can have complex root canals, and its proximity to the maxillary sinus.
    • Number of Roots: 3
    • Risk of Sinus Exposure: Moderate
  7. 7

    Lower Second Molar

    The lower second molar can be difficult to extract due to its essential role in chewing, often resulting in a well-developed root system.
    • Root Complexity: Moderate
    • Function: Chewing
  8. 8

    Lower Third Molar

    Also known as the wisdom tooth, the lower third molar is notorious for being the most difficult tooth to extract due to its position, root complexity, and the high risk of complications.
    • Root Complexity: High
    • Risk of Complications: High
  9. 9

    Lower Second Premolar

    The lower second premolar can have one or two roots, making its extraction more unpredictable and potentially difficult.
    • Number of Roots: 1-2
  10. 10

    Upper Second Premolar

    The upper second premolar typically has two roots, which can be fused or separate, adding complexity to its extraction.
    • Number of Roots: 2

Missing your favorite tooth?

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About this ranking

This is a community-based ranking of the most difficult tooth to extract. We do our best to provide fair voting, but it is not intended to be exhaustive. So if you notice something or tooth is missing, feel free to help improve the ranking!


  • 3 votes
  • 10 ranked items

Voting Rules

A participant may cast an up or down vote for each tooth once every 24 hours. The rank of each tooth is then calculated from the weighted sum of all up and down votes.

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Additional Information

More about the Most Difficult Tooth to Extract

Upper Canine
Rank #1 for the most difficult tooth to extract: Upper Canine (Source)
Tooth extraction is a common dental procedure. Some teeth are harder to extract than others. The difficulty depends on several factors. These include the tooth's position in the mouth, its shape, and its condition.

Teeth at the back of the mouth are often the hardest to extract. They are harder to reach. Dentists have less room to work. The patient's mouth may not open wide enough. This can make the procedure more challenging.

The shape of the tooth also matters. Some teeth have long or curved roots. These roots anchor the tooth firmly in the jaw. Removing such a tooth can be tough. The dentist must take care not to break the roots. If the roots break, it can lead to complications. The dentist may need to remove the broken pieces separately.

Teeth that are impacted are also difficult to extract. An impacted tooth does not emerge fully from the gum. It may be stuck against another tooth or bone. This can happen with teeth that do not have enough space to come in. The dentist may need to cut the gum and bone to remove the tooth. This makes the extraction more complex.

The condition of the tooth is another factor. A tooth that is decayed or broken can be hard to extract. The dentist must remove all parts of the tooth. If the tooth crumbles during extraction, it can be hard to get all the pieces out. This can lead to infection or other problems.

Dentists use different tools and techniques to extract difficult teeth. They may use forceps to grasp the tooth. They may use elevators to loosen it. In some cases, they may need to cut the tooth into pieces. This makes it easier to remove.

Patients may need more time to recover after a difficult extraction. They may have more swelling and pain. The dentist may prescribe pain relief and antibiotics. Patients should follow the dentist's instructions for aftercare. This helps prevent infection and aids healing.

In conclusion, some teeth are harder to extract than others. Factors like position, shape, and condition play a role. Dentists have the skills and tools to handle difficult extractions. Patients should trust their dentist and follow aftercare advice.

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