Metaphysical Meanings of Molars and Premolars

The metaphysical meanings of molar and premolar teeth are different for every individual. However, there are some common themes and widely accepted frameworks for interpretation.

Molars and premolars are your most powerful teeth, the grinders and chewers.

Energetically, these big back teeth help you to process the challenges in your life. 

Meridian meaning of molars

The meridian system of Traditional Chinese Medicine (TCM) treats molars and premolars differently from the rest of your teeth. The meridians for each pair vary according to whether they are in the upper or lower jaw and the right or left side. 

Upper molars and lower pre molars are on the Stomach and Spleen meridians on the left side or Pancreas on the right side. These meridians are associated with emotions including anxiety, self-punishment, hate and  low self worth.

Lower molars and upper premolars are on the Lung (associated with grief and sadness) and Large Intestine meridians (associated with feeling compulsive, trapped, controlling or overcritical).

When you are trying to understand what is going on metaphysically with a molar or premolar, it’s helpful to take into whether it’s on the top or bottom jaw, and right or left side.   

Learn more about the meanings of each quadrant of your mouth, and some important general advice for working with metaphysical meanings for oral health here

Metaphysical meanings of molars and premolar teeth

Psychosocial meanings of molars and premolars

 Dr Michele Caffin’s psychosocial framework relates each type of tooth to a particular aspect of your life. You can explore each of these interpretations in more detail by cross-referencing with the meanings of right and left, upper and lower quadrants of the mouth explained here.

 The first premolars (teeth numbers 5, 12, 21, 28) relate to your ego, your identity and your desires.

 It’s common practice for orthodontists to extract the first premolars of young teenagers with crowded teeth. But metaphysically, missing these teeth can weaken your sense of self and may result in submitting to authority figures even if you don’t want to. 

 The second premolars (4,13,20,29)  relate to your creativity, hobbies and children. 

 These teeth can start to experience problems when the responsibilities of adult life, particularly parenting start to crowd out your own interest. 

The first molars (3,14,19,30)  relate to status and expression.

 These teeth can be affected by how you speak up for yourself at work or at home.

The second molars (2,15,18,31) relate to relationships and daily life.

 There is a close relationship between these back molars and wisdom teeth (which I’ll focus on in the next video and blog in this series). 


But these two frameworks (TCM and psychosocial) are just starting points for understanding and healing your teeth and gums, they are not sufficient by themselves. You need to be a detective, investigating the unique personal influences on your own teeth and gum symptoms.


The Secret Lives of Teeth cover

Learn how to interpret the metaphysical messages of your teeth and gum symptoms!

The Secret Lives of Teeth is a clear and comprehensive guide teaches you a unique, complementary self-help approach to easing toothaches, enhancing enamel and gum remineralization and getting better results with necessary dental treatments. 

Available as a paperback or ebook. 

Are mouth infections and abscesses influenced by anger?

Making sense of symptoms

Chronic oral health symptoms can be the embodiment of an emotional or psychosocial pattern. It’s common to be able to trace your adult teeth and gums problems back to patterns that emerged in childhood or adolescence as a survival strategy.

You may have spend years consciously try to change the emotional pattern with therapy, trauma healing or emotional expression, yet the physical pattern can persist in your mouth.  

Angry Abscesses

Abscesses and infections in your mouth may indicate a pattern of suppressed frustration or anger.

The abscess may flare up if you are triggered into anger in your current circumstances, or it can be a long low simmer from earlier in your life.

Look at the particular teeth adjacent to the infection to help you make sense of it.

For example, on your left side molars or premolars an abscess may be in response to a toxic intimate relationship or unhealthy family dynamic.

Infected molars or premolars on your right side are more likely to be assocated with work related frustration or injustice in the public sphere.

Is gum health influenced by security and stability?

Gum insecurity

Gum problems around molars and premolars may indicate a lack of stability or security in relation to the particular issues governing those teeth. 

Gum issues adjacent to premolar #5 could relate to insecure employment, unemployment or underemployment.

Gum issues around molar #19 may relate to insecurity in a romantic relationship,  such as feeling jealous or betrayed.


Misaligned  molars

When your upper and lower molars aren’t vertically aligned enough to chew properly,  it may represent a resistance or block to deeply engaging with life challenges, either in the past or as an ongoing pattern. 

For example, if your lower jaw skews to your right indicate that you have avoided emotions, or not been processing issues, around family and intimate relationships.

Or if your lower jaw is skewing left perhaps you have avoided career or economic responsibilities or had difficulty with pursuing your professional or academic ambitions. 

Could your crossbite be influenced by emotional avoidance?

What’s next?

Please don’t take these suggestions about how to interpret your molar and premolar issues too literally.

They should be considered as prompts for self examination, and not acted on as a reliable diagnosis for yourself and especially not for anyone else.

Explore your own unique personal symptoms by journalling, in safe, therapeutic conversations with a counsellor or coach (like me!) or read my book, The Secret Lives of Teeth: Understanding emotional influences on oral health.

This blog is part of a series which explores ways to work with the metaphysical meanings of specific teeth such as wisdoms, canines and incisors and how to interpret different kinds of symptoms in your teeth or adjacent gums.

To help speed up the process you can watch my free Listen to your Teeth masterclass where I take you through a guided meditation for listening to your teeth. 

The Secret Lives of Teeth cover

Learn how to interpret the metaphysical messages of your teeth and gum symptoms!

The Secret Lives of Teeth is a clear and comprehensive guide teaches you a unique, complementary self-help approach to easing toothaches, enhancing enamel and gum remineralization and getting better results with necessary dental treatments. 

Available as a paperback or ebook. 

Meliors Simms headshot

Hello! I'm Meliors Simms, the Holistic Tooth Fairy.

As a natural oral health coach I have worked with hundreds of clients worldwide to avoid unnecessary dental procedures and have better experiences with the necessary ones. (Find out about my coaching services here).

After a diverse career (from research to counselling to arts) and a lifetime of terrible teeth, I stumbled on an Alt Oral approach which prevented what would have been my 7th root canal.

That inspired years of independent research and experimentation, eventually resulting in my uniquely holistic approach to oral health.

My new book The Secret Lives of Teeth is a comprehensive guide to healing teeth and gums with metaphysical perspective. Read a sample here for free



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