Extractions

Is extraction really necessary?

There are many reasons that could make removal of a baby tooth the best option. The most common reason is that the tooth has simply deteriorated beyond repair. If this has occurred, keeping the baby tooth may cause ongoing pain or infection, it may damage the developing adult tooth, and may force the adult teeth into the wrong position. Badly broken down baby teeth often fail to fall out normally. The early loss of a baby tooth means that it can no longer do its job of chewing and guiding adult teeth into their normal position, increasing the likelihood that orthodontic treatment with “braces” will be needed later. We will always try to carry out dental restorations at the earliest opportunity to minimise the need for early extractions.

What is a cavity?

Sometimes, a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. A specific baby teeth may also be removed to help other teeth to grow into a better position. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

The root of each tooth is encased within the jawbone in a “tooth socket,” and the tooth is held in that socket by a ligament. In order to extract a tooth, the dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with Specialist Kids Dentist any concerns or preferences for sedation; we want to make sure your child is as comfortable as possible.

Extraction Post-Operative Instructions:

Have your child bite on the provided gauze until bleeding is controlled, which may take up to 30 minutes.
Remember that your child’s cheek, lips and tongue may be numb for approximately 2-4 hours after the procedure.
Avoid sippy cups, bottles, straws and pacifiers for the first 24 hours after the procedure. The sucking action may cause prolonged bleeding.
Avoid salty, spicy, acidic or crunchy foods for the first 24 hours as this may irritate the extraction site. Cold and/or soft foods are a great choice (i.e. ice cream, applesauce, mac and cheese, etc.).
Administer children’s Paracetamol or Ibuprofen for any discomfort.
Do not allow your child to participate in strenuous activity for the first 24 hours as this may increase bleeding from the extraction site.
A small amount of oozing is normal; however, if bleeding becomes heavy have your child bite on a gauze or tea bag for 15 minutes.
If bleeding continues or is not controlled, call our office immediately.