What is a Baby Tooth Extraction Procedure?

A tooth extraction procedure is the removal of a tooth from the gums. This treatment should only be done when absolutely necessary and the tooth is beyond repair. In fact, there are many reasons to avoid baby tooth extraction and a pediatric dentist is the expert on determining if there is even a need for a baby tooth extraction. 

Why do Baby Teeth Need to Be Extracted?

Usually, baby teeth are only extracted if the tooth suffers serious damage or if there is significant decay or infection. It’s almost always better to try and preserve a baby tooth whenever possible, however, if a filling or root canal is not enough to save the tooth then an extraction is preferable. This is because it will prevent infection from spreading to the rest of the mouth and eliminate the pain and toothache the child is experiencing.

How Does A Tooth Extraction Work?

First, we will numb the area to prevent your child from feeling any pain using highly trained techniques to minimize or eliminate pain. Once the tooth is completely numb we use specialized tooth loosening instruments called elevators. The instruments are designed to minimize or eliminate any pressure or force so that the procedure can be as comfortable as possible. Once a tooth is completely loosened from the gums, it is gently removed with a different type of specialized instrument called a forcep. When a tooth has been removed there tends to be minor bleeding, however, bleeding is an essential part of healing. With careful management the area left once a baby tooth extraction occurs will heal completely, typically within 5-10 days. 

What are the Different Sedation Options? 

True Dental Care offers a variety of sedation options that will make the tooth extraction procedure more comfortable, and with minimal discomfort. We typically use 2 types of sedation to further minimize an unpleasant experience for our little patients; nitrous oxide and IV sedation. 

Nitrous oxide also referred to as “laughing gas” is an inhaled gas delivered through a nose piece. It has a sweet and pleasant odor. The effect is subtle. Our little patients tend to become quiet and receptive to instruction. Patients tend to feel a little “light” and “fuzzy”. Nitrous oxide also reduces pain during numbing and treatment.

IV sedation consists of medication that is delivered to our little patients through an intravenous venous (IV) line in the arm or hand. The IV line is introduced painlessly and once in position, medication is administered and the patient instantly falls into a light and conscious sleep. Light IV sedation. An anesthesiologist (sedation doctor) is present in the room the entire time while the dental treatment is completed by the dentist.

What are the Possible Risks Associated with Baby Tooth Extractions?

Baby teeth help form and act as a pathway for adult teeth to follow when they begin to emerge around the age of 4 thru 7. When baby teeth are extracted before adult teeth have emerged the other teeth may shift into the gaps, which can cause complications. At True Dental Care, baby tooth extraction is always a last resort, and our Pediatric Dentists will do everything they can to save your child’s tooth. 

What Is Post Tooth Extraction Care?

After your child’s tooth has been extracted the healing process begins. Baby teeth extractions in healthy kids can heal within just a day or two. Permanent tooth extractions can take a few days to heal. If your child is medically compromised or has problems with wound healing, the process can be longer. 

The True Dental Care team will work with you so that you understand the step-by-step process of caring for your child after dental extractions. 

Resource/Link: Care immediately following Baby Tooth Extraction:

• Keep pressure on the gauze pad that your doctor placed over the surgical area by having your child gently bite down. Dampen the gauze sponge with water if it begins to dry out. Try to maintain constant pressure in intervals of 45-60 minutes, repeating as often as needed, or until bleeding lessens.  Change the gauze as needed. 
• Keep your child’s head elevated and have them sit down and watch a movie or do something relaxing. Avoid sports and running around until the blood has had a chance to clot and form a scab over the wound.
• Keep your child’s mouth clean by brushing areas around the surgical site. Try to keep your child from touching or picking at the extraction site.
• Use ice packs to control swelling by placing them on facial areas near extraction.
• Take all prescribed medications accordingly. If any itching or swelling occurs, contact the practice immediately, or go to the nearest emergency room.
• Try to eat softer foods, preferably high in protein.
• Keep your child hydrated by drinking plenty of fluids.

If your child is suffering from a toothache the best course of action is to contact a Pediatric Dentist right away.  At True Dental Care, our Pediatric Dentists will determine the underlying cause and provide expert treatment.  If your child has tooth pain, make an appointment at True Dental Care right away.  Our friendly staff can be reached at (201) 565-0880