Parents need to know that sometimes it is necessary for children to have tooth extractions. The good news is that an extraction can prevent a lot of possible issues down the road and keep your child’s smile healthy. A child’s tooth may need to be pulled because of damage from trauma or injury, severe tooth decay, or gum disease.
Gingivitis (mild gum disease) causes redness and swelling. If left untreated, gingivitis develops into periodontitis (serious gum disease), which affects the gums and jawbone. Severe infections can cause bleeding from the gums and loosen a child’s teeth. If the decay and infection severely damage the structure of the tooth, then an extraction will likely be needed.
Children’s front teeth have just one root, while molars with multiple roots. Molars are more likely to have tooth decay and need to be extracted.
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We understand that before a children's tooth extraction, children may become scared or anxious. They may need nitrous oxide or oral medications to calm them. Before the procedure begins, the dentist will use topical numbing on the child’s gum and then a painkiller shot inside the gum.
After the tooth removal, the children's dentist places sterile gauze over the tooth socket with pressure applied. Over-the-counter anti-inflammatory painkillers may be recommended or prescribed, to help with any pain and speed the healing process.
When baby teeth are extracted, nearby permanent teeth will try to move into the open space, which can cause crowded teeth. Sometimes a space maintainer needs to be placed there until the permanent tooth naturally arrives.
If your child needs an extraction, please call our office. We specialize in keeping children calm during extractions. Please do not put this off or your child’s condition can get worse. Call us today.
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Some soreness and mild swelling are normal after an extraction and typically resolve within 1–3 days. Children's ibuprofen or acetaminophen can help manage discomfort. We'll give you detailed aftercare instructions including what to eat, how to keep the area clean, and when to call us if you have concerns.
Most children recover within 1–3 days. The extraction site heals fully within 1–2 weeks. During recovery, soft foods are recommended, and your child should avoid using straws or touching the extraction site with their tongue or fingers.
If a baby tooth is removed before the permanent tooth is ready to erupt, a space maintainer is often recommended to hold the gap open and prevent neighboring teeth from shifting. Our dentist will evaluate your child's specific situation and advise accordingly.
Yes. We offer nitrous oxide (laughing gas) and other sedation options for children who experience anxiety. Sedation keeps your child relaxed and comfortable throughout the procedure while local anesthesia ensures they feel no pain. Our team will discuss the best option based on your child's age, anxiety level, and health history.
