A child may need a tooth extraction for a variety of reasons, ranging from damage caused by dental trauma, a tooth infection from untreated tooth decay, impacted wisdom teeth, overcrowding, or to make room for orthodontic treatment.
At My Kids Happy Teeth, we will always try to save your child’s tooth before resorting to an extraction. Extractions are reserved as a last resort when the teeth cannot be salvaged through pulpectomies or dental crowns.
Most patients can return to their normal activities within 1-2 days after a tooth extraction.
At your consultation, we will perform an oral exam and take x-rays to determine if the tooth can be saved or if an extraction is necessary.
We will administer local anesthesia before beginning the extraction process. For surgical extractions, additional sedation may be used.
If your tooth is impacted, we will need to make an incision into your gums to access the tooth.
Dental elevators are used to loosen the tooth in the socket.
After loosening the tooth, we remove it from the socket with forceps. Any incisions will be sutured shut.
A basic tooth extraction is used to remove a tooth that can be seen above the gum line. No incisions are required to access the tooth. We will use an oral appliance known as an elevator to loosen the tooth and remove it with forceps.
Wisdom teeth are often impacted or erupt improperly because there isn’t enough room in the jaw to accommodate them. In this case, a surgical extraction will be necessary. This may also be necessary if you have other teeth that are impacted or broken off at the gumline.
If your child’s cavity and tooth decay is ignored, nerve infection can result in an abscess and require removal of the tooth. You can prevent further issues from forming by scheduling an appointment today to treat your child’s tooth pain.
All extracted teeth should be replaced except for wisdom teeth.
After the wisdom teeth removal, you should rest and avoid engaging in strenuous exercise. Avoid all forms of suction for the first 24 hours. You should also avoid hot liquids. Gauze will be placed at the extraction site and you will need to change them regularly.
If bleeding persists, try biting down on wet caffeinated tea bags instead. Anti-inflammatory pain medication can be used to reduce tenderness and discomfort. To reduce swelling, apply a cold compress to the area and keep your head elevated.
After the first 24 hours, you can rinse your mouth with a saltwater solution and brush and floss like normal, being careful to avoid the extraction sites.
The recovery period will take at least a few days and some discomfort and tenderness may continue for up to a week or so. Within 3 days, the swelling should significantly go down and more soreness and discomfort dissipate within 1 week and a blood clot should be firmly in place. You will be fully healed in about a month.
You should only eat soft foods, particularly in the first week after a tooth extraction. Avoid excessively hard, sticky, or chewy foods. Examples of safe foods to eat include applesauce, pasta, mashed potatoes, yogurt, pudding, or soup (that isn’t hot).
You should not be consuming very hot foods or drinks. If you are going to have something like a smoothie, do not use a straw, as this can cause Dry Socket.
If your child has any of the following signs, they could need an extraction and you should bring them to the dentist right away for an oral exam and x-rays:
-Extensive tooth decay
-Severe dental trauma
-Delayed eruption of permanent teeth
-Signs of a tooth infection
-Wisdom tooth pain
If your child is displaying any of these signs, contact us at My Kids Happy Teeth today to schedule an appointment with Dr. Engineer and Dr. Raj.
Tooth extractions are painless under local anesthetic.