4 Reasons Your Pediatric Dentist May Recommend a Tooth Extraction

4 Reasons Your Pediatric Dentist May Recommend a Tooth Extraction

Reviewed by Dr. Henry Martinez, DMD

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Sometimes, taking care of your child’s teeth means making tough decisions, like getting a tooth pulled. While it might sound scary, it’s often the best way to keep their smile healthy. 

In this blog, Dr. Henry Martinez, DMD explains four reasons why a pediatric dentist may suggest a tooth extraction.

Key Takeaway

Tooth extraction in kids is necessary when a tooth is severely decayed, overcrowded, irreparably damaged, or needs removal to prepare for orthodontic treatment. Though extractions are a last resort, they can be important for maintaining your child’s oral health and ensuring their teeth develop properly.

1. Extreme Decay

In cases of severe decay, a tooth may be beyond repair through methods such as fillings or crowns. When decay reaches the innermost part of the tooth, known as the pulp, it can cause excruciating pain and affect overall oral health. To prevent the spread of infection, the best option may be to remove the decayed tooth.

2. Overcrowding

Sometimes, children’s mouths are too small to accommodate all of their growing teeth. This results in crowded teeth, which can prevent teeth from aligning properly. Extracting one or more teeth can create the necessary space for the remaining teeth to grow in their correct positions. 

3. Broken or Fractured Tooth

Accidents or injuries can sometimes result in a tooth being so badly broken or fractured that it cannot be repaired. To prevent any further damage and to maintain a healthy smile, extraction might be the only viable option.

4. Preparing for Braces

Orthodontic treatments often require space to allow teeth to move into their correct positions. In many cases, an orthodontist will recommend extracting one or more teeth to facilitate the alignment process. This is typically done to ensure balanced movement and proper alignment of your child’s teeth.

The Tooth Extraction Procedure in Kids

The process generally begins with:

  • A thorough examination
  • X-rays to assess the condition of the tooth and surrounding structures

Once extraction is confirmed:

  • Local anesthesia is used to numb the area.
  • Sedation options like nitrous oxide may be used to keep the child calm and relaxed.

After numbing the area:

  • The tooth is loosened with specialized instruments and gently removed from the socket.
  • In cases of impacted or broken teeth, a small incision might be necessary for full extraction.

What Happens After a Tooth Extraction?

When a baby tooth is extracted, it is important to maintain the space for the eventual growth of the permanent tooth. This is where space maintainers come into play. 

A space maintainer is a small device that fits into the gap left by the extracted tooth, keeping it open until the adult tooth erupts. These devices ensure that adjacent teeth don’t shift into the empty space, which can cause alignment problems down the road.

How Space Maintainers Work

  • Fixed maintainers: These are cemented to the adjacent teeth and remain in place until the permanent tooth emerges.
  • Removable maintainers: These are similar to retainers and can be taken out for cleaning.

FAQs

When can my child return to school after a tooth extraction?

Generally, children can return to school the day after a simple extraction, but it depends on how they are feeling. Most children experience only mild discomfort and can resume their normal activities quite quickly.

What can my child eat after tooth extraction?

Stick to soft foods for at least the first 24 hours following the extraction. Foods like applesauce, yogurt, mashed potatoes, and smoothies are great options. Avoid crunchy or sharp foods.

Is tooth extraction painful for kids?

Local anesthesia is used to numb the area, so your child will not feel any pain during the extraction. Sedation options like nitrous oxide can also be used to help keep the child comfortable and calm. Mild discomfort is common post-extraction. Pain or swelling can be managed with over-the-counter pain relief. Always follow the dosage recommendations on the package and never exceed the recommended daily dose. 

Tooth Extraction for Kids in Phoenix, AZ

Our goal is to preserve your child’s natural teeth, but in certain situations, extraction might be necessary.

Our experienced pediatric dentist, Dr. Henry Martinez, DMD, has hospital privileges at Phoenix Children’s Hospital, so if your child needs extensive dental work, he can perform the procedure there. We also accept Medicaid insurance and are experienced in helping kids with special needs.

If you are searching for ‘tooth extraction for kids near me’ or ‘top pediatric dentist in Phoenix, AZ’ we can help. Call (602) 935-7427 to book an appointment or complete the online inquiry form!