Features of tooth extraction in children: from indications to nuances of the procedure. An important procedure is the removal of baby teeth in children.

Tooth extraction is a surgical procedure that can cause complications. It is used both in adult dentistry and in pediatric dentistry. But the main difference is that children sometimes cannot explain how they feel after visiting a doctor. This is why it is especially important to find out what to do after a child’s tooth is removed.

You need to be careful about caring for your oral cavity on the first day after visiting the dentist. A sterile swab is placed in the socket of the extracted tooth. You can remove it only after 20-30 minutes. It is allowed to take warm and crushed food after a couple of hours and provided that the anesthesia has worn off.

It is important to remember that after tooth extraction, it is forbidden to rinse your mouth intensively during the first three days. Of course, this applies to children who know how to perform this procedure. The prohibition of rinsing is explained by the fact that a blood clot forms in the socket of the extracted tooth. During intensive rinsing, it can move, exposing unprotected tissue. Bacteria present in the oral cavity easily penetrate the mucous membrane, thereby causing inflammation or alveolitis. To clean the hole, just take the solution into your mouth, hold it at the removal site and carefully spit it out. When visiting a doctor, do not forget to ask for advice on what to rinse your child’s mouth with.

Watch the baby. Under the influence of an anesthetic drug, sensitivity decreases not only in the area of removal, but also on the cheeks. As a result, the child may begin to bite them, causing the formation of ulcers.

In order to avoid bleeding, you need to reduce the load for 5-7 days. If a child is involved in any sport, he or she must refrain from training for a week.

Do not heat the removal area, much less rinse it. After each meal, carefully rinse the mouth with boiled water. Brush your teeth twice a day with a toothbrush, avoiding the socket.

Be sure to give all medications prescribed by the dentist after tooth extraction to your child. This will help shorten the recovery period and prevent inflammation.

Features of the recovery period

After visiting the dentist, it is important to find out which symptoms are normal and when you need to see a doctor. Immediately after surgery, swelling of the mucous membrane and slight soreness may be observed. In order to eliminate them, you can apply an ice compress to your cheek. The doctor may also prescribe painkillers tailored to the child’s age.

Often, immediately after tooth extraction, the swelling does not subside and even increases on the 2nd or 3rd day. Sometimes a bruise forms. All this is normal and goes away on its own.

But if the bleeding does not decrease after removing the tampon, you need to see a doctor. This is especially true for the second day after removal: there should be no discharge from the socket.

When molars are removed, mouth opening may be impaired in the first days after visiting the dentist. In some cases, there is pain when swallowing and even an increase in temperature to low-grade fever.

When to contact doctors urgently?

There are symptoms that you should see a doctor as soon as possible:

severe pain;
bleeding for 10-12 hours;
decreased sensitivity on the second day after removal;
temperature rise above 38 degrees;
swelling spreading to the throat.

The listed symptoms indicate a complication that requires specialist intervention.

From time to time, parents need to decide whether to remove their children’s baby teeth. We will describe in more detail what indications there are for this, the price for the procedure, as well as the important nuances of such manipulation.

Only a pediatrician can treat primary teeth and diagnose various dental diseases. He will also insist on the decision to leave or remove the affected unit. In each case, there are many pros and cons to consider.

The role of baby teeth

It is no coincidence that nature conceived the presence of children's units and their replacement with permanent ones. Thanks to such simple teeth, the baby can learn to process solid food, and their limited number easily fits into a small child’s jaw. In addition, the role of milk units is also important for the gradual formation of a normal volume of bone tissue, so that there is no bone loss.

Each tooth in a row helps the jaw function fully, process food, maintain articulation and form the correct bite. And although they will completely fall out by the age of 12-13 years of the child’s life and become permanent in their place, there is still no need to rush to remove them.

Is it better to treat them or remove them?

Parents of babies are wondering whether it is possible to remove a child’s tooth if it is affected by caries or has appeared. You need to understand that early elimination of a unit leads to serious consequences:

the free space will quickly be filled with the existing teeth, which will entail a displacement of the entire row and a malocclusion;
the load on the bone tissue will be significantly reduced, which will not allow it to develop and grow to the required volumes, and this will become a problem when permanent units erupt and there is not enough space for them;
the absence of even one tooth will lead to inadequate chewing of food, which will provoke disruption of the gastrointestinal tract;
it can also cause psychological discomfort in the child, because his peers will laugh at him.

Therefore, dentists try in every possible way to preserve children’s baby teeth until they fall out due to natural reasons and treat each unit with all available methods.

Indications and contraindications

There are certain situations when a specialist recommends removing the affected unit:

when there is almost no crown left and it cannot be filled;
when the eruption of a permanent tooth has already begun, if the previous one has not yet fallen out and is interfering with the natural process;
Availability ;
nerve damage, which leads to and spread of infection to surrounding tissues;
resorption of the root of a baby tooth is too late, which prevents the next one from erupting;
presence or phlegmon;
when a sharp, destroyed edge injures soft tissue.

But even in such situations, the doctor must carefully examine the oral cavity and decide whether there are any contraindications for removing a baby tooth. Thus, it is strictly prohibited to carry out such a procedure in the following cases:

Each situation is considered individually and a decision is made after weighing the benefits and harms to the child’s body.

Features of the removal of baby teeth in children

Only an experienced doctor who knows all the nuances of the structure of children’s units can carry out such a procedure:

the alveolar walls are very thin;
the roots of such teeth may diverge at unusual angles;
the neck is weak, unexpressed.

Therefore, the complexity of removing milk units requires special skills and knowledge. This is done using special forceps with weak fixation. This minimizes the risk of damage to the walls. Technique:

The instrument covers the crown of the tooth.
Make minimal pressure.
They perform the so-called dislocation, scientifically called luxation.
Carefully remove the unit from the hole in one motion.
Additionally, the soft tissues are examined to see if there is any root or its elements left there.
A tampon is placed on the site from which the tooth was removed to stop bleeding.

Anesthesia

Parents may be concerned about another question: does the child feel pain during the procedure and is anesthesia administered? If the baby tooth has already partially loosened on its own and its roots have almost resolved, then no serious drugs are required for pain relief, because the procedure will be easy and simple.

If the permanent tooth has not yet grown, and the baby tooth needs to be removed due to some problem, then such manipulation will be painful. Therefore, the doctor uses local anesthesia with modern drugs that practically do not cause side effects. But initially, allergy tests must be carried out.

General anesthesia for the removal of a baby tooth is used in extremely rare cases. Usually this is the child’s too young age, when it is impossible to establish contact with him, or panic fear of the dental chair.

Rinse your mouth after the procedure

It is not enough to remove a baby tooth correctly; you should also carefully care for the opened hole in the first days. Doctors recommend the following:

the child cannot eat or even drink anything for two hours after the procedure;
rinse for two to three days using infusions of chamomile or sage;
antiseptics from the pharmacy, for example, Rotokan, will help to heal the wound faster and clean it of germs;
Parents should ensure that the child does not touch the gums with hands or sharp objects.

Such simple rules are designed to protect the opened cavity from infection. But if you notice any signs of incipient inflammation - increased body temperature, bleeding, or bleeding, then you should immediately consult a doctor.

What complications may arise?

If you remove a baby tooth too early, before the permanent tooth has begun to grow, this can lead to bone tissue atrophy, its reduction and weakening. Due to this, the row will shift, the bite will be disrupted, and the future tooth will grow in the wrong place. In order to replace the removed units, plastic prostheses are installed for the child for a while.

If the doctor does not act competently, problems may arise such as damage to the walls of the adjacent tooth, intensive development of caries, inflammation of the remaining nerve, and impaired blood supply.

As we have already mentioned, the absence of teeth in children will lead to problems with articulation, communication between peers will be complicated, and there is also a risk of developing chronic diseases of the gastrointestinal tract due to insufficient processing of food in the mouth.

Video: removal of baby teeth.

Can there be a fever after the removal of a baby tooth?

Depending on the complexity of the operation, the child’s body, its sensitivity, as well as other factors, various side effects appear. Thus, due to the stress suffered, the child’s temperature may rise in the first hours after the procedure.

But if it lasts for several days or is accompanied by any other symptoms, then be sure to consult a doctor, as this indicates that inflammation has developed.

When can you do without the help of a dentist?

Having learned how much the procedure for removing a baby tooth costs, not all parents want to pay for it. And even no matter the price, they believe that they are able to cope with such manipulation on their own.

Of course, if it has become loose and is ready for a natural change to a permanent one, then removing a baby tooth at home without dental devices is quite acceptable. Just do this with clean hands and cover the open wound with cotton wool until the bleeding stops.

Greetings to all!

I am writing this review in order to possibly warn young parents. So that they don't make the same mistake as me. I'll start from the very beginning.

Start.

When my eldest daughter was 3.5 months old, her first tooth came out. The first child, the first tooth - everything was perceived with delight. Everyone said it was too early for teeth. Well, what will I do, this is how she is with us, everything is fast with her.

We immediately purchased a special brush 0+, she really loved playing with it, scratching her gums, and she adored the procedure of brushing her teeth. By 1 year 9 months, all her teeth had come out! But they spoiled as quickly as they came out. Yes, I won’t hide it, we do indulge in sweet sins, but within reason. We brush our teeth morning and evening without problems or reminders. But this did not save us from caries. On both sides, the last 2 teeth simply began to deteriorate, turn black and turn into holes. ((((

First pain.

My daughter is 2 years 3 months old, the day started as usual. But after lunch, my daughter began to cry in earnest and began to complain about her tooth. I gave Nurofen and took her to a dentist I knew, to a clinic that was located a few steps from the house.

We arrived at the place. I explained everything to the doctor, to which I heard the answer that they do not care for children, and she cannot help us. But if she comes back and complains a lot again, she will drill the sore tooth so that the pain will go away (o_O) how will it go away, where will it go? !

But thank God, after Nurofen the pain went away, and we began to forget that this tooth hurt, how stupid I was!

At my story, my friends laughed, some were surprised. But everyone said the same thing: “She’s a child, what could possibly hurt her? Children don’t have nerves, do they? Well, don’t worry, children’s nerves become thinner and disappear, so they won’t hurt anymore!” In short, there are a million pieces of advice and everyone considers himself a professor.

Let me make a reservation right away in our small town, except in the city dentistry, there are no pediatric dentists. But several times I witnessed the disgusting, boorish and rude attitude of doctors towards children and parents who came for an appointment, and I would never go there myself or take a child. I’ll find a better paid one or, as a last resort, go to Yaroslavl.

So time passed, the teeth deteriorated, and we sat and did not know what to do. Sometimes, when eating solid food, the baby complained of pain, but everything went away immediately.

First call.

Coming home from kindergarten on Tuesday, my daughter said that she had a toothache during a quiet hour. At dinner, I noticed that she was afraid to chew on her left side, and in the evening she could not sleep. Considering that this was a common case for us, I gave my daughter Nurofen and she slept normally that night.

Wednesday.

The day went well, but during the night my daughter woke up 2 times and whined that she was in a lot of pain. I was already wary and decided to go to the dentist in Yaroslavl.

Thursday.

After picking up my daughter from kindergarten, I noticed that she was in no mood. She refused to eat at home, and towards evening she began to ache and complain about her tooth. I gave her Nurofen at night, but it didn’t save us. The whole night my daughter cried, did not let me touch her face and did not open her mouth. With some grief I managed to put her to bed. But in the morning I was in for a shock. My daughter developed a huge flux!!!

Find a pediatric dentist, or mission impossible.
At 9 o'clock we went to a dentist we knew, it turned out that she was on vacation, another doctor could only look at it, but could neither treat nor tear it out. Let's go to the next one, to all my words they just said that they don't have a children's department, go to Rybinsk or Yaroslavl. Others do not have permission to remove teeth; others, again, do not accept children; there is only one clinic left. My daughter was so exhausted by the pain, she was sad, whining and complaining that she wanted to go home soon. But then a miracle happened, and the last clinic accepted children and they could remove teeth. I was happy, but on the other hand, knowing that the child’s tooth would now need to be removed, I was more worried than my daughter. My hands were shaking.
In the doctor's office.
My daughter and I went up to the clinic; there was a line of two people in the corridor. The doctor came out, looked at the flux and invited me into the office without waiting in line. The woman and man in front of us were not indignant and had nothing against it, they understood our situation and let us go ahead. In the office, the doctor asked me to sit on a chair and pick up the child for examination. I did so. The daughter listened completely to the doctor, opened her mouth and showed everything. After the examination, the doctor concluded that he would have to take an X-ray, because the last two teeth were very badly damaged, soft and wobbly, and it was not clear which one caused the inflammation. I was asked to get up and leave the office, my daughter was covered with a special apron, the nurse performing this procedure was very kind and distracted my baby with various conversations. When I entered the office and saw my daughter, so small, sitting in such a huge chair, exhausted and tired, without strength and mood. My heart sank with pain, I reproached myself for listening to all sorts of stupid people and not taking her to the pediatric dentist earlier, after the first signs of pain.
After looking at the picture, the doctor explained to me that the culprit of all our torment was the penultimate tooth. It will have to be removed; it can no longer be treated. This was not news for us, I was ready for it. First you need to numb the pain. After asking about the child’s allergies and filling out documents, I was invited to sit in the chair again and take my daughter in my arms, I held the nurse’s head in my hands. The baby endured the injection itself, but when the medicine was administered, she cried such tears and screamed so much that I almost burst into tears myself. The tooth was anesthetized on both sides and sent into the corridor until it was completely numb. The doctor warned me that I should make sure that my daughter does not bite her lips and tongue, or put her hands in her mouth, as the painkiller begins to take effect and she may bite something on herself without feeling well.
The time in the corridor dragged on for an insanely long time. My daughter was crying, asking to go home quickly, I calmed her down as best I could. After 5-10 minutes, the nurse called us into the office. I sat down, took the baby in my arms and hugged her tightly, the nurse held her head, the doctor did everything carefully and quickly. They packed the extracted tooth in a bag and gave it to us, my daughter already had huge plans for it (tooth fairy and all that). The most difficult thing was to persuade my daughter to calm down and not scream, as she was crying, the tampon came out of the bandage and the blood was flowing more and more , and the sight of blood frightened the child even more, prompting a new hysteria, in short, a vicious circle. She calmed me down and persuaded me to hold the tampon tighter. We received recommendations from the doctor, which I will describe below, paid 1000 rubles (image + removal) and left the office.
At home.
For about an hour, the daughter just lay there and watched cartoons. After that, apparently, everything began to pass and the child was transformed, she smiled, began to talk, looked at her tooth, and told her younger sister how it was.
The flux subsided completely only the next day, closer to lunch.
The wound has healed well. Nothing bothers the child anymore.
Once again, I am writing a review not for recommendations or any condemnation, but in order to warn young parents. So that they do not listen to the advice of traditional medicine, and familiar “professors” who do not have children, but they still know everything better than others. The best thing you can do is to find a good dentist for your child from a very young age, who will guide him until a certain age. This is what we are doing now.
Remove the bandage after 20 minutes.
Do not eat for 2 hours, do not eat anything very hot or very cold during the day.
Do not overheat or overcool the child.
Try to make sure that the child does not sleep on the side from which the tooth was removed.
Make sure that the child does not put his hands in his mouth.
After tooth extraction, body temperature may increase.
And in the future, after complete healing of the wound, massage the gums. Eat more solid foods (carrots, apples). All this so that the new teeth are healthier and more correct.

Thank you for your attention. I understand that everyone is different and everyone’s reaction to my review will be different. But I already indicated above why I decided to write it.

There is probably no child who doesn’t like sweets. Caramels, chocolate, ice cream, sweet soda are the favorite treats of children who are ready to eat dessert for breakfast, lunch and dinner. With insufficient oral care, sweet carbohydrate foods remain in the interdental spaces and promote the growth of bacteria. Therefore, parents of little sweet teeth often face the problem of carious baby teeth - a source of oral infection.

Many mothers and fathers regard the removal of baby (temporary) teeth as one of the ways to treat caries. Of course, if there is only one “stump” left from the tooth and there is nothing to save, it is better to remove it. According to dentists, it is still not worth resorting to the removal of a baby tooth in cases where treatment can be done. Let’s try to figure out why it is important to preserve a “milky” smile, and in which cases the removal of temporary teeth is necessary.

The role of primary teeth in the development of the maxillofacial apparatus.

Primary teeth not only help a child chew solid food, but also play a direct role in jaw development.

The formation of baby teeth occurs long before the birth of a child, starting from 6-7 weeks of intrauterine life. The first tooth appears on average at 6-8 months of age. Both the appearance of the first tooth within a year and its presence at birth are considered absolutely normal. Pain, anxiety, fever are symptoms characteristic of baby teething. All this is quite understandable, because baby teeth perform a difficult task - they pave the way for permanent, so-called molars.

Baby teeth form the bite and participate in the development of muscles, bones and jaws. Thanks to the presence of temporary teeth, the child learns to chew food properly and also develops speech skills.

IMPORTANT! A milk tooth, like a permanent tooth, has a root. At the age of 3-6 years, a process begins in which the root of the temporary tooth is completely reabsorbed so that the permanent tooth can move out without hindrance.

Treat or pull out? When is it advisable to remove baby teeth?

The pediatric dentist prescribes the removal of a baby tooth in one of the following situations:

caries has damaged most of the tooth crown;
the tooth becomes loose but does not fall out, causing the baby pain when chewing;
the tooth is injured or broken, its sharp edge damages the mucous membrane of the cheek, causing an inflammatory process in the oral cavity;
the root of a temporary tooth is damaged by caries and can “infect” the healthy permanent tooth underneath;
the baby tooth has not fallen out and is preventing the eruption of the molar;
fistula formation in the gum;
pulpitis, chronic periodontitis;
there is phlegmon, cyst, or other inflammatory diseases that require immediate treatment.

What are the consequences of early removal of baby teeth?

As mentioned above, primary teeth are involved in the development of the maxillofacial apparatus and the formation of a correct bite. Early removal of baby teeth or removal of several temporary teeth at the same time can cause a number of disorders.

Removal of baby teeth of the anterior group.

A young child is not too concerned about his appearance, so the absence of front teeth is painless. As the baby grows older, he begins to worry about his appearance, and in such a situation, early removal of baby teeth can play a cruel joke. Other children will tease the baby because of the lack of front incisors, which will ultimately develop a lot of complexes in him, which, as he grows up, will develop into isolation and detachment. Another option is aggression in response to teasing and name-calling, which is also not the best for the child’s development.

IMPORTANT! Removing the front row of baby teeth affects the child’s speech development. In the absence of front incisors, the child is not able to pronounce certain sounds correctly, which is often the reason for contacting a speech therapist.

Removal of chewing milk teeth.

When temporary chewing teeth are removed, the child is physically unable to chew solid food well. In addition, an increase in the load on the incisors leads to their premature damage and grinding down. Chewing primarily promotes the growth and development of the lower jaw. Insufficient stimulation by chewing causes the molars to grow on top of each other or in two rows.

IMPORTANT! It should be remembered that early removal of baby teeth can cause malocclusion, disrupt the chewing process and cause diseases of the gastrointestinal tract, which have a negative impact on the further physical and mental development of the child.

As a rule, when a baby tooth is removed, its “neighbors” strive to occupy the empty space, therefore, the smile is distorted, changing the facial features inherent in nature.

Contraindications to the removal of baby teeth.

Removal of baby teeth is contraindicated in some situations, namely:

in the acute course of an infectious-inflammatory disease of the oral cavity: gingivitis, stomatitis, candidiasis, etc.;
for ARVI, sore throat, whooping cough, pneumonia and other infectious diseases.

Removal of baby teeth is carried out with caution when:

pathologies of the cardiovascular system (myocarditis, arrhythmia, angina, etc.);
kidney diseases;
pathologies of the central nervous system (meningitis, encephalitis, mental retardation, etc.);
blood diseases;
vitamin deficiency and nutritional dystrophy.

For many adults, visiting a dentist is a heroic act that is far from easy to undertake. All our fears come from childhood, so visiting the dentist at an early age should not be associated with something bad and dangerous.

In order for the removal of a child’s baby tooth to go smoothly, parents should adhere to the following recommendations:

The less attention the child receives, the less worried he is about the upcoming procedure.

Undoubtedly, you can prepare your child for the procedure of removing a baby tooth by telling him how quickly and painlessly it will be, but this will make an already frightened child even more wary.

The presence of a parent during the removal of baby teeth is simply necessary for the child. It doesn’t matter whether you have a one-year-old baby or a school-age child – your child needs support. The presence of a loved one during the procedure gives the baby confidence that everything will be fine, because mom or dad is nearby.

IMPORTANT! Once and for all, forget about “barbaric” methods of removing baby teeth, for example, tying the desired tooth with a thread. Removal of baby teeth has a number of peculiarities and therefore must be carried out by a specialist. A dentist for adults is not the most suitable option; it is best to seek help from a pediatric dentist.

Despite the fact that the use of modern technologies makes it possible to remove a baby tooth absolutely painlessly, any self-respecting specialist will advise saving the tooth, if such a possibility exists. Do not forget that the health of primary teeth depends on the health of primary teeth, which are given to everyone in a single copy.

Nitrous oxide

Psychosomatics

Tooth extraction can become a real problem for a child and his parents, because most children have a hard time with medical procedures and are afraid of dental instruments. However, sometimes it is impossible to do without removal, so parents should know when it is really worth removing it, how the procedure will go, how to prepare the child, and what difficulties there are after removal.

Indications

Increased mobility. It happens that a child’s heel has been unsteady for a long time, causing severe discomfort in the baby, but it will not fall out on its own. Sometimes it prevents the baby from even eating and talking.
Increased mobility of permanent teeth due to periodontitis.
The milk tooth is affected by deep caries. When the risk of infection spreading to a permanent tooth increases, the best solution would be to remove the diseased baby tooth, even if the loss is still far away, for example, the child is only 2 or 5 years old.
A deep form of caries has affected the permanent tooth, and its treatment is impossible.
The root of a baby tooth is destroyed. This situation directly threatens the germ of a molar, as a result of which it can not only erupt while already infected, but also die.
A baby or molar tooth is injured. Its sharp pieces can damage your gums, but even if there are no sharp parts, when broken, it is more susceptible to infection by bacteria that cause tooth decay.
Loss is delayed. This can cause problems with the eruption of permanent teeth and jaw formation. If the molar has erupted, several months have passed, and the milk tooth is firmly in the gum, it should also be removed.
The permanent teeth grow crowded, and to improve the bite it is necessary to remove one of them.
Acute inflammation developed in the oral cavity. This can cause the removal of both a baby tooth, for example, at the age of 4, and molars. The reason for removal in this case may be phlegmon, periodontitis, fistula in the gum, cyst suppuration and some other diseases. In this case, before removal, acute inflammation is relieved.
The doctor recommends removing the buds of wisdom teeth in children due to difficulties in their eruption or lack of space. This procedure is performed at 15-16 years of age, while their roots have not yet formed.
A developmental anomaly has been identified in which their number is greater than normal. Removing a supernumerary tooth from a child in such a situation is important for the proper development of the jaw.

It may be necessary to remove a tooth if the child has advanced caries

Contraindications

Removal is not carried out if:

The child has a sore throat, pneumonia or other acute illness.
An acute inflammatory process, for example, stomatitis or candidiasis, has been detected in the child’s oral cavity.
There is a vascular or malignant tumor near the tooth.

Features of milk teeth removal

The procedure is influenced by factors such as the child's growing jaw, mixed bite, and the presence of a permanent tooth bud under the baby tooth. Often the manipulation is performed by a dentist without any difficulties, but must be carried out with extreme caution due to the short roots. If you do not act carefully, the doctor may damage the permanent tooth.

A careless dentist can damage a permanent tooth, so you need to choose a doctor carefully

How to remove at home?

If a tooth is about to fall out and just needs a little help, proceed as follows:

Treat the gums with an anesthetic.
Take a small piece of clean gauze or cloth, wrap it around the tooth and shake it to the sides. It should move freely.
Pull it and carefully remove it. If the tooth does not come off easily, it is most likely too early to remove it yourself.
Pinch the gum area after removal with a piece of clean gauze.
Distract your baby from bleeding by showing your baby the lost tooth.
Check to see if there are any pieces of tooth left in the gum. In most cases, no fragments remain, and sometimes in its place the tip of a permanent tooth ready for eruption is already visible.

It is best for the child to remove a loose baby tooth on his own. Encourage your baby to move his tongue, this will speed up the process of falling out. If something worries you, for example, some part remains in the gum, take your child to the dentist.

For an example of removal at home, see the following video.

Features of the removal of chewing milk teeth

If a child has to have a chewing tooth removed, it can make chewing food worse. The child will chew food with his incisors, which increases the risk of wear and tear. In turn, reducing the chewing load on the jaw in the place where the tooth is removed will not sufficiently stimulate the chewing muscles, which will affect the growth of permanent teeth. This happens if the chewing teeth were removed much earlier than the period of their loss, for example, at 3 years.

When removing chewing teeth, it is necessary to carefully monitor the condition of the incisors, as they can become worn down

Under general or local anesthesia?

There are several options for pain relief during tooth extraction. The most common is local anesthesia using an injection. During this procedure, the child is injected with an anesthetic into the gums with a syringe, after which the manipulation site becomes numb.

They often resort to topical anesthesia, in which the gums are treated with a gel or spray with an anesthetic effect. Often this anesthetic has a pleasant fruity taste, and the product is quickly absorbed into the gums. Such anesthesia is sufficient for a very loose baby tooth, but more often the application is used for preliminary anesthesia of the gums, in order to then give an injection there with a long-acting anesthetic.

General anesthesia is rarely used in the treatment of children's teeth. General anesthesia is used for:

Intolerance to agents used for local anesthesia.
Nervous or mental illness in a child.
Severe inflammatory processes, when local anesthesia will be ineffective.

It is extremely rare to use general anesthesia when removing teeth in children.

Psychological preparation

Before going to the dental office with your child, it is important to prepare the child psychologically and prepare him for the removal process to be easy and quick.

Do not discuss the reason for the removal in front of the child, and do not use complex dental terms in conversation.
Don't scare your daughter or son about the dentist.
Try not to worry yourself so that the excitement is not passed on to the baby.
You can take your child with you when your teeth are being treated, so that the baby can be convinced that the procedure is safe.
Emphasize that the child will show courage and be brave during the procedure.
Do not deceive your child that the manipulation will be completely painless. It is better to focus on the fact that the painful sensations will be minor and will pass quickly.

Removal procedure

Forceps are applied to the crown so that the tooth is fixed without excessive pressure.
The dentist performs luxation (the so-called luxation of the tooth).
The tooth is removed from the socket (this manipulation is called traction).
The dentist makes sure that all roots are removed.
The hole is closed with a gauze swab.

Possible problems after removal

Gums hurt

Minor pain after manipulation is normal and should not be a cause for concern. In this case, the pain should gradually decrease. If the pain is prolonged and very severe, the child should be examined by a dentist.

Swollen cheek

Slight swelling on the first or second day after removal is considered normal. If the swelling is severe and increases, you should immediately consult a doctor.

Swollen lip

This condition can occur when a child bites their lip after a tooth extraction but does not feel it due to the anesthesia. As a rule, swelling goes away on its own within a few days. If it grows, it is important to show the baby to the doctor.

Temperature increase

A slight increase on the first or second day after removal is acceptable. If the temperature rises above +38°C, the child should be examined by a dentist, as this may be evidence of infection in the socket.

If adverse symptoms occur, be sure to contact your pediatrician

Prolonged bleeding

Blood is released after the removal of baby teeth in small quantities and not for long. To stop the bleeding faster, the child should bite down on a gauze pad. A situation with increased bleeding is more common when a permanent tooth is removed. It may take a long time for a blood clot to form. If there is prolonged bleeding and discharge of scarlet blood, the child should be seen by a doctor without delay.