Teeth extraction in children: under anesthesia, what to do after removal

  • May 12, 2018
  • Indications
  • Contraindications
  • Features of the removal of milk teeth
    • How to remove at home?
    • Features of the removal of chewing milk teeth
  • Under general or local anesthesia?
  • Psychological preparation
  • removal procedure
  • removal procedure
  • removal problems
  • pain relief
  • gum pain
  • swollen lip
  • swollen lip
  • temperature rise
  • temperature rise
  • prolonged Displacement
  • speech problems
  • tips Extraction of the tooth can be a real problem for the child and for his parents, Babies are difficult to tolerate medical procedures and are afraid of dental instruments. However, sometimes you can not do without removal, so parents should know when it really should be removed, how the procedure will take place, how to prepare the child and what difficulties there are after removal.


    To remove a tooth in childhood is recommended if:

    • Increased mobility. It happens that he has bee
      n wobbling for a long time, causing a lot of discomfort in the baby, but will not fall out on his own. Sometimes he prevents the baby from eating and talking.
    • Increased mobility of the permanent tooth due to periodontitis.
    • The milk tooth is afflicted with deep caries. When the risk of infection spreading to a permanent tooth increases, the best way is to remove a sick baby tooth, even if it is still far away, for example, to a child only 2 years or 5 years.
    • Deep form of caries struck a permanent tooth, and its treatment is impossible.
    • The root of the milk tooth is destroyed. This situation directly threatens the rudiment of the molar tooth, as a result of which it not only can erupt already infected, but also die.
    • A dairy or molar tooth is injured. Its sharp fragments can damage the gums, but even if there are no sharp parts, it is more susceptible to infection with bacteria that cause caries in the broken form.
    • The dropout is delayed. This can cause problems with the eruption of the permanent tooth and the formation of the jaw. If the molar tooth erupted, several months have passed, and the milk tooth is firmly held in the gum, it should also be removed.
    • Permanent teeth grow dull, and to improve bite, one of them needs to be eliminated.
    • Acute inflammation developed in the oral cavity. This can cause the removal and milk tooth, for example, at the age of 4 years, and molars. The cause for removal in this case may be phlegmon, periodontitis, fistula in the gum, festering cysts and some other diseases. In this case, before removal, the acute inflammation is removed.
    • The doctor recommends the removal of the rudiments of wisdom teeth in children due to the difficulty of their eruption or lack of space. This procedure is performed at the age of 15-16 years, while their roots are not yet formed.
    • Anomaly of development is revealed, in which their number is more than normal. Removing the supercomplete tooth in a child in such a situation is important for the proper development of the jaw.
    It may be necessary to remove the tooth if the child has an advanced form of caries


    Removal is not carried out if:

    • The child is sick with tonsillitis, pneumonia or other acute illnesses.
    • In the oral cavity of the child, an acute inflammatory process is detected, for example, stomatitis or candidiasis.
    • There is a vascular or malignant tumor next to the tooth.

    Features of the removal of milk teeth

    The procedure is influenced by factors such as the growing jaw of the child, a mixed bite and the presence of a rudimentary tooth under the milk tooth. Often, manipulation is performed by the dentist without any complications, but should be done very carefully because of short roots. If you act sloppy, the doctor can damage the permanent tooth.

    A sloppy dentist can damage a permanent tooth, so choose a doctor carefully

    How to remove at home?

    If the tooth is about to drop out and needs only a little help, proceed as follows:

    1. Treat the gum with an anesthetic.
    2. Take a small piece of clean gauze or fabric, grasp the tooth and sway it to the sides. He must move freely.
    3. Pull it up and carefully remove it. If the tooth does not separate with ease, it's likely to be removed on its own while it's too early.
    4. Squeeze the gum area after removing a piece of clean gauze.
    5. Distract the baby from bleeding, showing the crumb of the fallen tooth.
    6. Check if there are pieces of tooth left in the gums. In most cases, no fragments remain, and sometimes in its place the tip of the permanent denticle ready for eruption is already visible.

    It is best that the baby rolls loose on the baby's tooth. Invite the baby to move his tongue, this will speed up the process of falling out. If you are alerted, for example, some part remained in the gum, go with the child to the dentist.

    An example of removal at home is shown in the following video.

    Features of the removal of chewing milk teeth

    If the child has to remove the chewing tooth, this can worsen chewing food. The child will chew food with chisels, which increases the risk of wear and damage. In turn, reducing the chewing load on the jaw in the place where the tooth is removed will not be enough to stimulate the chewing muscles, which will affect the growth of permanent teeth. This happens if the chewing teeth were removed much earlier than the time of their loss, for example, at 3 years.

    When removing chewing teeth, you need to closely monitor the condition of the incisors, since they can erode

    Under general or local anesthesia?

    Anesthesia for tooth extraction is presented in several ways. The most common is local anesthesia using injection. In her, the child is injected with an anesthetic into the gum with a syringe prick, after which the place of manipulation becomes numb.

    Often resorted to the application of anesthesia, in which the gum is treated with a gel or spray with an analgesic effect. Often such an anesthetic has a pleasant fruity taste, and the agent is quickly absorbed into the gums. Such anesthesia is sufficient for a strongly staggered milk tooth, but more often the application is used to pre-anesthetize the gums, then to make an injection there with a long-acting anesthetic.

    General anesthesia in the treatment of children's teeth is rarely used. To general anesthesia resorted to:

    • Intolerance of agents used for local anesthesia.
    • Nervous or mental illness in a child.
    • Pronounced inflammatory processes when local anesthesia is ineffective.
    It is extremely rare when the teeth are removed from children using general anesthesia

    Psychological training

    Before you go with a child to the dental office, it is important to prepare the baby psychologically and to set up that the removal process will be easy and fast.

    • Do not discuss the reason for the removal of the child, and do not use complex dental terms in the conversation.
    • Do not scare your daughter or son with a 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 will be healed so that the little one is convinced of the safety of the manipulation.
    • Focus on the fact that the child during the procedure will show courage and will be brave.
    • Do not kid the kid that the manipulation will be completely painless. Better focus on the fact that the pain will be insignificant and quickly pass.

    Removal procedure

    1. Apply the tongs to the crown so that the tooth is fixed without excessive pressure.
    2. The dentist performs the luxury( the so-called dislocation of the tooth).
    3. The tooth is removed from the well( this manipulation is called traction).
    4. The dentist makes sure that all roots are removed.
    5. The hole is covered with a gauze swab.

    Possible problems after removal

    Painful gum

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

    Swollen cheek

    A slight puffiness on the first-second day after removal is considered normal. If the swelling is severe and increases, you should immediately consult a doctor.


    lip This condition can occur when the baby bites the lip after tooth extraction, but does not feel it because of anesthesia. As a rule, puffiness passes independently for several days. If it builds up, it's important to show the baby to the doctor.

    Temperature rise

    A slight increase in the first-second day after removal is permissible. If the temperature rises above + 38 ° C, the child should examine the dentist, as this may be evidence of an infection in the hole.

    If adversal symptoms occur, be sure to contact the pediatrician

    Prolonged bleeding

    Blood is excreted after removal of the milk teeth in small amounts and not for long. To make the blood stop faster, the baby should be bitten by a gauze swab. The situation with increased bleeding is more common when removing a permanent tooth. While a blood clot forms, it can take a long time. For prolonged bleeding and scarring of blood, the child should be immediately shown to the doctor.


    Sometimes, due to premature tooth extraction or when several teeth are removed at once, others are displaced, which threatens the child with biting problems. Special tools are used to prevent displacement.

    Speech problems

    If a child prematurely loses one of the front teeth, this can affect his diction and will require correction by the speech therapist.

    A child who has had a milk tooth removed early may have problems with the diction and bite of the

    • If the child has an allergy to medicines, it is necessary to warn the dentist before carrying out the manipulation.
    • Go with a child to the doctor to remove the tooth better in the morning, when the baby is not tired and not hungry.
    • Stay close to the child during removal, so that the crumb could feel your support.
    • Until the anesthesia effect ends, the child should not be given any food.
    • Do not rinse your mouth for 3 days after removal, so that the clot that formed in the hole does not move.
    • For the first three days after removal, do not give your child a very hot meal. The use of fermented milk products is not recommended.
    • The area where the tooth is removed can not be warmed or applied to it with any compresses.