Extraction

Reasons for extraction of primary teeth

Research has indicated that the following are the most common causes of extraction of primary teeth.

  1. Caries: Primary and secondary caries plus all sequelae including periapical abscess and failed treatment.
  2. Orthodontic: Tooth removed to prevent or correct malocclusion.
  3. Trauma: Tooth extracted as a direct result of acute trauma.
  4. Loss: Tooth extracted because of its mobility; time for exfoliation.
  5. Periodontal disease: Loss of function, periodontal abscess and pain.
  6. General medical reasons: Prophylactic extraction.
  7. Economic reasons: The tooth could have been saved but the patient found treatment too expensive.
  8. Over-retention: Prolonged retention of primary teeth.
  9. Patient/parent request: The tooth could have been treated and saved, but the patient/parent insisted on extraction.

Post-anesthesia instructions

  1. If anesthesia is administered in the lower jaw, the teeth, lower lip, tongue and surrounding area may remain numb or fall asleep for the next 90 mins to 2 hours. If administered in upper jaw, the cheek, lip and area surrounding the immediate tooth may remain numb.
  2. After the appointment, give age-weight appropriate medicines that we prescribe to your child. Your child may drink and eat after the appointment, but give your child liquids or soft food.
  3. Make good choices: give them nothing they have to chew excessively while they are numb.
  4. Take it easy for the rest of the day. Do not plan to return to activities or school immediately, especially if your child has had a long procedure
  5. Please monitor your child for 90 minutes to 2 hours after the procedure. Once the anesthesia starts to ware off, the child may touch, pull, scratch, pinch, bite or otherwise play with the lips, tongue or cheek. This may lead to minor irritation injuries or in more severe irritation may cause swelling and ulcers.
  6. Call our clinic if this happens.
  7. Over the counter liquid Benadryl-Maalox 50-50 mix (swish and spit) works as a magic mouth rinse to help the pain after a lip or cheek-bite injury

Care after Extraction/Tooth Removal

  1. Bite on the cotton or gauze for 15-30 minutes to help control bleeding. We tell the kids that “it looks a little red” where the tooth used to be and the cotton gauze soaks it right up.
  2. Soft/liquid diet for the first 1-2 days and nothing hard or crunchy like Chips, Pretzels, or Pizza Crust. Cool or cold foods: shakes, crushed ice may feel best for the first 6-12 hrs
  3. Do not use straws, or rinse forcefully or blow the nose for about 24 hours.
  4. A towel on your child’s pillow will help, because saliva may be “pink” for 24-48 hrs.
  5. Do not brush teeth in an extraction area for 24 hours after surgery.
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