Correct way to extract teeth for children

Most children have damaged teeth because their teeth have not grown properly or they often eat sweets. Leaving the tooth roots in the gums will do no good and will only cause constant inflammation. It is necessary to take good care of the children's teeth as early as possible. If regular teeth cleaning and gum care cannot handle the local problem, tooth extraction is the only option. However, the child will feel very painful and uncomfortable during tooth extraction. What are the correct ways to extract teeth for children?

These situations include:

Teeth that erupt at birth or shortly after birth are considered premature teeth. They can affect breastfeeding and cause tongue ulcers. Some may even fall off and enter the baby's esophagus, endangering life.

It is suspected that the tooth may be the focus of disease causing the disease in the body, and the residual root and crown may often be swollen, painful and pus-producing.

After a tooth suffers trauma, it becomes loose and cannot be fixed, which can easily cause inflammation. Such teeth should be extracted as soon as possible.

The root tip of the residual root of the deciduous tooth is tilted and penetrates the gingival mucosa. At this time, the deciduous tooth needs to be extracted.

Loose deciduous teeth that are delayed or approaching the replacement period, as well as remaining fragments that are not fully absorbed, should be extracted.

Supernumerary teeth, impacted teeth or teeth that are not suitable for surgical correction, and teeth that cause cysts should also be extracted in time.

Permanent teeth that need to be extracted in advance due to orthodontic dentition.

In the above situations, tooth extraction can only be performed after confirmation by a dentist.

Should the residual roots of deciduous teeth be retained or extracted?

Dental caries in deciduous teeth develops rapidly, and it is common to see some children's deciduous teeth destroyed to the point where only residual roots and crowns are left. Should these residual roots and crowns be retained or removed? The answer is that it should be removed as soon as possible, for four reasons:

The residual root and crown have no chewing function.

The residual roots will irritate the local lip, cheek and tongue mucosa, causing traumatic ulcers of the mucosa.

Pathogenic bacteria in residual roots and crowns can have adverse effects on other teeth and may also cause bad breath. When the body's resistance is reduced, it can also cause swelling, pain and discomfort in the gums and periapical tissues.

The residual roots and crowns of deciduous teeth cannot be restored with crowns after pile driving like permanent teeth. Depending on the situation, the residual roots and crowns of permanent teeth may be restored by driving piles in the roots and then performing crown restorations, provided that root canal treatment is completed. However, for deciduous teeth that are to be replaced, no matter what material is used to make the piles, they cannot be absorbed along with the roots of the deciduous teeth, which will affect tooth replacement. Therefore, deciduous teeth cannot be restored with piles and crowns like permanent teeth.

For these reasons, the residual roots and crowns of deciduous teeth should be removed as early as possible. After the extraction of deciduous teeth, the adjacent teeth may shift and cause the loss of the gap between the missing teeth. This will cause the corresponding permanent teeth to erupt misplaced due to insufficient space. Therefore, after the extraction of deciduous teeth, the space should be maintained in time according to the situation. In the case of multiple missing deciduous teeth, a functional space maintainer is also needed, similar to the removable denture restoration of adults. This can partially restore the chewing function of children and ensure the intake of nutrients.

Why are there no complete roots when deciduous teeth are extracted?

As the permanent teeth erupt, the roots of the deciduous teeth will slowly be absorbed, and the deciduous teeth will become increasingly loose until they finally fall out. If the deciduous teeth still do not fall out after the permanent teeth erupt, it is called retained deciduous teeth, in which case the deciduous teeth need to be extracted.

Nowadays, as children's food is becoming more and more refined and the biting force required is getting smaller and smaller, the case of retained deciduous teeth is becoming more and more common. In some children, even every deciduous tooth is retained and they end up having to go to the hospital to have them extracted. Although permanent teeth generally erupt from the inside of deciduous teeth when they are retained, deciduous teeth are generally absorbed during the eruption of permanent teeth. Therefore, when retained deciduous teeth are extracted, the roots are generally incomplete.

Some parents worry that the tooth root may be broken inside. It is relatively easy to distinguish whether it is root resorption or root fracture. The cross-section of root resorption is irregular and worm-eaten. When the tooth root is broken during tooth extraction, the cross-section will be relatively neat and fresh.