Basic Tooth Extractions

Basic tooth extraction is the removal of a tooth that is visible in the mouth. Teeth that are not impacted or broken off at the gum line do not require surgical removal. We use a dental tool called an elevator, which looks similar to a screwdriver.

We place this elevator in between the tooth and the bone tissue to gently rock the tooth back and forth until it has been dislodged from the socket. Forceps are then used to completely remove the tooth from the socket.

This process is painless because we administer a local anesthetic before working on your child’s tooth to ensure their mouth is completely numb. The only thing they may feel is a bit of pressure. Any infected tissue will be removed and the socket will be cleaned. If any sharp edges or bone fragments have been left behind, these will be smoothed out.

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The Basics

Why Would I Need an Extraction?

At Milpitas Children’s Dental, we do not take the decision to extract a tooth lightly. We will always try to save your child’s tooth at every cost and reserve extractions as a last resort for teeth that are extremely decayed or damaged and cannot be repaired through other means.

Some instances that could warrant a tooth extraction include:

  • Severe decay
  • An infection that is spreading
  • Gum disease
  • Dental trauma
  • To make room for orthodontic treatment
  • Impaction
  • Overcrowding

The best way to determine if an extraction is necessary is to come in for a consultation. Contact us at Milpitas Children’s Dental today to schedule an appointment with Dr. Richard.

Is a Tooth Extraction Painful?

Believe it or not, tooth extraction is not a painful procedure at all! We numb your child’s mouth and the tooth’s nerves that are responsible for sensation are severed when we use the elevator to rock the tooth back and forth.

We can offer your child additional sedation for this procedure such as nitrous oxide or oral conscious sedation. This will help relieve anxiety, pain, restlessness, and the gag reflex. Your child will feel very relaxed and like they are in an almost dream-like state. The good thing about dental sedation is that your child will likely not remember the procedure afterward.

While some soreness or mild pain during recovery is normal, it should be mild and can be relieved with over-the-counter anti-inflammatory pain medication or prescription painkillers, and a cold compress. This typically only lasts for a few days for a basic extraction.

Crowns vs. Fillings

What You Need to Know

Both dental fillings and crowns are used to restore decayed teeth. The main difference is that fillings are not appropriate for extensive decay. In teeth that have very large cavities, a filling won’t be strong enough to protect and restore the tooth.

So, in these cases, a crown is a better option. Because it will cover up and replace the entire tooth structure, it will be stronger, more resistant to wear and tear, and provide better overall results compared to a filling. At your child’s appointment, Dr. Richard can discuss the differences between these treatments in more detail, and help you determine which option is right for your child.

Extraction Aftercare

To control the bleeding from the socket, Dr. Richard will place fresh gauze at the site of the extraction. Your child should bite down on the gauze to stop bleeding and encourage a blood clot to form.

The gauze should be changed before they become soaked with blood. If bleeding persists, try biting down on a wet caffeinated tea bag (the tannic acid constricts blood vessels). For the first 24 hours, your child will need to rest and avoid strenuous activity.

They also shouldn’t rinse their mouth, spit, or drink from a straw for the first 24 hours or they can dislodge their blood clot and get a painful dry socket. Make sure your child waits until the numbing agent has completely worn off before eating or drinking hot liquids.

Also, make sure they stick to soft foods for the first few days. After the first 24 hours, your child should rinse their mouth with a lukewarm saltwater solution. They can now brush and floss like normal but should be careful to avoid the extraction site. They should keep their head elevated and use a cold compress to relieve swelling.