Removal of milk teeth

Removal of milk teeth is used by dentists only in the most extreme cases, when a child's tooth can not be saved. The most common reason for having to part with milk teeth is inflammation in the mouth, when the surrounding roots or directly the roots are affected. Also, a specialist can recommend removing the tooth in pulpitis, caries, after severe trauma.

A natural change of milk teeth occurs at the age of six, in this case the resorption of the milk root begins, the tooth becomes shaky and eventually falls off on its own. But sometimes there are cases when it is necessary to remove the milk tooth prematurely. Virtually all dentists are against prematurely removing their baby teeth, even when they are severely affected by tooth decay.

Milk tooth, from the day it cuts through and up to 12 - 13 years, performs a variety of functions. In addition to aesthetics, they help to correctly pronounce sounds, in chewing food (as we know, not enough well-chewed food leads to digestion), and the temporomandibular joint rest on the teeth.

Children can not sit too long with their mouth open, so a number of difficulties arise during treatment. In some cases, treatment of canals is required, but due to the duration and aggressiveness of the procedure, many parents are against treatment, which leads to complete tooth decay and the need for removal. As an option in this case, you can use anesthesia, but in childhood use of anesthesia, especially general, is harmful enough, so it is necessary to resort to it only in extreme cases.

The condition of the baby's teeth depends on the health of the indigenous in the future. But the need to remove the teeth occurs when there is a strong inflammatory process in the mouth, if there is a delay of the molar tooth or vice versa, when the permanent tooth has erupted, and the milk has not fallen out yet, with the carious processes, tooth trauma, etc.,

[1], [2]

Early removal of milk teeth

Earlier removal of milk teeth leads to the fact that neighboring teeth begin to occupy an empty space. The natural process of changing to permanent teeth begins about 5-6 years ago. Until then, every milk tooth keeps a place in the dentition for the root. If, for any reason, premature tooth extraction has occurred, the resulting eruption process may be disturbed. In this case, consultation and treatment of the orthodontist (a specialist in dentoalveolar anomalies) will be required. The milk tooth is considered prematurely lost, if more than a year is left before the appearance of the indigenous tooth. The emptiness formed when the tooth is lost is filled with neighboring teeth - they gradually begin to approach each other. In this case, an incorrect bite may develop later.

The lack of chewing teeth leads to poor chewing food, the absence of incisors - violates pronunciation. Absence of teeth leads to a decrease in the development of the jaw, which also threatens deformities of the dentition. It is for this reason that it is recommended that children keep their baby teeth as long as possible.

In the event that tooth extraction is inevitable, you can use dentures. Usually in this case, dental plates with an inserted artificial tooth are used. If you lose a lot of teeth, such as trauma, doctors recommend installing plastic or metal crowns. This is done to prevent the tooth row from shifting so that every permanent tooth grows in its place.

Nerve removal in the milk tooth

Near the root of the tooth is a pulp - a bundle of collected nerve endings, blood and lymph vessels. Pulp is popularly called dental nerve. The reaction of the tooth to external stimuli (soreness) is caused precisely by the pulp. If you remove the nerve, the blood supply and mineralization of the tooth will be discontinued. The tooth "dies", loses its resistance to the effects of spring factors. Quite often, the tooth from which the pulp has been removed becomes darker than others.

The need for removal of the nerve occurs when the carious process is started, when pulpitis develops. Also, the nerve is removed, if the area affected by caries is too large, the tooth is badly destroyed, there is a strong and frequent pain.

Many parents believe that there are no nerves in the milk teeth, so they basically can not get sick. This opinion is a profound error, because in the milk teeth there are nerve endings that can become inflamed and hurt. Milky teeth differ in structure from the permanent. The processes of destruction in them proceed much faster, as a result, pain is not always the first sign on which it is necessary to determine the state of the teeth. To treat teeth is best in special children's dentistry, and to accustom the child to regular examination at the dentist. But you need to treat your teeth, because in place of the spoiled milk teeth, the same spoiled root will appear.

Removing the root of a baby tooth

Removal of milk teeth is recommended only in extreme cases, when it is no longer possible to save the tooth. While there is an opportunity to fight for every tooth in the mouth of the baby - you need to do it.

As well as permanent teeth, dairy teeth have root canals, nerves. As the permanent teeth grow, the root of the milk tooth gradually dissolves, as a result the tooth loosens and falls out. Removing the molar teeth from the root until the permanent tooth is ready to be cut is not recommended for several reasons. But there are situations where removal is the only option to save the body from the spread of infection. Indications for removal are the complete destruction of the tooth with caries, a cyst on the root of the tooth, the formation of a fistulous gait on the gum, acute pulpitis, periodontitis (threatens destruction by the rudiment of permanent teeth), the roots of the dairy dissolve very slowly, which hinders the growth of the permanent tooth, and also if The root tooth has already appeared, and the dairy has not yet fallen out.

In the dental office, removal is carried out with special forceps, which do not destroy fragile teeth and are specially designed for children. In addition, when removing, you need to pay attention to not breaking the rudiments of permanent teeth. After removing, you need a few days to rinse the mouth with antiseptics, which will prevent infection in the wound with food, water, etc.

Anesthesia in the removal of milk teeth

In case the root has practically resolved, removal of milk teeth is carried out under application anesthesia (spray or gel means). But usually infiltration anesthesia is used - an injection with an anesthetic drug into the gum and from the palate.

Means of anesthesia, which are used in dentistry, are a kind of lidocoin, but with a slightly different chemical composition. For the most part, small children tolerate such preparations well, but to reduce possible risks, the doctor must necessarily ask whether the child had a reaction earlier or allergic reactions to any medications earlier. Also the doctor can specify how the child suffered the process of teething, what means were used to reduce pain and itching, as the child suffered them. It is also necessary to tell the doctor if the child has cardiovascular diseases, since the anesthetics include vasoconstrictor components.

Removal of baby teeth in children is possible under general anesthesia. Usually, this type of anesthesia is used for very young children from one year to three to four years old, with severe inflammation with the formation of pus in the mouth, with intolerance to local anesthetics, as well as in children who have mental illness, organic brain diseases.

After the tooth is removed, you can not give the baby to eat for about two hours, after that you can treat it to your favorite ice cream, but it is better without a variety of additives. Such a treat will be useful to reduce bleeding from the wound. After removal, the doctor should recommend which solutions are best for rinsing the oral cavity, usually using infusions of herbs (chamomile, sage) or ready-made solutions, for example Rotokan. If after removal of the milk tooth before the eruption is permanent for a long time (more than a year), it is necessary to consult an orthodontist who can advise using a special plate to prevent the development of an incorrect bite.

[3], [4], [5], [6]

Removal of anterior milk teeth

It is necessary to visit a children's dentist at the following conditions:

• rapid resorption of the roots of milk teeth or vice versa, the delay of this process;
• the broken incisors have left roots behind them which can cause the strongest inflammation in the oral cavity;
• neglected carious processes. A tooth affected by tooth decay can cause contamination of neighboring healthy teeth, as well as rudiments of permanent teeth located under it;
• at various traumas of a tooth, at damage of a root.

The structure of baby teeth is slightly different than that of permanent teeth, it is for this reason that the removal of milk teeth is slightly different. Milk teeth have thinner walls of alveoli, cervical necks, roots are wider. Under the milk tooth begin to form the rudiments of permanent teeth. When removing milk teeth, dentists use special children's instruments, which have a weaker fixation and they do not push the root inwards. After removal, it is necessary to monitor the wound to prevent inflammation, in case of severe swelling, temperature, soreness, you need to consult a dentist.

Consequences of early removal of milk teeth

If the removal of milk teeth occurred too early, the risk of complications in erupting permanent teeth is increased. Bone tissue is not sufficiently prepared for the growth of a strong molar tooth, so the child may have unpleasant or painful sensations when the molar tooth is erupted.

After the removal of milk teeth, the child has a change in diction, i.e. It is difficult to pronounce some sounds. If an adult is at the same time experiencing some discomfort, then for a small child it is threatened with addiction, and in the future it will still be banged.

Premature loss of a milk tooth can cause an incorrect bite and jaw structure. When a cavity forms in the mouth, neighboring teeth try to fill it with themselves, they begin to shift towards each other. The earlier the milk tooth fell, the more noticeable will be the displacement. As a result, this will cause incorrect growth of permanent teeth, changes in their position, and the formation of an incorrect bite.

The loss of lateral chewing teeth leads to the fact that the child does not thoroughly chew food, and this threatens the problems of the digestive system.

[7], [8]

Temperature after removal of a milk tooth

Each child is individual and differently perceives the removal of milk teeth. In some cases, after removal, a temperature appears. It can quite strongly frighten parents, many begin to panic because of the thought of the infectious infection and the inflammatory process that has begun. Of course, this option is not excluded, but if the temperature is raised after tooth extraction, the main thing is not to self-medicate, but to consult a dentist. Only a specialist is able to determine the cause of fever in a child. This may be due to the stress experienced by the child during the removal procedure or from an infection in the wound. With any surgical intervention, it is necessary to take an X-ray, because doctors are not able to conduct blind manipulation. The clinical picture in the oral cavity is not capable of displaying the entire process. Operations without X-rays can lead to serious complications and significantly complicate the process of further treatment. Children's dose of X-ray radiation is low, so do not be afraid of it.

The price of removal of a milk tooth

Removal of milk teeth will cost an average of 100 to 150 UAH, depending on the condition of the small patient and the type of anesthesia.