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Does It Hurt to Extract Baby Teeth? When Should Baby Teeth Be Removed?

The phenomenon of baby teeth falling out is a natural process that occurs in all children. Baby teeth will gradually fall out and be replaced by permanent teeth. However, if baby teeth are extracted improperly, it can seriously affect oral health. So, how can we do this with minimal pain for children? Let’s find out with Amanda Dental Clinic in the article below!

Why Do Baby Teeth Need to Be Extracted?

Baby teeth are the first set of teeth in humans, which begin to emerge when the child is young and are later replaced by permanent teeth. Baby teeth fall out naturally or are extracted to make way for the development of permanent teeth. Children typically begin “changing teeth” between the ages of 6 and 12. Although baby teeth fall out on their own, in some cases, parents need to actively extract them.

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Baby teeth begin to emerge at around 6 months old

Some reasons why baby teeth need to be extracted include:

  • Tooth decay: All children are at risk of tooth decay due to bacteria in the mouth. You should help your child develop good oral hygiene habits and limit sugary foods, especially candies. Severely decayed baby teeth that affect a child’s overall health should be extracted.
  • To make space for permanent teeth: During the transition, if baby teeth are not extracted, permanent teeth may not erupt in the correct position, leading to crowding or misalignment.
  • Injury: Children are often active and prone to accidents, such as falling while playing, which can break healthy baby teeth.
  • Orthodontics: Sometimes, certain baby teeth must be removed to create space for orthodontic treatment.

When Should Baby Teeth Be Extracted?

Just because your child’s baby teeth are wobbly does not mean they are ready to be removed. The baby tooth’s root must be resorbed to allow the permanent tooth to come in. If parents are unfamiliar with how and when to extract baby teeth, it could lead to gaps in the child’s smile.
Usually, baby teeth are only extracted if they are severely damaged — for example, cracked, loose, or affected due to trauma.

Severely decayed baby teeth or those with serious infections should also be removed. If fillings or root canal treatment are not viable, extraction is recommended to prevent the infection from spreading and to relieve the child’s pain.

If permanent teeth have started emerging but baby teeth haven’t fallen out, baby teeth should be extracted to avoid misalignment.

Is It a Problem If Baby Teeth Are Not Extracted?

Not extracting baby teeth when necessary can lead to serious oral problems. While baby teeth typically fall out naturally, they can sometimes cause mild fever as they loosen.
In rare cases, remnants of baby teeth stuck in the gums can obstruct the eruption of permanent teeth. Conversely, retained baby teeth may cause gum inflammation and block permanent teeth, leading to misalignment or crowding.

Should Baby Teeth Be Extracted Early?

Baby teeth should not be extracted too early. If the tooth is still firm and not yet loose, forced extraction may cause pain and bleeding.
Early extraction can also affect a child’s pronunciation, especially while learning foreign languages. The coordination of upper and lower teeth, tongue, and lips is essential for clear speech. Losing a tooth may disrupt jaw structure and lead to speech development issues.

Baby teeth should not be extracted early if they are developing normally and it is not yet time for replacement.

Besides helping with eating, baby teeth play a crucial role in guiding permanent teeth. Premature extraction can cause neighboring teeth to tilt or shift, leading to misaligned permanent teeth later.

How to Properly Extract Baby Teeth at Home

Extracting baby teeth at home must be done correctly to avoid pain and complications. Here are the steps:
Only extract teeth that are already loose and ready to be replaced. Do not forcefully pull out firm teeth. At home, gently wiggle the loose tooth until it detaches naturally.

Parents may allow children to extract their own teeth after washing their hands thoroughly. Children can use their fingers or tongue to move the tooth. This way, they can adjust pressure and gauge their own pain tolerance.

If your child is too scared or uncooperative, take them to a dentist for a safe extraction.

If the child cannot do it alone, you can assist. First, explain the process to the child to gain cooperation. Then, use clean gauze to grip the tooth and gently twist it out.

After extraction, stop the bleeding using cotton wool and have the child bite down for 5–10 minutes. Once the bleeding stops, check carefully to ensure no root fragments remain.

How Much Does It Cost to Extract Baby Teeth?

The cost depends on the tooth condition, the child’s health (any underlying issues), and the selected service package. To get an accurate quote, visit a dental clinic or hospital for an examination.
Amanda Dental Clinic’s price list for baby tooth extraction:

Service Unit Price
Topical anesthesia baby tooth extraction Tooth 30,000 VND
Injection anesthesia baby tooth extraction Tooth 100,000 VND

Why Choose Amanda Dental Clinic for Baby Tooth Extraction?

Amanda Dental Clinic is a trusted dental facility, chosen by many parents for their children’s dental needs.

  • Experienced doctors: Amanda’s dentists are highly skilled and gentle, minimizing pain and fear for children.
  • Modern equipment: Fully equipped with advanced technology to ensure safe, effective procedures. All tools are thoroughly sterilized to prevent cross-contamination.
  • Comfortable, painless extraction process: Thorough examination and modern anesthesia techniques are used to ensure a pain-free experience.
  • One doctor – one room – one patient – one sterilized toolset model ensures safety and hygiene, complying with the Ministry of Health’s standards.
Amanda Dental Clinic uses modern equipment to ensure a safe tooth extraction process.

Baby Tooth Extraction Procedure at Amanda Dental Clinic

After examination, the dentist will determine if extraction is necessary and inform the parents of the cost. Only upon consent will the procedure begin:
Loose baby teeth: The dentist will apply topical anesthetic gel and extract the tooth using specialized tools, followed by bleeding control. Medication and follow-up appointments will be provided if needed.

Firm baby teeth with erupting permanent teeth: Local anesthesia will be administered, then the tooth is removed with specialized tools. Bleeding is controlled, medication is prescribed, and follow-up is scheduled.

Post-Extraction Care for Children

Proper care after extraction is essential for healing and preventing complications. Key points to remember:

  • Stop bleeding: Dentists usually apply gauze or cotton for 5–10 minutes. A small amount of blood afterward is normal. If bleeding persists, a new gauze piece may be used.
  • Oral hygiene: Clean teeth gently and avoid brushing the extraction site. Healing takes 1–2 weeks. Keep the gum area clean with regular brushing.
  • Medication: Most extractions don’t require medication, but if necessary, the dentist will prescribe it.

Frequently Asked Questions About Baby Tooth Extraction

How Long After a Tooth Becomes Loose Should It Be Extracted?

If a baby tooth is loose for 1–2 weeks, it should be extracted. In some cases, extraction may be needed sooner if a permanent tooth has started to erupt.

Should Baby Teeth Be Extracted Before They’re Loose?

No. Early extraction may affect chewing and the alignment of permanent teeth. Only consider early removal in special cases, such as severe decay or emerging permanent teeth.

Is Baby Tooth Extraction Painful?

Not if done at the right time. If the tooth is already loose, the root has detached from the gum, and the extraction is painless. Firm teeth, however, may cause pain and require anesthesia.

How Long Does It Take for Permanent Teeth to Grow After Baby Teeth Are Removed?

It varies. Upper front teeth grow slower than lower ones. Canines and premolars usually follow quickly after baby tooth removal. These are permanent teeth.

Is It Dangerous to Extract Baby Teeth?

It’s safe if done properly and at the right time. Visit a dental clinic with a maxillofacial specialist. Though the cost is low, it ensures safety. Many hospitalizations result from improper home extractions.

Should You Extract Baby Teeth at Home?

Although it seems simple, home extractions are not recommended without proper knowledge. Most baby teeth will fall out naturally. If early extraction is needed, consult a dentist instead of attempting it at home.

In summary, extracting baby teeth is a natural and necessary process. However, to ensure safety and minimize discomfort, parents should choose reputable dental clinics with experienced professionals and modern equipment. Post-extraction care also plays a crucial role in quick healing and preventing complications.

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