Baby teeth are the first teeth of every person, which usually start to grow from six months of age and continue to grow until two or three years of age. These teeth remain in children's mouths until they are six years old. Falling milk teeth is a natural process that begins at the age of six and creates exciting and memorable moments for parents. But in some cases, the teeth do not fall out on their own and they need the help of a pediatric dentist to extract the child's teeth. In these cases, there is no need to worry, because the extraction of milk teeth is a simple and safe process. There are several reasons why baby teeth may need to be extracted between the ages of three and six. In the continuation of this article by Dr. Mandana Hejazi, pediatric dental specialist in Tehran, we will examine the most important reasons for this.

When is it necessary to extract children's milk teeth?

It may be because of a child's toothache to the best pediatric dentistry clinic in Tehran and there is a need to extract a child's tooth. Here, we analyze some of the factors that cause Dr. Mandana Hijazi to recommend the extraction of baby teeth:

Child tooth decay:

Sometimes baby teeth decay for various reasons. Depending on the severity of the decay, the dentist may recommend root canal treatment or, in severe cases, the extraction of the child's tooth, which is performed under local anesthesia. If the child's tooth has decay, it is better to treat it immediately, because the lack of treatment can lead to severe pain and abscess.

Frequency or damage to the tooth:

If the child suffers oral injuries, a broken or loose tooth, it is better to extract the baby tooth. In this case, immediately take the child to the dental center and take the necessary measures in consultation with the doctor. Dentists usually prefer to keep the tooth and if possible use a cover or cap to protect their teeth.

No natural tooth loss:

If a child's milk teeth do not fall out or loosen naturally after the age of six, see a dentist. One of the reasons for extracting milk teeth is that the teeth are without signs of falling out. At this time, an experienced dentist in Tehran will check the cause and, if necessary, extract the child's teeth.

Orthodontics:

Baby teeth act as temporary retainers for permanent teeth. If the baby teeth have grown in an irregular and crowded manner, the dentist may recommend that some of them be pulled to provide a suitable space for the growth of permanent teeth and to make orthodontics easier in the future. Hidden teeth: Some children have teeth that have grown under the gums and out of sight. This situation can be recognized with specialized images of the mouth, and the child's teeth may need to be extracted as a result of this indentation. This surgery is often performed with local anesthesia, but depending on the child's condition, general anesthesia is also used in rare cases.

How is the extraction of children's teeth performed?

If the extraction of a child's teeth is permanent, it is often accompanied by worry and anxiety for the child and parents, because it is easier to remove milk teeth than extraction of permanent teeth. In these cases, the specialist dentist analyzes the condition of the root and bone of the child's tooth using radiology images and then pulls the tooth or uses another treatment solution. If it is decided to extract the child's teeth, this is done with special tools or local anesthesia. Usually, after anesthesia, Dr. Mandana Hijazi takes the root of the tooth using small forceps and with circular movements, separates the ligaments connecting the tooth to the jaw bone. This process is done quickly and the child does not feel any pain.

What are the cares after tooth extraction for children?

Like many dental procedures, child tooth extraction in Tehran may also be accompanied by a little bleeding. For this reason, after extracting the milk tooth, the dentist places sterile gas in the desired area. In the following, we will explain some important care after tooth extraction:

Grinding with salt water: The child should gargle with lukewarm salt water every 2 hours.

Avoid using mouthwash solutions: Do not use mouthwash solutions for 24 hours after tooth extraction in the best pediatric dental clinic in Tehran to prevent gum irritation.

Keeping saliva: Remind the child to swallow his saliva and even if blood collects in the mouth, do not take it out.

Keeping sterile gauze: Do not remove the sterile gauze from the child's mouth for two hours and remind the child to press the gauze. Avoid solid and hot foods: Give the child soft and cool meals. Eating solid or hot food may irritate the gums and increase the possibility of bleeding.

What effect does the dentist's expertise have in reducing the child's stress during tooth extraction?

The dentist's expertise plays a very important role in reducing the child's stress during tooth extraction, and its effects include the following:

• A skilled dentist can reduce the child's stress and prepare him for treatment by using psychological and communication techniques.
• If the child feels relaxed during his first dental sessions, he will cooperate better in the future and will not be afraid of going to the dentist.
• Experienced dentists use appropriate anesthesia and tooth extraction techniques to minimize the child's pain.
• If the child has a good experience at this stage, he will go for regular check-ups and dental treatments without fear in the future.

Note: An experienced pediatric dentist who is highly skilled in dealing with children, uses methods such as soothing talks, distraction with stories or videos, giving rewards after treatment, and using special tools for children to reduce stress and increase the child's confidence.