At the age of about three years, the baby teeth roots begin to dissolve, causing the baby teeth to wobble, and as a result baby teeth fall out. Thus, the milk teeth are changed by the permanent ones. This is a natural process of the tooth change and in most cases it is uncomplicated and does not require medical intervention. The role of primary teeth in it is very important – they help the permanent teeth to erupt properly and stay in the mouth. Besides, they promote the growth and development of the jawbone.
When the loss of the baby tooth occurs earlier than a year before the eruption of the permanent tooth, this is called the premature loss. If a child loses a tooth earlier, then the rest of teeth tend to occupy free space. As a result, the permanent teeth erupt erratically, which can then lead to the development of malocclusion in children that require long and complex orthodontic treatment. Another negative consequence is the reducing of jaw development, which also leads to deformation of the dentition, because teeth do not have enough space to stay in their proper positions. Therefore, the removal of a baby tooth is extremely rare procedure that can be carried out only for specific indications and only by experienced and professional dentist. See here to find the best pedodontists in Los Angeles, California or any other state on map.
If the premature removal of the child’s tooth is still unavoidable, dental prosthesis will be necessary. Most often it is removable plate with an artificial tooth. For large losses dentists can put plastic or metal crowns. This is necessary to prevent movement of the dentition, and proper eruption of the permanent teeth.
There are times when the tooth extraction is unavoidable. For this purpose there are relative and absolute indications. Absolute indications include such cases as:
-baby tooth is destroyed with decay so that it cannot be restored;
-when the tooth cannot be treated for some reason;
-permanent tooth is already visible, and the milk one is not even loose;
-formation of cysts on the roots of the tooth;
-fistula on the gums;
-severe periodontitis or pulpitis, especially if the inflammation threatens the destruction of the permanent tooth;
-no resorption of the roots of the baby teeth that prevents the eruption of permanent teeth;
In addition to the absolute indications for removal of a baby tooth, there are also relative ones. The most common relative indication for the removal is when baby teeth are loose, but not fall out or loose tooth gives discomfort, provoking the inflammation of gums, and hurting the child. In these cases, it is not necessary to wait until the tooth falls out itself. It is better to consult a specialist. Tooth fractures, chronic periodontitis and pulpitis also are relative indications for the removal of the baby tooth.
The procedure for removal of milk teeth requires great care and professional skills, because it has a number of features related to the structure of children’s teeth. They have thin alveolar walls, thinner and at the same time longer than the permanent teeth roots. Anesthesia is usually performed in cases of severe inflammation, such as a child pulpitis or periodontitis. If you want to extract the loose tooth, then there is no need for anesthesia.
If the process of changing of the milk teeth proceeds without complications, you will not need the intervention of a dentist. In this case, let the child loosen the tooth until it falls out. This is considered as physiological and natural process. It is advisable to eat more solid foods such as apples. If gums are bleeding after the loss of a baby tooth, put a cotton swab with disinfectant solution to the tooth. Clean and monitor the condition of the teeth in this period more carefully.
How to remove a baby tooth from the struggling and crying baby is an actual problem. Here, much depends on the attitude and professionalism of the dentist as much as of the parents. A good specialist will remove the tooth quickly and painlessly. The task of parents is not to be afraid and not to show their fear to the child. The child, seeing your anxiety, will immediately decide that now something terrible will happen. Try to cite as an example more complaisant kids, or play on a quest to be braver than the rest of his peers. And of course, your presence in the dental office with your child is essential.
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