Extraction of milk teeth in children. To remove or not milk teeth or how to properly remove a milk tooth from a child without tears at home and at the dentist? How baby teeth are removed

The procedure for removing temporary children's teeth has certain subtleties due to the peculiarities of their structure. Extraction of a milk tooth is an extreme measure, since the early loss of temporary teeth negatively affects the permanent bite.

In the course of the natural process of changing teeth, sooner or later, temporary teeth in children fall out on their own, and permanent ones appear in their place. However, sometimes there are situations when it is necessary to remove a baby tooth ahead of time. Let us consider in what cases there is a real need to remove a temporary tooth, as well as the features of the procedure for the extraction of milk children's teeth.

What are milk teeth for?

The appearance of temporary teeth in children is due to natural necessity. After all, the jaw small child still too small to accommodate a permanent set of "adult" teeth. However, the chewing apparatus is required by the baby here and now, so that you can switch to a regular diet with solid food. Another function of milk teeth is to promote proper development bone tissue jaws, preparing the conditions for the appearance of a permanent dentition. And this requires a regular "chewing" load, which helps the formation of the jaw apparatus.

Obviously, milk teeth are designed to perform very important functions. Therefore, the conventional wisdom that there is nothing to worry about in the early loss of a temporary tooth is fundamentally erroneous. And competent pediatric dentists always carefully evaluate whether it is worth extracting baby tooth, or you can try to make an effort to save him.

Treatment of a temporary tooth is preferable to extraction

At first glance, the desire to get rid of a diseased baby tooth according to the principle “no tooth - no problem” seems quite reasonable. Moreover, everything can be solved literally in one visit to the doctor, and modern children's paid dentistry has all the means for effective pain relief. In the end, all the same, a molar tooth will grow in place of the milk tooth. However, in fact, the premature loss of a milk tooth can turn into a whole fan of problems in the future.

Consequences of early loss of a temporary tooth:

  • malocclusion. Removing a baby tooth will free up space into which adjacent teeth will gradually begin to move. In the future, when a molar tooth erupts in place of the temporary one, it will not have enough space for normal growth. The result will be a curved arrangement of the dentition with malocclusion. And correction of bite in children is quite a long and difficult treatment;
  • developmental disorders of the maxillofacial apparatus. The extraction of a milk tooth will lead to the fact that the bone tissue will experience insufficient load, which will slow down its growth and development. In the future, this may cause that there is not enough free space for the correct growth of molars, and the teeth will grow crookedly;
  • problems with the digestive system. If one of the chewing teeth has been removed, the result will be insufficient chewing of food for a long period. It can cause a number of chronic diseases digestive system;
  • speech disorder. The front teeth are part of the speech apparatus, and the absence of one or more teeth will certainly affect the development of speech;
  • psychological problems. The absence of a tooth in the "smile zone" can cause certain difficulties in communicating with peers and negatively affect the child's self-esteem.

Obviously, the early loss of temporary teeth does not remain without consequences, and sometimes quite serious ones. That is why dentists first of all consider the treatment of milk teeth in children, and only in the absence of alternatives - removal.

What is taken into account when extracting children's teeth?

Anatomical features

Children's temporary teeth have certain anatomical features that doctors always take into account. In particular, the walls of the alveoli are relatively thin, and the dental roots can go deep at a large angle. Therefore, for the procedure for removing milk teeth, special forceps are used that have a weakened fixation. This helps to virtually eliminate the possibility of damage to the walls of the tooth. The extraction technique itself is designed to extract the tooth with a single movement so that the child experiences only a minimum of discomfort.

Anesthesia

Anesthesia is not always required when extracting teeth in children. If a loose milk tooth with almost resorbed roots is extracted, then this procedure usually does not need special anesthesia. Most often, the positive attitude of the child and the friendly attitude of the doctor are enough.

For difficult tooth extractions or when removing a nerve, local anesthesia may be used. The required dosage of the drug is calculated individually, taking into account the parameters of the child and the complexity of the procedure. Today's pediatric dentistry uses local anesthetics latest generation for maximum efficiency and safety. However, a test for possible allergic reactions remains mandatory.

Extraction of teeth under anesthesia is an extreme option that is suitable for small children up to 1.5 years old or for children who are extremely sensitive to the dental office. For this, modern intravenous preparations are used. Operations of this kind can only be carried out in serious dental clinics with a full-time anesthesiologist and a special license.

Indications and contraindications

We have already considered the possible unpleasant consequences associated with the early loss of milk teeth. Due to such consequences, there must be good reasons for removing a temporary tooth.

Indications for extraction of milk teeth:

  • neglected dental caries in children, leaving no opportunity to restore the dental crown;
  • complex shapes diseases of dental and periodontal tissues (periodontitis, pulpitis), which carry the risk of death of the rudiments of molars;
  • the presence of fistulas in the gum tissues that are not treatable by other methods;
  • late resorption of the root of a milk tooth, preventing eruption permanent tooth;
  • cases where the molar has erupted, and the temporary is still firmly held in place.

It also makes sense to remove a loose milk tooth if it prevents the child from eating, causes discomfort in other situations.

Contraindications to the removal of milk teeth:

  • childhood infectious diseases such as chickenpox, whooping cough, scarlet fever. Also, flu, tonsillitis, acute respiratory infections can become contraindications;
  • sharp inflammatory diseases oral cavity: stomatitis, gingivitis, candidiasis;
  • the presence of diseases that cause blood clotting disorders (leukemia, hemophilia);
  • the presence of hematomas in the area where the milk tooth to be removed is located;
  • severe health conditions associated with diseases such as epilepsy, heart disease, heart failure.

The decision to remove a milk tooth is made by the dentist separately in each case, taking into account indications and contraindications.

After the removal of a milk tooth

When removing a temporary tooth, the dentist must inform the parents about how the child should behave after the procedure is completed. This is necessary to avoid complications and speed up wound healing.

  • after the procedure of tooth extraction, you can not drink and eat for 2 hours;
  • for about 2-3 days, it is desirable to rinse the mouth with antiseptic solutions after meals and at bedtime;
  • while the hole is healing, it is advisable to avoid taking spicy, salty or excessively hot food;
  • it should be ensured that the child does not try to touch the hole with his hands or various objects;
  • if there is bleeding, or symptoms that indicate the appearance of inflammation near the hole, you should immediately go to the doctor.

Summary

The removal of milk teeth should be approached carefully, and the decision to carry out this procedure is made only by a doctor and strictly individually. It is unreasonable to force the natural process of changing teeth: for a child, this is fraught with problems with permanent teeth in the future. On the part of parents, it is reasonable to make efforts to preserve milk teeth in children. For this, it is necessary proper hygiene oral cavity, regular visits to a pediatric dentist, if necessary - timely dental treatment.

Toothache - dangerous symptom, which gives the patient a lot of torment, especially in childhood. If such an unpleasant problem has affected the milk dentition, the first thing to do is to seek advice from a dental clinic. Among the possible therapeutic and resuscitation measures, doctors do not exclude the removal of the focus of pathology.

When do baby teeth fall out?

Pediatric dentists strongly recommend parents to bring small patients to the appointment every six months in order to prevent the oral cavity. Otherwise, diseased teeth in the advanced form of the underlying disease will have to be urgently removed. Such a procedure is painful and unpleasant, instills panic fear in children of all ages, scares away from the dentist's office.

According to the WHO, the first milk teeth fall out in a child at the age of 5-6 years, and we are talking first about the front upper ones, and then about the front lower ones. This natural process lasts up to 15 years, while it causes discomfort, but is not accompanied by acute painful sensations, seizures. If a tooth staggers before the specified age period, a complication of progressive caries or pulpitis, other dental diseases is not excluded.

Extraction of a milk tooth in a child

If the baby complains of regular bouts of pain, an urgent visit to the pediatric dentist is required. Early extraction of milk teeth is carried out under general anesthesia or with the direct participation of application anesthesia with partial anesthesia of the focus of pathology. The consequences of such treatment for children's health are unpredictable, therefore, at the first symptomatology, a detailed diagnosis and collection of anamnesis data are necessary.

The rehabilitation period, followed by restorative therapy, is already carried out at home, but the main task of the attending physician is to promptly eliminate the cause of the pathological process, prevent its further aggravation and spread to healthy enamel. If the tooth is loose all the time, you can pull it out at home without harm to children's health.

How to pull out a milk tooth without pain at home

When a child constantly experiences discomfort while eating, parents need to check the stability of the dentition with an accessible palpation method. If individual units start to stagger, it's time to fix this problem yourself. At home removal of milk teeth in children takes time and patience, you will need the help of parents.

You should not tie a thread in your mouth and open the front door abruptly, it is better to loosen the “weak link” well, after which it will fall out by itself. If we are talking about a root unit, then you definitely cannot do without medical help, since complications of superficial self-treatment are fraught. A potential threat is a root fracture, breakage of the alveolar process, trauma to the jaw, adjacent enamel or gums, nerve damage, and aspiration of the root system.

How a tooth is removed

This dental operation is performed under anesthesia, so it is dangerous with consequences for children's health. In order not to injure the rudiment of a permanent tooth, it is necessary to first remove the nerve, followed by filling the canals. Preliminary application anesthesia (partial anesthesia) is carried out, after which the sequence of actions of the doctor is as follows:

  1. High-quality treatment of channels with an antiseptic.
  2. Sealing of the mouth part of the root system (not along the entire length).
  3. Luxation of the focus of pathology with subsequent removal from the hole (traction).
  4. Treatment of the hole with antiseptics.

Indications for removal

  • carious destruction of milk structures;
  • eruption of a permanent tooth, when the milk one does not even stagger;
  • malocclusion in the first years of life;
  • the formation of cystic formation in the root;
  • inflammatory processes of the soft tissues of the gums;
  • injury to a milk tooth;
  • inflammation of the jaw;
  • complicated form of sinusitis;
  • phlegmon;
  • periodontitis;
  • complicated pulpitis;
  • delayed resorption of milk structure feed.

Is it painful to extract a tooth

The procedure is not pleasant, but performing one in a dental clinic increases the chances of a small patient for a favorable clinical outcome. When removing milk teeth in children, the sensations are not the most pleasant, especially if you have to act at home. But the child can independently control his feelings and pain syndrome before pulling a tooth.

If the procedure takes place in dentistry, doctors use general anesthesia. The child does not feel discomfort during the planned tooth extraction, although after the completion of the surgical actions and the end of anesthesia, an acute pain attack may remind itself mainly at night. These are not all complications known to medical practice. The temperature after the removal of a milk tooth can reach 38.5 degrees and last for several days. This is a temporary phenomenon, in the event of which it is advisable to give the child an antipyretic.

In most children, at the age of 5-6 years, a change of teeth begins, during which the milk teeth fall out, and the permanent teeth erupt instead. As soon as the roots of the milk tooth have resolved and the root began to “push” it from below, the tooth begins to stagger. It’s good if it falls out on its own, but it happens that it staggers for a long time and is in no hurry to fall out.

The best way out in such a situation would be to visit a dentist, but sometimes it’s impossible to go to the doctor, so parents think about pulling out a child’s tooth at home. In what cases are such actions at home acceptable, and when are they dangerous? And if it can be pulled out, how to do it right? Let's figure it out.

When can you vomit at home?

It is permissible to tear at home only a strongly loose milk tooth, since its roots have resolved. The more it staggers, the less painful it will be to extract it from the gums, therefore, if you want to pull out a milk tooth at home, you must definitely wait for the time when it staggers very much. Then the process of pulling out will bring the crumbs a minimum of discomfort.

When not?

  • If you are trying to loosen a milk tooth, but it does not move, you will not be able to pull it out at home.
  • Also, you should not remove it in a situation where loosening it with your hands is very painful for the child.
  • The gums should not bleed while pulling out. If you notice the appearance of blood, the tearing process should be stopped.
  • If a child protests against pulling out a tooth at home and is afraid, there is no need to force him and try to manipulate by force.
  • In no case should you try to pull out molars at home. Because of the large and strong roots, this procedure should only be done in a dentist's office.

Training

Tell the child why he needs to vomit. Explain that this milk clove has already done its job, and a healthy and very beautiful new tooth will grow in its place. You can resort to the story of the Tooth Fairy or a mouse that is waiting for a tooth and is ready to exchange it for a coin or a sweet. Your goal is a positive attitude of the child before the procedure and the absence of fear.

Feed the baby shortly before the manipulation, and then make sure that the baby thoroughly brushes his teeth. It is important that there are as few bacteria in the child's mouth during removal as possible. For this reason, the hands of the parent who is about to rip it out should also be thoroughly washed. It is also a good idea to use sterile gloves.

Action List

The simplest option to extract a tooth at home is to entrust this task to a child. Ask your baby to actively shake his tongue or give the baby some solid food, such as a carrot or an apple. If the child is unable to remove it on their own, proceed as follows:

  • Take a piece of sterile bandage or gauze.
  • Wrap the bandage around your child's tooth.
  • Shake it to the side.
  • Gently pull it down (if it is on upper jaw) or up (if it is the lower tooth), making twisting movements.
  • Remove the tooth that has separated from the gum.
  • Close the wound with a gauze pad and ask the child to bite it briefly.

You can also pull it out using a thread. Just do not tie it to the door with a thread, as this will pull the tooth to the side, which will form a rather extensive wound. Having tied a high-strength silk thread to a loose tooth, pull it up or down depending on the position in the oral cavity. In this case, the thread should be pulled sharply and quickly. To distract the baby, you can keep a toy plane or your favorite soft toy at the end of the thread.

How to remove a tooth yourself with threads can be seen in the following video.

What to do after removal?

Do not give the child food for two hours after pulling out, allowing the wound to tighten well. Also, you should not eat too hot dishes for the next three days. The child can rinse his mouth with plain water or water with salt added. At the same time, warn the baby that he does not touch the hole with his tongue. Taking a hot bath on the day of tooth extraction is not recommended.

  • To reduce pain during a tooth extraction at home, you can lubricate the nearby gum with an anesthetic gel or give the child an analgesic tablet, such as ibuprofen, shortly before the procedure.
  • If more than 5 minutes have passed since you pulled out, and blood continues to ooze from the wound, or a large amount of blood is immediately released, immediately take your child to the doctor.
  • If the first attempt to pull out the tooth did not work, do not torture the baby and do not try to repeat the manipulation again. It is better to wait a bit and move it to another day.

At the age of 5-6 years, the baby's milk teeth change to molars.

Due to the premature loss of the milk row, irreversible consequences can occur.

Therefore, the removal of a milk tooth in a child is a forced procedure and is used only in extreme cases.

This dental process has a number of features that take into account the specifics of child psychology.

Features of the procedure

Temporary teeth of the child are involved in the process of bite formation and jaw development. With their help, the baby learns to chew food properly and develops speech skills. Early extraction can provoke a number of disorders, such as a change in bite or damage to the buds of future molars.

Localization of teeth in the jaw

The procedure for removing a temporary tooth differs from the removal of a permanent one, and takes into account the structural features of the child's jaw, the presence of rudiments of molars in the gums or a mixed bite.

To perform the operation, the dentist uses special forceps that allow you to fix the tooth without excessive pressure and easily pull it out of the hole. The structure of milk teeth is such that their walls are very thin, while the divergence of the roots is pronounced. Therefore, it is important to be careful when removing.

One wrong move or too much pressure can cause damage to the base of the molar. This leads to a violation of the normal growth of the jaw and a decrease in chewing activity.

Removal of anterior milk teeth

A small child does not pay much attention to his appearance, therefore, the lack of front teeth perceives quite calmly.

But with age, their lack can lead to the development of psychological problems and complexes.

Early removal of the front milk tooth leads to the fact that the dentition begins to shift, filling the empty space.

At the same time, they can move forward or backward, taking up space for a permanent tooth, which begins to grow crookedly.

Lack of teeth in the front row can affect the development of speech. The child will pronounce some sounds incorrectly, which will require the consultation of a speech therapist.

Indications

Experts approach the issue of extraction of temporary teeth in children very carefully.

Therefore, the pediatric dentist sends the child for removal only in the following cases:

  • a loose tooth gives the child discomfort during meals and provokes;
  • a neglected carious case, when most of the wall collapsed due to;
  • a tooth has broken off, the edge of which injures the mucous membrane and causes the formation of an inflammatory process;
  • a cyst has formed in the gum;
  • the milk tooth does not allow the molar to erupt;
  • there are concomitant diseases (sinusitis or purulent inflammation in the oral cavity) that need to be treated.

Contraindications

It is not always possible for doctors to remove a milk tooth, since there are situations when the procedure is contraindicated.

Contraindications include:

  • infectious diseases of the oral cavity;
  • acute inflammatory processes;
  • the tooth is located in the area of ​​the tumor.

If a child has blood diseases, pathologies of blood vessels, heart or kidneys, as well as problems with the central nervous system, when removing a milk tooth, the dentist should be especially careful.

Anesthesia

Extraction of children's milk teeth is a complex operation that requires anesthesia.

There are two main types of anesthesia used in pediatric dentistry:

  • application- It is used in the case when the root has already resolved. A special gel is applied to the gum, which freezes the required area;
  • infiltration- This type of anesthesia is used quite often. An anesthetic drug is injected into the gum from both sides by injection.

In special cases, general anesthesia may be required to remove a baby tooth. Such cases include:

  • intolerance to local anesthesia;
  • mental illness;
  • the presence of purulent inflammatory processes in the acute stage.

The use of any anesthetic is permissible only if there are no chronic diseases or allergies to one of the components of the drug.

How is the procedure?

The milk teeth of a child have not only their own structural features, but also require compliance with a certain technique during removal.

The extraction process is as follows:

  • forceps are applied to the crown and fixed with minimal pressure;
  • the doctor performs a dislocation (luxation);
  • the last stage is traction - removing the tooth from the hole.

After removal, the dentist examines the hole for the presence of fragments and roots. A cotton swab is applied to the bleeding hole.

In a growing child, the bite is not fully formed, and there are also the rudiments of permanent teeth. The slightest damage to them can lead to problems with. Therefore, the doctor is required to be extremely careful.

Consequences

When removing a baby tooth, the age of the child plays a special role. If the tooth is removed too early (before the age of 4 years), then unpleasant consequences can occur.

One of the consequences of removing a milk tooth is the formation of a malocclusion.

The remaining teeth will begin to move apart and take up free space. In the future, permanent teeth will not be able to take their places, and an incorrect bite will form.

The formation of bite is also affected by the absence of several milk teeth at once. In this case, dentists use special prostheses.

They are removable plates equipped with artificial teeth. Such a system does not allow the dentition to move.

After such a surgical operation as the removal of milk teeth in children, the following consequences can be observed:

  • If during the extraction the rudiment of a permanent tooth was damaged, then in the future its growth will be problematic. Therefore, it is important for the dentist to immediately take measures to restore the dislocated germ;
  • If adjacent teeth are damaged, caries may develop prematurely;
  • Injury to the hole - the child's tooth has fragile roots, and they can break off. When searching for and further extracting these fragments, one careless movement of the doctor can lead to damage to the hole and the development of an inflammatory process;
  • During the extraction, the doctor may accidentally perform the removal of the nerve of milk teeth. Violation of the blood circulation of the tooth and its gradual death - the consequences after the removal of the nerve of milk teeth;
  • If the milk tooth of the front row is removed, then this can provoke the formation of incorrect diction;
  • The absence of lateral teeth becomes the cause of poor-quality chewing of food, which in the future will lead to digestive problems.

Complications after extraction of a milk tooth are observed quite rarely. Therefore, the main condition is the qualified and competent performance of all manipulations by the dentist.

How to prepare a child?

Going to the dentist for a child is a heroic act that is very difficult to dare. In order for the visit to the doctor to be painless, parents should properly prepare the child.

Recommendations for preparing a child for the procedure:

  • The most important thing is the right positive attitude. Therefore, it should be explained to the child that the tooth extraction procedure will be quick and painless;
  • You should not scare the baby with a dentist, otherwise screams and tears cannot be avoided;
  • Visit the dentist periodically for preventive check-ups, which will help the child feel at ease with the dentist;
  • Parents, remembering their childhood fear of dentists, begin to worry about their child, who, feeling this excitement, will become nervous himself;
  • During removal, parents should be with the baby, providing him with moral support.

How much does a milk tooth extraction cost?

For the removal of milk teeth, the prices are almost the same as for similar procedures for adults.

In general, the procedure is not so expensive.

For the removal of a milk tooth, the price in Moscow clinics varies from 1,000 rubles (single-root) to 2,000 rubles (multi-root).

For the removal of milk teeth in children, the price in the regions is on average 20% less than in the capital. Additional costs are also possible.

So, when anesthesia is used during the removal of a milk tooth in a child, the price will increase by 300-500 rubles. The cost of a prosthesis for teeth is from 2500 rubles.

Related videos

Report from the scene - the removal of a milk tooth in the clinic in just three minutes:

The less attention is paid to the upcoming procedure, the calmer the child will feel. Modern dentistry allows you to painlessly solve any problem. The condition of grown molars directly depends on the health of milk teeth, so it is important to contact the dentist in a timely manner.

Before identifying the relative indications and contraindications for the extraction of teeth in children under anesthesia, let's find out what is meant by the concept of "anesthesia". Usually in medicine, this term denotes an artificially induced state of the central nervous system when the patient is unconscious, the muscles are relaxed, reflex activity is reduced, there is no sensitivity to pain. In pediatric dentistry, a child is immersed in a state of anesthesia by introducing intravenous drugs or using a mask for inhaling an anesthetic. As a rule, removal of milk teeth, as well as permanent ones under anesthesia, is necessary in the following situations:

  • removal of several teeth;
  • complex removal of a wisdom tooth;
  • allergy to local anesthetics;
  • mental and neurological diseases (epilepsy, cerebral palsy, Down syndrome);
  • small age of the patient (from one year);
  • panic fear of the child before the procedure.

The standard fear of the child and the unwillingness to remove the tooth should not be taken by you as indications for the use of anesthesia. Usage general anesthesia complicates any operation, so the decision to use it should be approached with all responsibility.

Contraindications to the extraction of teeth in children under anesthesia are as follows:

  • acute infectious diseases;
  • respiratory diseases;
  • deficiency of body weight;
  • rickets;
  • uncompensated heart failure;
  • recent vaccination.

Before an operation to remove teeth for a child under anesthesia, be sure to consult not only a dentist, but also an anesthesiologist, as well as a pediatrician to identify all possible causes refusal to carry out this procedure.

Extraction of milk teeth for children under anesthesia

Loss as a result of natural root resorption is the best option for parting a child with milk teeth. However, this does not always happen, and, unfortunately, a milk tooth will have to be removed in the clinic if at least one of the following factors is found in your baby.

  • Root resorption delay.

    Extraction in this situation is caused by the need to make room for the normal growth of a permanent tooth.

  • Inflammation of tissues due to a loose tooth.

    A mobile tooth does not fall out in any way, causes discomfort to the baby and provokes inflammation of the gums.

  • The root has already dissipated.

    The picture shows that the root is no longer there, and the tooth is still held in the hole.

  • Severe degree of tooth decay.

    Due to advanced caries, the tooth cannot be restored.

  • The presence of a cyst on the root of the tooth.

    Once a cyst is found, the milk tooth should be removed as soon as possible to avoid complications.

  • Beginning of permanent tooth eruption.

    Extraction of a milk tooth in such a situation is mandatory.

  • Tooth injuries (if preservation and subsequent restoration is impossible).

    Removal is carried out to prevent the risk of damage to the soft tissues, mucous membranes and tongue of the child.

  • Fistula on the gum.

    The fistulous course on the gum is a consequence of a chronic inflammatory process in the tissues surrounding the milk tooth. If it is not removed in time, it is possible to involve in the process the germ of a permanent tooth located in the bone tissue between the roots of a temporary tooth.

  • Phlegmon, periodontitis, sinusitis.

    If a milk tooth causes the development of purulent processes in the body, it must also be removed.

The removal of a milk tooth may be contraindicated in the acute stages of the development of inflammatory processes in the oral cavity, during infectious diseases or if available malignant tumor in the area of ​​the tooth. In the latter case, the tooth is removed along with the tumor in the hospital. Indications for the removal of milk teeth in children under anesthesia are the same as for the removal of permanent teeth.

How is the extraction of teeth for children under general anesthesia?

Tooth extraction for children under general anesthesia can be divided into 4 stages.

  1. Preparation for the procedure

    Before removing teeth under anesthesia, the child must visit a pediatrician to undergo a comprehensive examination of the body, followed by the delivery of all necessary tests and an ECG. 6 hours before the start of the procedure itself, the baby should stop eating, and 2 hours - drinking fluids.

  2. anesthesia

    The child is put to sleep with an inhalational anesthetic delivered through a mask or an intravenous injection. At the same time, the anesthesiologist monitors his condition at all stages of the surgical operation.

  3. Removal of a tooth

    The procedure for removing teeth for children under general anesthesia consists of the following manipulations.

  • The doctor puts forceps on the coronal part of the tooth and moves them along its perimeter.
  • Then he fixes the forceps on the tooth and dislocates it.
  • Next, the doctor removes the tooth from the hole and checks if all the roots have been removed.
  • The tooth socket is pressed with a cotton swab.
  1. Rehabilitation

    After waking up, it is better for the child to stay in the clinic for several hours for medical control of his condition. Feed the baby after anesthesia should be light food, such as yogurt or broth. Don't give your child any medicines unless they have been prescribed by the attending physician. With strict implementation of all the recommendations of specialists, the rehabilitation period should pass safely and without side effects.

Traditionally, clinics use two main types of anesthesia: inhalation (mask) and intravenous. With inhalation anesthesia, substances that cause immersion in sleep enter the child's body through Airways. As a rule, these are halogen-containing gases: Sevoran, Foran, and so on. This method is considered the most comfortable for a small patient, because the child quickly falls asleep and does not experience discomfort when waking up. In intravenous anesthesia, sleep medications (propofol or benzodiazepines) are injected into the bloodstream.

Is it dangerous to extract teeth in children under anesthesia?

If during the examination of the child at the stage of preparation for the extraction of teeth under anesthesia, contraindications to the use of general anesthesia are revealed, then not a single doctor will insist on this. In cases where the use of anesthesia is justified and supported by the results of the tests, there should be no complications. In addition, speaking about the potential risks of tooth extraction for children under general anesthesia, it is important to draw the attention of parents to the careful choice of the clinic and professionals on whom the success of the operation directly depends.

Alternatives to anesthesia

If main reason, according to which the likelihood of using anesthesia during tooth extraction is considered, is the fear of the child, then, as an alternative, a simpler way to solve the problem can be proposed. We are talking about the use of a method such as oxygen-nitrogen sedation, which has nothing to do with anesthesia. The child simply inhales a mixture of sedative gases through the mask and psychologically relaxes. Thus, after the extraction of teeth, he has only positive emotions. At the same time, during sedation, the baby does not sleep, is conscious, breathes and speaks independently. In parallel with sedation, local anesthesia is used to eliminate pain. However, it is not recommended to use this method in the absence of nasal breathing in a child or during periods of exacerbation of chronic diseases.

How to choose the right clinic?

Parents choosing a clinic for the extraction of a tooth for a child under anesthesia should pay attention to the availability of a state license to provide such services. It is very difficult to get it, so there are few dentists who perform dental extractions for children under general anesthesia, even in Moscow. However, one cannot but agree that the health and safety of children is worth the time spent looking for an institution with the appropriate license and highly qualified specialists.

How much does it cost to extract teeth in children under anesthesia in Moscow?

Prices for tooth extraction under anesthesia in Moscow consist of the cost of general anesthesia, which starts from 6,000 rubles, and the procedure itself, the cost of which depends on the complexity of the case. Additionally, it will be necessary to pay for tests that must be taken before any operation under anesthesia to identify possible contraindications.