You can pull out a baby tooth both in the dentist's office and at home. At the same time, it is important to take care not only that the procedure is painless. However, tooth extraction is also an operation. Therefore, it must be carried out in compliance with all the rules of asepsis and antisepsis.
Indications for the procedure
Usually, at 5-7 years of age, children begin to change their milk set of teeth to permanent ones. Unit roots tend to dissolve. This leads to a loss of stability, the tooth is gradually loosened. In this case, it falls out on its own without the help of a dentist. But this is not always the case. Can baby teeth be pulled? Doctors answer this question in the affirmative. However, the removal procedure is carried out according to indications. Consider them.
- With advanced caries, often the crown part of the tooth cannot be restored.
- The unit staggers for a long time, but does not fall out on its own, injuring the delicate tissues of the gums.
- Cystic formation at the base.
- Diagnosis of phlegmon.
- Educationfistula on the gum near the milk tooth.
- Root fracture.
- Extensive injury (crack, chip).
- If the milk tooth does not fall out in due time, thus hindering the growth of the permanent unit.
- Inflammation of the maxillary sinuses.
- Supernumerary unit (very rare).
The removal of a baby tooth should always be justified. If you get rid of it too early, it leaves a negative imprint on the formation of a permanent set, the timing of eruption, the correct position in the row.
Therefore, when thinking about how to pull out a milk tooth at home, you need to understand that this can only be done if it has already begun to stagger. In other cases, it is better not to take risks and consult a specialist.
When can a milk tooth be extracted?
The first set has its own terms of eruption and loss. At the same time, it should be understood that they are approximate, and a slight deviation in one direction or another is considered the norm. For informational purposes, consider the approximate sequence of root resorption and subsequent loss of milk teeth.
- The front incisors fall out by 6-7 years. But the resorption of their roots begins at the age of 4.
- Lateral incisors lose stability in a row at 7 years of age. The process of replacing them with permanent units takes about 2 years.
- The lower and upper first molars begin to loosen at 7-9 years of age. As a rule, permanent teeth appear by the age of 11.
- At the age of eight, it's time to dissolvecanine roots above and below. And after 1-3 years, it ends with the appearance of permanent units.
- By the age of 9-10, the second molars fall out, completing the process of “farewell” to the milk set of teeth.
If there is a slight deviation from the generally accepted norm, then do not worry. But just in case, you should consult with a pediatric dentist. After all, a significant delay in the loss of milk teeth can be triggered by various factors. Most often, the natural course of events is disrupted due to the abnormal location of some of the rudiments of permanent teeth, various chronic diseases, malnutrition or poor absorption of nutrients, stress.
Where is it safe to vomit?
If the deadline for changing the first set has come or if there are any problems with the tooth, doctors recommend contacting pediatric dentistry. The doctor will examine the patient and determine whether it is possible to loosen the unit on their own at home or if there is an indication for its removal.
Territorial guaranteed medical care is provided for citizens of the state. Free pediatric dentistry is available with an insurance policy. It provides for the provision of emergency care, the treatment of caries (domestic materials), the introduction of anesthesia. Also, if necessary, you can carry out professional cleaning by manual method.
For those citizens who are not satisfied with free children's dentistry, imported materials, medicines, antiseptics are always available. In any case, the child receives qualitymedical assistance.
It is up to each parent to decide where to pull out milk teeth. Some go to a private clinic. Some find it easier to go to the nearest hospital.
Preparatory stage
Whether you plan to have a baby tooth extracted in the hospital or at home, your child should be prepared for it. The psycho-emotional state and compliance with all antiseptic rules are of great importance in the positive outcome of the procedure.
Before going to the doctor, you can tell your child that a new, strong, beautiful tooth “lives” in the gum. And this old one prevents him from appearing. Therefore, a good doctor should help the permanent tooth to take its place. You should set the baby up so that he has nothing to fear, no one will offend him. And it will only hurt a little.
If the procedure is planned at home, you should also explain your actions to the child in advance. It is advisable to come up with some kind of fabulous story or tell that he can put an old tooth under a pillow. Someone throws him over the threshold of the house to the mouse. In general, the baby should not be frightened before starting to remove the milk unit.
One more important point needs to be paid attention to. Before pulling out a milk tooth, you should thoroughly clean your teeth with a brush and paste. In addition, experts recommend rinsing the mouth with an antiseptic solution. You can make your own by adding 1 teaspoon to a glass of warm boiled water.
Solid foods
One of the proven ways to help pull out a baby tooth at home is to give your child some hard foods to chew on. It can be a carrot, an apple, crackers or bagels.
Quite often, in the process of absorbing solid food, imperceptibly for the baby, the milk unit eliminates itself. This method does not always give results the first time. Therefore, after each meal, you must eat any solid fruit or vegetable. The only thing is that there is a possibility that the child can swallow the tooth with food. But even then nothing terrible will happen.
Thread method
To pull out a baby tooth, if it is loose enough, you can use a strong thread. It's good if it is silk.
Before the procedure, you need to carry out all the preparatory manipulations, set up the child, wash your hands thoroughly. A thread is wrapped around a staggering unit at the very base and a knot is tied. Then you need to sharply pull the free edge. The movement of the hand should be directed in the opposite direction from the jaw. But, in no case should you pull to the side. Even if you manage to pull out a loose tooth with the first jerk, damage to the gums cannot be avoided.
Removing a milk unit with a thread can be turned into a game. For example, someone tried to attach the edge to the doorknob. At the moment of its sharp opening, the tooth will pop out of its socket.
Looseness
Let's consider one of the most common ways,thanks to which you can pull out a milk tooth without pain. The child himself can gradually loosen the unit. If for some reason he does not succeed, then his parents help him. Let's explore both options.
The child should be encouraged to move the tooth back and forth with the tongue. It is desirable to show how to do it with your own example. In this case, it is worth paying attention to the fact that you should not try to move the tooth to the left and right. Such actions injure the gums and provoke pain.
If the child entrusted the loosening procedure to an adult, then he will need a sterile napkin and any antiseptic solution without alcohol in the composition. The parent washes their hands thoroughly. The tooth is covered with a napkin dipped in a disinfectant. Within two minutes, carefully try to move the unit back and forth. The procedure must be repeated several times a day until the tooth falls out.
Going to the dentist
When symptoms such as pain, swelling, redness of the gums, the formation of a flux appear, only a doctor should remove the tooth. At the initial examination, he assesses the situation and chooses the tactics of treatment.
In order to neutralize the anxiety of a small patient and calmly perform the operation, modern dentistry offers three types of anesthesia.
If the tooth is already severely loosened, then local anesthesia is used. For small patients, it is enough to treat the gum with a solution or spray with a freezing effect. After that, they will not feel even the slightest discomfort at the moment of pulling out the unit.
Whencomplex removal is planned, general anesthesia or keeping the child in a state of light sleep may be offered. Modern drugs are quite effective. At the same time, they have practically no side effects and do not have a harmful effect on the children's body.
After the removal of a milk tooth in a child, the doctor examines the hole and applies a sterile swab, which should be removed from the oral cavity in 15-20 minutes.
Recommendations after removal
In order for everything to go smoothly, it is important not only to properly extract the tooth, but also to provide care after this operation.
- The swab is taken out of the mouth very carefully. The resulting blood clot in the hole will now prevent microbes from penetrating inside.
- Don't drink or eat for 2-3 hours.
- After the anesthesia wears off, you can take an anesthetic and, if necessary, an antipyretic drug (Panadol, Ibuprofen, Nise).
- The next day you can already brush your teeth. Do this carefully in the area of the torn unit.
Following these simple recommendations, parents ensure rapid rehabilitation after the procedure and the prevention of complications.
What not to do
It is not enough to know how to pull out a milk tooth correctly. We will also talk about what can not be done during the procedure and after it. After all, mistakes often provoke complications.
- Loosening a tooth with fingers increasesthe likelihood of introducing an infection into the mouth.
- You can not yell at the child and force him if he is afraid and cries. We need to find a way to persuade, to calm.
- After removing the tampon, a blood clot forms in the hole. It cannot be extracted. In order not to violate the integrity of the clot, the child is asked not to touch the wound with the tongue, fingers or foreign objects.
- It is impossible to carry out intensive rinsing in the first 2 days. In the presence of inflammation, dentists will prescribe only baths ("Chlohexidine", soda-s alt solution, chamomile decoction).
- On the first day you can not play outdoor games, sunbathe, go to the bathhouse, swimming pool. All this can provoke bleeding.
Also, parents should consider the diet of the child. It is desirable that in the first days the dishes were of a soft consistency, not hot and not too cold. Carbonated drinks should not be consumed during this period.
Possible Complications
Removal of a milk tooth can result in the development of complications. This happens quite rarely. However, parents should be aware of the possible negative consequences.
- Firstly, if the rules of antiseptics are not followed, an infection can get into the wound. In this case, the gum turns red, swells, the hole rots.
- Secondly, unsuccessful attempts to extract the unit on your own can result in a root fracture, soft tissue injury.
- Third, early removal of milk units causes malocclusion
Kcomplications also include bleeding after tooth extraction. It is usually provoked by early removal of the tampon, violation of the integrity of the clot in the hole and neglect of the recommendations that include a ban on bathing in hot water, physical activity.
Preventive measures
In order not to face a situation where you have to remove a milk tooth ahead of time, it is important to properly care for the oral cavity. It is the responsibility of the parents to teach the child the rules of daily hygiene.
Doctors recommend starting brushing your teeth as soon as they appear. To do this, use special silicone finger tips instead of a brush. Over time, the child is taught to properly brush his teeth and make sure that he does this twice a day.
An important role in the prevention of dental diseases is played by a balanced diet, good rest and an active lifestyle. Among other things, parents should ensure that the child does not have bad habits, such as biting nails.
Conclusion
In conclusion, it remains to be said that you should visit the dentist at least 2 times a year. Preventive examinations reduce the likelihood of developing diseases, because of which you will then have to pull out a tooth ahead of time. And if there is any problem with your teeth, you need to see a doctor urgently.
