You can pull out a milk tooth both in the dentist's office and at home. In this case, it is important to worry not only that the procedure is painless. Nevertheless, tooth extraction is also an operation. Therefore, it should be carried out in compliance with all the rules of asepsis and antiseptics.
Indications for the procedure
Usually, at 5-7 years of life, children begin to change the milk set of teeth for permanent ones. The roots of units tend to dissolve. This leads to a loss of stability, the tooth gradually loosens. In this case, he falls out without the help of a dentist. But this does not always happen. Is it possible to tear milk teeth? Doctors answer this question in the affirmative. However, the removal procedure is carried out according to indications. Consider them.
- With advanced caries, the crown of the tooth is often not subject to restoration.
- The unit staggers for a long time, but does not fall out on its own, while injuring the delicate gum tissue.
- Cystic formation at the base.
- Diagnosis of phlegmon.
- The formation of a fistula on the gums near the milk tooth.
- Fracture of the root.
- Extensive injury (crack, cleavage).
- If the milk tooth does not fall out in due time, thereby interfering with the growth of a constant unit.
- Inflammation of the maxillary sinuses.
- Supercomplete unit (extremely rare).
Removing 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 kit, teething time, proper arrangement in a row.
Therefore, when thinking about how to tear out a milk tooth at home, you need to understand that this can only be done if he has already begun to stagger. In other cases, it is better not to risk it and consult a specialist.
When can a baby tooth be pulled out?
The first set has its own teething and prolapse dates. It should be understood that they are approximate, and a slight deviation in one direction or another is considered the norm. For informational purposes, we consider the approximate order of resorption of the roots and the subsequent loss of milk teeth.
- Front incisors fall to 6-7 years. But the resorption of their roots begins with 4 years.
- Side incisors lose stability in a row at the 7th year of life. 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 old. As a rule, by the age of 11, permanent teeth appear.
- At the age of eight, the time comes to dissolve to the roots of the fangs above and below. And after 1-3 years it ends with the appearance of permanent units.
- By the age of 9-10, second molars fall out, completing the “farewell” process with a 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 a pediatric dentist. Indeed, a significant delay in the loss of primary teeth can be triggered by various factors. Most often, the natural course of events is disturbed due to the abnormal location of some rudiments of permanent teeth, various chronic diseases, malnutrition or poor absorption of nutrients, stress.
Where to snatch safely?
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 are indications for its removal.
For citizens of the state, territorial guaranteed medical care is provided. Free children's dentistry is available with an insurance policy. It provides for the provision of emergency care, treatment of caries (with domestic materials), the introduction of anesthesia. If necessary, you can also carry out professional manual cleaning.
For those citizens who are not satisfied with free pediatric dentistry, imported materials, medicines, and antiseptic agents are always available. In any case, the child receives quality medical care.
Where to pull out baby teeth is better, each parent decides independently. Someone goes to a private clinic. It’s easier for someone to go to the nearest hospital.
Preparatory stage
Regardless of whether you plan to pull out a baby tooth in a hospital or at home, the child should be prepared for this. Psycho-emotional state and compliance with all the rules of antiseptics is of great importance in a positive outcome of the procedure.
Before going to the doctor, you can tell your child that a new, strong, beautiful little tooth “lives” in the gum. And this old one is stopping him from appearing. Therefore, a good doctor should help a permanent tooth to take its place. You should configure the baby that he has nothing to fear, no one will offend him. But it will be painful unless quite a bit.
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 fairy tale story or tell that he can put an old tooth under a pillow. Someone throws it over the threshold of the house with a mouse. In general, the baby should not be scared before starting to remove the dairy unit.
Still need to pay attention to one important point. Before pulling out a milk tooth, you should thoroughly brush your teeth with a brush and toothpaste. In addition, experts recommend rinsing the oral cavity with an antiseptic solution. You can cook it yourself by adding 1 teaspoon to a glass of warm boiled water.
Solid products
One of the proven ways to help pull out a milk tooth at home is to give your child a bite of any solid foods. It can be carrots, apples, crackers or bagels.
Quite often, in the process of absorption of solid food imperceptibly for the baby, the dairy unit eliminates itself. This method does not always give the result the first time. Therefore, after each meal, you must eat any hard fruit or vegetable. The only thing is that there is a possibility that the child can swallow a tooth with food. But even then nothing terrible will happen.
Thread method
To pull out a milk tooth, if it is loosened enough, you can use a strong floss. Well, if it will be silk.
Before the procedure, you need to carry out all preparatory manipulations, set up the child, and wash your hands thoroughly. A string is wrapped around the staggering unit at the very base and a knot is tied. Then you need to sharply pull the free edge. Hand movement should be directed in the opposite direction from the jaw. But, in no case should not be pulled to the side. Even if a loose tooth can be pulled out with the first jerk, gum damage cannot be avoided.
Removing a milk unit with a thread can be turned into a game. For example, someone tried to attach an edge to a doorknob. At the moment of its sharp opening, the tooth will pop out of its hole.
Loosening
Consider one of the most common ways that you can tear out a milk tooth without pain. Gradually shatter the unit can the child himself. If for some reason he does not succeed, then his parents help him. We will study both options.
The child should be encouraged to move the tooth with the tongue back and forth. By example, it is desirable to show how to do this. In this case, you should pay attention to the fact that you can not try to move the tooth left and right. Such actions injure the gums and provoke pain.
If the child entrusted the procedure of loosening to an adult, then he will need a sterile napkin and any antiseptic solution without alcohol in the composition. The parent washes his hands thoroughly. The tooth is wrapped around a napkin dipped in a disinfectant. For two minutes, you should carefully try to move the unit back and forth. The procedure must be repeated several times a day until the tooth falls out.
Visit to the dentist
When symptoms such as pain, swelling, redness of the gums, the formation of flux, a tooth should be removed only by a doctor. At the initial examination, he assesses the situation and chooses the tactics of the treatment.
In order to neutralize the anxiety of a small patient and calmly perform the operation, in modern dentistry offer three types of anesthesia.
If the tooth is already very loose, then apply local anesthesia. For small patients, it is enough to treat the gums 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.
When complex removal is planned, general anesthesia or keeping the child in a state of light sleep may be suggested. Modern drugs are quite effective. At the same time, they practically have no side effects and do not have a harmful effect on the children's body.
After removing a baby’s tooth in a child, the doctor examines the well and puts on a sterile swab, which should be removed from the oral cavity after 15-20 minutes.
Recommendations after removal
In order for everything to go without complications, it is important not only to pull out the tooth correctly, but also to ensure care after this operation.
- The swab is taken out of the oral cavity very carefully. The resulting blood clot in the well will now prevent microbes from entering.
- For 2-3 hours you can not drink and eat.
- After anesthesia ceases to act, you can take an anesthetic and, if necessary, an antipyretic drug (Panadol, Ibuprofen, Nise).
- The next day you can brush your teeth. Do this neatly in the area of ​​the torn unit.
Following these simple recommendations, parents provide quick rehabilitation after the procedure and prevent the development of complications.
What can not be done
It is not enough to know how to pull out a milk tooth. We will also talk about what cannot be done during the procedure and after it. After all, mistakes often provoke complications.
- Loosening of the tooth with fingers increases the likelihood of introducing an infection into the mouth.
- You can not shout at a child and force him if he is afraid and crying. We need to find a way to persuade, reassure.
- After removing the swab, a blood clot forms in the well. It cannot be removed. In order not to violate the integrity of the clot, the child is asked not to touch the wound with his tongue, fingers, or foreign objects.
- You can not carry out intensive rinses in the first 2 days. In the presence of inflammation, dentists will only prescribe baths (Chlohexidine, soda-salt solution, chamomile broth).
- In the first day you can’t play outdoor games, sunbathe, visit the bathhouse, pool. All this can trigger bleeding.
Parents should also consider their child’s diet. It is advisable that in the first days the dishes were of a soft consistency, not hot and not too cold. Carbonated drinks for this period can not be consumed.
Possible complications
Removing a baby tooth may 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 a unit on their own can result in a root fracture, soft tissue trauma.
- Thirdly, early removal of dairy units causes malocclusion
Complications also include bleeding after pulling a tooth. It is usually provoked by early removal of the swab, violation of the integrity of the clot in the hole and neglect of the recommendations, which include a ban on swimming in hot water, physical activity.
Preventative measures
In order not to encounter a situation when you have to remove the milk tooth ahead of time, it is important to properly care for the oral cavity. It is the responsibility of parents to teach their child daily hygiene.
Doctors recommend starting to brush your teeth with their first appearance. To do this, use special finger tips made of silicone instead of a brush. Over time, the child is taught to clean his teeth correctly and make sure that he does it twice a day.
An important role in the prevention of dental diseases plays a balanced diet, good rest and an active lifestyle. In addition, parents should ensure that the child does not have bad habits, such as biting nails.
Conclusion
In conclusion, it remains to say that you should visit the dentist at least 2 times a year. Preventive examinations reduce the likelihood of developing diseases, because of which later you will have to tear out the tooth prematurely. And if there is any problem with the teeth, you need to see a doctor urgently.