Extractions and Space Maintenance

When a cavity is too large for a restoration, there are signs of infection or pain, or a primary tooth is not exfoliating naturally, an extraction is the best course of action.

While there is some pressure that can accompany taking out a tooth, the use of distraction and alternative descriptions for the kids can help them through the procedure. The use of words like “shot,” "needle,” “pull,” or “pain/hurt” are avoided to keep from creating unnecessary fear in your child.

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When a primary tooth is lost prematurely in the back of the mouth, a custom space maintainer is recommended to prevent the shifting of the remaining teeth, leading to space loss. Space loss can lead to difficulties with eruption of permanent teeth and possibly create the need for future orthodontics.