Extractions are commonly performed on pediatric patients to address tooth decay or orthodontic problems. Simple extractions are relatively easy to perform and can be done within the comfort of Dr. Olstein’s office. If the dentist feels that the extraction is more complex, your child may be referred to an oral surgeon.

To help make the procedure as comfortable as possible for your child, we recommend the inhalation of nitrous oxide (laughing gas) and a local anesthetic. In most cases, your child will not require stitches following the procedure. Pay close attention to your child to ensure that he or she doesn’t bite the lip or the tongue while these areas are numbed by the anesthetic. If the child is bleeding excessively at home after the procedure, have him or her bite down hard on a piece of cotton gauze for at 30 minutes. You can also try a wet tea bag. Your child should bite on it gently to avoid bursting the bag. The tannic acid in the tea will stop the bleeding within 15 minutes. Don’t allow your child to put fingers in the mouth after the treatment.

As soon as the child’s mouth is no longer numb, he or she may begin eating soft foods. Be sure to avoid acidic foods such as spaghetti sauce and lemonade. Straws are not permitted for the first 48 hours following an extraction. Tooth brushing should be done as usual with special care taken around the extraction site.

Make sure that your child avoids strenuous activity following the extraction, as this can increase or prolong bleeding. Twenty-four hours after the extraction, begin rinses with a salt water solution. You can make your own salt water by combining one teaspoon of salt in eight ounces of warm water. Give your child Tylenol or Motrin to keep the pain under control.If at any time you have concerns about bleeding or pain, please contact us immediately.