Extracting milk teeth with remaining roots, what to do?

This is an automatically translated article.

The article was professionally consulted by Doctor Dang Tien Dat - Vinmec Ha Long International General Hospital.
It is completely natural to change baby teeth to make room for permanent teeth. This is extremely simple, but sometimes adult interventions cause complications that are left behind. If not carefully examined, the remaining root can cause inflammation, pain and damage to the permanent tooth in the same position.

1. What is the extraction of milk teeth with the remaining root of the tooth?

Normally, the baby teeth will fall out on their own and make room for the permanent teeth to grow in. However, there are many cases, when baby teeth have reached the age of replacement, but still do not move and fall out on their own while the permanent teeth have begun to appear, it requires outside help. Without early intervention, the prolonged presence of baby teeth will make the permanent teeth grow incorrectly, the baby's teeth later on can hardly be even and beautiful. The influence from the outside is sometimes very simple, parents can do it themselves at home. However, if not done properly or manipulated incompletely, adults inadvertently cause harm to children. In particular, the complication of residual tooth root is one of the common complications in children who "have" teeth extracted at home.
The way to recognize this complication is when observing that the tooth falls out without seeing the root. At the same time, when the blood has stopped flowing, observing in the gums, there is still a piece of milky white tooth at the location that has just been extracted. This is the remaining root of the milk tooth.

2. The danger when extracting baby teeth with the remaining roots

If parents pull out their baby's baby teeth themselves at home but find that the roots are left, then there's really no need to worry too much. According to the natural physiological process, when the permanent teeth emerge, the body's reactions will destroy this root and completely do not affect the new teeth. Therefore, in the opinion of dentists, scraping the roots of milk teeth is not necessary. Moreover, the deliberate intervention sometimes causes damage to the permanent tooth germ later on.
However, the residual milk tooth root is a potential risk factor for periodontitis, especially when the interventions are not hygienic. In the oral cavity, there are inherently a lot of bacteria. The cut root of the tooth with open blood flow is a favorable environment for bacteria to grow and invade. Consequences of infection are sometimes localized or transition to a widespread abscess in the maxillofacial region and even lead to sepsis, septic shock, multi-organ failure and life-threatening. This condition is easily encountered in children with weakened immune systems, congenital heart disease, type 1 diabetes,... Therefore, it is absolutely necessary to voluntarily extract teeth at home in these subjects. Parents must take their children to the dentist's clinic to ensure their child's safety.
On the other hand, the extraction of baby teeth at the dentist also helps to ensure that there are no complications left of the baby teeth. The doctor will re-examine the child after the bleeding gums stop. Not only that, if it is difficult to see, the risk of extraction of baby teeth with broken legs can also be ruled out by means of X-ray and quick results.

3. How to solve when extracting baby teeth with tooth roots left

The solution when extracting baby teeth with residual root depends on its influence. In case the remaining tooth root does not affect anything, the doctor only monitors without any intervention. Over time, when the permanent teeth come in, it will promote the dissolution of baby teeth faster.
On the contrary, if the remaining root causes an inflammatory complication, this is a condition that requires active intervention to avoid the infection spreading. The doctor will prescribe antibiotics, anti-inflammatory and pain relievers for the child, fever reducer if the child has a fever. In addition, parents will also be guided on how to care for and monitor their children at home. Pay attention to ensure the amount of water and adequate nutrition for the child. Because children have toothache, they should eat soft, viscous, liquid foods or drink milk instead. Every day, parents need to observe the position of the child's gums, if the swelling is painful and spreads to the face, or the child has a prolonged fever, high temperature, and fusses a lot, they should be re-examined. If the assessment finds that medical treatment is not responding as well as the condition is not favorable, the dentist will consider local intervention with minor surgery, remove the old tooth root and clean up the inflammation.
Therefore, in general, the consequences of extracting baby teeth with broken legs are always a worrying complication when pulling teeth for children at home. Therefore, parents need to have knowledge about this issue, know how to evaluate the results of tooth extraction for children, early detection of periodontitis caused by residual tooth roots to take the child to the doctor soon. However, to ensure absolute safety for children, instead of extracting baby teeth themselves at home, parents should take their children to reputable dental clinics for support and prepare their children for a healthy set of teeth. , beautiful in the future.
To protect children's oral health, parents can take their children to regular dental check-ups at Vinmec Ha Long International General Hospital. At Vinmec, the Department of Odonto-Stomatology is classified into many different specialties such as: Restorative dentistry, maxillofacial trauma, general dentistry, cosmetic dentistry, endodontics...

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