Dental Extractions | Tooth Removal for Kids

Traditional dental treatment for cavities involves removing decayed tooth structure using rotary instruments or a laser, then filling the resulting space to restore the tooth’s shape, function, and comfort. However, very young children or anxious patients may not be able to tolerate this type of procedure.


For shallower or moderately deep cavities, Silver Diamine Fluoride (SDF) is a safe and effective alternative to manage tooth decay. SDF works by killing cavity-causing bacteria and strengthening the tooth structure, slowing or stopping decay while decreasing the risk of new cavities in the treated area.

When Is a Tooth Extraction Necessary?

Extractions may be necessary for:


  • Tooth decay that cannot be treated with a filling or crown.
  • Infections that could spread or cause pain.
  • Overcrowding, especially before orthodontic treatment.
  • Retained baby teeth (“Shark Teeth”) that prevent permanent teeth from erupting correctly.


To ensure your child’s comfort during an extraction, we typically administer: Nitrous oxide (“laughing gas”), Topical anesthetic, Local anesthetic. Our gentle technique, combined with pain control and television entertainment, helps make the procedure as quick and stress-free as possible. While mild swelling or soreness may occur after an extraction, most children recover quickly and without complications.

Shark Teeth (Retained Baby Teeth)

A common condition in children is retained primary teeth, often called “shark teeth” because it creates the appearance of a double row of teeth when permanent teeth emerge behind or in front of baby teeth.


On average, the transition from baby teeth to permanent teeth begins at age six. In a natural progression, a permanent tooth grows beneath the baby tooth, dissolving its root and allowing it to become loose and fall out.


In the case of shark teeth, the permanent tooth does not grow directly under the baby tooth, meaning it no longer helps loosen the baby tooth naturally. This can result in a baby tooth that remains too firm to fall out, potentially leading to crowding, discomfort, or misalignment.

Does a Shark Tooth Need to Be Removed?

Not all shark teeth require an extraction, as some baby teeth will eventually loosen on their own. However, removal may be necessary if:


  • The baby tooth remains firmly in place while the permanent tooth has fully erupted.
  • The retained tooth is causing crowding or misalignment.
  • Your child is experiencing discomfort or difficulty chewing.


Parents should monitor their child’s dental development and consult our office if baby teeth are not falling out as expected. If necessary, a quick and painless extraction can help guide the permanent tooth into its proper position.

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