‘After all, they are milk teeth, others will grow’. Is a phrase dentists hear a lot.Many parents are quite comfortable extracting sick milk teeth even when it isn’t yet time for them to shed.Here are a few points to consider restoring milk teeth and not extracting them.
1. The teeth are actually necessary for the child’s function.The child has teeth for the purpose of chewing, if the child’s teeth are extracted prematurely it’ll affect their ability to chew for well.
3. Milk teeth are replaced by permanent teeth and they don’t erupt at the same time. There is a sequence to it and this process can last from 5 to 12 years of age. So the milk teeth maintain the space for the teeth that will replace them eventually.
2. Teeth move where there’s space, especially if the space is in front of them.Premature extraction especially of baby molars will cause a forward movement of the permanent first molar (which usually comes out around 6 years) and reduce the space available for the permanent tooth that will replace it. This will result in permanent teeth being impacted or erupting outside the arch resulting in the need for orthodontic management.
Milk teeth with cavities can be restored by placement of fillings, and more invasive procedures such as pulpotomies and pulpectomies.These preserve the teeth long enough for them to be shed at their right time.If the tooth cannot be restored probably because of how badly damaged it is, it may extracted and a space maintainer placed to avoid forward movement of the molars.