Pediatric dentists explain when a milk tooth cannot be saved and what to watch for after injury
A pediatric dentist from SM-Dentistry named Julia Zhuchkovskaya discussed the situations in which a baby tooth may not be able to be saved, with trauma being a primary example. After an injury, parents should stay alert for changes that appear over time. If a tooth starts to look different months after an incident, such as turning gray, it is time to seek an evaluation from a dentist who can perform a proper X-ray assessment. When the dentist confirms that the process is progressing toward damage, extraction becomes necessary to protect the growing bite and the health of the surrounding teeth and jaw. This guidance reflects careful monitoring and timely action as crucial steps in preserving overall oral health for children. (Attribution: RIAMO interview.)
The specialist also highlighted that decay can evolve into periodontitis, an inflammation affecting the tissues around the tooth root. In such cases, removing the milk tooth is advised to prevent harm to the base of the adjacent molar and to support proper eruption of the permanent successor. Another common reason for pulling a baby tooth is deep-root caries that extend into the gum line, where cleaning and restoration become impractical. Early detection through routine dental visits helps parents understand when a tooth should be pulled rather than treated, reducing future complications for the child’s bite and alignment. (Attribution: RIAMO interview.)
Additionally, Zhuchkovskaya emphasized practical signs that indicate a milk tooth may need extraction, including persistent pain, swelling, or a noticeable shift in how the tooth fits within the dental arch. She advises guardians to schedule prompt appointments if any of these symptoms appear, as delaying care can lead to more extensive treatment later. The discussion also underscored the importance of ongoing checkups after injury to catch subtle changes that may signify deeper problems, such as nerve involvement or infection. Regular dental visits support healthy development and help parents make informed decisions about when to extract or preserve a milk tooth as needed. (Attribution: RIAMO interview.)
In closing, the conversation touched on general strategies to protect young teeth after trauma or decay. Parents should maintain good oral hygiene for children, monitor color and texture of affected teeth, and follow the dentist’s plan for X-rays, restorations, or extractions. If a baby tooth is lost early due to injury or disease, a pediatric dentist can guide the timing of the next steps to ensure a smooth transition to the permanent tooth and to minimize future orthodontic issues. Routine dental visits, preventive care, and clear communication with the dental team form the backbone of successful management for milk teeth. (Attribution: RIAMO interview.)