Smiles That Last A Lifetime

Extractions & Minor Oral Surgery

A tooth extraction is the removal of one of your child’s baby or adult teeth. This procedure can occur when a tooth has been damaged, is causing crowding, or has severe tooth decay.

The Tooth Extraction Process

If needed, we will guide you and your child through the entire process of tooth removal. From the initial consultation to the actual procedure, post-op care, and follow up visits, we hope to make the extraction experience as positive as we can for you and your child.

Local Anesthesia

Children in need of an extraction will be given local anesthesia to numb the area and surrounding nerves. This will ensure they feel no pain or discomfort during the procedure.

Sedation Options

If your child is anxious about having a tooth extracted, we will discuss the option of nitrous oxide sedation with you. It is a safe and effective way to give your child a more positive experience and help ease those nerves. If you don’t feel that nitrous oxide is strong enough, we are able to offer general anesthesia as well. For removing teeth that are difficult to access, or to remove a large number of teeth all in one visit, this is often a good option to consider.

Loosening & Removing the Tooth

The dentist will first use dental instruments to loosen your child’s tooth. They will then remove it using a special pair of dental forceps. Your child will be able to take their tooth home with them if they wish.

Cleaning & Necessary Sutures

After the tooth is extracted, the dentist will clean the area and sometimes place dissolvable sutures to ensure a healthy recovery.

Healing & Aftercare

For the best possible treatment, your dentist will provide you with a set of instructions tailored to your child’s mouth. These instructions will ensure the mouth heals as quickly as possible.

While a child tooth extraction can be a fairly invasive surgery, performed properly it really doesn’t need to be a traumatic experience!

At Avenue Pediatric we understand the nerves that come with a visit to the dentist. Now throw words like ‘tooth extraction’ into the mix and we know just how scary and anxious that can be. We have perfected the art of making your child comfortable and at ease at every dental visit, and during every procedure, no matter how invasive!

Types of Tooth Extractions

Basic Extractions

If your child has a tooth that has been damaged by injury or decay it may be necessary to extract it. We’ll do our best to save the tooth first, but sometimes extraction may be necessary.

If a tooth is infected, it may need to be extracted. Extractions are also common for teeth that are badly damaged or have cavities that are deep into the nerve. If a permanent tooth needs to be extracted, the dentist may recommend seeing a specialist to provide an implant or orthodontic care in the future.

Sometimes after a baby tooth is removed an appliance called a space maintainer may be required. A space maintainer holds the newly created space open for the adult tooth which will grow in in the future.

Orthodontic Extractions

We work closely with numerous orthodontists in the city and we’re happy to help them make their orthodontic treatment plans a reality. Sometimes this means removing baby teeth or permanent teeth to create space. Orthodontists often provide us with recommendations for extractions to improve both dental esthetics and function. Extractions are often an early step in orthodontic treatment and can help prevent major crowding issues in the future.

Wisdom Tooth Extractions

Wisdom teeth are the third set of molars. They usually grow in much later than the rest of our teeth, and it is common to lack space for them.

Impacted wisdom teeth have a negative effect on the position and health of adjacent teeth. In addition, these partially erupted teeth can catch food debris and bacteria. Impacted wisdom teeth must be removed surgically, as they have not fully erupted and affect oral health.

Dr. Perusini will assess your child’s wisdom teeth and discuss whether or not they need to be removed. He may refer your child to an oral surgeon if they are in a difficult position.


Below are common questions and our answers about the best way to care for children’s teeth after an extraction.

Is a Tooth Extraction Painful?

A tooth extraction is generally not painful because the dentist will use local anesthetic to numb the area prior to extracting the tooth. We can also provide nitrous oxide sedation to further reduce the potential for discomfort. It is normal for the patient to feel a little pressure during the procedure in the are where the tooth is being removed. 

How Long Does It Take to Recover From a Tooth Extraction?

Children generally heal very quickly and will be back to their normal selves in a day or two. We recommend limiting your child’s activity on the day a tooth is removed, but children often return to school the same day or the day after having an extraction. 

Will My Child Be in Pain After the Extraction?

In the 2-3 days following an extraction, your child may experience some discomfort and swelling. You can help them feel better by applying a cold compress to the face for 10 minutes at a time, and by giving them over the counter pain medication.  If they continue to experience severe symptoms, don’t hesitate to call our office right away. 

What Should I Expect After Extraction?

Bleeding is normal after an extraction. You will be instructed on how to place gauze and have your child bite down on the gauze in order to stop the bleeding immediately following the extraction. Limiting physical activity on the day of the extraction will help facilitate the start of the natural healing process. 

What Care Should I Provide My Child After the Extraction?

To protect the extraction site, we ask that your child refrain from brushing the area for 24 hours, and avoid spitting and rinsing. We also ask that your child avoid using straws for 3-4 days following an extraction in order to prevent dislodging the blood clot. A softer diet is recommended and pain medication can be given as needed. If your child experiences any swelling, a cold compress can be applied to the face 10 minutes at a time. We will be happy to review post operative instructions with you at your child’s extraction appointment. 

Why Choose Us

We are committed to providing a warm, caring, and relaxing environment where our patients are given the highest quality of dental care tailored to their unique needs.

Customized Care

We are committed to delivering high-quality pediatric dental care that’s tailored to each child and parent’s unique desires and concerns.

Dental Exams

We will thoroughly examine your child's teeth and gums for signs of tooth decay, gum disease, and other health problems.


Restorative Care

Our restorative dental services can repair damaged or decayed teeth, improve an improper bite, and restore your child's smile.

Schedule an appointment with us today for a beautiful, healthy smile.


Conveniently located in the heart of Edmonton, Avenue Pediatric Dentistry proudly deliver all aspects of dental care to infants, children, and teenagers, as well as those of all ages with special needs.


Tel: 780-428-7761
Fax: 780-428-1032


Monday 7:30a.m.–3:30p.m.
Tuesday 7:30a.m.–3:30p.m.
Wednesday 7:30a.m.–3:30p.m.
Thursday 7:30a.m.–3:30p.m.
Friday 7:30–11:30a.m.