Pediatric Dentistry Extractions

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When a child has a tooth that is severely decayed, damaged, or failing to fall out on its own, it can be a stressful situation for the whole family. Parents naturally want the most conservative approach possible, and the good news is that most pediatric extractions are far simpler than many families expect. Understanding when an extraction is the right call and what the process looks like, helps take the anxiety out of the experience and allows your child to stay comfortable from start to finish.

At Distinctive Dentistry by Mullens & Nguyen, we provide comprehensive general dentistry care for patients of all ages, including young children. Our team takes a thoughtful, gentle approach to pediatric treatment, and we always begin by thoroughly evaluating whether a tooth can be saved before recommending an extraction. When removal is the appropriate course of action, we walk families through every step so there are no surprises and your child feels as calm and cared for as possible throughout the visit.

Why Choose Distinctive Dentistry by Mullens & Nguyen for General Dentistry?

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Quality Chairside Time with the Dentists

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Experienced team with keen eyes for detail

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Custom-tailored dental services for all ages

When Is a Pediatric Extraction Necessary?

Not every problem tooth needs to come out, and our first goal is always preservation. However, there are several situations in which an extraction is genuinely the best option for your child’s long-term oral health. Severe decay that has progressed past the point where a filling or crown can restore the tooth is one of the most common reasons. When the damage is too extensive to repair, leaving the tooth in place can lead to infection, discomfort, and complications with surrounding teeth.

Another common reason for extraction involves baby teeth that refuse to fall out on schedule. When a primary tooth lingers too long, it can block the path of the incoming permanent tooth, causing it to erupt crooked or become impacted. The CDC reports that by age 9, half of all children have had cavities in their primary or permanent teeth, making proactive dental care essential for children in their early years. In other cases, an extraction may be recommended as part of an orthodontic plan to make room in a crowded mouth and support proper alignment as permanent teeth emerge.

Infection and Abscess

When decay reaches the inner pulp of a tooth and an infection develops, children can experience significant discomfort and even systemic health effects if the issue is left unaddressed. An abscess — a pocket of infection at the root — can spread to surrounding tissue if not treated promptly. In situations where the infection is severe enough that treatment cannot adequately resolve it, extraction protects your child’s overall health and prevents further complications.

Trauma is another factor that can make extraction necessary. A tooth that has been fractured or severely damaged due to an injury may not be restorable, particularly if the root structure is involved. Our team carefully evaluates each case before making any recommendations, and we explain all available options to families so they can make informed decisions alongside us.

What to Expect During a Pediatric Extraction

We understand that your child’s comfort is your top priority, and it is ours as well. Before any extraction, we take time to explain the procedure in age-appropriate terms so your child knows what to expect and feels less apprehensive. Our office uses The Wand, a computer-controlled local anesthesia delivery system that makes the numbing process far more comfortable than a traditional injection, which is especially beneficial for younger or more anxious patients.

For children who experience significant dental anxiety, we also offer nitrous oxide and oral sedative options to help them feel relaxed and at ease. Our team makes every effort to create a calm, welcoming environment so the experience is as positive as possible. We discuss your child’s preventive care options during every visit as well, because protecting healthy teeth from future problems is always part of our long-term approach.

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Stop hiding your smile – achieve the stunning transformation you deserve with cosmetic treatments and flexible monthly payment plans.

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After the Extraction: What Comes Next

Once a tooth has been removed, the recovery process for children is typically quick. We provide detailed aftercare instructions to parents so healing goes smoothly, including guidance on what your child should eat, how to keep the area clean, and what signs to watch for in the days following the procedure. Most children bounce back quickly and are back to their normal routine within a day or two.

If the extracted tooth was a baby tooth close to its natural shedding time, no further intervention is usually needed. However, if a permanent tooth or a primary tooth that would have held space for an incoming permanent tooth was removed, we will discuss whether a space maintainer is appropriate. A space maintainer is a small appliance placed in the gap to preserve proper alignment and prevent neighboring teeth from drifting, helping to set the stage for a healthy bite as your child grows. Our wisdom tooth extractions page has additional information if you are also navigating concerns about incoming third molars in an older teen.

Stop hiding your smile – achieve the stunning transformation you deserve with cosmetic treatments and flexible monthly payment plans.

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What Cosmetic Dental Service is Right for Me?

When it comes to cosmetic dentistry, most people are typically trying to accomplish one or more of three things: whiter teeth, straighter teeth, or differently shaped or sized teeth. Dr. Mullens and Dr. Nguyen can help assist you with your possible options to achieve these goals. Your recommended treatments may include:

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Cosmetic Dental Bonding – This treatment is ideal for small changes such as reshaping damaged teeth or covering visible flaws. It is typically among the most affordable treatments, but the results may only last up to five years.

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KöR At-Home Teeth Whitening– At home whitening can be done from anywhere and is mid-range in terms of cost. It’s a great treatment for patients looking to brighten their smile faster and more effectively than with over-the-counter whitening products.

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Veneers – These can be a bit more expensive, but they are very versatile and can change many aspects of your smile in just one treatment. They can even last up to 20 years with proper care and maintenance.

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Metal Free Dental Crowns – If you have dark, metal crowns or fillings, Dr. Mullens and Dr. Nguyen can replace them with durable, tooth-colored restorations that work well and blend seamlessly into your mouth.

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Gum Recontouring - This treatment can help reshape your teeth, so they look larger, and your smile appears less “gummy”.

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Botox / Dermal Fillers- An excellent way to fill in or relax fine lines and wrinkles that can last for months. These treatments look natural and require minimal downtime (just a few hours).

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Cosmetic Dentistry Can Be an Investment Worth Making

While cosmetic dentistry does seem like a big financial commitment, it can also be a valuable investment in your self-esteem. If you feel self-conscious about your smile or signs of aging on your face, these treatments can be an amazing improvement in your self confidence and self-esteem. This in turn can lead to better relationships, an improved social life, and more confidence to accomplish your professional goals, too!

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How to Make Cosmetic Dentistry Affordable

While purely aesthetic dental care is not covered by dental insurance, there are often other options available to help make these treatments more budget friendly.

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CareCredit– This independent financing program can make your treatment more affordable by splitting up the overall cost into smaller, budget-friendly payments.

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Specials– At Distinctive Dentistry by Mullens & Nguyen, we run periodic specials on cosmetic treatments, including professional whitening.

If you’re interested in learning more about your cosmetic dentistry options, please contact us to schedule a consultation with Dr. Mullens or Dr. Nguyen. They can help craft a treatment plan that will transform your appearance in a way that achieves your smile goals and best suits your budget. We can also go over your financial options at this time.

Is Cosmetic Dentistry Safe?

Yes, cosmetic dentistry is generally safe when performed by a qualified and experienced dentist. Procedures such as teeth whitening, veneers, crowns, and bonding have been practiced for many years, and advancements in techniques and materials continue to enhance their safety and durability. However, as with any medical or dental procedure, there can be risks. It’s crucial that you communicate with us about their medical history, expectations, and concerns. Potential side effects or complications can often be minimized by following post-treatment care guidelines.

Does Cosmetic Dentistry Hurt?

Cosmetic dentistry encompasses a variety of procedures, and modern advancements have made these treatments more comfortable than ever. Many procedures, like teeth whitening, are typically pain-free, while others, like veneers or crowns, have been refined to maximize patient comfort. Dental professionals prioritize the well-being of their patients, using state-of-the-art technology and anesthetics to ensure a pleasant experience. While slight sensitivity or a brief period of adjustment might follow some treatments, these sensations are often temporary and mild. Always communicate with us about any concerns, as we are equipped to make your cosmetic dentistry journey as comfortable as possible.

Is Cosmetic Dentistry Covered by Insurance?

Cosmetic dentistry primarily focuses on improving the appearance of one’s smile, rather than addressing essential health concerns. As a result, many insurance companies categorize cosmetic procedures as elective and often do not cover them. However, there are exceptions. Some treatments, like crowns or certain types of fillings, may be both aesthetic and functional in nature, leading to partial or full insurance coverage. Coverage varies by provider, policy, and specific procedure. If considering cosmetic dentistry, it’s essential to review your insurance policy or speak directly with your insurance provider to understand what’s covered and any associated out-of-pocket costs.

How Do I Know If I Need Cosmetic Dentistry?

Determining the need for cosmetic dentistry is often a mix of personal desire and professional advice. If you’re self-conscious about your smile due to stained, chipped, misaligned, or missing teeth, cosmetic dentistry might be a solution to enhance your appearance and confidence. It’s not only about aesthetics; some cosmetic procedures also address functional issues. The best approach is to consult with us. We can provide a thorough examination, discuss your goals and concerns, and recommend treatments that align with your aspirations. Remember, the decision is personal; it’s about how you feel and what changes you wish to see in your smile.

Your Child's Comfort Starts With Our Team

Caring for young patients is something we take seriously at Distinctive Dentistry by Mullens & Nguyen. Our new patient information page can help you prepare for your child’s first visit with us and set expectations for what comprehensive family dental care looks like at our practice. Dr. Mullens brings over 35 years of experience to every procedure, and as a Fellow of the American College of Dentists, his commitment to clinical excellence carries through every aspect of our care. Dr. Nguyen’s background in Fine Arts gives him a uniquely precise and detail-oriented approach that benefits patients of all ages.

Our entire team genuinely enjoys working with children and families, and we build lasting relationships that often span multiple generations of Jacksonville households. We believe that a positive early dental experience shapes a child’s attitude toward oral health for life — and we take pride in making every visit at our San Marco office a comfortable, memorable one. To learn more about our pediatric dental services or to schedule your child’s appointment with our dentists, we invite you to request an appointment online today.

Office Hours

8:00 am – 5:00 pm
8:00 am – 5:00 pm
8:00 am – 5:00 pm
8:00 am – 5:00 pm
8:00 am – 11:30 am

Something Stuck Between the Teeth

If you have any food debris or an object stuck between your teeth, don’t try to remove it with a toothpick or any sharp objects, as this could damage your gums. Typically, gently flossing around the tooth and rinsing your mouth with saltwater can help dislodge it. However, if you’re not having any luck, you can also give our office a call. Our dental hygienists have all of the necessary tools to safely remove the debris.

Jaw Pain

Is Jaw Pain a Dental Emergency? Lockjaw, jaw tension, and pain are just a few of the many different types of jaw pain. If your discomfort is chronic, our team can help you determine the underlying cause of it and refer you to a specialist if necessary. However, if your pain is a result of an impact, visit your local emergency room.

How You Should Handle Jaw Pain: Our team is happy to provide you with further guidance over the phone if you’re unsure of where to go for help. You can place an ice pack on the outside of your face to relieve any discomfort.

How We Treat Jaw Pain: If you believe your jaw is broken, dislocated, or damaged due to trauma, visit your local ER immediately. If it’s a reoccurring issue, our team can help you determine best next steps for finding relief after conducting an examination.

Injury to the Gums, Lips, or Tongue

Is an Injury to the Gums, Lips, or Tongue a Dental Emergency?  If your oral injury doesn’t stop bleeding after 10 minutes, you may need to go to the emergency room. Or, if you’re conflicted about what to do, give our office a call and our team can help.

How You Should Handle an Injury to the Gums, Lips, or Tongue: Oral wounds can bleed a lot, and when the blood mixes with the saliva, it can make the injury look a lot worse than it is. You can stop the bleeding by using a clean washcloth or piece of gauze and pressing it against the cut. A cold compress can help to reduce any swelling that may occur.

How We Treat Injuries to the Gums, Lips, or Tongue: Our team typically doesn’t see patients for injuries. If you require stitches or the bleeding doesn’t stop within 10 minutes of placing pressure on it, visit your local emergency room.

Loose Permanent Tooth

Is a Loose Permanent Tooth a Dental Emergency? If your tooth is wiggling in its socket or partially dislodged, try to get to our office as soon as possible to prevent any further damage. If you’re experiencing pain, our team can provide you with first aid guidance over the phone.

How You Should Handle Loose Permanent Teeth: Avoid touching your tooth and eating any foods (especially those that are chewy or sticky), and rinse your mouth with lukewarm saltwater to remove any debris and cleanse the area. Avoid flossing or brushing your teeth until you’re able to see us.

How We Treat Loose Permanent Teeth: If your tooth has become partially dislodged due to impact, our team may be able to salvage it and see if the roots are able to re-fuse with the bone. In the case that your tooth can’t be saved, we may recommend an extraction and replacement with a dental implant or bridge.

Broken Denture

Is My Broken Denture a Dental Emergency? Whether your denture has broken to the point of it being unwearable or it just has a crack, you should never wear a damaged prosthetic. It can lead to irritation of the oral tissues in addition to jaw discomfort. If you have existing teeth and try to wear your damaged denture, it could also harm those teeth. Call our office immediately so our team can assess your prosthetic.

How You Should Handle a Broken Denture: Although your local department store likely sells a denture repair kit, do not try to superglue or repair your own dentures. The best option in this scenario is to see a professional as soon as possible.

How We Treat Broken Dentures: Our team will examine your dentures and see if we’re able to repair them. If they’re damaged beyond repair, we can start the process of replacing them for you.

Lost Filling or Crown

Is a Lost Filling or Crown a Dental Emergency? Yes, both of these situations warrant an immediate call to our Jacksonville dental office. That way, we can repair or replace your restoration as quickly as possible.

How You Should Handle a Lost Filling or Crown In addition to reaching out to us to schedule an appointment, we recommend not eating anything crunchy, hard, or sticky. Additionally, keep your restoration somewhere safe, like a small, clean container.

How We Treat Lost Fillings or Crowns There are some cases where we can re-cement your restoration back in place, like if your dental crown is relatively new and in good condition. Other times, our only option is to replace your dental crown or filling with a new one.

Knocked-Out Tooth

Is My Knocked-Out Tooth a Dental Emergency? Since this dental injury can cause a significant amount of pain and there is only a small window of time where we can save your tooth (about 60 minutes), the answer is “yes!” So, don’t hesitate – contact our Jacksonville dental team right away to schedule an emergency appointment.

How You Should Handle a Knocked-Out Tooth Calling us is an important first step. This ensures that we can schedule an appointment for you with one of our dedicated emergency dentists right away. Plus, it allows us to guide you through the process of preserving the root of your tooth – whether that’s by placing it back in its socket or putting it in a clean container filled with milk.

How We Treat Knocked-Out Teeth Fortunately, a knocked-out tooth can sometimes be saved. If that’s not the case for some reason – like you weren’t able to find your tooth – then we will instead begin the process of replacing it with a dental bridge or implant so the look, health, and function of your smile are restored.

Very Sensitive Teeth

Are Very Sensitive Teeth a Dental Emergency? Very sensitive teeth can be a dental emergency. That’s why it’s important to consider how long you’ve been experiencing symptoms and if they are present in tandem with others, like pain when biting down.

How You Should Handle Very Sensitive Teeth There’s really only one thing you can do until your appointment: try to avoid things that could exacerbate your discomfort. In other words, don’t drink anything really hot, don’t eat anything really cold, and take OTC pain medication as directed on the label (if needed).

How We Treat Very Sensitive Teeth That depends on what’s causing your dental sensitivity. If it’s a cavity, then it’s likely that a tooth-colored filling or dental crown is the answer. If it’s an infection in your gums, then gum disease treatment is needed instead.

Cracked Tooth

Is a cracked tooth a dental emergency? Cracked teeth are considered dental emergencies and you’ll need to visit your emergency dentist as soon as possible. Leaving your tooth untreated can allow it to be vulnerable to further damage and bacteria. Before the situation worsens, schedule an appointment with our team so we can determine the best way to address your tooth.

How you should handle a cracked tooth: Refrain from chewing on that side of your mouth, otherwise you could end up disturbing your injured tooth. Take over-the-counter pain relievers to minimize discomfort. You can also rinse with saltwater to keep your tooth bacteria-free. If you notice any sharp or jagged edges on your tooth, you can use dental wax or sugar-free gum to protect your soft oral tissue.

How we treat cracked teeth: We’ll examine your cracked tooth to determine the cause of the situation as well as the proper treatment for it. If the crack is minor, then we can typically address it with composite resin to improve and strengthen your tooth. For more severe damage, you may require a dental crown to repair the structure and prevent future discomfort. If the tooth cannot be saved, then we’ll likely have to extract it and replace it with something else, such as a dental bridge, partial denture, or dental implant.

Chipped Tooth

Is a chipped tooth a dental emergency? Chipping your tooth isn’t always considered an urgent dental situation, so it isn’t the end of the world if you don’t get it treated right away. That said, leaving it exposed to bacteria for too long can lead to problems later on. Before the situation can become worse, it’s best to visit your dentist for help.

How you should handle a chipped tooth: Until you’re able to see us for treatment, be sure to avoid chewing on that side of your mouth. Be gentle when brushing your teeth and gums, and don’t hesitate to use dental wax to cover up any rough or sharp edges you might notice. This can help you prevent harming your cheeks or other soft oral tissue.

How we treat chipped teeth: Chipped teeth can typically be treated by using composite resin to repair and improve them. However, if the damage is more visible and toward the front of your smile, then veneers might be the longer-lasting solution you’re looking for.

Toothaches

Is my toothache a dental emergency? Toothaches can be due to various reasons, some of which might not be particularly urgent. Even so, this can sometimes be an indication of a more serious dental emergency, such as an oral infection. That’s why it’s best to visit your dentist sooner rather than later so that they can address the underlying problem before it grows.

How you should handle a toothache: Rinse your mouth with saltwater to sanitize the area, dislodge any stuck objects between your teeth, and help alleviate any discomfort. You can also take over-the-counter pain medications to further minimize the aching.

How we treat toothaches: Our team will need to thoroughly evaluate your smile to determine the root cause of your toothache. If it’s due to periodontal issues, then we’ll provide gum disease treatment. Other procedures to get rid of your toothache might involve root canals or tooth extractions, if necessary. We’ll be sure to walk you through your options before moving forward with any treatment.