Dr. Valasek or Pechersky may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced “gum” disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth).  Often teeth need removed in preparation for orthodontic treatment or crowding.

Sometimes the removal of a certain baby teeth can result in space loss for the underlying permanent teeth.  In this case “space maintainers or holders” are needed.

Dr. Aaron or Mark  would be happy to discuss these types of treatments with you. 

After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid vigorous rinsing for 24 hours.
  • Avoid use of a straw, the suction can remove forming clots.


If swelling occurs you can place a cold compress on your child’s face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.


If your child experiences any discomfort, you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.  Dose the child based on his or her age and weight.,


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and crunchy foods for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.