When a tooth has severe decay preventing a secure restoration, or it has an abscess and infection, it must be extracted (wiggled). The tooth and surrounding structures are numbed with local anesthetic. The tooth is gently wiggled out. Depending on the timing of the extraction, a space maintainer may be placed to hold the space for the correct eruption of the permanent successor tooth.
The area will remain numb for up to 3 hours after the extraction. You can give ibuprofen, and then 3 hours later you can give Tylenol. You can rotate those medications every 3 hours. Please follow the instructions for dosing on the bottles. Minor bleeding for the next 2 days is normal. Please remind your child to not bite or chew their lips or tongue while they are numb.