Pediatric dentistry · gentle baby-tooth removal
When a baby tooth is too broken down, infected or badly injured to save, taking it out is sometimes the kindest thing we can do for your child — it ends the pain and stops an infection reaching the permanent tooth forming underneath. At Arasu Dental Care, our pediatric dentist removes the tooth gently, keeps your child calm through every step, and plans ahead so the empty space is protected and the adult tooth still has room to come through in the right place.
And when a tooth can still be saved, we'll tell you that first — a baby root canal, a tooth-coloured filling or a child crown often keeps the tooth in place until it's ready to fall out naturally. Removal is never our default.
Open all seven days, 10:00 AM – 8:30 PM · R.S. Puram +91 88380 22157 · Saibaba Colony +91 74491 88777
Is your child in pain, or has a baby tooth that won't come out? A short check tells you whether the tooth can be saved or is better removed — book at our R.S. Puram branch on +91 88380 22157 or Saibaba Colony on +91 74491 88777. We're open every day, 10:00 AM to 8:30 PM.
When it's the right call
Baby teeth aren't just placeholders. They help your child chew and speak, and each back tooth quietly holds space for the adult tooth growing beneath it — so we don't remove one we can save. Decay is by far the most common reason a child's tooth ends up needing attention: research on Indian preschool children puts early-childhood tooth decay at around 47% — close to one child in two — but a decayed tooth can very often be repaired rather than removed. We recommend taking a tooth out only when one of these is true:
Decay too deep to repair — the tooth is broken down past the point a filling, a baby root canal or a crown can rescue it.
Infection or an abscess that won't settle — a gum boil, swelling or spreading infection, where removing the tooth protects the permanent tooth developing below.
Injury beyond saving — a tooth cracked, split or knocked loose in a fall or knock that can't be repaired.
An over-retained baby tooth (“shark teeth”) — the adult tooth is already erupting behind or in front while the baby tooth stubbornly stays put, so we clear the way.
Orthodontic space planning — occasionally your child's orthodontist asks us to remove one or more teeth in a planned sequence to guide crowded adult teeth into line.
Seen in the clinic
A gentle removal clears a tooth that can't be saved, and where a back tooth is involved we protect the gap so the adult tooth still has room. The images below are from cases treated at our clinics.
clinic-photo: broken / infected baby tooth
Clinic-supplied photo or X-ray showing the broken-down or infected baby tooth before removal.
clinic-photo: healed gap + space maintainer
Clinic-supplied photo of the healed area, with a space maintainer holding the gap where needed.
What to expect
Most children are far more worried by the idea of an extraction than by the visit itself. Our job is to make the real thing calm and quick, and to keep your child feeling safe the whole way through. Here's how a typical appointment goes.
STEP 1
We use a simple “tell–show–do” approach — explain each step in words a child understands, show them the harmless bits, then do it, with no surprises. A little numbing gel goes on the gum first so the area is already dull.
STEP 2
For a loose or straightforward baby tooth, we numb the area with local anaesthetic and gently ease the tooth out — most take only a few minutes, and your child feels pressure and wiggling rather than pain. This is the great majority of children's extractions.
STEP 3
If a tooth is badly broken down at the gum line, or an adult tooth has grown around a baby root, it takes a little longer and a more careful technique. For these — or a very anxious child, or one with special healthcare needs — we can arrange sedation.
Extractions for children are part of our everyday children's dental care, and because both branches are open every day, a child in pain can usually be seen the same day. For anxious or very young children, sedation options are available — ask us at the consultation.
The half most clinics skip
Removing a tooth is only half the job. When a back baby tooth comes out early, the teeth on either side start to drift into the gap — and they do it sooner than most parents expect. In Indian schoolchildren the first baby molar is the tooth most often lost early, and studies show the space begins closing within the first few months after it's gone. Once that space is lost, the adult tooth underneath can come through crowded, rotated or blocked out.
That's why early tooth loss matters for the long run: children who lose baby teeth prematurely are found to need orthodontic treatment far more often than those who don't — by one pooled estimate, close to five times as often. So after a back-tooth extraction we'll usually recommend a small, custom space maintainer — a simple appliance that holds the gap open until the adult tooth is ready. It's often what prevents a longer, costlier round of braces later on.
Not every extraction needs one. A front baby tooth that was already close to falling out on its own, for instance, usually doesn't. We'll tell you honestly whether your child needs a space maintainer or not — we don't fit appliances a child doesn't need.
Cost
A straightforward milk-tooth removal is one of the more affordable treatments we do, but the final figure depends on a few things — and we confirm the exact cost after we've seen your child, so there are no surprises. What moves the price:
Simple or more involved — whether the tooth comes out simply or needs a more careful removal.
Whether an X-ray is needed — a small IOPA to check the root and the adult tooth underneath.
Whether sedation is needed — for a very anxious child or one with special healthcare needs, planned and priced up front.
Whether a space maintainer follows — an optional appliance to hold the gap for the adult tooth.
| What's involved | Indicative cost (Coimbatore) | Notes |
|---|---|---|
| Consultation & check-up | ₹300 – ₹500 | Assessment to decide whether the tooth is saved or removed. |
| Small X-ray (IOPA), if needed | ₹200 – ₹300 | To check the root and the adult tooth underneath. |
| Straightforward milk-tooth removal | ₹1,500 – ₹3,500 * | Simple removal under local anaesthetic (per tooth). |
| More involved removal / sedation | Quoted after assessment | Broken-down tooth, or a very anxious / special-needs child. |
| Space maintainer, if recommended | See space maintainers | Optional appliance to hold the gap — see the page. |
Want a clear estimate for your child's case?Every tooth is a little different, and a short examination is the surest way to the right treatment and the right cost. R.S. Puram +91 88380 22157 · Saibaba Colony +91 74491 88777.
Ask us for an estimateWho treats your child
Extractions for children are handled by our pediatric dentist, our dentist (BDS, FAD), who is used to keeping young, nervous patients calm and explains each step in words a child understands. For the rare tooth that needs a surgical approach, our oral surgeon is in the same practice — so whatever your child needs, it happens under one roof.
Get Started
Tell us a little about your child and pick a time that suits their routine. A painful tooth, a broken or infected baby tooth, a stubborn “shark tooth,” and anxious little ones are all welcome — at whichever branch is closer.
Getting a painful tooth seen early is simpler and gentler than waiting.
Why Arasu
A child in tooth pain can't always wait for a weekday appointment — so it matters that we're open every day, 10 AM to 8:30 PM, across both our Coimbatore branches. When your child needs a tooth seen, we can usually see them the same day. And because Arasu is a multispecialty clinic, everything that might come next happens under one roof, without sending you across the city.
Children's extractions are handled by a dentist used to keeping young, nervous patients calm, with a gentle “tell–show–do” approach.
We'll always tell you whether a tooth truly needs to come out — a filling, baby root canal or crown is considered before removal.
A space maintainer, a filling for a neighbouring tooth, an early orthodontic check — all in-house, no referrals across town.
For the rare tooth that needs a surgical approach, our oral surgeon is in the same practice as our pediatric dentist.
10 AM – 8:30 PM, including when a child is in pain and can't wait for a weekday — we can usually see them the same day.
R.S. Puram and Saibaba Colony, so care is close to home — and your child's records move with them between clinics.
Bring your child in — we'll tell you honestly whether the tooth can be saved
R.S. Puram: 129, W Sambandam Road, Coimbatore 641002 · +91 88380 22157 · Saibaba Colony: 160, NSR Road, Coimbatore 641011 · +91 74491 88777. Open 10:00 AM – 8:30 PM · WhatsApp +91 96007 56297.
Patient Reviews
My son had a badly broken back tooth and I was dreading it. They checked first whether it could be saved, explained why it had to come out, and the removal itself took a few minutes. He barely noticed.
Honest advice — instead of just pulling the tooth they fitted a small space maintainer afterwards so the adult tooth has room. Everything was explained and priced before starting.
My daughter is terrified of dentists. They were so patient, used the “tell-show-do” thing, and never rushed her. The adult tooth was coming in behind the baby one and they sorted it gently.
Sunday appointment when my son was in pain — no waiting. Numbing gel first, then the removal, and he was back to normal by evening. Good to have the kids' dentist and everything else in one clinic.
FAQs
The area is fully numbed with local anaesthetic first, and we apply numbing gel before that, so your child feels pressure and movement rather than pain during a simple removal. Any soreness afterward is mild and settles with a children's dose of an over-the-counter pain reliever. For a very anxious child we can arrange sedation to keep the visit calm.
Baby teeth are meant to fall out on their own, and when they can be saved we save them. But a tooth that's badly decayed, infected or injured can cause pain and can harm the adult tooth forming underneath, so removing it is often the safer choice. We only recommend it when keeping the tooth isn't in your child's interest.
It can, if the gap isn't looked after — the neighbouring teeth drift in and the adult tooth may come through crowded. That's exactly why we plan for the space after a back-tooth extraction, usually with a small space maintainer, so the adult tooth still has room. Front teeth close to falling out naturally usually don't need one.
We're used to it. We use a calm “tell–show–do” approach, keep the language friendly, and never rush a frightened child. For children who are very fearful or have special healthcare needs, sedation is an option so the whole experience stays gentle and stress-free.
Recovery from a simple extraction is quick — most children are back to normal within a day. Soft, cool foods for the first day, no straws or poking the area, and a cold pack for any mild swelling are usually all that's needed.
This is what people call “shark teeth,” and it's common. Often the baby tooth just needs a little help to come out so the adult tooth can move into place. A quick check tells us whether it will resolve on its own or whether the baby tooth is better removed.
A straightforward milk-tooth removal is one of the more affordable treatments we do. The final figure depends on whether an X-ray, sedation or a later space maintainer is needed. We give you a clear estimate after seeing your child — see the cost section above, and prices are confirmed at your consultation.
This page is general information, not a diagnosis. Removing a tooth is recommended only after our dentist examines your child and reviews an X-ray where needed. Please consult our dentists for a personalised assessment.
Book your child's consultation at Arasu Dental Care
Bring your child in and we'll examine the tooth, take an X-ray where needed, and tell you honestly whether it can be saved or is better removed — with a clear cost before anything begins. Open 10 AM – 8:30 PM, all seven days · WhatsApp +91 96007 56297.