Tooth Extraction Waltham

Gentle Extractions 
to Protect Growing Smiles

  • Pediatric dentists with a calm, reassuring approach
  • Nitrous oxide available 
    to ease anxiety
  • Multilingual staff makes visits easier for all families
  • Kid-friendly space with toys, games, and iPads

When Is Tooth Extraction Necessary?

Kid pointing at his mouth at the dentist

While our goal is always to preserve natural teeth, there are times when removing a tooth is the healthiest choice for your child’s smile. We may recommend an extraction if:

  • A stubborn baby tooth is blocking proper dental development
  • A tooth has broken off at or below the gumline
  • A cavity is too large for a standard filling or crown
  • Crowding makes it hard for adult teeth to come in properly
  • Wisdom teeth don’t have enough space to emerge
  • A bacterial infection hasn’t responded to root canal therapy

We’ll walk you through your options and help your child feel comfortable every step of the way.

Talk to a Pediatric Dentist About Your Child’s Needs

If you think your child may need a tooth removed or you’ve been referred for an extraction, we’re here to help. Our team combines specialized pediatric training with a deeply compassionate approach. From baby tooth removals to complex surgical cases, we make dental care comfortable, informative, and family-focused.

Dr. Carmen Brambila

Dr. Carmen Brambila

Board-Certified in Pediatric Dentistry

  • Completed pediatric specialty training 
    at Tufts University
  • Experienced in treating children with dental anxiety and sensory needs
  • Speaks fluent Spanish and connects easily with families from all backgrounds

Dr. Brambila has dedicated her entire career to pediatric dentistry — and it shows. She combines clinical skill with warmth, humor, and the ability to explain procedures in a way kids understand.

Dr. Yelena Gutnichenko

Dr. Yelena Gutnichenko

Gentle, Experienced, Reassuring

  • Over 20 years of dental experience, including advanced pediatric care
  • Known for her calm presence 
    and meticulous technique
  • Trained at Tufts School 
    of Dental Medicine

Dr. Gutnichenko has cared for thousands of children in Waltham and beyond. Her gentle, precise approach helps even the most nervous kids feel secure in the chair.

 
“Amazing care"

“Dr. Yelena Gutnichenko is an amazing doctor! My 8 year old daughter has been a patient of Dr. Yelena since she was 4 years old! And I am so lucky that now my other 2.5 year old daughter is also receiving such an amazing care with this practice!” - Katsiaryna S.

What Is the Tooth Extraction Process?

Child holding baby tooth

Baby Teeth

Most baby tooth extractions are quick and simple. Your dentist will gently rock the tooth back and forth until it naturally loosens from the socket. These teeth are already designed to fall out, so minimal force is needed — and numbing isn’t always required. We explain each step to your child to help them feel at ease.

close-up of a young child getting dental work

Surgical Extraction

When a tooth is impacted or not fully erupted, we may need to perform a minor surgical extraction. Using gentle techniques and local anesthesia — plus nitrous oxide if needed — we carefully remove only the tissue necessary to access and extract the tooth. Comfort and safety come first.

Tips for an Easy Recovery
 
After Tooth Extraction

Healing from the removal of a tooth can vary depending on the type of procedure. Most children bounce back quickly from simple extractions, but if a surgical extraction was performed, recovery may take a bit longer. In both cases, our team will give you clear aftercare instructions to support your child’s oral health.

Managing Discomfort

Some discomfort is normal after the removal of a tooth — especially after a surgical extraction. Give your child any prescribed or over-the-counter medications as directed to ease soreness. If they had wisdom teeth removed, extra rest and support may be needed during the first day or two of healing.

Controlling Bleeding

A small amount of bleeding is expected after treatment. Have your child gently bite on gauze for about 20 minutes to help a clot form in the tooth socket. If the bleeding continues beyond that, call your dentist or oral surgeon for guidance.

Calming Swelling

Mild swelling near the extraction site is common, especially after more complex procedures. Apply an ice pack to the outside of the cheek in 15-minute intervals to reduce inflammation and keep your child comfortable.

Eating Soft Foods

Stick to soft foods like yogurt, applesauce, or mashed potatoes for the first couple of days. Avoid straws and crunchy snacks — these could dislodge the clot or irritate the tooth and surrounding area.

Cleaning the Site

Help your child brush gently and avoid the extraction site for the first 24 hours. This protects the healing tissue and prevents early disruption of the blood clot that supports recovery.

Getting Enough Rest

Encourage downtime and calm activities after the dental treatment. Running, jumping, or rough play should be avoided until your child feels back to normal and the mouth has had time to heal.

Attending Follow-Ups

Be sure to keep all follow-up visits. These appointments let us confirm that healing is on track and address any questions or concerns that you might have.

More High Praise for Our Team in Waltham

“The women behind the desk are more than friendly and polite!! The place is very clean and cozy, they are bilingual. Doctor Carmen Brambila is a lovely person, she has a lot of patience, she is more than professional and above all very educated!!” - Paola O.

Team at Children's Dental of Waltham

Children's Dental of Waltham General Dentistry for Kids

Our team is here to help your child understand the importance of a healthy smile. We offer a range of pediatric dental treatments including first-time dental examinations and extractions. We also offer:

  • Flexible financing options
  • In-office entertainment for kids
  • Sedation dentistry with nitrous oxide
  • Multilingual services

Contact us online or call us at (781) 899-7070 to schedule an appointment today!

Contact Us Today

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