Our goal is to try to protect your child’s teeth until they will naturally exfoliate. However, in some cases when a tooth has extensive decay or an infection, Dr. Ruiz may recommend removing the tooth. Dr. Ruiz may also recommend removing a tooth if it’s over-retained or the patient is unable to remove it on their own. Sometimes, your child’s orthodontist may recommend removing a tooth (or teeth) if your child’s mouth is very crowded. Dr. Ruiz will need to evaluate your orthodontist’s recommendation and usually feels comfortable performing those extractions.