Best dental clinic in kovilambakkam -Amethyst Dental & Aesthetics Extraction of primary teeth (Milk Teeth): Primary teeth are meant to become shaky and shed when the permanent teeth start to erupt. Usually primary teeth will fall out on their own as a physiologic process. However, extraction of primary teeth will be recommended in a few scenarios, one of them is retained primary teeth after eruption of permanent teeth. Another scenario is when the decay is so severe that the teeth are deemed unsalvageable, or when the tooth has a potential risk to severe infection that may have harmful effects to the child’s general health. Primary teeth that are very shaky can normally be extracted with only topical anesthetic gel without local anesthesia injection. For primary teeth that need to be extracted far before their exfoliation time or still firm in the jaw, local anesthesia injections are usually indicated. Contact us Amethyst Dental & Aesthetics