Dr. Lopez or Dr. Chiang may determine that your child needs a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.  When certain primary molars require extraction well ahead of the time they would normally come out, it can lead to unwanted shifting of the teeth.   This can be prevented by the placement of a small appliance called a space maintainer.  We will discuss this thoroughly with you should the need arise for your child