Multiple teeth are common in pediatric dentistry and can cause tooth alignment not, tooth-containing cysts, root resorption, etc. 1.Should multiple teeth be extracted and when should they be extracted? Multiple teeth should generally be detected and extracted as early as possible. Those that have erupted are easier to detect and extract. If the location is deeper, the risk of extraction is higher, but there is no lesion for the time being, the extraction can be postponed and reviewed regularly; if they are located in the apical area of permanent teeth, the extraction can be postponed if the surgical trauma may affect the development of permanent teeth; if they affect the growth and eruption of permanent teeth, they can be extracted as early as possible; if they affect the movement of orthodontic teeth, they can be extracted as early as possible. If multiple teeth have caused the blockage of permanent teeth and the alignment of teeth, multi-disciplinary consultation (orthodontics, surgery, pediatric dentistry, etc.) is needed to develop an overall treatment plan before deciding on the extraction time. For example, if the permanent teeth are blocked due to multiple teeth and the proposed traction treatment, the permanent teeth can be opened and attachment devices can be attached while the multiple teeth are extracted. 2. Should the extraction of multiple teeth be done in the outpatient clinic or in the hospital? It can be said that whether the extraction of multiple teeth is done in outpatient or inpatient depends on the degree of cooperation of the child and the complexity of the surgery. If the surgery is difficult and the child does not cooperate, inpatient extraction can be considered. If hospitalized, the procedure is usually performed under general anesthesia. The question of whether or not to hospitalize may vary from doctor to doctor for the same patient. Those who are bold may opt for outpatient extraction; those who are cautious and conservative may opt for inpatient extraction. When parents are hesitant, they may want to consult several doctors and choose an experienced doctor. 3. Is the extraction of supernumerary teeth performed under general anesthesia or local anesthesia? Outpatient extraction of overbite is usually performed under local anesthesia; patients who are difficult or uncooperative and need to be hospitalized will be extracted under general anesthesia. It is also possible to remove a tooth under general anesthesia in an outpatient setting. The extraction of multiple teeth under general anesthesia will have no effect on the child’s intelligence, so parents can rest assured! Of course, there are risks associated with general anesthesia. 4.What are the main risks of extraction of multiple teeth? Anesthesia risks: including local anesthesia (allergy, hematoma, etc.) and general anesthesia risks (respiratory and circulatory accidents, etc.); surgical risks: intraoperative and postoperative bleeding, swelling, infection, injury to other teeth, pulpal necrosis, accidental aspiration and swallowing of teeth and foreign bodies, etc. 5.How should parents and children cooperate before, during and after the extraction of multiple teeth? Before the operation, cooperate with the doctor to do the preoperative examination, and it is recommended to take CT film, which is beneficial to the positioning of the operation. Do a good job with the child and encourage and reassure the child to cooperate with the surgery. Consider the child’s study, rest, and physical condition when choosing the surgery date. Ask the doctor about the condition, plan, treatment cost, etc. During the surgery, parents are advised to avoid the surgical scene. Some scenes are not suitable for parents to be present. Of course, if the child needs parents and is more cooperative with the surgery with parental encouragement, parents can also be present at the treatment scene. If general anesthesia surgery parents have to avoid. Post-operative parents should understand in detail the precautions. Hemostatic cotton is removed after half an hour, into a warm and cool soft food, to protect the wound, if there are stitches a week to remove, etc.. You can take oral antibiotics, or infusion. Usually about a week to return to normal. Bleeding, swelling, fever and other abnormalities promptly contact the doctor, to the hospital to deal with. Leave your doctor’s contact information. Remember to review the growth of permanent teeth afterwards and review the need for orthodontic treatment in about three months, etc. Treatment of secondary lesions of multiple teeth, especially when they lead to blockage of permanent teeth, requires orthodontic traction, etc. In serious cases, permanent teeth have to be extracted, so early detection and early treatment are especially important.