Summerlin Pediatric Dentistry

Ashley E. Hoban, DMDNV Specialty License S6-105
CALL US! 702-838-9013
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Post Op Instructions

Following Local Anesthetic

  • Your child will experience numbness for approximately 1-3 hours.  Don’t allow your child to chew during this time.
  • It is not unusual for the child to say “My mouth hurts”: encourage your child by letting them know that the feeling will go away before lunch or dinner time.
  • It is important not to allow your child to bite or poke at the lips, cheeks, or tongue.  Try to keep the gauze in or allow your child to have something soft (that does not require chewing) to eat or drink.  This could be such things as apple juice, smoothies, ice cream, soup, apple sauce or other soft foods.

Following Sedation

The following are some side or after-effects which may occur:

  • Some listlessness, dizziness and possible upset stomach.
  • The child may wish to nap or rest for a time, possibly for a few hours after treatment.  Remove any gauze before your child sleeps.
  • It is not uncommon for the child to appear slightly agitated as medications are metabolized, which should not be cause for alarm. If agitation persists, it may indicate an alternate modality (general anesthesia) may be needed. As medications begin to wear off, the child will return to his/her normal state of responsiveness.
  • Some dizziness tends to wear off slowly, it is advised that you watch your child closely.  The child should not be sent back to school following the appointment and should remain indoors the remainder of the day.  No bike riding, running or other physical activity should be done.

During transport from the office, please be sure to place the child in appropriate safety belts or child-seat.  We STRONGLY RECOMMEND a second adult be present to assist.

Activity:

  • Rest for the remainder of the day.  Try to provide a restful atmosphere for your child to relax.  Supervise all activities closely, because coordination and judgment may be impaired for as long as 24 hours after sedation.

Diet:

  • Encourage fluid intake for the next 24 hours to keep your child well hydrated.  Clear fluids are great to help hydrate your child (i.e.: Gatorade, apple juice and water).  Follow a softer diet for the next day.  Soft diet examples are: mashed potatoes, pudding, spaghetti, ice cream, apple sauce, soups, etc.

Following Extractions

  • Your child should bite on the gauze pack provided for 10 minutes, remove, place a new pack and continue with this until bleeding stops. If bleeding continues beyond one hour, soak a black tea bag with warm water, wrap it in gauze and have your child bite on the gauze wrapped tea bag: this will help stop the bleeding sooner.
  • Place ice packs on the side of the face of the extractions, especially the first few hours.  Place the ice pack 20 minutes on and 10 minutes off.  The ice pack may be wrapped in a dry towel or wash cloth to avoid excessive cold.
  • Do not allow your child to chew for 1-3 hours, until the local anesthetic has worn off.
  • Avoid rinsing, spitting, sipping through a straw or drinking carbonated beverages today.  These activities will prolong bleeding.
  • Your child should eat soft foods for the remainder for the day so that no irritation is created in the extraction area.  Tomorrow your child may resume routine eating habits.
  • Salt water rinses may be started tomorrow (1 teaspoon salt in a cup of warm water).
  • It is not unusual for the saliva to be slightly pink or discolored after having an extraction.  This will subside within 24 hours.

Following Fillings/Crowns

  • Watch so your child does not bite the cheek, lips, or tongue.  Gauze has been provided to help prevent cheek, lip or tongue biting.
  • Do not allow your child to chew for 2-3 hours. Popsicles, ice cream and beverages are fine.
  • During the first 24 hours following the appointment, follow a soft food diet.
  • If a stainless steel crown is inserted, avoid sticky foods.  It is not unusual for the tissue around the crown to have a bruised appearance for several days.
  • It is not unusual for the saliva to be slightly pink or discolored after having a crown.  This will subside within 24 hours.
  • Chewing and thermal sensitivity is not unusual.  This is usually most pronounced the first 24-48 hours.  Rarely, this sensitivity may take several weeks to gradually diminish.

Following Sealants

  • A Sealant is a clear or white shaded coating that seals the deep pits and grooves on the chewing surfaces of back teeth to help prevent decay.  It is normal for the bite to feel a little “high” after sealant placement.  Some children key into this temporary feeling more than others.  As with all dental procedures, the longevity of sealants varies with each individual.  Effectiveness of sealants is influenced by bite patterns, grinding, ice or hard candy chewing, and bacterial plaque levels.  Good oral hygiene is important.  Soft drinks are no longer recommended as even an occasional beverage.  The bacteria in the mouth convert soft drink sugars into acid.  Diet and regular soft drinks are high in phosphoric acid.  This acid attacks not only the teeth but can contribute to sealant failures.  The condition of the sealants placed are checked t each recare visit.  Sealants can chip or wear out.  We will inform you if your child’s teeth ever need to be resealed.  Any length of time that a sealant remains intact is successful as it has protected the tooth from decay for that time period.  Our goal with sealants is to maintain tooth structure for a lifetime of dental health!

General Instructions 

  • Give ibuprofen (Advil or Motrin) or acetaminophen (Tylenol) for discomfort prior to the numbness wearing off if extensive treatment has been performed.  Give a second dose 4-6 hours later if needed; not to exceed the recommended dosage in a 24 hour period.
  • After 24 hours, carefully begin to brush your child’s teeth.  It is important to keep the teeth and mouth clean.  This helps with healing.  If the gums are tender during brushing, run the toothbrush under warm water to soften the bristles.  Use bland toothpaste.

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Our Location

653 N. Town Center Dr. Suite 104

Las Vegas NV 89144

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Contact Us

Phone: 702-838-9013

Fax: 702-838-9157

DrHoban@summerlinpediatricdentist.com

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