Post Operative Care

Nitrous Oxide and Vistaril | Tooth Extractions (Pulled Teeth) | Composite White Fillings | Lidocaine (Local Anesthetic) | Sealants Space Maintainer After-Care | Stainless Steel Crowns (Caps)


Nitrous Oxide and Vistaril

Nitrous Oxide inhalation is perfectly safe and is used to relax your child and reduce their sensation to pain during their dental procedure. Your child will remain awake while Nitrous Oxide is administered, and, after the procedure is finished, we will assure that they breathe in pure oxygen in order to clear the Nitrous Oxide from their lungs. Once your child’s procedure is over, they should be fine to resume their normal activities with no lingering side-effects of the Nitrous Oxide. You can assure that we base our use of Nitrous Oxide on your child’s age, anxiety level, gag reflex and the seriousness of the procedure we are performing on them.

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Tooth Extractions (Pulled Teeth)

When your child has a tooth or teeth extracted, you should expect to see some bleeding. The best way to stop bleeding is pressure with gauze, which we will provide to you and teach you how to use. A minimal amount of bleeding may continue for a couple days when you child eats or brushes his or her teeth.

After the local anesthetic wears off, your child might experience some mild discomfort. You may give your child Tylenol, Advil or Motrin as directed.

Though your child may not feel like eating immediately, encourage them to eat a soft diet.  For the first 24 hours after the extraction, do not drink through a straw, swish liquids, or spit on a continual basis in order to allow the clot to form in the extraction site.

As with any procedure, a clean mouth heals faster. Brush your teeth gently after your extraction. Warm salt water rinses are also helpful in managing pain while maintaining good oral hygiene after the first 24 hours.

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Composite White Fillings

While composites are strong and durable, they need to be taken care of, especially when placed on a child’s front teeth. Encourage your child not to bite into food with their front teeth as this may damage their fillings. Children may experience mind sensitivity to cold foods and beverages, such as ice cream and juice, for a few days after receiving a filling. If this does not improve within a couple weeks, please contact our office. As always, it is important for your child to maintain good oral hygiene and avoid too many foods that may discolor their composite white fillings, such as soda, coffee or Kool-Aid.

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Lidocaine (Local Anesthetic)

Local anesthesia will cause your child’s lips, cheeks and tongue to feel numb or "asleep" for approximately 3-4 hours after their procedure. During this time, it is important that your curious child does not bite his or her cheeks or poke at his or her mouth, as this can cause damage to the soft tissue. Monitor you child closely and avoid foods that need to be chewed. We recommend pudding, yogurt or applesauce until the effects of the anesthesia wear off.

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There are no restrictions after sealants are placed. Your child may eat, drink and brush their teeth normally. Your child should, however, avoid eating ice or chomping on hard candy as this can fracture sealants. The normal life of sealants is three years. A child who eats lots of sugary foods and/or does not demonstrate proper oral hygiene will need to have his or her sealants replaced more frequently than a child who practices good oral hygiene and nutrition.

We will check your child’s sealants at each of his or her check-up visits. If a sealant is compromised, we will replace it at no charge for up to three years.

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Space Maintainer After-Care

Once we place your child’s spacers, it make take a few days for the soreness to go away. Please watch their diet and try to avoid sticky foods like gum, candy and fruit snacks while spacers are in. Your child can brush their teeth normally while wearing spacers. If the spacers become loose or fall out, you should call us immediately.

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Stainless Steel Crowns (Caps)

Your child’s mouth will be numb for 3-4 hours after leaving our office with their new cap in place. As the anesthesia wears off, your child may experience some sensitivity around the gum line where the new crown has been placed. Tylenol, Motrin or Advil can be given for pain. Some mild bleeding may even occur upon brushing, but do not avoid brushing, as good oral hygiene is the key to healing.

If your child’s bite feels funny to them after the crown is placed, give the crown a couple days to settle in and their bite should return to normal. If it does not, please call our office.

Avoid any sticky foods that can loosen the caps. If the crown becomes loose or falls out, save it and bring it into our office.

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