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 Care
of the Mouth after Local Anesthetic
Care of the Mouth after Local Anesthetic Your child has had local anesthetic for their dental procedure:
Often, children do not understand the effects of local anesthesia, and may chew, scratch, suck, or play with the numb lip, tongue, or cheek. These actions can cause minor irritations or they can be severe enough to cause swelling and abrasions to the tissue. Please monitor your child closely for approximately two hours following the appointment. It is often wise to keep your child on a liquid or soft diet until the anesthetic has worn off.
Please
do not hesitate to call the office if there are any questions.
Care of the Mouth after Trauma Please keep the traumatized area as-clean-as possible. A soft wash cloth often works well during healing to aid the process. Watch for darkening of traumatized teeth. This could be an indication of a dying nerve (pulp). If the swelling should re-occur, our office needs to see the patient as-soon-as possible. Ice should be administered during the first 24 hours to keep the swelling to a minimum. Watch for infection (gum boils) in the area of trauma. If infection is noticed - call the office so the patient can be seen as-soon-as possible. Maintain a soft diet for two to three days, or until the child feels comfortable eating normally again. Avoid sweets or foods that are extremely hot or cold. If antibiotics or pain medicines are prescribed, be sure to follow the prescription as directed.
Please
do not hesitate to call the office if there are any questions.
Care of the Mouth after Extractions Do not scratch , chew, suck, or rub the lips, tongue, or cheek while they feel numb or asleep. The child should be watched closely so he/she does not injure his/her lip, tongue, or cheek before the anesthesia wears off. Do not rinse the mouth for several hours. Do not spit excessively. Do not drink a carbonated beverage (Coke, Sprite, etc.) for the remainder of the day. Do not drink through a straw. Keep fingers and tongue away from the extraction area. Bleeding - Some bleeding is to be expected. If unusual or sustained bleeding occurs, place cotton gauze firmly over the extraction area and bite down or hold in place for fifteen minutes. This can also be accomplished with a tea bag. Repeat if necessary. Maintain a soft diet for a day or two, or until the child feels comfortable eating normally again. Avoid strenuous exercise or physical activity for several hours after the extraction. Pain - For discomfort use Children's Tylenol, Advil, or Motrin as directed for the age of the child. If a medicine was prescribed, then follow the directions on the bottle.
Please
do not hesitate to contact the office if there are any questions.
By forming a thin covering over the pits and fissures, sealants keep out plaque and food, thus decreasing the risk of decay. Since, the covering is only over the biting surface of the tooth, areas on the side and between teeth cannot be coated with the sealant. Good oral hygiene and nutrition are still very important in preventing decay next to these sealants or in areas unable to be covered. Your child should refrain from eating ice or hard candy, which tend to fracture the sealant. Regular dental appointments are recommended in order for your child's dentist to be certain the sealants remain in place.
The
American Dental Association recognizes that sealants can play an important
role in the prevention of tooth decay. When properly applied and
maintained, they can successfully protect the chewing surfaces of your
child's teeth. A total prevention program includes regular visits to
the dentist, the use of fluoride, daily brushing and flossing, and
limiting the number of times sugar-rich foods are eaten. If these
measures are followed and sealants are used on the child's teeth, the risk
of decay can be reduced or may even be eliminated!
Oral Discomfort after a Cleaning A thorough cleaning unavoidably produces some bleeding and swelling and may cause some tenderness or discomfort. This is not due to a "rough cleaning" but, to tender and inflamed gums from insufficient oral hygiene. We recommend the following for 2-3 days after cleaning was performed:
1)
A warm salt water rinse 2 - 3 times per day
2)
For discomfort use
Children's Tylenol, Advil, or Motrin as
Please
do not hesitate to contact the office if the discomfort persists for more
than 7 days or if there are any questions.
Nitrous Oxide /
Conscious Sedation Some children are given nitrous oxide/oxygen, or what you may know as laughing gas, to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. Nitrous oxide/oxygen is given through a small breathing mask which is placed over the child’s nose, allowing them to relax, but without putting them to sleep. The American Academy of Pediatric Dentistry, recognizes this technique as a very safe, effective technique to use for treating children’s dental needs. The gas is mild, easily taken, then with normal breathing, it is quickly eliminated from the body. It is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes. Prior to your appointment:
Conscious Sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may be quite drowsy, and may even fall asleep, but they will not become unconscious. There are a variety of different medications, which can be used for conscious sedation. The doctor will prescribe the medication best suited for your child’s overall health and dental treatment recommendations. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child. Prior to your appointment:
Your child should not have solid food for at least 6 hours prior to their sedation appointment and only clear liquids for up to 4 hours before the appointment. The child’s parent or legal guardian must remain at the office during the complete procedure. Please watch your child closely while the medication is taking effect. Hold them in your lap or keep close to you. Do not let them "run around." Your child will act drowsy and may become slightly excited at first. After the sedation appointment:
Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation or I.V. sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed, ear tubes, or hernia repaired. This is performed in a hospital or outpatient setting only. While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of even driving a car daily. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection. Prior to your appointment:
Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment. The child’s parent or legal guardian must remain at the hospital or surgical site waiting room during the complete procedure. After the appointment:
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Children's
Dentistry of Knoxville
phone (865) 357-5560
fax (865)357-5562 Home | Meet Our Team | Dr. Darryl Dollars | Office Policies | The First Visit | Dental Topics & FAQ Post-Op Instructions | Pre/Post Sedation Instructions | How to Handle Emergencies | Office Tour Motivational Charts | Location/Contact Us | E-mail the ToothFairy |
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