Post Operation Instructions

Extraction

  1. The gauze “band-aid” needs to stay in place with biting pressure for 30 minutes.
  2. Give your child the appropriate dose of children’s Tylenol or Motrin when you take the gauze “band-aid” out.  Your child should only need this for approximately 12-24 hours.  If discomfort persists beyond 48 hours, call our office.
  3. Your child should eat only soft food for two to three days – nothing crunchy and nothing too hot or cold because the area may be a little sensitive.  Encourage plenty of liquids (water, soups, etc).  A regular diet can be started as tolerated by your child.
  4. NO SPITTING OR DRINKING THROUGH A STRAW!  This can start the bleeding again.
  5. A clean mouth heals faster.  Gentle brushing around the extraction site can be started immediately along with warm salt water rinses (1/4 teaspoon to a glass of water) to aid with any discomfort.
  6. Activity may need to be limited; sometimes a nap is a good idea.
  7. Swelling after an extraction is not uncommon and need not cause alarm.  Apply an ice pack for 15 minutes on and 15 minutes off as needed for 24 hours following tooth removal.
  8. Your child’s cheek, lip and tongue will be numb for approximately 2-4 hours.  Please be very careful that your child does not bite at his/her cheek or pick at this area.  As this area “wakes up” it may feel funny.

Filling

  1. Your child’s cheek, lip and tongue will be numb for approximately 2-4 hours.  Please be very careful that your child does not bite at his/her cheek or pick at this area.  As this area “wakes up” it may feel funny.
  2. Give your child the appropriate dose of children’s Tylenol or Motrin so they will have some pain medicine on board once the local anesthetic wears off.  Usually, the recovery after a filling is pretty easy and children do not require more than one dose of a Tylenol or motrin.
  3. Afterwards, there may be a little soreness around the gumline.  Brush and rinse well since a clean mouth heals faster!

Crown

  1. Your child’s cheek, lip and tongue will be numb for approximately 2-4 hours.  Please be very careful that your child does not bite at his/her cheek or pick at this area.  As this area “wakes up” it may feel funny.
  2. Give your child the appropriate dose of children’s Tylenol or Motrin so they will have some pain medicine on board once the local anesthetic wears off.  Usually, the recovery after a crown is pretty easy and children do not require more than one dose of a Tylenol or Motrin.
  3. Crowns have to be seated below the gumline so many times the gums are sore after a crown has been placed.  The gums can be inflamed and make brushing difficult.  Sometimes you may even see a little bit of bleeding around the gums when brushing your child’s crown.  It is very important to brush and floss around the crown because a clean mouth heals faster.  The Cleaner you keep the area around the crown the sooner the gums will heal well and get back to normal.

Sealants

  1. Avoid eating any ice or hard candy.  Ice and hard candy are very hard and can fracture the sealant.

Cleaning with a Fluoride Application

  1. Sometimes your child will have some bleeding around the gums after a cleaning.  This is not due to the dentist or assistant being “too rough”  but due to the gums being inflamed and prone to bleeding if oral hygiene has not been thoroughly maintained.  Just rinse with some warm salt water and use children’s Tylenol or Motrin for any discomfort.
  2. Your child should eat a soft diet for the rest of the day if they have had a fluoride varnish application (the white gooey fluoride).  Try to avoid crunchy foods.  They can knock the varnish off of the teeth.
  3. Teeth should not be flossed and brushed until the morning after the fluoride varnish application, at which time a regular schedule of careful oral hygiene should be resumed.

Space Maintainer

  1. Your appliance is to be worn full time.  It is called a fixed appliance, since it is not to be removed at home.
  2. The appliance is not easily broken, but it requires care.  You should never pull or push the wires with your fingers or tongue.  This may bend the wire and cause the teeth to move into an undesirable position.  This may also cause the wires to break.
  3. Clean your appliance each time you brush your teeth.  The wires are quite durable, and you should scrub them thoroughly (wires and bands) at each brushing.  You should continue to use dental floss while wearing your appliance.
  4. ABSOLUTELY no eating of hard or sticky candy or chewing gum as this will pull the bands from your teeth and loosen the appliance.
  5. Speaking may be difficult at first.  Practice by reading out loud until you get used to it.
  6. The appliance may make you salivate more than usual at first.  This will stop in a few days.
  7. Your teeth may be sore the first several days until you become accustomed to the pressure of the appliance.  Take Tylenol or Motrin as necessary for discomfort.
  8. Some appliances will leave an imprint on your tongue.  This is normal.  Keep brushing your tongue.  When the appliance is removed this will go away.
    • Follow all instructions
    • If you have a problem, call our office at (919) 435-7660.

2824 Rogers Rd, Suite 201
Wake Forest, NC 27587

Phone: 919.435.7660
Fax: 919.453.6370