Post-Op Dental Care {Mt. Airy, MD}

Post Op Care

Patients with Local Anesthesia for Fillings:

YOUR CHILD WILL BE NUMB FOR SEVERAL HOURS IN THE AREA OF THE LIPS, CHEEKS, TONGUE AND THE OUTSIDE SKIN NEAR THE TREATED AREA

  • After the appointment, give age-weight appropriate Acetaminophen (TYLENOL), Ibuprofen (Advil or Motrin) to help the anesthesia “wear-off” easier. You may give it every 4-6 hours as needed. Take prescription medications as directed.
  • Your child may eat and drink immediately after the appointment, but give your child liquids or soft food. Make good choices: give them nothing they have to chew excessively while they are numb.
  • Take it easy for the rest of the day. DO NOT PLAN TO RETURN TO ACTIVITIES OR SCHOOL THIS DAY, ESPECIALLY IF YOUR CHILD HAS HAD ORAL SEDATION E.G. VALIUM, VERSED – AND LOCAL ANESTHESIA.
  • Do not allow your child to chew, bite, suck, pick or scratch the numb area. This can cause a very SORE AND SWOLLEN area that will get better in 5 to 10 days. Call our office if this happens. Over the counter liquid Benadryl-Maalox 50-50 mix (swish and spit) works as a magic mouth rinse to help the pain after a lip or cheek-bite injury.
  • Your child may brush as normal if they have had a dental filling or crown.

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

  • Bite on the gauze for 15-30 minutes to help control bleeding. We tell the kids that “it looks a little red” where the tooth used to be and the gauze soaks it right up.
  • Soft/liquid diet for the first 1-2 days and nothing hard or crunchy like Doritos, Pretzels or Pizza Crust. Cool or cold foods: shakes, crushed ice may feel best for the first 6-12 hrs.
  • Don’t use straws, or rinse forcefully or blow the nose for about 24 hours.
  • A towel on your child’s pillow will help, because saliva may be “pink” for 24-48 hrs.
  • Don’t brush teeth in an extraction area for 24 hours after surgery.
  • Keep fingers and tongue away from the extraction area.

Please do not hesitate to call the office if there are any questions.

Care of Sealants

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. (1 teaspoon of salt in 1 cup of warm water)
  2. For discomfort use Children’s Tylenol, Advil or Motrin as directed by the age of the child.

Please do not hesitate to contact the office if the discomfort persists for more than 7 days or if there are any questions.