Pediatric Post-Op Instructions
REST
Your child should be resting at home for the remainder of the day of surgery.
- They may be dizzy, drowsy or weak for up to 24 hours after surgery and a responsible adult (18 years or older) or parent should be with your child until the next day.
- For the first 24 hours they should not run or ride a bike, play outside, engage in any activity that can be dangerous due to lack of balance and coordination, and should be accompanied when going up and down stairs.
HYDRATION & FLUIDS
Give your child plenty of fluids after anesthesia
- If your child is not experiencing nausea or vomiting, they may progress their diet from clear fluids (water, juice, Pedialyte, Gatorade), to a soft diet (eggs, yogurt, soups, smoothies) and then progress to a regular diet as tolerated.
- Cold fluids and popsicles can help to soothe a sore throat, or mouth discomfort.
BLEEDING
It is normal for your child to have a small amount of bleeding after their procedure, especially from the sites where teeth have been extracted.
- If your child has had extractions, some bleeding from the site is normal and will usually stop within a few hours.
- If stainless steel crowns were inserted, some bleeding from the gums in normal for up to a week.
- Occasionally, patients can have a nose bleed during their recovery. This can be caused by irritation of the nose from the breathing tube.
PAIN
Your child may experience mild to moderate pain or discomfort after their procedure. Typically, this pain can be relieved with Acetaminophen (Tylenol) or Ibuprofen (Advil or Motrin).
Freezing is only used for children where teeth have been extracted and should last no longer than one hour.
- Our team of Nurses will advise you of medications you can give your child and at what time they are able to have a dose once they get home.
ORAL HYGIENE
Brush and floss your child’s teeth normally after the first day. If teeth have been removed, avoid these sites for 3 days.
- Avoid smoothies with nuts/seeds or hard and crunchy foods that may irritate the gums or dental extraction sites for at least 1 week.
- No sucking on a straw for at least 1 week (this can cause dry socket or impair healing) if your child has had extractions.
STAINLESS STEEL CROWNS
If your child had stainless steel crowns fitted, you should AVOID STICKY CANDY like toffee, suckers, bubble gum, etc. as these may pull crowns off the teeth.
- Crowns are cemented in place. The gums around them may be tender for a day or two. The child may mention that his or her “bite” feels funny at first, but this will correct itself. Brush these crowns just like the other teeth. They will fall out with the baby tooth at the normal time.
STITCHES
If your child has had dental extractions and removal of teeth, the Pediatric Dentist may have placed stitches (sutures) which are dissolvable.
- These stitches do not need to be removed. They will dissolve and come out on their own typically between 5-7 days after the procedure. If these sutures do not dissolve within 10 days or your child is experiencing discomfort, please give our practice a call.
EMERGENCIES
IT IS VERY IMPORTANT THAT OUR OFFICE IS NOTIFIED OF ANY UNEXPECTED ADMISSIONS TO THE HOSPITAL WITHIN 10 DAYS OF YOUR DENTAL PROCEDURE
IF YOU ARE UNABLE TO REACH OUR OFFICE AND YOUR CHILD IS EXPERIENCING SEVERE BLEEDING, BREATHING PROBLEMS, OR ANY LIFE-THREATENING SITUATION, CALL 911 OR PROCEED TO THE NEAREST HOSPITAL EMERGENCY ROOM.