Nitrous Oxide
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:
- Please inform us of any change to your child's health and/or
medical condition.
- Tell us about any respiratory condition that makes breathing
through the nose difficult for your child. It may limit the
effectiveness of the nitrous oxide/oxygen.
- Let us know if your child is taking any medication on the day
of the appointment.
Conscious Sedation
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:
- Please notify us of any change in your child's health and/or
medical condition. Do not bring your child for treatment with a
fever, ear infection or cold. Should your child become ill,
contact us to see if it is necessary to postpone the appointment.
- You must tell the doctor of any drugs that your child is
currently taking and any drug reactions and/or change in medical
history.
- Please dress your child in loose fitting, comfortable
clothing.
- Please make sure that your child goes to the bathroom
immediately prior to arriving at the office.
- 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:
- Your child will be drowsy and will need to be monitored very
closely. Keep your child away from areas of potential harm.
- If your child wants to sleep, place them on their side with
their chin up. Wake your child every hour and encourage them to
have something to drink in order to prevent dehydration. At first
it is best to give your child sips of clear liquids to prevent
nausea. The first meal should be light and easily digestible.
- If your child vomits, help them bend over and turn their head
to the side to insure that they do not inhale the vomit.
- Because we use local anesthetic to numb your child's mouth
during the procedure, your child may have the tendency to bite or
chew their lips, cheeks, and/or tongue and/or rub and scratch
their face after treatment. Please observe your child carefully to
prevent any injury to these areas.
- Please call our office for any questions or concerns that you
might have.
I.V. Sedation
I.V. Sedation is recommended for apprehensive children, very young
children, and children with special needs that would not work well
under conscious sedation. The dentist performs the dental treatment in
our office with the child anesthetized under I.V. sedation, which is
administered and monitored by an anesthesiologist.
Prior to your appointment:
- Please notify us of any change in your child's health and/or
medical condition. Do not bring your child for treatment with a
fever, ear infection or cold. Should your child become ill,
contact us to see if it is necessary to postpone the appointment.
- You must tell the doctor of any drugs that your child is
currently taking and any drug reactions and/or change in medical
history.
- Please dress your child in loose fitting, comfortable
clothing.
- Please make sure that your child goes to the bathroom
immediately prior to arriving at the office.
- 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 office
during the complete procedure.
After the sedation appointment:
- Your child will be drowsy and will need to be monitored very
closely. Keep your child away from areas of potential harm.
- If your child wants to sleep, place them on their side with
their chin up. Wake your child every hour and encourage them to
have something to drink in order to prevent dehydration. At first
it is best to give your child sips of clear liquids to prevent
nausea. The first meal should be light and easily digestible.
- If your child vomits, help them bend over and turn their head
to the side to insure that they do not inhale the vomit.
- Please call our office for any questions or concerns that you
might have.
Outpatient General Anesthesia
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:
- Please notify us of any change in your child's health. Do not
bring your child for treatment with a fever, ear infection or
cold. Should your child become ill, contact us to see if it is
necessary to postpone the appointment.
- You must tell the doctor of any drugs that your child is
currently taking and any drug reactions and/or change in medical
history.
- Please dress your child in loose fitting, comfortable
clothing.
- 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:
- Your child will be drowsy and will need to be monitored very
closely. Keep your child away from areas of potential harm.
- If your child wants to sleep, place them on their side with
their chin up. Wake your child every hour and encourage them to
have something to drink in order to prevent dehydration. At first
it is best to give your child sips of clear liquids to prevent
nausea. The first meal should be light and easily digestible.
- If your child vomits, help them bend over and turn their head
to the side to insure that they do not inhale the vomit.
- Prior to leaving the hospital/outpatient center, you will be
given a detailed list of 'Post-Op Instructions' and an emergency
contact number if needed.
Care of the Mouth After Local
Anesthetic
- If the procedure was in the lower jaw the tongue, teeth,
lip and surrounding tissue will be numb or asleep.
- If the procedure was in the upper jaw the teeth, lip and
surrounding tissue will be numb or asleep.
- 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.
- 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 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:
- A warm salt water rinse 2-3 times per day. (1 teaspoon
of salt in 1 cup of warm water)
- 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.