Nitrous Sedation

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Post-Operative Dental Surgery Instructions

1. Things to expect following surgery:
2. >Bleeding: Bleeding or oozing for the first 12-24 hours is common. Mild to moderate bruising/discoloration can also be present.
3. >Swelling: Swelling may begin within the first 24 hours but should reach its maximum by 48-72hours. Swelling should diminish by the 5th day.
4. >Discomfort: Discomfort may begin as early as when the anesthetic wears off. Typically discomfort will increase as swelling increases, with peak levels occurring within the first 48hours and gradually tapering thereafter.
5. Things to do following surgery:
6. >Refrain from: Smoking, vaping, vigorous swishing, and drinking through a straw for a minimum of the first 72 hours. Ideally to prevent infections and delays in the healing process, this should be avoided until the tissue completely heals up or your dentist advises you otherwise. Please also refrain from disturbing any stitches that were placed.
7. >Bleeding:
8. >>Bite on gauze for 30 min - 1 hour with constant, firm pressure over the surgical site. If bleeding continues, replace gauze and continue to apply pressure until bleeding stops.Some oozing and discoloration of saliva is normal, so place an old towel on your pillow before going to sleep the first night. Keep head elevated.
9. >Swelling:
10. >>Apply an ice pack to the outside of the face over the surgical area--20 minutes on, 20minutes off. Repeat for the first 24 hours following surgery as needed.
11. >>After first day use warm, moist heat on face for swelling.
12. >Discomfort:
13. >>Take medications as directed for pain. See provided Pain Management sheet.
14. >Diet:
15. >>Avoid crunchy, crumbly, hot, or spicy foods for at least the first 72 hours following surgery or as directed by your dentist. Soup (room temperature or cold), oatmeal, milkshakes (without seeds), and mashed potatoes are all examples of acceptable soft foods. Do not skip meals as adequate nutrition is important for the healing process.
16. >>Diet can be supplemented with high protein or meal replacement shakes such asEnsure or Boost. Protein is an essential nutrient in the recovery process.
17. >Physical Activity:
18. >>Avoid heavy lifting, sports, or strenuous exercises for the first 5-7 days or as directed by your dentist. Walking is a great way to maintain physical activity while healing.
19. >Hygiene:
20. >>Do not brush teeth in area of surgery for the first 48 hours. Other areas of the mouth may be brushed paying special attention to avoid area of surgery.
21. >>Use warm salt water rinses (¼ teaspoon of salt to 1 cup of water) 3-5 times daily after meals for the first 2 days following surgery (very gentle swishing).
22. >>If periodontal surgery was completed, including crown lengthening, do not brush the site for the first week. Use Peridex mouth rinse twice daily, swishing for 30 seconds and spitting.
23. >Medication:
24. >>Take all medications as instructed. If antibiotics were prescribed, be sure to take ALLas directed.
25. Contact the office at (512) 717-5315 or seek emergency care if:
26. >Bleeding is excessive, swelling continues to enlarge after 72 hours, difficulty swallowing or breathing, temperature rises over 100°F.

Pain Management Protocol

Start with:

• Ibuprofen 600mg or 800mg (Advil, Motrin) unless otherwise directed by your doctor or dentist
• Take every 8 hours
  
  *Over-the-counter Ibuprofen typically comes in 200mg tablets, so you can take 3-4 tablets to reach the recommended 600-800mg dosage. Do not exceed 3200mg daily.

If necessary add:

• Acetaminophen 500mg (Tylenol)
• Take every 6 hours
• Recommended to be taken 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
  
  *Over-the-counter Acetaminophen typically comes in 375mg or 500mg tablets, so you can take the 1-2 tablets to reach the recommended 500mg dosage. Do not exceed 2000mg daily.

If discomfort persists, discontinue Acetaminophen 500mg and replace with:

• Norco 5/325mg OR Tylenol #3 (depending on what was prescribed to you)
• >Both listed medications contain Tylenol so please be aware of your total daily consumption (do not exceed 2000mg Tylenol a day).
• >Take 1 tablet every 6 hours as needed for additional pain control
• >Recommended to take 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
• >Do not drive or operate heavy machinery while taking these medications as they can cause drowsiness
• >If pain is more prominent at night, save these medications for use closer to bedtime as tolerance can build quickly

Whether you’re expecting a child or are a brand new parent, there are so many questions and new routines to develop—including those surrounding oral health. Your baby may not have teeth for a while, but it’s never too early to get prepared for when they do! Although they’ll eventually fall out, baby teeth essentially lay the foundation for adult teeth. When baby teeth are decayed, broken, or missing, it can cause changes to the structure of your child’s mouth and affect the development of their adult teeth and their speech.

With that in mind, here are a few helpful tips to give your child a head start on a healthy smile!

1. Introduce brushing and flossing early.

Brushing should begin as early as possible; in fact, the American Academy of Pediatric Dentistry advises new parents to start cleaning or brushing their baby’s gums from day one. This should be done after every meal using an infant toothbrush or a soft washcloth soaked in cool, clean water. Flossing should start as soon as your child has two teeth that touch. Making brushing and flossing a part of their routine early gets them used to it and makes it easier for them to establish it as a daily habit later on.

2. Wipe or rinse your child’s mouth after giving them medication.

Baby medicine is very sugary and can contribute to tooth decay if it’s allowed to sit on the surface of your child’s teeth. After each dose of medication, make sure to rinse their mouth out with water or wipe their teeth with a wet washcloth.

3. Introduce hard foods early on.

Giving your child hard foods will help aid their facial development and give added support for their jaw once their teeth come in.

4. Follow bottles of milk with water.

Baby bottle tooth decay is very common among infants. It’s generally caused by drinking milk or sugary beverages in a bottle without cleaning their mouth afterward. To avoid this, give your child some water in a bottle after they’ve had milk, and avoid giving them bottles with sugary beverages.

5. Find a pediatric dentist by age one.

Children should start seeing the dentist at a year old or at the eruption of their first tooth—whichever comes first. Like brushing and flossing, the younger children start visiting the dentist, the sooner they’ll get used to it! Early dental visits are also a great way to ensure your child doesn’t develop dental anxiety—plus, they give our dentists a chance to develop a relationship with your child and understand their unique oral health challenges.

Set Your Child Up for a Lifetime of Healthy Smiles

Maintaining excellent oral health is a lifelong journey and Enamel Dentistry is proud to offer quality pediatric care in Austin and Dallas TX. Whether you’re bringing your infant or toddler in for their first appointment or you have an older child who needs routine or restorative care, you can rely on us to help your family have strong, healthy smiles. To get your child established at our practice, contact the closest Enamel Dentistry location near you or request an appointment online.