Call: 604.983.2253 | Fax: 604.983.2004 | Toll Free: 1.866.983.2253

206-2609 Westview Drive, North Vancouver, BC, Canada V7N 4M2

Postoperative Instructions

Emergencies & Post-Operative Instructions
Emergencies If your child has an accident, please call our office ASAP. If it is after-hours emergency, our pager number will be given on the voicemail. The pager number is for true dental emergencies only such as severe traumas swellings or excessive bleeding. Please do not call this number for general dental questions, questions about an appointment, etc. Additionally, this number is for active patients of record only. If you have not been seen by our office prior, then you should contact the nearest ER, and then call our office during regular business hours to schedule a follow up appointment.

If a permanent tooth is knocked out, gently rinse, but do not scrub/brush the tooth. Replace the tooth in the socket if possible. If this is impossible, place the tooth in a glass of milk or a clean wet cloth and come to the office immediately. If a permanent tooth is fractured, please bring in any pieces you can find. Baby teeth are never re-implanted and they are now property of the tooth fairy. Please look around to see if you can find the baby tooth and bring that with you as well.

When you work with children, they sometimes are not always adhering to the busy schedules of adults. This can be exacerbated by an emergency. Please accept our apologies in advance should an emergency occur during your child's appointment and keep in mind that we will provide you the same care should your child ever need emergency treatment.

Post-op Instructions
Care of the Mouth after Numbing
It is difficult for a child to comprehend the side effects of local anesthesia. They may chew on their cheek, lip or tongue and this can lead to swelling and bleeding. Please keep an eye on your child for at least 2 hours following local anesthesia.

Extraction Post-op Instructions
Your child has had 1 or more teeth "wiggled" out.

The gauze needs to stay in place with biting pressure for 30 minutes. This will help the clot to form

You may give your child the appropriate dose of whatever your normally give your child for pain such as children's Tylenol or Motrin/Advil but NO aspirin. Your child should only need this for approximately 12 to 24 hours. If pain persists beyond 48 hours, please contact our office. It is very rare that a child needs a narcotic pain medication following a dental procedure.

Eat soft, bland foods for the first couple days- nothing sharp, crunchy or too hot or cold because the area may be a sensitive. Encourage plenty of liquids (water, soups, juices, etc.).

NO spitting or drinking through a straw or "sippy" cup for 2 days. The force can inhibit clot formation and the bleeding could start again.

Limited, supervised activity that day.

You may see minor swelling and/or oozing of blood or pus (if there was an abscess). If this occurs, you apply an ice pack for 15 minutes on and 15 minutes off as needed in the 24 hours following tooth removal. Do not place ice directly at the site.

Your child's cheek, lip and tongue will be numb for approximately 1-2 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. A self-inflicted bite injury is the most common post-op complication. The mouth heals up faster than most any part of the human body, and even if they have bitten their cheek, it should heal up well within 1 week to 10 day. Please keep an eye on your child!

If you have any questions or should any complications arise, please call the office at 604.983.2253.

Care of Sealants
Sealants cover the grooves on the biting surface of a tooth. They do not cover the areas on the side and between teeth. Therefore, a sealant cannot prevent all decay and is not a guarantee that no decay will ever occur on the tooth. It is still important to maintain good oral hygiene and monitor your child's carbohydrate consumption to prevent dental decay. Sealants are not a full solution to cavity prevention and if your child chews on ice or hard candy, they can be fractured.

Oral Discomfort after a Cleaning
There may be some residual pain/bleeding after a dental cleaning. It is not because your child has been hurt but sometimes to remove buildup, and if their hygiene has not been good, they can be tender afterwards. A lukewarm salt water rinse or children's Tylenol or Motrin/Advil can be of help. Even if your child states that they are sore, it is still very important that they don't stop brushing or flossing. This will make the problem worse.

Post-Sedation Instructions
ACTIVITY: Supervised activity the remainder of the day. No sports or travel, just allow your child to rest, watch movies, and play video games.

THE TRIP HOME: If possible, please have 2 adults with your child so that one can drive while the other watches your child. Be sure your child's chin is up on the way home.

DRINKING/EATING AFTER THE APPOINTMENT: Soft foods for 24 hrs. such as mashed potatoes, soup, pudding, applesauce, etc. Please remember that children dehydrate significantly faster than adults and fluids are the most important thing.

TEMPERATURE ELEVATION: Your child's temperature may be elevated for the first 24 hours after treatment. You may take whatever your child normally takes for pain such as Tylenol and Motrin as needed, unless recommended otherwise by Dr. Gerry. If your temperature reaches 103F or or higher, please contact our office or your child's physician.

EXTRACTIONS: If your child had teeth removed, a small amount of bleeding is normal. Do NOT let your child spit or use straws/sippy cups for 48 hours, as this will cause more bleeding. Remember that a small amount of blood mixed in with a lot of spit in the mouth looks like a lot of blood. When your child brushes, allow the excess water/toothpaste to dribble out of their mouth for the first 2 days, rather than forceful spitting. Do not brush the extraction sites.

BRUSHING/FLOSSING: You should still brush/floss all areas, except where teeth have been extracted. Some cement may ooze from underneath crowns as it is setting up over the initial 24 hours, and it can stick to the gums if proper hygiene is not maintained.