Post Treatment Instructions

Care of Fixed AppliancesCare of Sealants
Care of Your Removable ApplianceDisclosing Tabs
ExtractionsNitrous Oxide
Post-Operative NumbnessSedation Instructions




Care of Fixed Appliances

  1. If unusual discomfort is noticed, please call the office immediately.  Do not hesitate, as treatment can be prolonged if the discomfort becomes serious.
  2. Special care must be taken to eliminate sticky foods from the diet.  They may bend the wires or loosen the bands.  Repair appointments will prolong treatment time.
  3. Parent should check for loose bands each day by attempting to gently move the band with a fingernail.  If bands become loose or wires broken, call during office hours for an immediate appointment.
  4. Your child should take good care in cleaning his/her teeth.  The appliance may trap food under the wires and cause discomfort.  If your child’s breath becomes unpleasant a commercial mouthwash can be used.
  5. Remind your child that he or she should avoid “flipping” the appliance with the tongue because it may loosen the fit.
  6. With a new appliance, there may be an initial difficulty in speech, which should disappear in a day or two.
  7. Avoid sticky foods such as gum, caramels, and taffy.
  8. All children with fixed appliances must be seen on a semiannual basis for reevaluation of the bite and of the bite and fit of the bands.  Bands should be removed at least once per year for evaluation.  Periodic routine dental checkups should be continued.

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Care of Sealants

With proper care, your child's sealants can help protect teeth for years to come. The success of sealants on your child's teeth will depend on the care they get at home. 

Here are some important things that you as parents can do to help ensure the long-term success of sealants:

1) Supervise good brushing habits with no more than a tiny drop
of a fluoride-containing toothpaste.  Poor oral hygiene can affect
the sealants.  The acids produced by plaque can etch them,
causing sealants to break down over time.

2) Reduce sugar intake.  Sticky foods such as Fun Fruits, Fruit
Rolls, candy, sugar, caramel, taffy, chewing gum, etc. eaten too
frequently will etch the sealants in the same way as poor oral
hygiene.

3) Avoid chewing on ice, "jaw-breakers," or other hard substances. This habit can chip the sealants.

After the sealants are applied, the teeth may feel funny to your child (like he/she is biting on something).  The sealants will adjust within a few days.

If we work together, we can help your child's sealants last for years!

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Care of Your Removable Appliance

  1. Wear the appliance at all times except when you brush your teeth.  The appliance should be worn during meal eating and sleep, unless you have been specifically instructed otherwise.
  2. As soon as you have finished eating, take the appliance out as demonstrated earlier by the doctor.  Brush your teeth carefully, making sure you brush all the surfaces including outside, inside, and biting surfaces.
  3. After you have finished brushing your teeth, clean your appliance as follows:
  4. Fill the bathroom sink with water.  Hold the appliance in the palm of your hand over the sink.
  5. Carefully brush the inside and outside surfaces, and all the wires.
  6. Replace appliance as soon as you have finished cleaning it.

HELPFUL HINTS IN WEARING YOUR NEW APPLIANCE

  1. Avoid "flipping" the appliance with your tongue because it may cause a loosening of the fit.
  2. Be gentle when removing or replacing the appliance in the mouth.
  3. With a new appliance, there may be an initial difficulty in speech, which should disappear in a day or two.
  4. Any plastic taste from the appliance will disappear in a day or two.
  5. Avoid sticky foods such as gum, caramels, and taffy.
  6. You might expect mild discomfort with the appliance because there will be an adjustment period to something new.  If while wearing the appliance you have a great deal of discomfort, discontinue its use and call the office immediately for an appointment.  Do not delay as treatment time may be prolonged.
  7. If the appliance presents any unusual problems or you have any questions about its use please call the office and the doctor will help you.

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Disclosing Tabs

We recommend that disclosing tablets be used about once a week according to the following directions under your supervision.  Periodic use of these disclosing agents can help show your child where better tooth cleaning is needed.  You can purchase additional tablets directly from the company listed below.

Directions:

  1. Rinse mouth with water or mouthwash.
  2. Chew 1 tablet. Swish around for 30 seconds. Do not swallow. EXPECTORATE.
  3. Rinse with water.  The red color remaining on teeth indicates areas overlooked in brushing and may contain harmful dental plaque.
  4. Thoroughly remove the DARK RED COLOR by brushing and flossing.
  5. Use periodically to monitor plaque removal.
  6. The red color will slowly disappear from the tongue and mouth tissue after use.

TO AVOID INDISCRIMINATE USE, KEEP OUT OF REACH OF CHILDREN.

Ordering:
Toll-Free Telephone Number: 1-888-777-3101
Website: www.jbutler.com
Item#: 824RQ

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Extractions

Your child is biting on a moistened gauze sponge. We want him/her to keep biting pressure on the extraction site for 30 minutes. This should stop the active bleeding.

At the end of 30 minutes, the gauze may be removed and discarded. The saliva may be slightly reddish due to oozing. If bleeding continues after 30 minutes, fold up one of the extra sponges, moisten it with water and have your child bite on it for an additional 30 minutes. This should stop the bleeding. It is important that your child bites on the gauze while the extraction area is still numb and will not hurt when biting pressure is applied. Be sure your child does not bite his/her cheeks, lips, or tongue during the numbness period.

Your child may feel discomfort following this procedure. If he/she becomes uncomfortable or has difficulty getting to sleep, he/she may take acetaminophen (Tylenol) with water every 4-6 hours as needed for pain. Please follow the recommended dosage and directions on the label.

The meals following the removal of the tooth should consist of cool liquids and soft foods such as lukewarm soups, juices, and Jell-O. The child should return to his/her normal diet after 24 hours.  Avoid eating coarse or hard foods (i.e. peanuts, pretzels, popcorn, etc.) and drinking through a straw. Instruct your child not to chew or brush in the area of the extraction until healing has occurred.

For 24 hours after the procedure the child should not forcefully spit or rinse his/her mouth. After the first 24 hours your child should rinse the mouth with warm salt water (1/2 teaspoon salt per 8 ounce glass of lukewarm water) three or four times after meals. This will keep the extraction area clean and speed up healing.

Your child should not have any difficulty following this procedure. Please call us if you have questions. You can reach us at any time through our 24-hour emergency answering service.

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Nitrous Oxide

WHAT IS HAPPY AIR?

Fear of pain is the #1 reason people avoid coming to the dentist.

RELATIVE ANALGESIA helps patients overcome this fear. (Relaxation and a feeling of well-being that results from breathing a mixture of oxygen, air, and a mild anesthetic gas -nitrous oxide- through a nose mask)

WHAT CAN “HAPPY AIR” DO FOR YOUR CHILD?

  • It eliminates fear, nervousness, and tension associated with dental procedures.
  • It allows a patient to breathe MORE oxygen than he or she can from air while enjoying a remarkable depth of relaxation.
  • It drastically minimizes feelings of discomfort.
  • It usually produces feelings of warmth and security as well as a pleasant, “floaty” feeling.
  • It permits needed injections of local anesthetic without discomfort.
  • It allows our patient to leave the office rested and alert with no side effects.

PLEASE REMEMBER:
Relative analgesia in NO way resembles general anesthesia because the patient is always alert, can follow instructions, and can control many sensations.

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Post-Operative Numbness

What causes paresthesia?

The nerves that give sensation to the lip, chin, gums, teeth, and tongue are very close to where your dentistry was performed. When these nerves are disturbed during dentistry or the administration of local anesthesia, they may not function normally. It is important to note that these nerves affect sensation only, not movement. Therefore, you may feel numb or your food may taste different, but the affected areas should move normally. You should be able to smile, speak, and chew as usual.

How long will paresthesia last?

The duration of paresthesia is unpredictable. It may last weeks, months, or, in rare cases, it may be permanent.

What is the treatment for paresthesia?

Paresthesia usually gets better by itself over time. You may notice tingling or other sensations while your nerves are repairing. On the other hand, your sensation may return so gradually that you might not be aware of any improvement. It is possible that all or some of your sensation will return.

In closing…

We hope that this addresses some of the concerns you may have about paresthesia. We know that paresthesia can be upsetting, and we want you to understand your condition so that we can work together to develop the best treatment plan for you.

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Sedation Instructions

INSTRUCTIONS TO PARENTS OF PEDIATRIC PATIENTS WHO ARE TO RECEIVE SEDATION FOR DENTAL TREATMENT

IT IS IMPORTANT FOR YOUR CHILD'S SAFETY THAT YOU FOLLOW THESE INSTRUCTIONS CAREFULLY. Failure to follow these instructions could result in serious injury or even death.

EATING and DRINKING

To avoid vomiting and complications during treatment with sedation, DO NOT allow your child any food or drink (even water) unless directed by your doctor. The following schedule should be followed:

  1. No milk or solid food (including formula, candy, and chewing gum) after midnight prior to the scheduled procedure.
  2. Clear liquids may be taken until two (2) hours before the appointment. Clear liquids include: water, Pedialyte, and apple juice.

CHANGE IN HEALTH

Any change in the child's health, especially the development of a cold or fever, within seven (7) days prior to the day of treatment, is very important. For the child's safety, a new appointment may be made for another day. If possible, inform this office of any change in health prior to your appointment.

ARRIVING

A responsible adult must accompany the patient to the dental office and must remain until all treatment is completed. Plan to arrive early for your appointment.

MEDICATIONS

Give your child only those medications which he/she takes routinely, such as seizure medications or prophylactic antibiotics, and those prescribed by your child's physician or dentist. DO NOT give your child any other medicines, before or after treatment, without checking with your child's physician or dentist.

ACTIVITIES

DO NOT plan or permit activities for the child after treatment. Allow the child to rest. Closely supervise any activity for the remainder of the day.

GETTING HOME

The patient must be accompanied by a responsible adult. Someone should be available to drive the patient home. The child should be closely watched for signs of breathing difficulty and carefully secured in a car seat or seat belt during transportation. DO NOT use a bus.

DRINKING OR EATING after TREATMENT

After treatment, the first drink should be plain water. Sweet drinks can be given next (clear fruit juice or Gatorade). Small drinks taken repeatedly are preferable to taking large amounts. Soft food, not too hot, may be taken when desired after any nausea has subsided.

TEMPERATURE ELEVATION

The child's temperature may be elevated to 101°F/38°C for the first 24 hours after treatment. Tylenol every 3-4 hours and fluids will help alleviate this condition. Temperature above 101°F/38°C is cause to notify this office or your pediatrician.

SEEK ADVICE

  1. If nausea persists beyond four (4) hours.
  2. If the temperature remains elevated beyond 24 hours or goes above 101°F/38°C.
  3. If there is any difficulty breathing.
  4. If any other matter causes you concern.

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149 Durham Road #33 | Madison, CT | P: 203.245.1454