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.