Willow Pediatric Dentistry of Tecumseh

Extraction Post-Operative Instructions

Your child had an extraction today and will require special care and attention over the next few days. Please follow the following instructions as applicable

  • Numbness: The mouth will be numb approximately two to four hours. Watch to see that your child does not bite, scratch or injure the cheek, lips or tongue during this time
  • Bleeding: Bleeding was controlled before we discharged your child, but some occasional oozing (pink or blood-tinged saliva) may occur and would be normal. If active bleeding occurs, hold a folded piece of moist gauze with firm pressure against the surgical site until stopped (approximately 20-30 min).
  • Surgical Site Care: Do not disturb the surgical site today. Please do not stretch the lips or cheeks to look at the area. Do not rinse vigorously, use mouthwash, or probe the area with fingers or other objects including the tongue. Tomorrow you may begin to rinse with warm salt water (½ teaspoon salt with one cup water) after meals.
  • Daily Activities: Today, avoid physical exercise and exertion - no gym classes. Return to normal activities as tolerated. Smoking is never good for anyone's health and may delay healing.
  • Diet: After all bleeding has stopped, the patient may drink cool non-carbonated (no soda) liquids but should NOT use a straw. Encourage fluids to help avoid dehydration. Cold soft foods (ie. ice cream, gelatin, pudding, yogurt) are ideal for the first few hours. By the second day, consistency of foods can be as tolerated. Until healing is more established, avoid foods such as nuts, seeds and popcorn that may get lodged in the surgical area.
  • Oral Hygiene: Keeping the mouth clean is essential in the healing process. Today, teeth may be brushed and flossed gently, but avoid stimulating the surgical site. Soreness and swelling may not permit vigorous brushing of all areas, but please make every effort to clean the teeth within the bounds of comfort.
  • Pain: Because some discomfort is expected, you may give your child acetaminophen or ibuprofen before the numbness wears off. Do NOT give aspirin to your child. Follow the instructions on the bottle for dosing based upon your child’s age/weight. Stop taking medication and seek medical help immediately if you experience an allergic reaction (swelling of face, mouth, and throat, difficulty breathing, swallowing, itching or rash).

Watch For:

  • Swelling: Slight swelling and inflammation may occur for the next two days. If swelling occurs, ice packs may be used for the first 24 hours (10 minutes on then 10 minutes off) to decrease swelling and/or bruising. If swelling persists after 24 hours a warm/moist compress (10 minutes on then 10 minutes off) may help. Maximum swelling usually occurs 2-3 days after surgery.
  • Fever: A slight fever (temperature to 100.5F) is not uncommon the first 48 hours after surgery. If a higher fever develops or the fever persists call our office or see your physician.

Restorative Post-Operative Instructions

Your child had a filling (white star) and/or a stainless steel crown (silver hat or princess hat) with or without pulpal treatment completed today. Please follow the following instructions where applicable.

  • Numbness: The mouth will be numb approximately two to four hours. Watch to see that your child does not bite, scratch or injure the cheek, lips or tongue during this time
  • Discomfort: If your child experiences any pain, over the counter motrin or tylenol may be given (as long as they are not allergic or have any other contraindications for these medicines). Follow the instructions on the bottle for dosing based upon your child’s age/weight. If you feel like they might be sensitive, you can give them a dose before the numbing wears off for a smooth transition. If the filling was deep or close to the nerve, your child could have cold and/or hot sensitivity for a couple of weeks.
  • Diet: Your child may drink as soon as they wish and eat as soon as the numbing wears off. If they are unable to wait, we recommend something soft such as yogurt, ice-cream or a smoothie that they do not have to chew and risk injuring themselves.
  • Oral Hygiene: Keeping the mouth clean is essential in the healing process. Daily brushing and flossing is important to help prevent new decay and to allow the gingiva and teeth to heal properly from any restorations that have been completed.
  • Daily Activities: Return to normal activities as tolerated.
If you have difficulty using our website, please email us or call us at (517) 317-8700
View the ADA Accessibility Statement