To help alleviate post treatment discomfort for the following procedures, we suggest that you give your child Children’s Advil or Tylenol, per manufactures directions,  30 to 45 minutes prior to their numbness wearing off.




Your child received local anesthesia for dental treatment.  This makes the lips and cheeks numb on the side it was used.  Children who do not always understand the effects of a local anesthetic sometimes may suck or chew on the numb lip or cheek, thereby causing laceration of the tissue.  Although this is not a serious problem, it is uncomfortable and we ask that you please watch the child very closely for approximately an hour following the appointment.  If your child is hungry we recommend a shake or malt while the tissue is numb.



If your child has been sedated, the medicine may cause drowsiness for 6 to 8 hours.  It is not unusual for your child to nap at home after treatment.  You should wake your child regularly and encourage clear fluids to prevent dehydration.  Your child may experience nausea when food is taken after sedation.  Please decrease the amount of food ingested – Liquid foods are best at first.  All activities should be supervised today.  Contact Dr. Gutierrez at once if any questions or problems arise.   210- 824-5437



Due to placement of the stainless steel crowns below the gum line, the gum may be tender for a day or two.  A child’s dosage of Tylenol will usually relieve any discomfort.  Make sure to keep the gum line clean with normal brushing so the gum heals as quickly as possible.  If the discomfort continues call the office for further advice.





MOUTH CARE: Nothing hot to drink (hot chocolate, tea, coffee, soup, etc).  Avoid carbonated beverages and do not drink from a straw for 12 hours following an extraction.  Avoid extraction sites while brushing and flossing.  Rinse with water after every meal for 7 days to keep free of food debris.


BLEEDING: Some bleeding may occur for 8-12 hours following extractions and can be controlled by firm biting pressure on a gauze pad placed over the tooth socket.  It only takes a few drops of blood to make the saliva red! If bleeding continues (like a nose bleed) or starts up again, call the dental office immediately!


PAIN: Tooth extractions are usually handled very well by children.  Tylenol will usually relieve any discomfort. 

SWELLING: It is rare that swelling would occur with a tooth extraction.  An ice pack may keep swelling to a minimum.  Use Tylenol or Advil as an anti-inflammatory, anti-swelling medication.

DIET: It is important to maintain good nutrition following extractions.  A soft diet is recommended for the remainder of the day.  Avoid hard crunchy food that may be pushed into a tooth socket.  Drink lots of fluid.

Frequently Asked Questions

Q. Should I worry about thumb and finger sucking?
A. Thumb sucking is perfectly normal for infants; many stop by age 2. Prolonged thumb sucking can create crooked teeth or bite problems. If the habit continues beyond age 3, a professional evaluation is recommended. In our office this will be a component of your child's oral evaluation. If a habit is present we will recommend ways to address a prolonged thumb sucking habit.

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