PRE-OPERATIVE INSTRUCTIONS FOR
Children’s Dentistry
Asleep
Dr. Robert Marciniak, BSc, DMD, MSc (Dental Anesthesia)
1-271 Ingram Street, Duncan BC
Phone: (250) 748-1252 Fax: (250) 748-1566
E-Mail: [email protected]
Before your appointment
N o t h i n g t o e a t o r d r i n k a f t e r m i d n i g h t, t h e n i g h t b e f o r e y o u r c h i l d’s
appointment (no mints or gum either). Food in the stomach may cause
v o m i t i n g d u r i n g a n e s t h e s i a a n d m a y l e a d t o a m e d i c a l e m e r g e n cy.
A f t e r midnight, your child can ONLY have clear f l u i d s u p t i l l 3 h o u r s
before your child’s appointment time.
F or those three hours before your child’s a p p o i n t m e n t , h e / s h e i s n o t
allowed anything, NOT EVEN A SIP OF WATER.
✔
C LEAR FLUIDS
• CLEAR APPLE JUICE
• GINGER ALE
• 7UP
• GATORADE
• WATER
(DRINKS YOU CAN CLEALY SEE THROUGH)
✗
N O T C LEAR FLUIDS
• ORANGE JUICE
• DRINKS WITH PULP
• MILK
(DRINKS YOU CANNOT CLEARLY SEE THROUGH)
Arrival at the office
P l e a s e a r r i v e a t l e a s t 1 h o u r prior to your appointment. This will allow
the numbing c r e a m , t h a t w e w i l l p l a c e o n y o u r c h i l d’s h a n d , t i m e t o
work.
We a l l o w O N E p a r e n t t o a c c o m p a n y y o u r c h i l d w h i l e h e / s h e g o e s o ff t o
s l e e p . Yo u r c h i l d w i l l s i t o n t h e s i d e o f t h e d e n t a l c h a i r w h i l e y o u h u g
him/her while together watching a movie on a mobile screen.
W i t h y o u r c h i l d ’ s h a n d b e h i n d y o u r b a c k , D r. R o b e r t M a r c i n i a k
gently places an intravenous catheter in the area that was numbed.
Once the IV is in place, the medications are given to put the child
off to sleep. They work very quickly (typically a few seconds), the
child will fall asleep in your arms (hold him/her tight so he/she
doesn’t fall) and we gently lean him/her back onto the chair.
If for any reason we cannot start an IV right away, the child will be
put to sleep breathing a mask. This typically takes 30 seconds and
the parent will be asked to come close to hold the child’s hand to
reassure him/her.
Monitoring
Dr. Robert Marciniak will be monitoring your child the entire time while
D r . A m y T s e n g c o n c e n t r a t e s o n t h e d e n t i s t ry. A f t e r t h e d e n t i s t r y i s
completed, we will take your child to our recovery room where we
w i l l l e t h i m / h e r s l e e p a n d w a k e u p s l o w ly. We w i l l c o n t i n u e t o
monitor your child throughout this time. Once your child starts to
wake up, we will come and get you so you can be with your child.
Recovering from your Anesthetic
Following an anesthetic, a child will be dizzy, disoriented. His/her
mouth will feel different, and he/she may not necessarily wake up in
a good mood, and may cry. This is normal, and not the result of
pain. While asleep, your child will be given medications to ensure
that he/she will be comfortable on wakening.
A responsible adult must accompany your child home to rest.
P l a n t o d r i v e o r t a k e a t a x i h o m e . We d o N O T a l l o w y o u t o t a k e
public transit after an anesthetic.
A responsible adult must be with your child for the remainder of
t h e d ay.
After the anesthetic you should go directly home. Even though
h e / s h e m a y f e e l f i n e a n d m a y w a n t t o g o o u t a n d p l ay, i t i s
important that your child rest at home for the remainder of the
d ay.
Yo u r c h i l d c a n e a t a n d d r i n k w h e n h e / s h e f e e l s r e a d y a f t e r a r r i v i n g
home. Check with your dentist if there are any food restrictions due
to the dental work.
P l e a s e f e e l f r e e t o c a l l D r. R o b e r t M a r c i n i a k a t a n y t i m e i f y o u h a v e
a n y q u e s t i o n s o r c o n c e r n s a f t e r y o u r c h i l d’s a n e s t h e t i c .