Hospital Dentistry Information and Instructions
General anesthesia in a hospital setting is recommended for extremely apprehensive children, very young children, medically compromised children and children with special needs that would not respond well to sedation in-office. General anesthesia renders your child completely unconscious and the dental treatment is begun after your child is asleep. Having dental treatment completed under general anesthesia is similar to having ear tubes placed or tonsils removed at the hospital. Dental rehabilitation under general anesthesia requires the services of an anesthesiologist who specializes in general anesthesia in addition to the pediatric dentist performing the dental work.
Dr. Healy and Dr. Martin perform all general anesthesia cases at Wesley Medical Center. Please plan to arrive promptly at your assigned check in time as a delay in arrival may cause your child’s appointment to be cancelled. Plan to park at garage north of the hospital. You will need to check in at Main Admissions (Admissions North).
Pre-Operative Hospital Instructions
- We only perform general anesthesia cases on those children that are in good physical condition. This is usually assessed by the anesthesia provider the day of surgery, however there are some times when a pre-surgery appointment is needed to assess the health of your child. Our team will let you know if that is the case. Those patients with KanCare dental plans will need to have a Kan-Be-Healthy (KBH) screening prior to your child’s surgery.
- Your child must be without major illness two weeks prior to surgery. If your child does get sick in this timeframe, please call our office to see if rescheduling is indicated.
- Your child may not have anything to eat or drink after midnight (12:00 a.m.) prior to the morning of his/her surgery. If you fail to comply with this rule, your child’s surgery will be cancelled.
- General anesthesia fees are covered by your child’s medical insurance, not your dental insurance. Our team will help you to pre-determine your anesthesia coverage benefit and write all letters of medical necessity as needed to help determine coverage. Fees for anesthesia are billed by the hospital and we are ultimately not responsible for any billing associated with hospital and/or anesthesia charges.
- Wesley is requiring that all of our dental patients undergoing general anesthesia see their medical doctor within 30 days of their scheduled procedure. Your child’s MD will need to fill out an H&P (history and physical). Once those forms are complete, please fax to: Wesley at (316) 962-7589.
If Wesley does not have an H&P on file for your child prior to their surgery date, they will NOT be able to provide services and your child’s surgery will be rescheduled.
Please contact our office at (316) 202-0140 ext 100 if you or your MD have any questions.
Post-Operative Hospital Instructions
- Once you are home your child may be tired for some time and may want to sleep. It is important that you do not leave your child unattended today. It will take several hours for him or her to return to normal.
- Mild nausea and fever are common, but if your child has prolonged nausea, vomiting or diarrhea or if your child has a high, prolonged fever that does not respond (go down) after you give your child Children’s Tylenol® call our office or go to emergency room.
- Your child may complain of a sore throat or nose. This is due to the tube that helped your child breath while asleep. This will go away in 2-4 days and best treated with Children’s Motrin® or Children’s Tylenol®. You may also have some slight bleeding around the nose from the tube, that is normal and will subside in 1-3 days.
- Your child should also have a soft diet today. Many parents find that pasta, applesauce, pudding, ice cream, soup, and/or gelatin snacks are good options.
- To ensure the longevity of your child’s dental restorations, please do not allow him/or her to have any sticky or chewy foods, such as: caramels, Laffy Taffy®, suckers or gum as the crowns and fillings may come off. If your child had any dental work done on his/her front teeth be very cautious on what they are biting into, no hard foods where they have to “bite and tug”. Some foods may need to be cut into smaller pieces so that biting is no longer needed.
- Bleeding around crowns is normal for the first 5-7 days after the sedation appointment. Continue proper brushing and flossing to heal these areas, pain and irritation may occur, you may give your child Children’s Tylenol® or Children’s Motrin® as the instructions on the bottle indicate.
- If any fillings or crowns are lost, broken, or fall off, please contact our office to schedule an appointment within one week of it falling off to have it cemented or replaced. If any crowns are space maintainers are off you must bring it with you to this appointment.
- If your child had any tooth colored fillings or white crowns on his/her front teeth there may be a discolored blackness at the gum line around those teeth. This is due to a medicine used to control and stop the bleeding from the gums. This discoloration will go away within 3-5 days with proper brushing.
- Most of the time we apply a gel-like fluoride varnish to the teeth after the dental treatment is completed. This can help strengthen the teeth and prevent future dental problems. The fluoride will stay on the teeth through eating the rest of the day and will remain partly on at night as well.
- Please resume brushing and flossing tomorrow morning. It is important to brush at least twice per day and to floss every night in order to assist in healing of the gums and maintain good oral health.
- If you have any questions, please do not hesitate to call our office at (316) 202-0140.