Hospital Instructions (Before And After)

10855 Hwy 412 West, Lexington, TN 38351

outpatient dental surgery and treatment instructions and information

in order to schedule your child for outpatient dental surgery at the hospital, please read the following information and the materials enclosed in the packet carefully. it has been determined through mutual decision by you and your dentist that the appropriate treatment method to safely and effectively complete your child’s dental needs is to perform the necessary treatment under general anesthesia (asleep) in a hospital setting. if you have any questions about the enclosed information, please contact our office at (731) 968-5437. the following information is based on the guidelines of the american academy of pediatric dentistry and the surgery protocols for henderson county community hospital and our office. it is provided to help answer some of the most frequently asked questions and ensures your child’s treatment proceeds as safely and efficiently as possible

parents will be notified by phone and/or letter as to which hospital the surgery will take place.

henderson county community hospital – located at 200 west church st. in lexington, tn requires that each child have a history and physical performed less than 1 week prior to a dental surgery being performed. please do not schedule this physician visit until our office staff contacts you. you will be given a form to have your child’s medical doctor fill out. upon completion of the exam, you will need to bring the completed form to our dental office.

prior to treatment

1. please provide our office with a copy of your dental and medical insurance cards.

2. if you have dental insurance, we will submit a pre-treatment estimate to your insurance company. it can take several weeks for your company to process the pretreatment estimate (preauthorization). we will ask that you provide payment of the difference between the approved insurance pre-treatment estimate and the treatment plan prior to the surgery being performed (see payment policy for outpatient dental surgery). please remember that this is a pre-treatment estimate and the treatment and treatment fees may change (either more or less), once a thorough examination and x-rays are obtained after your child is comfortably asleep under general anesthesia. we make every attempt to submit a complete treatment plan but this may be difficult if a thorough examination and x-rays were not possible in our office due to the extent of your child’s anxiety and cooperation .

3. be available to take your child to their history and physical appointment.

4. if you have private medical insurance, we will call your insurance company to determine if they will provide coverage for the operating room and anesthesiology services for your child.

5. you should contact your child’s medical insurance company as well, by calling the number on the back of your insurance card. ask what if any additional information you need to pre-certify payment by them. notify the insurance company that your child will be receiving full mouth dental rehabilitation and x-rays under general anesthesia for a diagnosis of acute situational anxiety and severe dental caries. if necessary we can provide a letter of medical necessity. please mail or fax any documents that you may receive related to your child’s surgery to our office.

one to two weeks prior to treatment

1. take your child to the pre-surgery history and physical appointment at the physician’s office. our staff will notify you when the appointment should be made.

2. be sure that the appropriate payment is received by the dental office for services not covered by your insurance.

3. please stay in touch with our office . make sure that we have correct addresses, phone numbers, mobile phone numbers, etc keep us informed as to any changes in your child’s medical history. please call the office if your child becomes sick within 1-2 weeks before the surgery.

we realize that this may seem like a lot to do, but it is necessary to ensure that your child’s treatment proceeds as safely and efficiently as possible without excessive delays. again, please call our office if you have any questions about the surgery or these instructions.

post operative instructions and information

children are generally tired and uncomfortable after treatment under general anesthesia. however, the vast majority of children rebound very quickly and are “back to normal” in a short period of time. your doctor may prescribe your child an antibiotic and/or pain medication to take after the surgery is completed. please follow all instructions very closely. please note that you should not administer any form of depressant (including the tylenol with codeine that you may have been prescribed) until several hours after the surgery. the anesthesia team generally administers a narcotic pain medication at the end of the surgery, and we do not want your child to get excessively medicated outside of the hospital setting.

1. please feel free to give your child a dose of over-the-counter children’s motrin or ibuprophen. follow the manufacturer’s instructions.

2. your child will need to remain on a soft diet for at least 2 days after the surgery. (examples: jell-o, pudding, scrambled eggs, mashed potatoes, ice cream…)

3. you should expect your child’s teeth and oral tissues to remain tender for 3-5 days, however the pain should begin to subside relatively quickly. if severe pain that lasts more than 2 days, please give our office a call.

4. your child’s throat may be sore after surgery due to the placement of a breathing tube and protective packing during the surgery.

5. encourage your child to drink a lot of fluids to avoid becoming dehydrated.

6. mild nausea and fever are common, but either call your dentist or call 911 if your child has prolonged nausea, vomiting or diarrhea. call your dentist or 911 if your child has a high, prolonged fever that does not respond (go down) after you give your child children’s tylenol/acetaminophen or children’s motrin/ibuprophen.

7. we would like for you to make a follow-up appointment with our office around 2 weeks after the surgery, so that we can make sure that the teeth and tissues are healing normally.

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