Our Services



Dr. Gelman's office offers comprehensive dentistry for infants, children, and adolescents, including those with special needs. Services include, but are not limited to, the following:
  • First Dental Visit

  • Exams & Cleanings

  • Prevention

  • Restorative treatment (with or without nitrous oxide gas)

  • Space maintenance and management

Post-Operative Instructions

After Local Anesthesia (Numbing)
If treatment was in the lower jaw, the tongue, teeth, lip and surrounding tissue will be numb. If it was in the upper jaw, the teeth, lip and surrounding tissue will be numb. Children often do not understand the effects of local anesthesia, and may chew, scratch, suck, or play with the numb lip, tongue, or cheek. This can cause minor irritations or they can be severe enough to cause swelling and bruising of the tissue. Please monitor your child closely for at least two hours following the appointment. It is often wise to keep your child on a liquid or soft diet until the anesthetic has worn off.

After Trauma
Keep the traumatized area as clean as possible. A soft wash cloth often works well. It is a good idea to speak to Dr. Gelman following trauma to assess whether or when your child needs to be seen in the office. Ice should be used during the first 24 hours to keep the swelling to a minimum. Maintain a soft diet for at least two to three days, or until the child feels comfortable eating normally again. Avoid foods that are extremely hot or cold. If antibiotics or pain medicines are prescribed, be sure to follow the prescription as directed. Watch for infection (gum boils, swelling, or extreme redness) in the area of trauma. If infection is noticed, call the office so we can see your child as soon as possible. Also watch for darkening of traumatized teeth. This could be an indication of the nerve of the tooth "dying." Dr. Gelman will see your child and take an xray to determine the extent of the damage and if further treatment is necessary.

After Extraction
Please do not rinse, spit, or drink through a straw. Keep fingers and tongue away from the area. If unusual or sustained bleeding occurs, place cotton gauze firmly over the extraction area and bite down or hold in place for thirty minutes. You can also use a tea bag. Repeat every thirty minutes until the area is no longer bleeding. Maintain a soft diet for a day or two, or until the child feels comfortable eating normally again. Avoid strenuous exercise and physical activity for the rest of the day after the extraction. For discomfort use Children's Tylenol, Advil, or Motrin as directed for the age and weight of your child.

Emergencies

Find the tooth. Handle the tooth by the crown, not the root portion. You may briefly rinse the tooth with saline or milk, but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is not broken, try to reinsert it in its socket. Have the patient keep the tooth in place by biting on gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing milk. Time is critical.  Seek immediate dental care!  Note: Primary (baby) teeth are not generally replaced in the socket as this can damage the permanent tooth underneath, however, prompt care by a dentist is recommended.

1. Knocked Out Permanent Tooth
Find the tooth. Handle the tooth by the crown, not the root portion. You may briefly rinse the tooth with saline or milk, but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is not broken, try to reinsert it in its socket. Have the patient keep the tooth in place by biting on gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing milk. Time is critical.  Seek immediate dental care!  Note: Primary (baby) teeth are not generally replaced in the socket as this can damage the permanent tooth underneath, however, prompt care by a dentist is recommended.

2. Broken Tooth
Rinse dirt from the injured area with warm water. Place a cold compress over the area of the injury. Locate and save any broken tooth fragments. Immediate dental attention is necessary.

3. Broken Braces and Wires
If a broken appliance can be removed easily, take it out. If it cannot, cover the sharp or protruding portion with wax. If a wire is stuck in the gum, cheek or tongue, do not remove it. Take the patient to a dentist immediately. Asymptomatic loose or broken appliances do not usually require emergency attention.

4. Cut or Bitten Tongue, Lip or Cheek
Rinse the mouth or area of injury with warm salt water or hydrogen peroxide diluted with water (50% water & 50% hydrogen peroxide). If the patient's lip or cheek is swollen, apply cold compresses. Take the patient to a dentist.

5. Toothache
Clean the area of the affected tooth thoroughly. Rinse the mouth vigorously with warm water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. If the patient's face is swollen, apply cold compresses and call our office ASAP. A swollen face is an indication of a serious dental infection that should be treated immediately.

Dental Tips

Hard candies, taffy, and cough drops are worse for your teeth than sweets that you chew and swallow quickly - like chocolate. The reason? Sugar temporarily turns your saliva more acidic. The longer it remains that way (20-30 minutes with each hard candy), the longer the bacteria grow and thrive, giving them the opportunity to cause more damage to your teeth and gums.
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Ruby Gelman D.M.D.  |  Phone: 212-682-9555  |  Email: info@rubygelman.com
49 West 12th St. Suite 1F, New York, NY 10011
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