Instructions following crowns and Bridges

•  Crowns and Bridges may take one to three visits to complete. The dentist will inform you of your treatment options and the time needed to complete the procedure. You may have some sensitivity following treatment with tenderness around the gum and tooth for a day or two. If the tenderness or sensitivity lasts longer than this please contact our office.
•  If anesthesia is used, avoid chewing, biting, and eating until the numbness has worn off.
•  If you have a temporary placed eat softer foods and avoid foods that are particularly crunchy, chewy or hard. If the temporary restorations become loose or break, please call us immediately.
• Carefully clean around the restoration, brushing and flossing daily. When flossing, take extra care not to loosen the temporary restoration by removing the floss too roughly. You can slowly thread the floss out by one end if necessary to avoid too much pressure on the temporary.
•  Once your final restoration has been placed avoid chewing on hard, crunchy or sticky foods for 30 minutes in order to give time for the cement to fully bond.
•  Mild sensitivity to hot or cold foods is not unusual and should dissipate after a few weeks. If sensitivity lasts more than six weeks, please let the office know, although this happens infrequently.
• Ongoing care for your restoration includes brushing your teeth after every meal and snack and flossing at least once a day before bedtime. Rinsing your mouth with water or mouthwash will also help to remove any additional particles that may have been missed during brushing and flossing.
  Please call our office if you are in pain or have any questions regarding your treatment.

Instructions following Fillings

• Please make sure they do not bite their lips or tongue as it can cause serious injury to their soft tissue.
• Avoid sticky, crunchy or hard foods for 24 hours.
• Sensitivity to cold and heat, as well as any soreness, shouldn’t last more than a few weeks. Please call our office if you experience pain or discomfort for more than 2-3 weeks.
• Sometimes a bite adjustment is required after fillings if bite feels off. Please call the office to schedule an appointment.
• Do not eat or chew until any numbness from anesthesia has worn off. If
  you are supervising a child who had treatment, make certain that they are not eating or chewing while numb.

Instructions following Dental Extraction

Extraction of teeth is an irreversible process and whether routine, or difficult, is a surgical procedure. As in any surgery, there are some possible risks. They include, but are not limited to:

• Swelling and/or bruising and discomfort in the surgery area
• Stretching of the corners of the mouth, resulting in cracking and bruising
• Possible infection requiring further treatment
• Dry-socket jaw pain beginning a few days after surgery, usually requiring additional care. This is more common with lower extractions, especially wisdom teeth
• Possible damage to adjacent teeth, especially those with large fillings or crowns
• Numbness or altered sensations in teeth, lip, tongue, and chin due to the closeness of tooth roots to the nerves which can be bruised or injured. Sensation most often returns to normal, but in rare cases the loss may be permanent
• Trismus-limited jaw opening due to inflammation or swelling, most common after wisdom tooth removal. Sometimes it is the result of jaw joint discomfort (TMJ), especially when TMJ disease and symptoms already exist
• Bleeding-significant bleeding is not common, but persistent oozing can be expected for several hours
• Sharp ridges or bone splinters may form later at the edge of the socket and may require another surgery for removal
• Incomplete removal of tooth fragments, to avoid injury to vital structures, such as nerves, sinuses, or sometimes small root tips may be left in place.
• Jaw fracture, white quite rare, it is possible in difficult or deeply impacted teeth

Most procedures are routine and serious complications are not expected. Those, which do occur, are most often minor.

Instructions following Denture or partial Delivery

You may have discomfort for a few days after receiving your final dentures or partials. Dentures and partials will often need several adjustments in order to fit comfortably. To help adjust to your dentures you can practice reading aloud for a little while each day.

At night you should remove your dentures and clean them. They should be stored in a clean container filled with denture cleaning solution. Dentures should be removed for at least 6 hours a day to give your mouth and gums time to rest.

Food particles can become trapped under dentures causing inflammation or sore spots. Brush the roof of your mouth, your tongue and lightly brush your gums after removing your dentures.

Ongoing care for your restoration includes brushing your teeth and surrounding tissues after every meal and snack, and flossing at least once a day before bedtime unless you have full dentures, in which case brushing them is very important. Rinsing your mouth with water or mouthwash will also help to remove any additional particles that may have been missed during brushing and flossing.

You should visit our office at least once a year to have your dentures or partial adjusted and checked by the doctor. Wearing ill-fitting dentures or partials without proper care and adjustment can cause severe bone loss and very serious oral disease.

Please call our office at the first signs of any symptoms or if you are experiencing ongoing pain or discomfort.

Instructions following Root canal treatment

Thank you for selecting us for your root canal therapy. Please follow the guidelines below and contact us with any questions.

 For the next 30 minutes, do not eat or drink anything. You have a temporary filling that takes about 1/2 hour to harden. Please do not feel around your tooth with your tongue.

 If any prescriptions were given, please have them filled promptly. If no prescriptions were given and you are not allergic, you may use any ibuprofen type of medication such as Motrin or Advil, 3 tablets (600mg) every 6-8 hours as needed for discomfort and alleviation of swelling. Alternatively, you may use Tylenol, 1000mg every 6-8 hours as needed. Do not exceed the guidelines printed on the label for any medication. If you are unable to achieve adequate pain control, please call our office.

 You may find using an ice pack on the affected area helpful. Please do not apply ice directly to the skin, have a cloth between the ice and skin at all times. You may apply the ice for up to 20 minutes on and 20 minutes off for the next 6-8 hours as needed.

 Once you begin to eat and drink, avoid chewing or biting on the area worked on until your permanent restoration is in place. The area may be more sensitive due to swelling. The temporary in place is a soft composite that is vulnerable to fracturing (cracking) with hard substances such as peanuts, pretzels, hard candy, ice cubes, etc. You will need to see a restorative dentist within a month to have a permanent crown placed. Please contact your restorative dentist to make an appointment at your earliest convenience. Waiting longer than a month increases the chances that the temporary will fracture and/or decay will develop, in which case, you are at fault and will be responsible for all costs to have it redone.

Please keep the area worked on clean by gently brushing the area and flossing regularly.

 It is rare for a temporary filling to fall out although it may divot while in use. If the temporary falls out please contact your general dentist as soon as possible. If your temporary falls out after office hours you may purchase some temporary filling material from a pharmacy and follow the included instructions.

 Some discomfort is normal for 2 to 4 days following the treatment. In some cases the tooth and surrounding tissue may be sore for a few weeks following the treatment.

 Normal brushing and flossing are okay, unless otherwise specified by your doctor. Follow any other instructions provided by the office on your visit. Please take all medications as prescribed.

Instructions following Whitening

For the first 48 Hours Following Whitening:

Teeth are more susceptible to staining for 48 hours after whitening treatments. For the 48 hours after whitening, it is best to avoid dark-colored food or beverages that can stain your teeth. Any item that can stain your clothes can also stain your teeth.

Avoid: berries, cola or other dark sodas, red wine, coffee and tea, tobacco and ketchup, soy or other dark sauces.

Using Your Custom Trays:

Follow the instructions given by our office, placing the bleaching gel in the center of each tooth position on the tray so that the gel will rest against the anterior surface of the teeth once it is placed in your mouth. Wear trays for the recommended time. Rinse the mouth and gently remove any gel remaining on your teeth with a soft bristle toothbrush. Clean the trays.

Instructions following Invisalign

Do

• Use your fingers to put your aligners place. First place the aligners over your front teeth, and then use your fingers to push the aligner down gently over your molars.
• When aligners are correctly inserted, they will fit all the way down on the teeth, with no space between the top of the aligners and the top of the teeth. Aligners will fit tightly at first but should fit well at the end of the two week period.
• Keep aligners in except when flossing, brushing, eating. It’s also best to remove the aligners when drinking warm beverages such as coffee or tea.
• Remove the aligner by pulling it off both sides of your back teeth simultaneously then lifting it off of your front teeth.
• Place your aligners in the case we provided any time they are not being worn.
• Clean aligners with a toothbrush and toothpaste.
• Wear each set of aligners for two weeks unless our office directs you to vary from this schedule.
• Wear aligners in the correct numerical order. (Each aligner is labeled by number and with a U or an L to designate upper or lower.)
• Keep all of your old aligners and bring them to your orthodontic appointments.

Don’t

• Don’t place your aligners in or on a napkin or tissue. Many aligners have accidentally been thrown out this way!
• Don’t use your teeth to “bite” your aligners into place.
• If you have pets, don’t place your aligners anywhere that your pets can reach them. Pets are attracted to saliva and would enjoy chewing on your Invisalign® trays!
• Do not use Denture cleaner, alcohol, or bleach to clean your aligners.
• Do not use boiling water or warm water on your aligners.
• Don’t chew gum with your aligners in.
• It would be best not to smoke while wearing aligners. The smoke can stain the aligners as well as your teeth.

Just in Case

If you lose the tab attached to your tooth that helps the aligner snap on, please call our office right away so that we can determine if you need to come in before your next scheduled appointment.

If you lose one of your aligner trays, please wear the next tray if you have it. If you do not have the next tray, please wear the previous tray. It is extremely important to use a tray to keep teeth from shifting. Call our office to let us know which tray was lost so that we can determine if a replacement tray is needed. There will be a fee if replacement trays are required.

Post-op Implant Instructions

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. A cold compress placed on the face near the extraction site for 30 minutes every five to ten minutes on the day of your surgery can be helpful.
• Do not miss your follow up appointment(s) with your dentist and do not probe the area with your tongue or fingers. Please do not touch your lips to see or feel the area treated.
• Avoid brushing your teeth near the surgery site but brush and floss the rest of your mouth as instructed by the office.
• You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by your doctor as needed.
• A warm saltwater rinse, approximately ½ teaspoon in an eight-ounce glass of water, three times a day can be helpful.
• For the first 24 hours you may experience some cold and heat sensitivity. Do not eat, drink, chew or consume foods and beverages that are extremely hot or spicy until the numbness has worn off following the anesthetic.
• Avoid vigorous physical exercise for the first 24 hours and do not consume alcoholic beverages or smoke for at least 48 hours.
• Do not brush, rinse, or spit.
• Do not use a straw for drinking. During the first few days after surgery a diet of liquids and soft foods such as soups, yogurt, juice, and smoothies are recommended.
• If you experience excessive bleeding or discomfort after 48-72 hours, please call our office immediately.

Follow any other instructions provided by the office on your visit. Please take all medications as prescribed including your prescribed antibiotics to help prevent infection.