POST-OP

 

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General Guidelines for all procedures:

Do not chew on hard, sticky or chewy foods for a least 24 hours.  Never chew on ice.  Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration.  Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene.  Additional instructions following various types of treatment are listed below.  Please click on the below topics for detailed instructions.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

 

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(s).  You may have some sensitivity following treatment with tenderness around the gum and tooth for a day or two.  If the tenderness or sensitivity last 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 breaks, 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 hard.  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 24 hours 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, but 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 with 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.

Do not eat or chew until any numbness from anesthesia has worn off.  If you are supervising children be sure to make certain that they are not eating or chewing while numb.  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 days, please call our office if you experience pain or discomfort for more than a few days.

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. This will help reduce pain and swelling. 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 salt water 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.

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.

Scaling and root planing therapy includes removing tartar and bacterial plaque from the root surface below the gum line.  This helps reduce inflammation and infection and improves the depth of periodontal pockets, therefore allowing more efficient flossing and brushing.

For the first 24 hours you may experience some cold and heat sensitivity.  Do not eat, drink, chew or consume hot foods or beverages until the numbness has worn off following anesthetic. Avoid vigorous physical exercise and foods and are extremely hot or spicy for the first 24 hours and do not consume alcoholic beverages or smoke for at least 48 hours.  Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding please call our office.

You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by your doctor as needed.  A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful. Brush and floss gently following a deep cleaning, resume normal brushing and flossing when the soreness is gone.

Follow any other instructions provided by our office on your visit.  Please take all medications as prescribed.

Immediately following surgery, keep the gauze pad placed over the surgical area with pressure applied by biting down until the bleeding stops.  A certain amount of bleeding is to be expected following a surgical procedure.  Placing the gauze pad over the area and biting firmly may control excessive bleeding.  Slight bleeding, oozing, or redness in the saliva is not uncommon.  Repeat as necessary within a one-hour period following surgery.

If you have been prescribed pain medication besides aspirin, Tylenol or ibuprofen (Advil or Motrin), do not drive, operate heavy equipment, work around machinery or tools or engage in any other activity that may be unsafe when groggy, as your reflexes and judgment will be affected by the medication.  Do not take more than 800mg every 4-6 hours.  Medication should not be taken on an empty stomach.  If you have been placed on antibiotics, take the medicine as directed.  Antibiotics may be prescribed to help prevent infection.

Swelling around the face, eyes and surgical site is not uncommon.  This swelling may not appear until the day following the surgery and may become more noticeable two to three days following surgery.  You can help to minimize the swelling by applying a cold compress on the face near the extraction site alternating on for 20 minutes then off for 20 minutes.  After 36 hours the ice will have no further impact on swelling.  After this period, the application of moist heat to the sides of the face can help reduce swelling.

For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke.  Avoid hot and spicy foods, carbonated and alcoholic beverages.  During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.  Restrict your activities on the day of your surgery, avoid excessive work or play and resume normal activity the following day as tolerated.

After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.

If any sutures were required, they will dissolve on their own in 7-10 days. It will not be necessary to return to the office for sutures to be removed.

Children should be supervised after having an extraction to make sure they do not bite or their tongue or lips as it can cause serious injury to their soft tissue.

Please call our office if you experience severe pain, excessive bleeding or swelling, or if you have any questions or concerns.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

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