Post-Operation Instructions

Caring For Your Bridge

Brush and floss your teeth normally after each meal to keep your mouth healthy.  Make sure to brush and floss the abutment teeth carefully to keep them strong and healthy. 

http://www.ragershop.com/exec/pictures/fullsize/superfloss.jpg  Superfloss

Use superfloss hasw a stiff end that helps you pass it through the tight areas.  It also has aq fuzzy, tufted segment that removes plaque and particles from your gums and the bridge asw you floss.  Just insert the superfloss between the bridge and your gums, and floss the area completely.

 

Orthodontic Floss Threader       Floss threader

A floss threader has one stiff end and a loop through which you can thread dental floss.  To use a floss threader, pull about 18 inches of floss through the floss threader, and then insert the threader into the tight spots between the bridge and your gums.  Pull the threader until the floss is under your bridge, remove the threader from your mouth, and then use the dental floss as you normally would.

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Caring For Your Dentures

CHEWING AND EATING
To protect your denture, avoid chewing ice or other hard objects.

If small pieces of food work their way under your denture while youy eat, simply remove your denture and rinse it with water.

BRUSHING AND FLOSSING
Brush your tongue, gums, palate, and any remaining teeth at least twice a day to keep them free from plaque and bacteria. 

CLEANING YOUR DENTURE
Clean your denture over a sink full of water to prevent your denture from breaking if it is accidentally dropped.  Use a denture brush and a denture cleaning product at least once daily.  Also soak your denture periodically in a commercial denture soaking solution.

SLEEPING
Unless we tell you otherwise, remove your denture for sleeping.  Store your denture in water or a soaking solution, so it does not dry out.

http://blogs.consumerreports.org/health/images/2008/03/18/dentures_cup_blogs_5.jpg

Crown Post Op

  • Please avoid chewing anything sticky or hard on the crown 24 hours after cementation to allow the cement to set without placing any tensile or compressive forces on the crown.

  • The tooth underneath the crown may be sensitive for a few days to a few weeks.

  • It is very important to floss around the permanent crowns because plaque tends to accumulate where the crown and tooth meet. Permanent crowns are susceptible to cavities, so please keep them hygienic with daily brushing and flossing

  • If the permanent crown feels high, please call the office to schedule a simple adjustment.

  • HOME CARE: Although crowns and bridges are often the most durable of all restorations, the underlying tooth is still vulnerable to decay, especially at the interface between the tooth and crown. It is important to resume regular brushing and flossing immediately. Daily home care and regulating your intake of sugar-containing foods will increase the longevity of your new restorations.

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Implant Surgery Post-op

Avoid rinsing your mouth or spitting today. Beginning tomorrow you may rinse with warm salt water (1/2 teaspoon salt to 1 cup warm water) every 2 to 3 hours for the first couple of days, then rinse after meals and at bedtime for the next two weeks. If you have been prescribed Peridex rinse, use as directed on the bottle. You may begin brushing your teeth today, staying away from the surgical site for the first few days.

  • Please do not wear your dentures or partial until your doctor gives you permission to do so.

  • You may resume a regular diet as soon as you feel comfortable.

  • In some cases, swelling may occur and usually reaches its peak in 48 -72 hours (2-3 days). Apply an ice bag to the side of the face 15 minutes on then 15 minutes off as often as possible for the first 48 hours (2 days). Then change to a heating pad or hot water bottle, 15 minutes on then 15 minutes off until swelling has receded.

  • You may have mild discomfort following surgery.

  • Take the prescribed medication as directed with food.

  • Allow 45 minutes for the medication to work. Therefore, take the medication before the pain becomes too severe.

  • Take Tylenol or Ibuprofen (Advil) for minor discomfort.

  • Our office usually uses stitches that dissolve and fall out. Depending on the type used, this may occur within the first week. 

  • Bruising may occur. This is not uncommon and should disappear soon.

  • Keep lips moist with cream or Vaseline to prevent them from cracking.

  • NO SMOKING. Smoking is known to cause failure of implants.

  • NO DRIVING or operating machinery for 24 hours following IV anesthesia.

  • If any unusual symptoms occur do not hesitate to call the office.

  • If you have been prescribed an antibiotic and are currently on oral contraceptives, you should use an alternate method of birth control for the remainder of this cycle

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New Filling - What to Expect?

Now that your new filling or fillings have been placed there are a few directions you need to follow.

First, be sure that the local anesthetic has completely worn off. This is to prevent you from biting or injuring your lip, cheeks or tongue. Also, refrain from drinking anything hot in temperature or smoking to prevent burning. Sometimes patients also find it difficult to swallow while still they are still numb, so please be careful. Our office only places tooth colored resin type fillings. These fillings are complexly hardened when you leave the office. You can eat on them as soon as the numbness wears off. Although the fillings are polished before you leave, they may feel slightly gritty at first. This should go away after a couple of days. If not please call back.

Immediate post operative cold sensitivity is also possible!
This is usually from a normal reaction of the nerve following the procedure. Give it a couple of days and try a sensitivity protection toothpaste (i.e. Sensodyne) until it subsides. If it persist beyond a week or seems to worsen please call our office. Discontinue the use of any whitening toothpaste or other whitening products until the sensitivity subsides.

Finally, if your bite seems off or if you cannot bite normally please call the office to have your filling adjusted. Do not wait for it to wear down on its own as the tooth may become tender.

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Root Canal Therapy Post-op

The canals inside the roots have been cleaned, irrigated, medicated and permanently sealed. The opening in the tooth through which root canal treatment was done has been sealed with a filling. 

WHAT TO EXPECT

v  It is not uncommon for a tooth to be uncomfortable or even exhibit a dull ache immediately after receiving root-canal therapy.  This should subside within a few days (or even weeks) 
This occurs because of conditions, which existed before treatment was started.  Experience shows that if there was pain prior to treatment there may be a degree of pain that will continue for a few days after the procedure.  Remember that pain radiates.  You may feel sensations of discomfort that are not related to the treated area during the healing process. This can be created by inflammation in this area and/or due to increase in blood volume that natural occurs in the healing process.

v  Your tooth will be sensitive to biting pressure and may even appear to feel loose.  This feeling is a result of the sensitivity of nerve-ending in the tissue just outside the end of the root, where we cleaned, irrigated and placed filler and sealer material.  Discomfort in this area for a few days to a couple of weeks is common.   Warm salt-water rinses for the next two days will help, and avoid chewing on this side until all tenderness is gone.

v  The gums may be sore and the tooth may be tender when biting or chewing. These conditions exist because the nerves around the tooth have been inflamed because of the conditions that existed before treatment was started and due to the manipulation of the tooth during treatment.

Your root canal is not complete until you have a crown to protect this tooth

 

 

 

WHAT TO DO :

v  Please do not chew or attempt to eat on the side of your mouth that has been worked on while this area is still numb.  

v  You may want to put an ice pack over area where the procedure was done for 1/2 hour when you first get home to minimize swelling.  Apply the ice pack (or use frozen vegetables like peas) every hour for 10-15 minutes during the first 4-6 minutes.

v  Sleep with your head in an elevated position for the first few nights if you do not have any physical limitations.

v  Eat a soft diet for at least two days and remember not to chew on the treated side.  Avoid very hot or cold foods during the healing process.    

v  We recommend you take something for pain-relief within one hour of leaving our office, to get the medication into your blood system before the anesthesia we administered begins to subside.  Generally, only one dose is needed.  We recommend ibuprofen.  Two to four tables may be taken four times a day for the next 3-4 days to help control the sensitivity in this area.  If you have a medical condition or gastrointestinal disorder which precludes ibuprofen, acetaminophen (Tylenol, Excedrin) is a substitute, although it does not contain anti-inflammatory properties, Aspirin and aspirin-containing products are NOT advisable, as they tend to increase bleeding from the area that was treated.

v  Please take prescribed medication (antibiotics and /or pain medication) as directed.

v  Whenever possible, try to chew on the opposite side from the tooth we have just treated, until you have a crown place.  Until that time, your tooth still is weakened and could fracture.  

v  Do not smoke during the first 24 hours and minimize the number of times you smoke during the remaining healing process because smoking delays the healing process.  Avoid drinking alcoholic beverages.  Avoid strenuous exercise for 24 hours.

v  Please avoid crunchy or hard foods which could cause the tooth without a crown to fracture.  

 

v  Frequent rinsing with warm salt water for the next two days

v  We recommend you take something for the increased sensitivity in this area within one hour of leaving our office, to get the medication into your blood system before the anesthesia we administered begins to subside.

Delay in obtaining final restoration (crown)  may result in fracture and/or possible loss of the tooth

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Post-Op Scaling and Root Planning

PATIENT INSTRUCTIONS FOLLOWING SCALING AND ROOT PLANING
Following scale and root planning you can expect to notice less redness, less bleeding and less swelling of your gum tissue. Your mouth will taste better and feel better. Your gum health can be maintained with proper homecare and regular professional care.

DISCOMFORT
Discomfort or pain should not be acute and should subside in a few hours, definitely within a few days. Discomfort immediately after treatment is usually associated with slight aching and occasional may be uncomfortable. This discomfort usually subsides in about four hours. (For discomfort you may take Advil, Motrin, and Aleve.) Avoid Aspirin containing compounds as they may increase the amount of initial bleeding.

TOOTH SENSITIVITY

Teeth may be sensitive to temperature changes and/or sweets. Sensitivity to temperature may be noticeable the first several days and usually diminishes quickly. Use of Sensodyne is recommended. 

BLEEDING
Some slight bleeding may occur during the next several brushings but should steadily decrease.

APPEARANCE
As the gums heal they might change their shape around the teeth. This is normal as they tighten up and shrink during healing.

INSTUCTIONS TO MINIMIZE SYMPTOMS

DIET/EATING
If extensive root planning was performed, chewing hard foods such as meet or raw vegetables may be uncomfortable; this should last no longer than a few days. A diet of softer consistency would be advised until chewing becomes more comfortable.

ORAL HYGIENE
For the first few days, brush and floss the areas lightly. By the end of the week, normal intensity of brushing and flossing should resume.

HEALING WILL NOT OCCUR IF PLAQUE AND BACTERIA ARE NOT REMOVED FROM TEETH ON A DAILY BASIS. Some bleeding and tenderness may be noted when cleaning your teeth during this period. This is a part of the normal healing process and should diminish within a few days.

HYGIENE AIDS
Special hygiene aids were given to you at your first scaling and root planning visit. It is important to follow the instructions regarding use of these aids. We would be happy to review with you their proper usage at any time.

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Serenity Dental Care  |  2623 Wilmington Road  New Castle, PA 16105  |  724.658.0822
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