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Post-op Instructions

Caring for your bridge

Dental bridges need regular cleaning. When you have a dental bridge it is important to keep the adjacent teeth and gums healthy so they can continue to provide support for the bridge.
At first, it may be challenging to keep your bridge and the adjacent gums and teeth plaque free, but a
variety of tools and techniques can dramatically improve the effectiveness of your homecare routine.
 
Brushing and flossing
Brush and floss your teeth and gums 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.
 
Superfloss and floss threaders
 
Use superfloss and floss threaders to keep the area between the artificial tooth and your
gums free of plaque. Superfloss has a stiff end that helps you pass it through tight areas. It
also has a fuzzy, tufted segment that removes plaque and food particles from your gums and
the bridge as you floss. Just insert the superfloss between the bridge and your gums, and
floss the area completely.  A floss threader has one thin, 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.
 
Other tools and techniques
 
Depending on the situation, we may recommend additional tools and techniques to help keep
all the areas around your bridge plaque free. These may include an oral irrigator, small brushes, or other devices. We also set up regular dental checkups to maintain the success of your bridge. With time, your bridge and your new oral hygiene routine will become familiar and comfortable.
 

Scaling and Root Planing aftercare

Now that you have had scaling and root planing therapy, it is important to follow these recommendations to speed healing.
 
Do not eat anything for 2 hours after surgery.
 
When you do feel comfortable enough to eat, but you still have numbness, be careful not to bite your cheeks or tongue.
 
For the first 48 to 72 hours, restrict your diet to soft foods such as yogurt, scrambled eggs, and soup, until you can comfortably chew. Chew on the side of your mouth opposite of the surgery site.
 
Avoid alcoholic drinks and hot or spicy foods until your gums are healed.
 
Do not use any tobacco products for at least 72 hours because tobacco slows healing.
 
If we used an anesthetic, take pain medication before the anesthetic wears off to control any discomfort, or as recommended. It is normal to experience some discomfort for several days after surgery.
For the first 6 hours after surgery, apply an ice pack, 20 minutes on and 20 minutes off, to decrease pain and swelling.
 
After 24 hours, reduce discomfort or swelling by gently rinsing your mouth with warm salt water 3 times a day. Use about 1 teaspoon of salt per glass of warm water.
 
Brush the treated area very lightly the first night. To make this more comfortable, first rinse your toothbrush under hot water to soften the bristles.
 
The next day, begin flossing lightly, and gradually return to your usual home care over the next week. It is normal to have some slight bleeding for the first few days when you brush and floss the treated areas.
 
Brush and floss the non-treated areas of your mouth normally.
 
Use a desensitizing toothpaste if your teeth are sensitive to hot, cold, or pressure. If we prescribed a medicated mouthrinse, use it as directed. 
 
Avoid mouthwashes that contain alcohol.
 
Call us if discomfort is not diminishing day by day, or if swelling increases or continues beyond 3 or 4 days.
 

Home care for temporary crown

Chewing and eating
Now that we have placed a temporary bridge, it is important to follow these recommendations to ensure the success of your final restoration.
 
If we used an anesthetic during the procedure, avoid chewing until the numbness has completely worn off.
 
Avoid chewing for at least one half-hour to allow the temporary cement to set.
 
To keep your temporary bridge in place, avoid eating hard or sticky foods, especially chewing gum. If possible, chew only on the opposite side of your mouth.
 
Brushing and flossing
Brush normally, but floss very carefully. To keep the temporary in place, remove floss by pulling it forward and away from you, instead of sliding it between the teeth. We may recommend special floss, brushes, or other cleaning aids to keep the area free of plaque and bacteria.
 
If your teeth are sensitive to hot, cold, or pressure, use desensitizing toothpaste. If sensitivity increases or persists beyond a few days, call us.
 
Medication and discomfort
Take antibiotics or other medications only as directed. To reduce any discomfort or swelling, rinse your mouth three times a day with warm salt water. Use about one teaspoon of salt per glass of warm water. It is normal for your gums to be sore for several days. 
 
When to call us
Call us if your temporary bridge comes off. Save the temporary, so it can be re-cemented. It is very important for the proper fit of your final bridge that your temporary stay in place. 
 
Call our office if your bite feels uneven, you have sensitivity or discomfort that increases or continues beyond three or four days, or if you have any questions or concerns.
 

 

Dental filings

Homecare recommendations 
Now that we’ve placed your resin filling, it’s important to follow these recommendations to ensure its success.
 
Chewing and eating 
If we used an anesthetic during the procedure, avoid chewing until the numbness has worn off completely. 
 
Brushing and flossing 
Brush and floss normally. 
 
If your teeth are sensitive to hot, cold, or pressure, use a desensitizing toothpaste. If sensitivity persists beyond a few days, call us. 
 
Discomfort 
To reduce any discomfort or swelling, rinse your mouth three times a day with warm salt water. Use about one teaspoon of salt per glass of warm water. It’s normal for your gums to be sore for several days. 
 
When to call us 
Call our office if your bite feels uneven, you have sensitivity or discomfort that increases or continues beyond three or four days, or if you have any questions or concerns.
 

Postoperative instructions following extraction

Postoperative instruction following extraction .
 
Follow these instructions carefully to ensure the successful healing of your tooth extraction.
 
When to call us
It is normal to experience some discomfort for several days after a tooth extraction, but call us right away if you have:
Heavy or increased bleeding
Pain or swelling that increases or continues beyond two or three days
A bad taste or odor in your mouth
A reaction to the medication
 
 
During the first 24 hours
It is important that a blood clot forms on the extraction site to stop bleeding, reduce pain, and speed healing. To protect the clot and avoid the pain of dry socket:
Bite on a gauze pad firmly for 30-60 minutes. Blood and saliva mix in the mouth and make it look like there is more bleeding than there really is. Some oozing is normal; however, after 1 hour, repeat with a clean gauze pad if oozing is profuse. The site could ooze for as long as 24 hours.
Don’t spit, and don’t suck on candies or through a straw.
Don’t rinse your mouth, and don’t brush or floss next to the site.
Don’t smoke or use tobacco. Avoid tobacco for at least 72 hours because it slows healing.
Don’t sneeze or cough, so have sinus or allergy medication on hand if necessary.
Limit yourself to calm activities, and elevate your head with pillows when you lie down to reduce bleeding.
Don’t drink hot, carbonated, or alcoholic drinks, and avoid hot or spicy foods.
To control discomfort, take pain medication before the anesthetic has worn off or as recommended.
 
To keep swelling to a minimum, use an ice bag over the area, 20 minutes on and 20 minutes off. 
 
When the numbness has worn off completely, drink lots of fluids and eat only soft nutritious foods, chewing on the opposite side.
 
After the first 24 hours 
Begin to eat normally as soon as it’s comfortable. 
 
Resume brushing and flossing, but clean gently around the site for about a week. 
 
If antibiotics were prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone. 
 
Reduce soreness or swelling by applying moist heat. Swelling usually starts to go down after 48 hours. 
 
Further reduce swelling by rinsing your mouth very gently with warm salt water. Use about one teaspoon of salt per glass of warm water. Rinse two to three times a day for the week following the extraction.
 

White Fillings

If your silver fillings make you feel self conscious when you smile, or it's simply time to replace them, consider white fillings. White fillings are just as durable as they are attractive! Made of composite resin, white fillings match the natural color of your teeth and are an excellent option for small to mid-sized cavities. White fillings are strong, stain-resistant and require less removal of your tooth structure than amalgam fillings.

Dental Crowns

A dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth with extensive decay or damage. Dental crowns can also used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. In some cases, same-day crowns are possible, so be sure to inquire. With good oral hygiene and minimal wear and tear, your beautiful new dental crowns can last up to 15 years.

Dental Bridges

Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.

There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.

Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.

Endodontics

Root canals get a bad wrap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Thanks to laser root canals, this process is faster, more comfortable and, in many cases, more thorough than conventional root canals. Pulp capping is an alternative to root canals that are used when the infection has yet to penetrate the pulp. Pulp capping can also prevent a large dental filling from getting too close to the nerve.

Oral Surgery

Oral surgery is an umbrella term for surgical treatments such as dental implants, wisdom teeth extractions and bone grafting. Dental implants, an excellent solution for missing teeth, are surgically placed tooth roots that hold dental crowns in place. A wisdom tooth extraction may be recommended if there isn't enough room in your mouth to accommodate wisdom teeth and they become impacted, partially erupted or infected. Bone grafting transfers bone from one part of the jaw to another, usually to accommodate a dental implant. While a general dentist can perform some oral surgery procedures, an oral surgeon is required for others.

Sedation Dentistry

Ever wish you could sail through dental visits without anxiety or fear? Would you rather endure an agonizing toothache than go to the dentist? Answering “yes” to these questions could mean that you're a perfect candidate for sedation dentistry. With sedation dentistry, you can forget about fear and focus on pure relaxation.

There are different levels of sedation to accommodate every patient. Minimal sedation involves inhaling nitrous oxide (“laughing gas”). Nitrous oxide helps you relax and wears off quickly. Electronic anesthesia is an alternative form of mild sedation that uses electronic impulses to help you relax. Conscious sedation is a moderate level of sedation that causes drowsiness and is taken in pill form. IV deep sedation is typically administered intravenously and works very quickly. With IV deep sedation, most patients fall asleep but can be easily awakened. Total sedation could be the only solution for people with an intense fear or phobia of dentistry. With total sedation, or general anesthesia, you are completely unconscious and cannot be easily awakened.