Postoperative

Composite Filling Post Operative Instructions

Today you have had a composite filling placed. We use composite fillings to restore teeth with a minimum amount of removal of the tooth structure. The following are a few simple rules to following this procedure.

You can chew on the filling immediately, because the material is set as soon as we are finished with the treatment. You can eat what you wish after the procedure. However, if you had Anesthetic and numb be careful not to bite your tongue or cheek.

You may notice slight sensitivity to hot and cold foods or drinks. This sensitivity usually decreases within a few days. If it does not decrease noticeably, contact the office.

If it feels HIGH, come in and let us adjust it.

If your gums are sore around the restored tooth, use warm salt water rinses (mix ½ teaspoon of salt in a glass of warm water) every few hours until they feel better. If you are worried about your tooth for any reason, please let us know so we can determine if it is a response to treatment.

Post op instructions after a Crown Preparation

Temporary crowns are utilized for about 2-3 weeks while the permanent crown is being customized for your tooth. This temporary protects the tooth and holds its position during the interim so when the permanent crown returns from the custom dental lab it will fit beautifully.

The temporary crown is fragile and will not be as strong as the permanent crown. If it is broken or becomes dislodged, please call to schedule an appointment to have it replaced. You may carefully floss to temporary crown by pulling the floss down through the contact then straight out. Do not floss up and down as usual as this may dislodge the temporary crown.

That tooth has had a root canal will not be sensitive if the temporary crown comes off. A tooth with an intact (no root canal) nerve may be a little sensitive after a crown preparation has been completed. This is normal and to be expected.

Anesthetic affects the feeling of your bite. If your bite does not feel balanced and even, once the dental anesthetic has worn off, please call us for an adjustment. To balanced bite is very important. High bites lead to pain and sensitivity.

In order to keep the gum tissue healthy, it is important to brush around the temporary crown. Rinsing with warm salt water (1/2 teaspoon of salt in 8 oz. glass of water) can also be helpful to cleanse the area and aid the healing of irritated gum tissue.

Permanent Crown

Your permanent crown is checked for fit and then cemented. You can eat on your crown immediately but it is wise not to for a day or so to allow the nerves to settle down following treatment. It is not uncommon for the permanent crown to be a little cold sensitive for a few weeks afterward. To balanced bite is important so please be sure to inform us if you feel you have a “high” bite on any new crown.

It is, even with your perfectly fitted crown, important to floss the margins next to the gum line below the contact area to prevent periodontal disease and dental decay. It is important to have your new crown checked and cleaned regularly. With regular hygiene appointments the permanent crown should last you many years.

  1. DO NOT eat or drink anything for the next half hour. DO NOT try to feel around your tooth with your tongue. You have a temporary filling in the tooth and it takes about half an hour to harden.

  2. You need to have a permanent filling or a crown placed on your tooth within 1 MONTH of the root canal being completed. It is essential for you to follow up with your general dentist on this. If this is not done, the tooth is very likely to fracture or to develop new decay underneath the temporary filling which may cause your root canal to fail. You will be responsible for all costs incurred if you fail to follow these instructions.

  3. DO NOT use the tooth to bite down on anything hard (peanuts, pretzels, ice, etc.) until the permanent filling/crown has been placed on the tooth. Again, the tooth is prone to fracture and if you bite down on anything too hard or crunchy you may crack the tooth.

  4. It is normal for the temporary filling to “divot” in with use. It is very rare for it to fall out entirely. If the temporary falls out you should contact us, as soon as possible.

  5. Some minor discomfort in the area is normal following the root canal. It is normal for the tooth to be uncomfortable for 2-3 days after today’s treatment. Sometimes, depending on the circumstances, the tooth and surrounding tissues may remain sore for a few weeks post treatment. The three most common reasons for pain are:

    • Sore jaw joint from having your mouth open for a prolonged time.

    • Sore muscle from the injection site.

    • Sore gum from the rubber dam placement.

  6. WHAT DO I DO ABOUT THE PAIN? All of the above scenarios should be handled with over the counter medication. We recommend you take 600mg Ibuprofen (3 over the counter pills of Advil or Motrin or generic equivalent) every 6-8 hours for the next 2 days. Most of the time this is enough to handle the discomfort. If it is not, please contact our office and we will ensure you are comfortable.

  7. If you are given any prescription medications related to this treatment please take them as instructed by the doctor.

  8. You may floss and brush your tooth as normal, unless told otherwise by doctor.

ROOT CANAL

PLEASE READ THIS LAST SECTION, IT IS VERY IMPORTANT!

FLARE-UPS

Although about 95% of root canals cause very little to no discomfort after the treatment is completed, there are about 5% of cases which can cause significant pain. These are commonly referred to as “flare-ups.” They mostly occur on badly infected teeth, teeth that are extremely irritated, or teeth that have a history of prior treatment. Sometimes, however, they occur randomly, even on patients that have had several root canals done previously without any problems.

If you have a flare-up you may experience moderate to severe pain, throbbing, swelling, bruising, and general discomfort, which usually begins a few hours after treatment and may last 2 to 3 days.

Please contact our office if you experience any of these symptoms and we will do everything we possibly can to get you some relief. You may be prescribed antibiotics, pain medication stronger, a steroid, and/or you may be asked to come to the office to receive further therapy. (562) 869-0928

 

Post op instructions after tooth extraction

After an extraction, it is important for a blood clot to form to stop the bleeding and begging the healing process. We ask you to bite on a gauze pad for 30-45 minutes after an extraction. If bleeding or oozing continues after you remove the gauze pad, place another gauze pad on the area and bite firmly for another 30 minutes. You may have to do this several times. After the blood clot forms, it is important to protect it, especially for the next 24 hours. It important to not:

· Smoke

· suck through a straw

· rinse your mouth vigorously

·clean the teeth next to the extraction site

These activities could dislodge the clot and slow down healing.

Limit yourself to calm activities for the first 24 hours. This keeps your blood pressure lower, reduces bleeding, and helps the healing process. After the tooth is extracted, you may feel some pain and have some swelling. You can use an ice bag (20 minutes on, 20 minutes off) to keep this to a minimum. The swelling usually starts to go down after 48 hours.

To control discomfort, take pain medication as recommended. Don’t take medication on an empty stomach as nausea may result. If antibiotics are prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone. Also:

· Drink lots of fluids.

· Eat only soft, nutritious foods on the day of the extraction.

· Don’t use alcoholic beverages.

· Avoid hot and spicy foods.

You can begin eating normally the next day, or as soon as it’s comfortable. Gently rinse your mouth with warm salt water three times a day (put a teaspoon of salt in a cup of warm water, and gently rinse, swish, and spit). Also, rinse gently after meals. This helps keep food out of the extraction site. It’s very important to resume your normal dental routine after 24 hours. This should include brushing your teeth and tongue and flossing at least once a day. This will speed healing and help keep your breath and mouth fresh. Call us right away if you have heavy bleeding, severe pain, continued swelling after two or three days, or a reaction to the medication. After a few days, you’ll be feeling fine and can resume your normal activities.

SPLINTING

 

 

Loose teeth are uncomfortable, especially when you are trying to eat food. Teeth become loose because of bone loss. A new technique called periodontal splinting attachés weak teeth together, the procedure is most commonly performed on the front teeth. The procedure is simple as using composite material to attach, or splint the loose teeth to the adjoining stable teeth. The splinting is a common procedure that has gained popularity to its effectiveness. After teeth are splinted you are able to continue to brush your teeth, you may not be able to floss in between them. As you come to your regular hygiene visits we will clean and evaluate your splinting.

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