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.
Ten Good Ideas to follow after dental surgery are:
- A cold compress placed on the face near the surgical site for 20 minutes durations during the first day of surgery will be helpful to reduce swelling.
- Eating should be limited to consuming foods which are not tough or hard to chew. Do not eat Spicy foods. For drinks and food menu, please visit our Dental Implant web site(use the link below).
- Avoid alcoholic beverages which only thin out the blood causing excessive bleeding and or delay healing.
- Do not use straws for drinking, aggressively rinse or spit for the first few days.
- Oral home care should never be stopped, but do brush more carefully and gentle around the surgical site. Everywhere else brush and floss as usual or as prescribed by your dentist.
- Do not pull any exposed suture or membrane.
- Touching the surgical site with an object, finger or tongue can cause pain, infection or delay healing.
- Avoid vigorous physical exercise for the first 48 hours to prevent excessive bleeding and or delay healing.
- Smoking not only kills you but prevent Dental Implants from integrating with the bone resulting in a higher chance of failure.
- Take medications as prescribed. Otherwise, acetaminophen 500 mg and 600 mg of Ibuprofen can be taken together every 6 hour as needed.
After the first day has past, rinsing with a warm salt water rinse, approximately 1/2 teaspoon in an eight ounce glass of water, three a day can be helpful for healing.
Suture are long term and dissolve in 3 months. If they should become too loose, as healing occurs, or the temporization should feel strange, or you have any other concerns, please do not hesitate to contact us immediately.
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 are used, they should be removed in 1 or 2 weeks time depending on the extent of the required healing that is needed.
Children should be supervised after having an extraction to make sure they do not bite 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.
- 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 to 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.
- See us within a month’s time to have a permanent crown placed. Waiting any longer will increase the chances of fracturing the transitional crown. Waiting an excessive period for the permanent crown cementation will also increase possibility to fracture and decay leading to the possibility of having to extract the tooth.
- 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 most pharmacies and follow the included instructions.
- Some discomfort following the root canal is normal for 2 to 4 days after 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.
THIS SECTION IS VERY IMPORTANT, PLEASE READ CAREFULLY While flare-ups are rare, they occur in about 5% of the cases and cause significant pain. They occur with teeth that are extremely irritated and/or infected or with teeth that have a history of prior treatment. These sometimes occur randomly, even on patients that have had root canals done in the past without problems. If you have a flare-up you may experience moderate to severe pain, swelling, throbbing or general discomfort; please contact our office. You may be prescribed additional medication such as antibiotics and/or you may be asked to come to the office for further treatment. Should you experience any of these symptoms, please contact the office, even after hours.
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 whitening 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.
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 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, 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 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 a child who had treatment, 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.
- 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.
- Clean aligners with a toothbrush and toothpaste under COLD water.
- 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.
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.