Wisdom Tooth Extractions

Do not rinse or spit for 24 hours after surgery.

Keep fingers and tongue away from socket or surgical area.

Use ice packs on surgical area (side of face) for first 24 hours, apply ice 20 minutes on - 10 minutes off. Bags of frozen peas work well.

For mild discomfort take Tylenol or Ibuprofen every three to four hours.

For severe pain use the prescription given to you.

Drink plenty of fluids. (Do not use a straw)

If the muscles of the jaw become stiff, chewing gum at intervals will help relax the muscles, as well as the use of warm, moist heat to the outside of your face over these muscles.

After the first post-operative day, use a warm salt-water rinse following meals for the first week to flush out particles of food and debris, which may lodge in the surgical area. (1/2 teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)

Diet may consist of soft foods, which can be easily chewed and swallowed. No seeds, nuts, rice, popcorn, chips, etc.

A certain amount of bleeding is to be expected following surgery. Bleeding is controlled by applying pressure to the surgical area using small rolled gauze for 90 minutes. After that time remove the gauze and then you may eat or drink.

We suggest that you do not smoke for at least 5 days after surgery. Nicotine may break down the blood clot and cause a "dry-socket,” which is an undesirable side effect.

After 24 hours, some mild bleeding may persists. Continue to take your medication if pain persists.

You may expect swelling for ten days to two weeks and a fever of 99 degrees F to 100 degrees F.

24 hours after surgery, rinse mouth gently with a solution of one-half teaspoonful of salt dissolved in a glass of water. Repeat after every meal or snack for seven days. Rinsing is important because it removes food particles and debris from the socket area and thus helps prevent infection and promotes healing.

After 24 hours, brush tongue with a dry toothbrush to keep bacteria growth down, but be careful not to touch the extraction site. Resume your regular tooth brushing, but avoid disturbing the surgical site so as not to loosen or remove the blood clot.

If you have heavy bleeding, severe pain, continued swelling two or three days, or a reaction to the medication, call our office immediately.

Root Canal Treatment

Though 90% of the root canals we perform are completed in one appointment, root canal therapy may take more than one appointment to complete. Since anesthetic has been used, your lips, tongue and the roof of your mouth may be numb for several hours after your appointment. Avoid chewing and hot beverages until the numbness has worn off.

Between appointments until the tooth is fully restored, it is common (and not a problem) for a small portion of your temporary filling to wear away or break off. If the entire filling fall out or if a temporary crown comes off, call our office to arrange a time so it can be replaced.

It is normal to experience some discomfort for several days after a root canal appointment. To control discomfort, take the pain medication prescribed by the doctor as recommended.

If antibiotics are prescribed, continue to take them as directed, even if all signs and symptoms of infection are gone. To protect the tooth and keep the temporary in place, avoid eating hard and sticky foods (gum) and if possible, chew on the opposite side of your mouth. Continue to brush and floss normally.

Usually, the last step in root canal treatment is the placement of a crown on the tooth. A crown will protect the tooth from breaking in the future. If your bite feels uneven, if you have any signs of swelling or increasing pain, or if you have any other questions or concerns, please call our office.

Veneers

Plastic temporary restorations will serve you for a short period of time while your permanent veneer is being made. They are attached only slightly to the underlying tooth so they can be removed easily.

If a veneer comes off, call us and we will replace it immediately. If you are in a situation that will not allow you to come in, place the temporary back in place with some Fixodent™ (denture adhesive). You must still see us as soon as possible.

The size, shape, and color of the temporary does not resemble the final veneer.

Temporary veneers may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. You may also see stains under the temporaries. These will be removed prior to final cementation.

Avoid heavy brushing of the temporaries and do not floss between them because you may pull them off.

Your final porcelain veneers will be as close to the natural beauty and function of teeth as possible. They look and feel normal in every way. Permanent Veneers We place our veneers with the finest materials and techniques available today. However, you should be aware of the following information about your restorations:

As with natural teeth, avoid chewing excessively hard foods on the veneered teeth (hard candy, ice, raw carrots, etc.) because the porcelain material can break under extreme forces.

Proper brushing, flossing, and regular 6-month (minimal) cleanings are essential to the long-term stability and appearance of your veneers. Often, problems that may develop with the veneers can be found at an early stage and repaired easily, while waiting for a longer time may require redoing entire restorations.

The gums may recede from the veneers, displaying discolored tooth structure underneath. This situation usually takes place after many years and may require veneer replacement.

Crowns

Temporaries are not strong. They may break or come off occasionally. If so, slip it back on the tooth with some Fixodent™ (Denture Adhesive) and call us for an appointment. Please do not leave the temporary out of your mouth because the teeth will move and the final restoration will not fit. Please do not floss around your temporary crown.

The size, shape, and color of the temporary does not resemble the final restoration.

Temporary restorations may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

Permanent Crowns

Temporary restorations may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

After the final cementation of your restoration, it may take a few days to get used to the new crown or bridge. Hot and cold sensitivity is possible for a few weeks and occasionally lasts for several months. As with the temporary, if the bite doesn’t feel balanced please call us.

Do not chew hard or sticky foods on the restoration for 24 hours from the time they were cemented. The cement must set up during this time to have optimum strength.

Proper brushing, flossing, and regular 6-month (minimal) cleanings are required to help you retain your final restoration. The only area that a crowned tooth can decay is at the edge of the crown at the gum line. Often, small problems that develop around the restorations can be found at an early stage and corrected easily, but waiting for a longer time may require redoing the entire restoration.

Approximately 1 out of every 100 porcelain crowns chip and may need replacement

Composite or Tooth Colored Fillings

Once we have restored your teeth with tooth-colored materials, these restorations will serve you well for several years. The resin (plastic) material used contains small “filler” particles of glass-like material for strength and wear resistance. They contain the finest and most up-to-date materials available today. However, you should be aware of the following information about your new restorations:

As with natural teeth, avoid chewing excessively hard foods on the filled teeth (hard candy, ice, raw carrots, etc.) because the resin material can break under extreme forces.

Composite fillings set up hard right away. There is no waiting time to eat. Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks, or tongue which can cause serious damage.

Sensitivity to hot and cold is common for a few weeks following a dental restoration. Usually, the deeper the cavity, the more sensitive the tooth will be. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

The gum tissue could have been irritated during the procedure and may be sore for a few days together with the anesthetic injection site.

The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small difference, but you will become accustomed to this in a few days

When a tooth has a cavity the Dentist removes the decay and fills the hole with a filling material, the tooth supports the filling. The ideal filling is no more than 50% of the tooth. This leaves half the tooth to support the filling. When you get a cavity that takes up 60%or more of the tooth, a crown is indicated. A crown covers the entire tooth and holds the tooth together.

Dentures / Partials

Sore Spots: Usually, your mouth will have a few “sore spots” after wearing the denture/partial for 24 hours. These areas can be relieved with very little effort during your next appointment.

Chewing: The new bite may not feel completely comfortable for several weeks. We can adjust the contacting surfaces of your teeth after the dentures/ partials have settled into place.

Cleaning the Dentures/Partials and your Mouth: Your denture/partials can be cleaned easily by using a denture brush and a mild toothpaste. Periodic denture soaks are also very useful (ex: Polident). We recommend leaving your partials out of your mouth at night and soaking in water.

Dentures only: Brush your gums with a regular toothbrush once per day to toughen and clean them. Partials only: Use special care to clean parts of the partial that contact any natural teeth. Both the partial and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay starting.

We have done our best to provide you with well-fitted, functional, and esthetic dentures/partials. We feel confident that after a few weeks of becoming adjusted to the new dentures/partials, you will have years of satisfaction from them. Over time, your jawbone and gums shrink when there are teeth missing. When this occurs, your dentures/partials will feel loose and may require relining. Wearing ill-fitting dentures/partials for too long without refitting can cause severe bone loss and very serious oral disease. Please call our office if these symptoms occur.