Post Operation Instructions

Dentures and Partials

Usually your mouth will have a few “sore spots” after wearing the denture or partial denture for a full day. These areas may be relieved with little effort during your next appointment.

Your new bite might not feel completely comfortable for a few weeks, making chewing somewhat awkward. We can adjust the contacting surface of your dentures after they have settled into place to give you a better fit.

Relining may be required over time, as the jawbone and gums shrink when teeth are missing. Refitting your dentures is important to prevent severe bone loss and oral disease.

 

Porcelain Veneers

Temporary Veneers

  • Your temporary veneers are attached only slightly to the underlying tooth so that they may be removed easily. If a veneer should come off, call us and we will replace it immediately. If you are in a situation where you cannot come in, place the temporary back in place with Fixodent™ (denture adhesive) then come see us as soon as possible.
  • Your temporary veneers do not resemble your final veneers in any way. Temporary veneers may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. You may see stains beneath the temporaries. These will be removed prior to final cementation.
  • Avoid heavy brushing of the temporaries and do not floss between them or you may pull them off. Brush softly and use the rinse we provide you with.

Permanent Veneers

  • Avoid chewing excessively hard foods (hard candy, ice, raw carrots, etc.) to avoid breaking the porcelain material.
  • Proper brushing, flossing, and regular cleanings are essential to long-term stability and appearance of your veneers. Problems detected at an early stage are much easier to repair than more developed issues.
  • The gums may recede from the veneers. This usually only takes place after many years and may require veneer replacement.

 

Night Guards

Night guards are used to help relax your jaw muscles and to reduce any muscle pain. The splint keeps your teeth from contacting in your sleep and allows your lower jaw to return to a comfortable hinge position without interference or guidance from the teeth.

It is important that you wear your night guard every night and even during the day if you find yourself clenching or grinding your teeth. Keep your splint in water when you are not wearing it to avoid warping.

To clean your night guard, brush and rinse the inside and outside after brushing and flossing your teeth. Dental decay can be stimulated if you are not diligent about cleaning your mouth and splint.

 

Endodontic Treatment (Root Canal)

It is possible to experience sensitivity to hot and/or cold, pressure, and possible swelling after treatment. If you experience swelling, please call our office immediately as additional medication may be required.

It is common for your tooth to feel higher than normal when you bite after a root canal. Call us if your bite feels “high” as we can fix this with a simple bite adjustment.

A temporary filling may be used to temporarily seal the tooth between visits. It may flake away a little, but this is okay. If the whole filling comes out, replace it immediately or call us so we can replace it for you.

The gum tissue could have been irritated during the procedure and may be sore for a few days after treatment.

During endodontic treatment, the nerve, blood and nutrient supply to the tooth is removed causing the tooth to become brittle and prone to fracturing. A crown or onlay is recommended to prevent this from happening.

Proper brushing, flossing and regular bi-annual check ups are essential to the long-term stability of your teeth.

 

Composite (White) Fillings

  • As with natural teeth, avoid chewing excessively hard foods on the filled tooth (hard candy, ice, raw carrots, etc.) to avoid breaking the resin material.
  • 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.
  • Proper brushing, flossing, and regular bi-annual check ups are essential to the long-term stability and appearance of your restorations. Often, problems that may develop with the fillings can be found at any early stage and repaired easily, while waiting for a longer time may require more extensive treatment.

 

Porcelain Crowns, Bridges & Onlays:

Temporaries 

  • Your temporary restoration is intended to protect your tooth and hold it in position until your permanent crown is ready. Temporaries are not strong.
  • If your temporary breaks or comes off, slip it back on your tooth with Fixodent or other brand of denture adhesive. Call us for an appointment.
  • Don’t leave your temporary out of your mouth because the tooth will move and your final restoration will not fit.
  • Brush softly and floss carefully around your temporary. Pull the floss through the space between your teeth, do not lift up as the temporary may pop off. Keep your gum tissue healthy during the waiting time for your restoration.
  • Remember, the size, shape, and color of your temporary will not resemble the final restoration.
  • It is normal for temporaries to leak saliva or food onto the tooth. Sensitivity to hold, pressure, or sweets is common. Call our office for an appointment if anything does not feel right to you.

Permanent Crowns/Onlays

  • After receiving your new crown or bridge, hot and cold sensitivity is possible for a few weeks to several months. If your bite does not feel balanced, call for an appointment.
  • After cementation of your restoration, do not chew hard or sticky foods for 24 hours.
  • Maintain proper brushing, flossing, and 6-month cleanings to retain your final restoration. Only the area at the edge of the crown at the gumline can decay, so it is best to detect small problems that develop around restorations as early as possible. Failure to do so may require repeating the entire restoration.

Post Surgery Instructions

General Instructions

  1. Do not rinse the mouth the day of surgery unless otherwise instructed.
  2. Apply an ice pack to the surgery site to minimize swelling in the first 24 hours. Moist heat can be applied after the first 24 hours.
  3. Refrain from consumption of hot liquids, carbonated and alcoholic beverages for 24 hours.
  4. Do not smoke or use soda straws. The sucking motion can disrupt surgical site.
  5. Avoid spitting the day of surgery.
  6. Following the surgery, it is very important to keep your mouth clean. Gently rinse mouth with salty water (1/2 teaspoon salt glass of warm tap water) before going to bed the night of surgery.
  7. The day after surgery, gently rinse the mouth using a full glass of warm water with one teaspoon of dissolved salt three times a day. Do not add salt to the water if you have high blood pressure or heart disease. You may brush your teeth gently and use a small amount of mouthwash.
  8. Drink plenty of water.
  9. Eat soft foods (warm or cold). You can also try liquid food supplements such as juice, malts, soup, etc.
  10. If dissolving sutures were placed in your gums, they will disappear in 6 or 7 days. You should have a return appointment for post-operative check.

In Case of Bleeding

  1. After removal of your teeth, a gauze compress will be placed on the wound and you will be asked to keep your jaws closed for 30-60 minutes to help stop the bleeding and keep saliva away from the open socket.
  2. If slight bleeding continues, plan on putting a fresh gauze compress on the site in the same manner and close jaws to maintain pressure over the gauze for 30 minutes. You may have to repeat 3-4 times until bleeding stops.
  3. If bleeding continues, make a small amount of strong tea, boiling it for 5 minutes, then soak a small gauze compress in the tea, and place firmly on the tooth socket. Close the jaws tightly and hold for 30 minutes. Repeat if necessary.
  4. It also helps to stop the bleeding if you lie down, with your head raised on pillows. Apply an ice bag or cold compress to the cheek on that side. Try to keep heart rate steady and do not sit up or lie down too quickly. Slight oozing may continue for 1-2 days. Almost all bleeding will be controlled by these measures.

Explanation of Symptoms That May Occur

  1. Following an extraction, swelling and an elevated temperature are normal. This is your body’s healing process. It does not mean infection is present. After the removal of impacted teeth or trimming of bone, swelling is often quite severe. It is often highest on the 2nd or 3rd day and begins to disappear on the 4th or 5th day.
  2. Stiffness of the jaws may also be experienced and is your body’s way of resting the part which needs to be repaired. It usually relaxes about the 4th or 6th day.
  3. You may experience black and blue marks on the face, caused by bleeding internally in the cheeks or chin. At first, these areas may swell, but after the 2nd or 3rd day they may become discolored yellow, black, or blue. This color will gradually disappear in a week or ten days. A cool towel may be applied for pain relief but will not resolve discoloration.
  4. Slight numbness of the lip or tongue may occur.
  5. Feel free to contact Dr. Rubin first in case of trouble. Do not hesitate to call in an emergency.
  6. If intravenous medications were administered, slight redness or tenderness may occur in the region of the vein. Apply warm moist towel and call the office the next day.
  7. Drowsiness may persist up to 24 or 36 hours after sedation. Do not drive a motor vehicle or remain without supervision during this time.
  8. Take your prescription for relief of postoperative discomfort as directed. Avoid alcohol or other medications as they may increase the sedative effects of the medicine.