Below you will find post operative instructions following:
Crowns or Caps
Scaling and Root
decay is removed, your tooth is restored with a filling.
- When anesthesia has been used, your lips, teeth, and tongue
may be numb for a few hours after the appointment. Avoid biting
your lips or tongue if possible.
- It is recommended to take ibuprofen or acetaminophen before
the anesthetic wears off to help with any pain or swelling at the
Sensitivity is common after a composite (or
white) filling is placed. This sensitivity is considered normal and
should taper off. It is recommended to rinse your mouth several
times a day with warm salt water to help reduce pain. If extreme
sensitivity persists, (extreme sensitivity to hot or cold, wakes you
up in the middle of the night, etc), please make an appointment so
we can evaluate your situation.
Tenderness on gums/gingiva - this may be common
with particularly deep fillings around the gum area. Soreness should
subside within a few days.
Chewing - You may chew right away if you have
had new white fillings placed. Again, just be aware of your numb
lips, tongue and teeth. If you have had silver fillings placed, do
not chew on them until the next day. This is necessary to allow the
silver filling to harden and become strong.
If your bite feels uneven or you have persistent pain, please
call our office.
A crown is placed over a tooth to give it strength. Your tooth
has been prepared for a porcelain or gold restoration. While we are
waiting to receive the final restoration from the lab, a temporary
crown has been placed over your tooth to protect it from sensitivity
Sensitivity to hot, cold, sweets or biting is common after a
crown preparation. This is normal. If sensitivity becomes severe or
lingers for more than a few seconds to a minute, please call our
office for an evaluation. Also please contact us if you have pain
when biting on your temporary crown for more than about one week.
The gingiva (gums) around your teeth may be sore. This is due to
the crown preparation and your gums will heal within days.
- eat anything sticky, chewy or hard. This can break or displace
the temporary crown.
- Brush with a SonicareTM or other powered toothbrush
around the temporary.
- brush carefully around the temporary with a manual tooth
- When flossing, floss down between the teeth toward your gum
around your temporary and pull the floss through (do not floss up
away from your gum as the temporary can be dislodged).
The temporary crown is just that . . . it is temporary. We must
be able to remove it from your tooth the day your permanent crown is
placed. If we can remove it, so can you.
If the temporary crown comes before your crown is ready, the
tooth may be sensitive. It is important to place the temporary crown
back on as soon as possible. If you can get to the office, give us a
call first and we will do our best to see you that day. If you
happen to be somewhere that you cannot come into the office, go to a
grocery store or pharmacy and pick up temporary cement or temporary
filling material (DenTempTM, PoligripTM,
FixodentTM, are examples), place the temporary filling
material in the cleaned inside of your temporary crown and place it
back on your prepared tooth.
Your temporary crown may feel rough to your tongue and may not
look or fit like your permanent crown will. You can feel confident
that your final crown is being made with the best materials by the
finest lab technicians. We look forward to delivering your permanent
restoration very soon.
Following Scaling and Root Planing (Deep Cleaning), we expect you
will notice less redness, less bleeding and less swelling of your
gum tissue. Your mouth should look, feel and taste cleaner. Our
expectations include tightening of the gums and resolution and
improvement of the deep pockets around your teeth.
Discomfort - should not be severe, but slight
soreness in the day or so after the deep cleaning is normal.
Ibuprofen or acetaminophen will help to minimize this discomfort if
Tooth Sensitivity - teeth may be sensitive to
changes in temperature and sweets. This may be due to the tightening
of the gums and exposure of the roots of the teeth. A home fluoride
or desensitizing agent may be recommended if the sensitivity
continues. We have these available in our office.
Bleeding - some bleeding may occur during the
next several brushings. This should taper off and subside after a
few days with adequate home care including brushing and flossing
Appearance - As the gingiva (gums) around the
teeth heal, they may change shape and color. As mentioned before,
our goal is for the gums to tighten up around the teeth - this may
cause a change in appearance. More tooth may become exposed in the
mouth. This is normal and is preferable to the presence of swollen,
irritated tissue and pocketing around the teeth.
Diet/Eating - if extensive Scaling and Root
Planing was done, chewing harder foods may cause slight discomfort.
This may last a few days and a softer diet is recommended until it
becomes more comfortable to chew.
Oral Hygiene at Home - Gum tissues may be
tender. Brush your teeth gently, but thoroughly. It may take more
time, but it is important to keep up your home regimen. Ibuprofen or
acetamenophin may help to minimize this tenderness. Additionally,
rinsing your mouth with warm salt water, chlorohexidine (dispensed
by our office, such as PerioguardTM) or
ListerineTM will be helpful.
Scaling and Root Planing is only the beginning to your new,
healthy smile. It is of great importance to follow a strict oral
hygiene routine at home including brushing and flossing twice
everyday - the health of you and your teeth depends on it.
Additionally, it may be necessary for you to visit our office for
check-ups/cleanings more than the generally recommended two times a
year until we can ensure adequate care of your teeth.
If you have any additional questions or concerns, call our office
and we would be happy to assist.
Root canal therapy may take up to two appointments to complete.
Anesthetic has been used so your lips, tongue and tissue may be numb
for a few hours following the appointment. Try to avoid biting your
lips and tongue if possible.
After root canal treatment is completed, a crown may be
recommended to give strength to the tooth and prevent future
breakage. The nerve of a tooth is about 90% water. When a nerve is
removed, most water within the tooth is removed making the tooth
very brittle and more subject to fracture. A crown will surround the
brittle tooth and protect it from fracture. This is especially
important on back teeth as they are important in chewing.
A temporary filling has been placed in your tooth. It is common
for the temporary filling to wear down or portions to break off over
time. This is why it is important to return to our office to receive
your permanent restoration as soon as possible. If your temporary
filling comes out completely, call our office to schedule an
appointment for us to replace it. Again, a timely return to our
office to permanently restore your tooth is recommended.
Soreness and discomfort for a few days following root canal
treatment is expected. Pain medication may be prescribed by the
doctor and can be used to help control discomfort. Ensure any pain
medication prescribed by the doctor is taken as recommended. If
swelling or infection occurred, an antibiotic may also be
prescribed. Make sure to take the entire round of antibiotic to
assure proper and complete healing.
If swelling or pain does not subside, please call our office for
Bleeding - Your bleeding should essentially be
stopped by the time you get home. After you get home and take out
the gauze, it is usually not necessary to place more gauze in your
mouth unless there is still bright red blood coming from the
extraction area or you are spitting out blood clots. To have blood
present when you spit, or have your saliva look bright pink is
normal for the first day following extraction. If you do require the
placement of more gauze, be sure it is directly over where the tooth
or teeth were and be sure you bite with considerable force (this may
be a little sore if you are biting hard enough). Leave this second
gauze in for 30 minutes while you are resting and biting. You should
avoid falling asleep with the gauze in place or passively leaving
the gauze over the extraction site because it will act like a sponge
and continue to draw blood from the area.
Infection - The best way to prevent infection is
to keep your mouth clean. This should be done by brushing your teeth
in the usual manner after each time you eat.
Pain - Pain may be the most severe the first
day, and then diminish each day thereafter. Pain that goes away
after two or three days, especially after you have had wisdom teeth
removed, and then comes back is not normal. If that happens, please
call the office immediately. This is generally an easy problem for
us to treat if you just let us know.
Swelling - Swelling, if it occurs, is usually
the result of the surgical procedure and not from the infection.
This is true if the swelling is present the day of surgery. This
swelling should begin to go away about the third day following the
operation. If swelling is still present 5-6 days following surgery,
this may represent the development of an infection and our office
should be notified.
Eating - On the day of surgery, keep your diet
soft. Starting the day after your surgery, eat as well as you can,
even if it means relying entirely on liquids. A well balanced diet
is essential to rapid healing.
Medications - If medications have been
prescribed for you, take them as directed on the label with a full
glass of liquid. If the medication causes your stomach to feel
upset, it may help to take it with food, unless specified
differently on the label instructions. Pain medications in
particular should not be taken on an empty stomach. You should not
drink alcohol, drive motor vehicles, or work around machinery when
taking pain medication.
Do's - you may use an ice bag to reduce
discomfort, swelling and possibly bleeding the first 12 hours
following surgery. Do not leave the ice pack against the skin for
more than 15 minutes at a time (you may frost-bite your cheek).
Don'ts - DO NOT rinse for 48 hours. DO NOT suck
on the wound. Also avoid smoking, drinking through a straw and
drinking carbonated beverages for 48 hours following surgery.
Note - Even with pain medication, expect
moderate discomfort, some swelling and some minor oozing of blood
for the first 24 hours. However, if severe pain, swelling or
bleeding occur, call our office immediately. If this is after our
regular office hours, there should be an emergency contact number
for you to reach someone or leave a message.
After delivery of your new (or newly re-lined) dentures, sore
spots may occur and some adjustments may be needed. This is normal
and expected. To ensure your comfort, we would like you to return to
our office within 48 hours to check any sore spots that may have
developed and relieve them. Additional adjusting in the following
weeks as you become accustomed to the fit of your new dentures is
also recommended. We will continue to adjust until the fit is
comfortable to you.