AFTER CARE INFORMATION

After Care Information  for healthy healing

In order to promote healthy healing after your dental treatment, here’s a list of after care instructions for several procedures.

Post procedure instructions

The mouth is an extremely sensitive part of the body. Dental treatment of any kind requires taking extra after care of the area of operation. Whether you have had a routine procedure or something more complex, like a tooth extraction or periodontal surgery, there are several important steps you can take to maximize the results of your procedure, prevent infection, and ease any discomfort you might experience.Below are after care instructions from the dentists at FDOC. If you have any additional questions about your procedure or if you are experiencing abnormal bleeding, swelling, severe pain, or any reaction to medications, please do not hesitate to contact us.

Post-operative Care > Crowns/Bridges

Upon leaving after the first visit, you will have a temporary dental crown on your tooth. A few precautions should be taken:

  • Avoid sticky or chewy foods (e.g., chewing gum and caramels), which have the potential of grabbing and pulling at the crown.
  • Shift the bulk of your chewing to the opposite side of your mouth.
  • Avoid chewing hard foods (e.g., raw vegetables), which can dislodge or break the crown.
  • When cleaning your teeth, slide flossing material out rather that lifting it out. Lifting the floss out could pull off the temporary crown.

What’s safe to eat after crowns/bridges?

With a temporary crown, it is important to keep anything very sticky or crunchy away from the crown.  This is simply so that the crown does not get pulled off, or break under high chewing forces.  Besides that, you may eat to your comfort level after the anesthetic is worn off.  The gum and tooth may be tender in the area that the work was done, and sometimes it can be helpful to stick to a softer diet for the first few days after a crown.

Once the permanent crown is cemented on, it is best to avoid STICKY & HARD . You may eat, drink, and clean your tooth just like you did before.  The crown and gum may be tender or sensitive for the first few weeks while the gum is healing from the work done.Do remember to come for oral prophylaxis once after every 6 months as a part of maintainance procedure.

Post-operative Care > Root Canal

Below are post-operative instructions from the endodontist at FDOC. If you have any additional questions about your procedure or if you are experiencing abnormal bleeding, swelling, severe pain, or any reaction to medications, please do not hesitate to contact us.

  • Until your root canal procedure is completely finished and the permanent filling or crown is in place, it is wise to minimize chewing on the tooth under repair.
  • Upon completion of treatment, the tooth may feel sensitive for a few days due to natural tissue inflammation. This can usually be controlled with analgesics .
  • Most patients can return to their normal activities the next day.

Pediatric Post-operative Care > Extraction

  • You can expect that your child will leave the office biting on gauze. They should remain biting on it for 30 to 45 minutes, or as directed by the dentist.
  • You can expect your child to be numb and you should watch them closely. Kids can do a lot of damage by chewing on a numb lip, cheek, or tongue and not realize it until the anesthetic wears off.
  • Keep activities low key for the first 24 hours. No running or jumping. Children should sit out of gym class as well. Reading, computer, homework, and television are some ideas for quiet activities.
  • It is often best to give children MEDICINES prescribed by the dentist. This may be all the pain medicine that they need.
  • No spitting or using a straw for the first 24 hours.
  • Try to eat soft foods for the first couple of days. Avoid hard, crunchy things and very hot things, like soups. Yogurt, eggs, ice cream, mashed potatoes, and applesauce are some good examples of things to eat during the first 24 hours.
  • Brushing is ok, just be gentle in that area.
  • You can expect the extraction site to ooze for the first few days and the saliva will likely be pink. This is normal.

Contact your dentist if any of the following develop:

  • A fever.
  • Severe swelling after the third post-op day.
  • Prolonged, severe pain or increased pain after the third post-op day.
  • Bright red bleeding you cannot control
.
  • Prolonged numbness the day after the extraction.

Pediatric Post-operative Care > Fillings

  • You can expect to be numb.
  • Avoid eating anything sticky or hard during the first 24 hours.
  • It is best to wait until anesthetic wears off before eating, for it is very easy to bite and traumatize some of the numb tissues in your mouth if you were to eat before it wears off.  If you have had a ‘white’ resin filling, the filling is cured up completely after it is placed in your mouth, and after the numbness wears off, you can resume eating and drinking as you normally would.
  • If you had a silver metal filling, you can resume eating once the numbness wears off, but
  • it is important to avoid anything significantly sticky or crunchy on the filling for the first 24 hours.  After this initial 24 hours, you may eat and drink as you normally do.

POST EXTRACTION(tooth removal) INSTRUCTIONS FOR ADULTS

Immediately Following Surgery

Keep the gauze pad placed over the surgical area with pressure applied by biting down ATLEAST FOR 45 MIN Once u remove the gauze pack , it is advisable to eat soft and cold foodstuffs such as ice-cream ,yogurt etc.

Take your prescribed pain medication as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming less effective.

Do not suck on a straw, spit, or smoke.

Restrict your activities the day of surgery, and resume normal activity when you feel comfortable.

Place ice packs on the side of your face where surgery was performed. Refer to the section on swelling for an explanation.

Vigorous mouth rinsing or touching the affected area following surgery should be avoided. This may initiate bleeding caused by dislodging the blood clot that has formed. Do not rinse your mouth for the first post-operative day or while there is bleeding. After the first day, use a warm salt water rinse every 4 hours and after meals to flush out particles of food and debris that may lodge in the area.

Restrict your diet to liquids and soft foods which are comfortable for you to eat.

 a)Bleeding

– A certain amount of bleeding is to be expected following a surgical procedure. Slight bleeding, oozing, or redness in the saliva is not uncommon. Bleeding is best controlled by the use of pressure. Excessive bleeding may be controlled by placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding has not decreased in 3-4 hours, bite on a dampened tea bag placed directly over the surgical site. The tannic acid in the tea helps the blood to clot.

b) Swelling

– The amount of swelling that is normally expected after an extraction depends on the type of surgery. Swelling around the mouth, check, eyes, and side of the face is not uncommon. The swelling sometimes may not appear immediately, and it may occur up to 2-3 days post-surgery. You can help to minimize the swelling by applying ice packs to the affected area. For the first 3 hours, apply the ice packs directly to the area, alternating on for 20 minutes then off for 20 minutes.

c) Pain

Post operative pain will be the most severe the first day after surgery. It is beneficial to take your pain medication as prescribed by us before your numbness wears off .  DO NOT take the pain medication on an empty stomach as nausea may result. The prescribed medicine may make you drowsy. DO NOT drive an automobile or operate machinery, and AVOID alcoholic beverages. Pain or discomfort following surgery should subside more and more each day. If pain persists, it may require attention, and you should contact our office.

d) Antibiotics

– If you have been placed on antibiotics, take the medicine as directed. Antibiotics may be prescribed to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction.

e) Nausea and Vomiting

– In the event of nausea and/or vomiting following surgery, DO NOT take anything by mouth for at least an hour, including the prescribed medication. You should then sip on water, tea, or juice. Sip slowly over a fifteen-minute period. When the nausea subsides, you can begin taking solid foods and the prescribed medication.

f) Sutures

– If any sutures were required, they will dissolve on their own in 7-10 days. It will not be necessary to return to the office for sutures to be removed.

g) Activity

– Over-exertion may start or intensify your pain. AVOID excessive work or play. It is not necessary to stay indoors following uncomplicated surgery. However, rest and minimal activity will help to minimize pain, swelling, and bleeding. Normal activity may be resumed the following day as tolerated.

h) Cleaning

– Do not rinse or spit vigorously for the first 24 hours following surgery. You can brush your teeth the night of the surgery, but rinse gently. The day after surgery, you should begin rinsing four times a day and after eating. Do this gently as to not dislodge the blood clot. To rinse, mix a teaspoon of salt and a cup of warm water. DO NOT use a non-prescription rinse for 24 hours after surgery. Clean the rest of your mouth as usual.

i) Diet

– It is advisable to eat only soft, non-spicy food for the first few days following surgery. AVOID hot food or liquid that could agitate the already inflamed area. AVOID rice, grits, and foods that are very small that may become lodged in the area.

j) Special Considerations

– Trismus (stiffness) in the face muscles may cause difficulty in opening your mouth for a period of days. Moist heat compresses can minimize this condition. You may experience aching from other teeth. This discomfort is caused by referred pain and is a temporary condition. It is not unusual to develop bruising in the area of the extraction. There may be a slight elevation in temperature for 24-48 hours. If the fever persists, please contact our office.

 k) Dry Socket

– A “dry socket” is the loss of the blood clot in the socket. This condition creates a delayed healing at the extraction site and presents symptoms such as pain in the ear, chin, adjacent teeth, and jaw. The discomfort usually begins about the third or fourth day after the surgery and can last for many days. The cause of a dry socket is unknown, but it can be attributed to the difficulty of the surgery, increased age, medications (such as birth control pills), and smoking. Treatment is their for the symptoms . Contact office immediately.

 Follow-up Care > Dentures

  1. Cleaning your dentures every day is one of the most important things you can do to help your smile keep its attractive appearance. If you skip cleanings, plaque can form on dentures, making them less bright. Failing to clean your dentures regularly can result in staining and denture odor as well.
  2. To clean your dentures, apply a denture cleansing paste to a denture brush or soft bristled toothbrush. Brush all surfaces thoroughly. While you sleep at night, soak your dentures in a cleanser .Brush your gums, tongue, and palate with a toothbrush to remove plaque and stimulate circulation.
  3. Most new dentures require an adjustment period. This period will require the patient and the dentist to work together for the best result for you and your dentures.
  4. Start slowly with a new denture. Eat easier softer foods first before attempting to chew more challenging foods. Also, practice speaking with your new teeth. Even if your new dentures are very similar to a previous set, there will differences that will require you to learn to eat and speak all over again.
  5. Dentures will not fit as well as they can initially. It generally takes several days for a new set of dentures to settle into the tissue of the mouth.
  6. After several days of trial wear with a new set, you will generally be instructed to return to your dentist for a check. Adjustments can then be made based on your experiences. Any soreness of the gums, looseness, difficulties with chewing, or difficulties in speech can be evaluated. You dentist can than make necessary adjustments or give you suggestions for dealing with any concerns that you have.
  7. The most important way of caring for your dentures is to brush them at least once a day – inside and out! You can use a soft tooth brush or special denture brush. Either regular toothpaste or denture cream will work well. Occasional soaking in a denture cleansing solution can also be helpful. Generally, soaking on a weekly basis followed by a thorough brushing will be adequate.
  8. Take care not to drop your dentures when cleaning them. It is helpful to clean your dentures over a washcloth or over a sink full of water to prevent breaking the denture if dropped.
  9. Dentures require regular professional care. We suggest that all denture patients have their dentures and gum tissue checked on a yearly basis. This assures that any problems are identified and corrected before damage is done to the mouth. Adjustments and relines can be made to dentures that will keep them working well and fitting well longer than if no preventive care is taken.
  10. Most often, it is best to sleep with dentures out of the mouth. This gives the tissues of the mouth a rest too.
  11. If you have existing dentures and have any questions about the fit or appearance of your teeth, call FDOC for an evaluation appointment.

Post-operative Care > Dental Veneers

  • Following the preparation for cosmetic veneers, it will take two to three weeks for the dentist to receive the veneers back from the lab.
  • Occasionally temporary dental veneers can be placed until the permanent veneers are back.
  • Dental veneers do not require any special care once placed.
  • Continue to follow good oral hygiene practices, including brushing and flossing.

Post-operative Care > Dental Bonding

Following the bonding procedure, avoid excessive biting pressure on the teeth. Avoid chewing on ice, pencils, and hard objects. Continue to brush and floss regularly.

For more information about after care instructions, please feel free to call our offices.

POST-ORTHODONTIC CARE(Instructions after Braces)

  1. Where extractions are indicated. Post-extraction discomfort and swelling may occur, for which medication will be prescribed, if deemed necessary by the doctor.
  2. Pain & discomfort of teeth & adjacent soft tissues may occur due to placement of braces, bands & wires & after each adjustment.
  3. The appliance you have had places is extremely delicate & need utmost care. Hence do not Finger or play with the appliance.
  4. Brush after every meal in addition to morning & night, till the teeth & appliance are perfectly clean.
  5. AVOID-
  • Hard & Sticky food stuffs.
  • Tough meat, Carbonated beverages.
  • Contact sports
  1. If you have any problem like loose bands, broken attachments etc. please telephone / contact your ORTHODONTIST immediately for an appointment.
  2. If any attachment hurt the lips or cheeks keep a piece of moist cotton or wax or softened chewing gum over it temporarily.
  3. Your appointment schedule is designed for smooth, efficient and timely completion of treatment. Compliance of the appointments will save trouble for you, your orthodontist & other patients. Inform in advance if you can keep the appt.
  4. The treatment time will be increased if the patient does not co-operate with all instructions.
  5. The treatment may be a total failure if the patient does not wear elastics, head gear/other appliances as prescribed.
  6. Tooth mobility and gum swelling may be occur due to orthodontic treatment, if proper oral hygiene is not maintained during the treatment.
  7. Poor oral hygiene may also result in permanent stains or cavities in the teeth.
  8. There may be a total of finished treatment, if the retainers are not worn for the required duration of time.
  9. There may be a relapse of treatment if deleterious oral habits such as tougue thrusting, mouth breathing, lip sucking etc. persist after completion of treatment.
  10. Relapse of treatment may occur later due to eruption of the third molars.
  11. Extractions, if not deemed necessary at the initial examination, may be needed later and carried out with due consent.
  12. Your co-operation is the key to successful treatment.

 

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