Scroll down to find instructions for fillings, root canals, oral surgery, and denture care
White Fillings Instructions
When an anesthetic has
been used, your lips and tongue may be numb for several hours after the
appointment. Avoid any chewing and hot beverages until the numbness has
completely worn off. It is very easy to bite or burn your tongue or lip
while you are numb.
It is normal to
experience some hot, cold & pressure sensitivity after your
appointment for several days and up to 2 weeks. Injection sites may
also be sore. Ibuprofen (Motrin), Tylenol or aspirin (which ever is
recommended by your physician) one tablet every 3-4 hours as needed for
pain work well to alleviate the tenderness. If pressure sensitivity
persists beyond this or if the sensitivity to hot or cold increases,
Once the anesthetic wears
off, if your bite feels uneven or you hit that tooth first, the filling
may be high.
This just requires a
minor adjustment. Call the office immediately if you feel the filling
is high since this will not go away and can cause tooth pain.
You may chew with your
composite fillings as soon as the anesthetic completely wears off, since
they are fully hard when you leave the office.
If you have other
questions or concerns, please call our office.
Root Canal Instructions
It is not uncommon to be
uncomfortable or even exhibit a dull ache immediately after receiving
root-canal therapy. This should subside within a few days (or even
This occurs because of
conditions, which existed before treatment was started. Experience
shows that if there was pain prior to treatment there maybe a degree of
pain that will continue for a few days after the procedure. Remember
that pain radiates. You may feel sensations of discomfort that are not
related to the treated area during the healing process. This can be
created by inflammation in this area and/or due to increase in blood
volume that natural occurs in the healing process.
Your tooth will be
sensitive to biting pressure and may even appear to feel loose. This
feeling is a result of the sensitivity of nerve-ending in the tissue
just outside the end of the root, where we cleaned, irrigated and placed
filler and sealer material. Discomfort in this area for a few days to a
couple of weeks is common.
Warm salt-water rinses
for the next two days will help, and avoid chewing on this side until
all tenderness is gone.
Occasionally, a small
“bubble” or “pimple” will appear on the gum tissue within a few days
after completion of a root canal. This represents the release of
pressure and bacteria which no longer can be sustained around the tooth.
This should disappear within a few days.
The gums may be sore and
the tooth may be tender when biting or chewing. These conditions exist
because the nerves around the tooth have been inflamed because of the
conditions that existed before treatment was started and due to the
manipulation of the tooth during treatment.
We recommend you take
something for the increased sensitivity in this area within one hour of
leaving our office, to get the medication into your blood system before
the anesthesia we administered begins to subside. Generally, only one
dose is needed. We recommend ibuprofen (Nuprin, Advil, Motrin)-two to
four tablets, which may be taken four times a day if needed. If you have
a medical condition or gastrointestinal disorder, which precludes
ibuprofen, acetaminophen (Tylenol, Excedrin) can be a good substitute,
although it does not contain anti-inflammatory properties.
Sleep with your head in
an elevated position for the first few nights if you do not have any
physical limitations. Avoid very hot or cold foods during the healing
Numbness of your lip,
tongue or palate will persist for several hours. Do not chew gum, eat,
drink hot liquids or smoke until the anesthetic has worn off to prevent
injury from accidentally biting or burning yourself.
Bite on the gauze for 30
minutes in order to promote blood clot formation. If bleeding continues,
repeat the process with dampened gauze or gauze soaked in tea. Slight
oozing may continue for a few days. If bleeding continues longer or is
heavy, contact the doctor.
No vigorous rinsing,
drinking through a straw, or spitting for 3 days so the blood clot will
not be disturbed.
Use your discretion as to
what foods can be eaten, though soft foods may be necessary for the
first few days.
Do not use tobacco or
drink alcohol as these will delay healing.
Swelling can be lessened by placing a cold
compress on the face alternating on and off for 20 minutes during the
first 72 hours. After this time, use moist heat. It is normal to
experience some degree of swelling.
If you do experience swelling, you can
place ice over your face for 20-30 minutes at a time during the first 24
hours. This should help to reduce pain and swelling. Do not ice after
the first 36 hours.
On occasion, soreness may
occur from prolonged opening of your mouth or the anesthetic injection.
If this occurs, apply moist heat to the affected area and take an
analgesic/anti-inflammatory medication such as Advil, Nuprin or Motrin
(ask your physician) as needed.
Starting 24 hours
following surgery, gently rinse your mouth with 1/4 teaspoon of salt in 8
ounces of warm water three times daily.
Do not brush by the
surgical site for 1 week. Do not suck on area where surgery occurred or
drink through a straw during the first 48 hours. Don’t spit or rinse
the surgical area on the day of the surgery.
adjacent to the surgical area may ache. This is a normal occurrence and
it should clear up in a few days.
If sutures were placed,
make sure to return to have them removed. If they loosen or come out
within 3 days, please inform the office.
If you have any
questions, please feel free to call.
Denture post op
Following the immediate
placement of dentures, mild to moderate pain is expected. Your dentist
or oral surgeon will prescribe pain relievers. Please take them as
prescribed. Your comfort is very important in the healing process.
The denture will likely
cause "sore spots" to develop over the first days and weeks. Please make
an appointment to have them checked and adjusted.
DO NOT remove the denture
for the first 24 hours following the immediate insertion of your
denture. A post-op appointment will be scheduled the day after the
insertion and the dentist or assistant will remove, clean and adjust
Please do not remove any
sutures that were placed. An appointment will usually be scheduled 7-10
days from surgery to remove them. Some sutures need not be removed as
they will dissolve on their own.
On the second day, we
will expect you to remove your denture, clean it with mild dish soap,
not toothpaste, and soak it in water or Listerine over night in the
denture cup given to you.
A periodic bite
adjustment will usually be necessary to fine tune your chewing ability.
Please remember that
dentures are a replacement for nothing, and are not your natural teeth.
Adjusting to speech, eating, and comfort usually takes 4 weeks.
Your gums will heal and
change over the first 4-6 weeks. During this time you will notice a
loosening in the denture. Please use a denture adhesive or cream,
purchased at the drug or grocery store, to make the denture more stable.
4-6 weeks following
surgery and delivery of your immediate denture, an appointment will be
scheduled with the dentist to evaluate the fit and esthetics of the
denture. At that time, the patient and dentist will determine if the
denture needs to be remade or if a laboratory reline should be done to
enhance the fit of the denture. The details of these procedures will be
discussed and scheduled at that time.