Post-Op Instructions

Following Tooth Preparation:  Sensitivity and tenderness of the tooth and surrounding gums is common for the first day or two after a tooth has been prepared for a restoration. If the tenderness or sensitivity lasts longer than this, please contact our office. If anesthesia is used, avoid chewing, biting, and eating until the numbness wears off. The final restoration may be placed the same day that the tooth is prepared or may be placed during a separate appointment.

For Temporary Restorations:  Eat softer foods, and avoid foods that are particularly crunchy, chewy, or hard. Carefully clean around the restoration, brushing and flossing daily.  Be gentle when flossing, taking extra care not to loosen the temporary restoration. Slowly pulling the floss out by one end can help avoid putting too much pressure on the temporary. If the temporary restoration becomes loose or breaks, please call us immediately.

After Final Restoration Placement:  Avoid chewing on hard, crunchy, or sticky foods for 24 hours in order to give time for the cement to fully bond. Mild sensitivity to hot or cold foods is not unusual and should dissipate after a few weeks. If sensitivity lasts more than six weeks or escalates, please let the office know.

Ongoing Care:  Proper care of your restoration includes brushing your teeth after every meal and snack, and flossing at least once a day before bedtime. Rinsing your mouth with water or mouthwash with also help to remove any additional particles that may have been missed during brushing and flossing.

Please call our office if you are in pain or have any questions regarding your treatment.

Do not eat or chew until any numbness from anesthesia has worn off. If you are supervising a child who has had treatment, make certain that they are not eating or chewing while numb. Please make sure they do not bite their lips or tongue as doing so can cause serious injury to their soft tissue. Avoid sticky, crunchy, or hard foods for 24 hours.
Sensitivity to cold and heat, as well as any soreness, may last more than a few days. Please call our office if you experience pain or discomfort following treatment or if symptoms are escalating.

Dentures and partials will often need several adjustments in order to fit comfortably. To help yourself adjust to your dentures you can practice reading aloud for a little while each day. Dentures should be removed overnight or for at least 6 hours a day to give your mouth and gums time to rest. At night you should remove your dentures and clean them. They should be stored in a clean container filled with denture cleaning solution. Food particles can become trapped under dentures causing inflammation or sore spots. Lightly brush the roof of your mouth, your tongue, and your gums after removing your dentures. You may have discomfort for a few days after receiving your final dentures or partials.

Ongoing care of your denture or partial includes brushing your teeth and the surrounding tissues after every meal and snack and flossing at least once a day before bedtime.  If you have full dentures,  brushing the dentures daily is very important. Rinsing your mouth with water or mouthwash will help to remove any additional particles that may have been missed during brushing and flossing.

Make sure to visit our office at least once a year to have your dentures or partial adjusted and checked by the doctor. Wearing ill-fitting dentures or partials without proper care and adjustment can cause bone loss in the jaw area and oral disease. Please call our office if you are experiencing ongoing pain or discomfort or if you have any concerns regarding your denture or partial.

Scaling and root planing therapy includes the removal of calculus and bacterial biofilm from the root surfaces below the gum line. This procedure helps reduce inflammation, infection and the depth of periodontal pockets, allowing more effective flossing and brushing.

For the first 24 hours you may experience some cold and heat sensitivity. Do not consume hot foods or beverages until the anesthesia and numbness have worn off. Avoid vigorous physical exercise as well as extremely hot or spicy foods for the first 24 hours. Do not consume alcoholic beverages or smoke for at least 48 hours following treatment. Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding, please call our office.

You can take ibuprofen or acetaminophen as needed according to the instructions on the label or those provided by your doctor. A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful. Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.

Follow any other instructions provided by our office during your visit. Please take all medications as prescribed.

• Immediately following surgery, maintain pressure on the surgical area by biting down on the provided gauze pad or roll until the bleeding stops. A certain amount of bleeding is to be expected following a surgical procedure. Placing the gauze pad over the area and biting firmly will help prevent excessive bleeding. Replace the gauze as necessary until the bleeding stops.
• Children should be supervised after having an extraction to make sure they do not bite or chew their tongue or lips as this can cause serious injury to the soft tissue.
• Please fill any prescriptions you have been given and take as directed. If you have been prescribed pain medication other than aspirin, Tylenol or ibuprofen (Advil or Motrin), do not drive, operate heavy equipment, work around machinery or tools, or engage in any other activity that may be unsafe when groggy, as your reflexes and judgment will be affected by the medication. Antibiotics may be prescribed to help prevent infection. If you have been placed on antibiotics, take the medicine as directed.
• Swelling around the face, eyes, and surgical site is not uncommon although it may not appear until the day following the surgery and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the extraction site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke. Avoid hot and spicy foods as well as carbonated and alcoholic beverages.
• Restrict your activities on the day of your surgery. Avoid excessive work or play, and resume normal activity the following day as tolerated.
• After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.
• During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.
• Sutures may have been placed. Most sutures placed by our office will dissolve on their own in 7-10 days, and it may not be necessary to return to the office for sutures to be removed. If you have sutures that do need a follow-up visit for removal, we will let you know at the time they are placed.
• Please call our office if you experience severe pain, excessive bleeding or swelling, or if you have any questions or concerns. In the event of an emergency please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

For the First 48 Hours Following Bleaching:

Teeth are more susceptible to staining while bleaching. It is best to avoid dark-colored foods or beverages that can stain your teeth. Any item that can stain your clothes can also stain your teeth.

Avoid: Berries, cola or other dark sodas, red wine, coffee and tea, tobacco, and ketchup, soy or other dark sauces.

Using Your Custom Trays:

Follow the instructions given by our office, placing the bleaching gel in the center of each tooth position on the tray so that the gel will rest against the anterior surface of the teeth once it is placed in your mouth. Wear trays for the recommended time. Rinse the mouth, and gently remove any gel remaining on your teeth with a soft bristle toothbrush. Clean the trays.