After Your Dental Procedure…

We are committed to providing the same quality of care following procedures that began during your initial visit. To that end, please refer to some general post-operative guidelines below, and by all means, CALL at any hour of any day to report any continuing problem.

Post-Op Instructions for

Immediate Dentures

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1. Immediately after your teeth are removed, the denture will be placed in your mouth by your dentist. The appliance will act like a bandage to the affected areas, and needs to be left in place for a full 24 hours after your surgery.

To control facial swelling/bruising, use an ice compress on affected side(s) for 20 minutes on and 20 minutes off – for the first 24 hours.

2. Leave the denture IN, but rinse your mouth with warm salt water before going to bed. (1tsp. salt in 1 cup warm water.)

3. Starting the day AFTER surgery, carefully remove the denture twice a day and clean with a denture brush and cleanser (do not use toothpaste as it puts scratches on the denture). Rinse your mouth with warm water.

4. Limit your diet to soft nurturing foods and plenty of fluids for the first week. Listen carefully to your body. It will tell you if something is too hard for you to bite.

Sleep with the denture in your mouth for the first week unless otherwise instructed by your dentist.

After the initial week, you may choose to sleep with the denture in or take it out. Most dental professionals recommend you take it out a night to let your gums “breath”. If you sleep with your denture in make sure you clean it well before you go to bed and again when you wake up. If you sleep with your denture out clean it well and put it in a container with clean fresh water to prevent it from drying out. Do not drink anything with a straw for the first couple of weeks, as suction in your mouth can cause “dry socket”.

5. Due to the rapid gum shrinkage that occurs within the first 12 months after extractions, you will go through periods of loose-fitting denture. We can re-fit the denture with a healing liner for the first few months, or you may use adhesive. Then at an additional charge we will do a permanent reline once the healing process is complete. This is a normal process that all new denture-wearers must go through.

Following the healing period (approx. 6-12 months post extractions), a reline will be performed to remove all temporary liners and to make the denture fit properly. Relines may be required every couple of years after that to account for normal changes to mouth.

6. You will experience sore spots caused by the denture having uneven pressure distribution on the gums as they change shape. An adjustment appointment will fix this problem. Sore spots are normal and frequent during the healing phase, especially during the first 3 months after your teeth are extracted.

Post-Op Instructions for

Crown or Bridge

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Due to decay, fracture, breakage or missing teeth: you have just had either crown or bridge work placed onto your tooth/teeth.  The numbness should wear off and be totally gone in the next 2-3 hours. You are okay to eat and drink as you please.

You may initially experience some mild to moderate discomfort due nerve inflammation which is normal.  Please take Ibuprofen, as directed on the bottle, for the next 3-4 days (or as needed), it has anti-inflammatory respects that will aid in reversing this nerve process.  The sensitivity can last 2-6 weeks or longer.  Please contact us if symptoms appear to be getting worse.

If you experience any discomfort with biting or chewing contact us right away – you may need to have a simple adjustment on the chewing surface.

This treatment will protect your remaining insufficient tooth structure or to fill the space of a missing tooth/teeth for several years if well taken care.  A  5 year warranty of this treatment requires a strict 4-6 month recare for check-ups and cleanings.

Post-Op Instructions for

Composite Fillings

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When anesthetic has been used, your lips, teeth and tongue may be numb for several hours after the appointment. Avoid chewing until numbness has completely worn off. It is easy to bite or burn your tongue or lip while numb.

You may take any over the counter pain reliever for tenderness or discomfort. You may take Advil or Tylenol, unless you are allergic to these medications or have a medical condition that would prevent you from taking these medications. This will help with any soreness at the injection sites or gum tissue that was irritated during the procedure.

It is normal to experience some hot, cold and pressure sensitivity after your appointment. Hot or cold sensitivity may linger for several weeks after the placement of the fillings. Usually these symptoms will subside over time.

Your new fillings are fully hardened before you even leave the office; however it is wise to chew on the opposite side from the location of the newly placed filling(s) until the anesthetic has worn off.

One of the most common problems following filling replacement with anesthesia is an incorrect bite. If your bite feels uneven please call our office so we can get you scheduled to correct your bite.

Post-Op Instructions for

Oral Surgery

READ THE INSTRUCTIONS HERE

1. Do not Rinse on the day of surgery. Day after surgery rinse very gently with warm salt water or a prescription oral rinse, as directed.

2. Bleeding can be controlled by applying pressure to the bleeding site with a moistened gauze or moistened tea bag for thirty minutes. Frequent expectoration (spitting) may prolong bleeding. Some redness of the saliva is normal the day of and the day following surgery.

3. Swelling can be kept to a minimum by holding ice packs on the face over the area of surgery for periods of twenty minutes on, ten minutes off, on the day of surgery. If you lay down, elevate your head with a pillow and avoid sleeping on the side of surgery.

4. Discomfort may occur for six to twelve hours following oral surgery. Take prescribed medication as directed, but do not drive or perform tasks requiring mental alertness while taking narcotic analgesics such as Hydrocodone (Lortab, Vicodin, etc) Over-the –counter non-steroidal anti-inflammatory analgesics such as Advil, etc, taken three tablets every six hours, provide good pain relief after the first several hours. Do not take Tylenol or any over the counter pain medication with the Hydrocodone without consulting your doctor first. Avoid taking prescription pain tablets on an empty stomach because this may cause stomach upset.

5. Infection is uncommon following oral surgery. However, if you have a fever, swelling or start to feel ill several days after the operation, please call the office. If an antibiotic has been prescribed, take as directed. Do not discontinue the antibiotic until all the pills are gone.

6. A Stent may be provided if you have had soft tissue grafts to prevent bleeding, swelling and protect the surgical site. It should not be removed for two days following surgery. After two days, the stent should be removed, cleaned, and worn as necessary for comfort, especially during meals. With the stent removed, the upper teeth should be brushed daily being careful not to touch the surgical site.

7. Oral Hygiene should be limited to areas of the mouth, which have not had surgery. Be careful not to disturb any surgical packing, sutures or grafts. In addition to gently brushing and flossing the teeth, it is advisable to brush the tongue.

8. The Diet should consist of plenty of cool, non carbonated fluids such as; water, fruit juices, and protein drinks. After two days, soft foods such as soup, jell-O, soft-boiled eggs, yogurt, etc. are well tolerated. Avoid foods that are very hot, spicy, difficult to chew or easily lodged in the gums. Do not drink from a straw.

9. Physical Activity such as talking, lifting, and walking up flight of stairs should be restricted during the first two day after surgery. Exercise is not recommended for a week because it frequently leads to complication such as bleeding, swelling, discomfort and delayed healing.

10. Do Not tamper with the surgical area, particularly during the first two days after surgery. Avoid alcoholic beverages and refrain from smoking.

11. Call the Office immediately, at (208) 667-8282 if you have an allergic reaction, excessive bleeding or swelling, nausea, vomiting or severe pain.

If you have any further questions please contact our office as soon as possible at (208) 667-8282.