POST TREATMENT CARE

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Wisdom Tooth Extractions

Bite with light, steady pressure for 1 hour on the gauze placed in your mouth in our office. Mild bleeding after surgery is normal. If you still have bleeding after 3-4 hours, raise your head higher than the rest of your body. Then bite with firm pressure on a moist gauze pad or a wet tea bag for 20 minutes. If bleeding does not stop call 212-960-8919

  • Wait a day after surgery before spitting or rinsing
  • Do not touch the surgical area with tongue or fingers.
  • To soothe pain in the surgical area, use ice or frozen peas for a 20 minute period
  • Tylenol or Ibuprofen works well to alleviate discomfort
  • We will provide a prescription to combat severe pain
  • Be sure to drink lots of fluid, but don’t use a straw
  • Chewing gum periodically will help relax the jaw muscles
  • Gargle with salt-water after meals for the first week after your procedure
  • Consume a diet of soft foods, easy to chew and swallow
  • Refrain from smoking for 1 week following surgery
  • Mild bleeding is to be expected for 24 hours
  • Swelling and a slight fever is normal for a week after surgery
  • If you experience heavy bleeding, continued swelling or severe pain for 2 or 3 days, or a reaction to the medication, call Harmony Dental Arts immediately at 973- 777-2731

 

Root Canal Post Operative Instructions

Do not eat for 2 hours following your root canal, this will help ensure a more comfortable recovery period. During this time, the temporary filling will set to a necessary hardness. Remember to only eat soft foods during this time period, and follow all instructions provided by your dentist. Whenever possible, chew on the side of the mouth opposite the root canal. You can continue to floss and brush normally.

Call Harmony Dental Arts at 212-960-8919 if you experience any of the following complications:

  • A negative reaction to medication
  • A growing swelling or tenderness to the treatment area
  • Your filling becomes dislodged from the tooth
  • A tooth fracture

Your crown or permanent restoration should be put in place shortly following a root canal at our Clifton, NJ office.

 

Porcelain veneers Post Operative instructions

  • Do not eat until the anesthesia has worn off and for at least 2 hours
  • Sensitivity to cold is to be expected after treatment
  • To keep your temporary veneers in place, avoid chewing gum or taffy
  • If a veneer comes off, call Harmony Dental Arts for immediate replacement. Fixodent works for a temporary, at-home fix.
  • Your final veneer will look different than the temporary veneer
  • Treat your temporary veneers gently, lightly flossing and brushing
  • The final set of veneers will look just like natural teeth!

 

Crowns and Bridges Post Operative Instructions

Please refrain from eating at least for 2 hours and until the anesthesia has worn off


A temporary is a crown or bridge that is placed on the prepared teeth while the final restoration is being made. It protects the exposed dentin so it is not sensitive, prevents food and bacteria from collecting on prepared teeth, and prevents the tooth from shifting and moving, which can make seating of the final restoration more difficult.

Temporaries are weaker than permanents. As a result, temporaries have the tendency to fall off or break. If this occurs, Fixodent™ (Denture Adhesive) can restore the temporary before you visit us for an appointment. It’s important to keep the temporary in your mouth so the restoration process isn’t delayed.

  • The final restoration will differ in color, shape, and size compared to the temporary.
  • Temporary restorations may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.
  • After the final cementation of your restoration, it may take a few days to get used to the new crown or bridge. Hot and cold sensitivity is possible for a few weeks and occasionally lasts for several months. As with the temporary, if the bite doesn’t feel balanced please call us.
  • Do not chew hard or sticky foods on the restoration for 24 hours from the time they were cemented. The cement must set up during this time to have optimum strength.
  • Proper brushing, flossing, and regular 6-month (minimal) cleanings are required to help you retain your final restoration. The only area that a crowned tooth can decay is at the edge of the crown at the gum line. Often, small problems that develop around the restorations can be found at an early stage and corrected easily, but waiting for a longer time may require redoing the entire restoration.
  • Approximately 1 out of every 100 porcelain crowns chip and may need replacement
Child fixed retainer photo

 

Composite or Tooth-Colored Fillings Post Operative Instructions

Once we have restored your teeth with tooth-colored materials, these restorations will serve you well for several years. The resin (plastic) material used contains small “filler” particles of glass-like material for strength and wear resistance. They contain the finest and most up-to-date materials available today.

However, you should be aware of the following information about your new restorations:

  • As with natural teeth, avoid chewing excessively hard foods on the filled teeth (hard candy, ice, raw carrots, etc.) because the resin material can break under extreme forces.
  • Composite fillings set up hard right away. There is no waiting time to eat. Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks, or tongue which can cause serious damage.
  • The gum tissue could have been irritated during the procedure and may be sore for a few days together with the anesthetic injection site.
  • The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small difference, but you will become accustomed to this in a few days

When a tooth has a cavity the dentist removes the decay and fills the hole with filling material, the tooth supports the filling. The ideal filling is no more than 50% of the tooth. This leaves half the tooth to support the filling. When you get a cavity that takes up 60%or more of the tooth, a crown is indicated. A crown covers the entire tooth and holds the tooth together.

 

Post Operative instructions after delivery of Dentures / Partials

The following suggestions are presented to assist you in learning to use and properly care for a new denture.

Sore Spots: Usually, your mouth will have a few “sore spots” after wearing the denture/partial for 24 hours. These areas can be relieved with very little effort during your next appointment.

Speaking: Learning to speak with your new dentures in place requires some patience and perseverance. Reading aloud is a very good way to enunciate distinctly, especially those sounds or words that are not clear.

Chewing: The new bite may not feel completely comfortable for several weeks. We can adjust the contacting surfaces of your teeth after the dentures/partials have settled into place.

Hygiene of the Dentures/Partials and your Mouth: It is extremely important to clean your dentures by using a denture brush and a mild toothpaste. Periodic denture soaks once a week are also very useful (ex: Polident). We recommend leaving your partials out of your mouth at least for 6 hours and soaking in water. Food particles that are trapped under the denture can cause the inflammation of the gums and sore spots. Food particles will stick to the soft tissue of your mouth; it is beneficial to brush the roof of your mouth and your tongue daily. Massaging and stimulating those tissues will reduce the incidence of inflammation and sore spots.

Partials only: Use special care to clean parts of the partial that contact any natural teeth. Both the partial and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay starting.

Be sure to check your dentures at least once annually as changes in the mouth, such as bone loss, and a wearing of the teeth will inevitably occur. Careful maintenance of the dentures and the supporting soft tissues will help to slow down these changes.

We have done our best to provide you with well-fitted, functional, and esthetic dentures/partials. We feel confident that after a few weeks of becoming adjusted to the new dentures/partials, you will have years of satisfaction from them. Over time, your jawbone and gums shrink when there are teeth missing. When this occurs, your dentures/partials will feel loose and may require relining. Wearing ill-fitting dentures/partials for too long without refitting can cause severe bone loss and very serious oral disease. Please call our office if these symptoms occur.

 

Post-Operative Instructions for Implant Treatment

You have finished a very important phase of your implant treatment, and now it is time to begin the healing process. It is important to understand that some discomfort, swelling, and bruising is normal.

Every patient is different and there is no way of predicting if you will experience any of these symptoms. The medications that have been prescribed to you will help keep you comfortable for the next few days.

Refrain from eating for at least 2 hours and until the anesthesia has worn off.

Things to Avoid for the first 24 hours:

  • Vigorous physical exercise, but you may return to work
  • Drinking through a straw or sucking motions.
  • Do not smoke. It’s better to refrain for 48 hours.
  • Drinking alcoholic beverages will retard the healing process.
  • Food that is extreme in temperature or spicy.
  • Avoid using any strong mouthwashes that contain alcohol.

Things to Do:

  • You may take a non-aspirin analgesic to relieve any tenderness or discomfort, such as ibuprofen (Advil) or acetaminophen (Tylenol).
  • Eat a well balanced soft diet for today. You may chew on the opposite side of the treated area until it is comfortable to chew normally.
  • Rinse with a warm salt water rinse, a 1 teaspoon in an 8 oz. glass of water, 3 times a day.
  • Brush your teeth very lightly in the treated area the first night. Then begin flossing lightly as well the next day, gradually increasing to normal force by the week’s end.
  • After flossing and brushing, rinse with chlorhexidine gluconate (Peridex), if it was prescribed, for at least 60 seconds. Do this at least twice daily.

Several days after treatment your gums should begin to appear pinker, less swollen, and will bleed less when you floss. These are signs of healing and improving periodontal health. If you have any questions or problems, please call our office. 212-960-8919

 

Scaling and Root Planing Post Operative Instructions

To remove tartar and bacterial plaque build-up from under the gumline, our Clifton, NJ dentists use advanced ultrasonics and instruments to perform scaling and root planing therapy. This helps reduce periodontal pockets to levels maintainable by regular brushing and flossing. We’ve developed a set of guidelines designed to soothe discomfort and speed up healing.

Remember to avoid eating for 2 hours after treatment.

Things to Avoid for the first 24 hours:

  • Vigorous physical exercise, but you may return to work
  • Drinking through a straw or sucking motions.
  • Do not smoke. It’s better to refrain for 48 hours.
  • Drinking alcoholic beverages will retard the healing process.
  • Food that is extreme in temperature or spicy.
  • Avoid using any strong mouthwashes that contain alcohol.

Things to Do:

  • You may take a non-aspirin analgesic to relieve any tenderness or discomfort, such as ibuprofen (Advil) or acetaminophen (Tylenol).
  • Eat a well balanced soft diet for today. You may chew on the opposite side of the treated area until it is comfortable to chew normally.
  • Rinse with a warm salt water rinse, a 1 teaspoon in an 8 oz. glass of water, 3 times a day.
  • Brush your teeth very lightly in the treated area the first night. Then begin flossing lightly as well the next day, gradually increasing to normal force by the week’s end.
  • After flossing and brushing, rinse with chlorhexidine gluconate (Peridex), if it was prescribed, for at least 60 seconds. Do this at least twice daily.

Several days after treatment your gums should begin to appear pinker, less swollen, and will bleed less when you floss. These are signs of healing and improving periodontal health. If you have any questions or problems, please call our office. 212-960-8919

Written by Dr. Sokolina

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