After Cosmetic Reconstruction
Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the brain to recognize the new position of your teeth or their thickness as normal. If you continue to detect any high spots or problems with your bite, call our office so we can schedule an adjustment appointment.
It is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (a teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one tablet of Tylenol or Ibuprofen (Motrin) every 3-4 hours) should ease any residual discomfort.
Don’t be concerned if your speech is affected for the first few days. You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside to normal in about a week.
Daily brushing and flossing are a must for your new dental work. Daily plaque removal is critical for the long-term success of your new teeth, as are regular cleaning appointments.
Any food that can crack, chip or damage a natural tooth can do the same to your new teeth. Avoid hard foods and substances (such as beer nuts, peanut brittle, ice, fingernails, or pencils) and sticky candies. Smoking will stain your new teeth. Minimize or avoid foods that stain such as coffee, red wine, tea and berries.
After Crown and Bridge Appointments
Dental crowns and dental bridges usually take two or three appointments to complete. In the first visit, the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips, and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness has completely worn off.
Occasionally, a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.
To keep your temporaries in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up on the floss which may dislodge the temporary, but pull the floss out from the side of the temporary crown.
It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.
If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.
After a Tooth Extraction
After a tooth extraction, it’s important that a blood clot forms in the extraction site to stop the bleeding, speed healing, and reduce the possibility of getting a dry socket. Follow these simple instructions to ensure the successful healing of your extraction site and begin the healing process.
During the first 24 hours after the extraction:
1. Bite on a gauze pad firmly for 1 hour. Some oozing is normal, but if after 1 hour there is still significant oozing, use the other clean gauze pad provided.
2. Do not spit, suck on candy, use a straw, or smoke.
3. Do not rinse with mouthwash.
4. Limit yourself to calm activities.
5. Do not drink hot beverages, carbonated beverages, or alcoholic beverages.
6. Take pain medication as directed.
7. If you have swelling, use an ice bag. 20 minutes on, 20 minutes off for 1 hour
After 24 hours:
1. Eat normally, whatever is comfortable.
2. Resume brushing and flossing.
3. Rinse area gently with warm saltwater.
When to call us:
1. Heavy or increased bleeding.
2. Pain or swelling beyond 3 days.
3. If you have a reaction to any of the medication.
After a Composite (White) Filling
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 lips while you are numb.
It is normal to experience some hot, cold, and pressure sensitivity after your appointment. Injection sites may also be sore. Ibuprofen (Motrin), Tylenol, or aspirin (one tablet every 3-4 hours as needed for pain) work well to alleviate the tenderness. If pressure sensitivity persists beyond a few days, or if the sensitivity to hot or cold increases, contact our office.
You may chew with your composite fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.
If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office to schedule an appointment.
After an Amalgam (Silver) Filling
Galvanic shock gets its name from the current that causes it. Today, known as a “direct current,” galvanic current is electricity flowing in one constant direction
True to its name, the pain associated with galvanic shock is caused by an actual electric shock. This shock occurs when the filling of one tooth, containing amalgam, touches the filling of another tooth, containing another metal.
Saliva facilitates the shock by functioning as an electrolyte. It contains free ions which create an electrically conductive environment.
Galvanic shock is also commonly experienced when the metal in a tooth comes in contact with aluminum foil.
The filling will be completely set after 24 hours. If you do experience galvanic shock, the symptoms should disappear within 24 hours. If the galvanic shock stems from two unlike metals placed next to each other, such as in fillings, one of the fillings may need to be replaced with a non-metallic substance, such as porcelain.