Post-operative Instructions
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Please read these instructions carefully as they provide answers to questions you will have about what to expect after surgery.  The success of your surgery depends on your completion of the postoperative instructions described below.



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We are a team of well-trained professionals dedicated to delivering the highest-quality of dental care in a warm and friendly environment. By establishing trusting and respectful relationships, we enthusiastically educate our patients for lifetime dental health.


Post Operative Instructions


 

 

 

EXTRACTION

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The initial healing period after an extraction usually takes one to two weeks, and you’ll likely experience some swelling for the first 48 hours.

We used an anesthetic during your procedure to ensure your comfort. Your lips, teeth and tongue may be numb for several hours after your appointment.  Avoid chewing until the numbness wears off. We don’t want you unknowingly chewing on the inside of your cheek, lip or tongue. Some discomfort after the extraction is normal. An over-the counter pain reliever, such as ibuprofen or acetaminophen, is usually sufficient.  If we gave you a prescription for a stronger pain medication, take as directed.  You can also decrease pain by applying an ice pack (20 minutes on, 20 minutes off) for the first six hours following the extraction. Bags of frozen peas work particularly well.
 
Immediately following procedure- keep a steady pressure on the extraction site. Gently remove the compress after 30 minutes. If bleeding persists, place another clean gauze pad or tea bag on the site and keep steady pressure on the area for an additional hour.  Some oozing of blood may persist for up to 24 hours after surgery. After oozing has stopped, gently resume oral hygiene.

 A blood clot will form on the extraction site and this clot is vital to the healing process. To keep this clot intact, keep fingers and tongue away from the surgical area.  Do not smoke, spit, blow your nose, sneeze, or rinse your mouth the day of surgery.  Drink plenty of fluids ( but do NOT use a straw). Relax as much as possible, avoid all strenuous activities for at least the first 24 hours.

24 hours after surgery, rinse mouth gently with a salt water solution (one teaspoon salt in a cup of very warm water). Gently swish the solution around the affected area and spit carefully, so as not to dislodge the forming clot. You should do this 2 or 3 times daily for a week following the extraction. You can also resume your normal tooth brushing, careful to avoid the surgical site.

If antibiotics were prescribed, continue to take them as prescribed, even if all symptoms of infection are gone.

If you should experience excessive bleeding, pain, fever or difficulty opening your mouth, call our office immediately at 707-623-9913.

Root Canal Therapy
  • Sensitivity should subside after a few days.
  • Take your prescribed medication as directed.
  • Because a temporary filling is on the tooth, do not bite hard for one hour after your appointment. Once the permanent filling is in place, chew carefully on the opposite side of your mouth.
  • Do not bite your lips, cheeks, or scrape your gums. Children should be watched carefully to make sure they don’t do this. It will damage soft tissues and result in pain.
  • Sensitivity to cold and heat, as well as any soreness, should go away in a few days.
  • Brush and floss gently.
Scaling and Root planing

Medications: Post treatment discomfort is normal. Discomfort should subside within a few hours to a
few days. Over the counter ”OTC” analgesic pain medications are recommended to manage your
discomfort.
Tooth Sensitivity: Your teeth may be sensitive to extreme temperatures and/or sweets. This may last
several weeks. De-sensitizing toothpastes such as “Sensodyne” or “Biotene” are helpful for sensitivity.
Eating: It is important to obtain adequate nutrition and fluids. Do not chew until the anesthetic has
worn off to avoid injury to the tongue or cheeks. Try to maintain a soft diet for the first few days, and
avoid nuts, chips, and food with small seeds.
Bleeding: Bleeding may occur sporadically over the next few days. This should decrease and
eventually resolve. Remember: healthy gums do not bleed.
Appearance: Teeth may look longer in some areas and roots may become exposed. This is due to the
decrease in inflammation of the tissues following treatment. Because you have lost bone due to
periodontal disease, the tissues will settle and shrink as they become healthy again.
Oral Hygiene: It is necessary to brush and floss regularly following scaling and root planing. If your
tissues are tender, brush and floss gently but thoroughly. Using a mouthrinse may help but should be
limited to 1 or 2 weeks. Warm salt water rinses are soothing and can be used anytime – simply add 1-2
tsp salt to 8 ounces of wate
Dentures
  • It is normal to experience some discomfort and speech problems during while getting used to your new dentures. New dentures need several adjustments to fit comfortably. To help with speech, read aloud for a few minutes every day. Your mouth will adjust, and your speech will improve.
  • Remove your dentures every night to allow your gums to rest. Keep the denture in container of water or denture cleaner.
  • Thoroughly brush your dentures with water before wearing them
Crown and Bridges
  • You will wear provisional restorations until your final restoration is made.
  • If your provisional falls off or breaks, save the pieces and call Dandune Dentistry office.
  • Do not bite your lips, cheeks, or scrape your gums. Children should be watched carefully to make sure they don’t do this. It will damage soft tissues and result in pain.
  • Do not chew anything soft or sticky as it may dislodge the provisional.
  • Sensitivity to cold and heat, as well as any soreness, should go away in a few days.
  • Brush gently and floss carefully for the first few days.
Cosmetic Fillings
  • For an hour following your visit, do not chew. Wait until numbness subsides before eating. If you had amalgam fillings placed, do not chew for 24 hours.
  • Do not bite your lips, cheeks, or scrape your gums. Children should be watched carefully to make sure they don’t do this. It will damage soft tissues and result in pain.
  • Sensitivity to cold and heat, as well as any soreness, should go away in a few days.
  • Once the numbness subsides, you may feel that your bite is a bit different. If you feel this tooth more when you bite, a bite adjustment may be needed. Call the office ASAP to check the bite, as it may cause damage to the tooth if left untreated.
Implant Surgery
  • Pain, swelling, and bleeding is normal following oral surgery. A cold compress should be placed on your face near the surgical site for 10 minutes at a time, with 5 minutes off, the day of your surgery. This will reduce pain, swelling, and bleeding.
  • Take your prescribed medications as instructed.
  • You should keep your appointment for follow-up with your dentist.
  • Do not raise your lips and probe the area with your fingers.
  • Do not brush your teeth near the sutures. However, you should brush and floss the rest of your teeth as you normally would.
  • Do not spit or use a straw the day of your procedure. Avoid smoking for a few days.
Gum Surgery
  • Pain, swelling, and bleeding is normal following gum surgery. A cold compress should be placed on your face near the surgical site for 10 minutes at a time, with 5 minutes off, the day of your surgery. This will reduce pain, swelling, and bleeding.
  • Take your prescribed medications as instructed.
  • You should keep your appointment for follow-up with your dentist.
  • Do not raise your lips and probe the area with your fingers.
  • Do not brush your teeth near the sutures. However, you should brush and floss the rest of your teeth as you normally would.
  • You may experience loss of sensation at the surgical site, and nearby teeth may feel loose for a while.
  • Do not spit or use a straw the day of your procedure. Avoid smoking for a few days.