Fillings, Crowns, and Bridges

  • After the numbing wears off, your bite may feel a little off, causing some pain and discomfort, particularly when chewing. If this is the case, please call our office to set up a time to come in and have your bite adjusted. This does not require any numbing.
  • Temporary crowns and bridges are made out of a plastic-like material. It in no way resembles the color, shape, or size of the final restoration.
  • If you have a temporary crown or bridge, avoid hard and sticky foods, as they may adhere to the temporary crown or cause it to break.
  • Expect some temperature sensitivity with temporaries, this is very normal. They are cemented with a water soluble temporary cement.
  • You may rinse with warm salt water to soothe sore gums and take two to three ibuprofen to alleviate any soreness that may occur after the numbing wears off.
  • When flossing, glide floss gently between the teeth and then pull the floss straight out to the side rather than up and down. This will help to prevent the temporary crown from becoming dislodged.
  • If your temporary crown came off for any reason please call our office, make an appointment and bring the temporary with you to be re-cemented.

Extractions

  • Do not disturb the area. For the next few days, and especially the first 24 hours, it is very important to allow your body to form a good clot and start the natural healing process. Swishing, sucking through a straw, and smoking can all dislodge the clot. Keep anything sharp from entering the wound (crunchy food, toothpicks, eating utensils). Be sure to chew on the opposite side for 24 hours.
  • Bleeding- When you leave the office you will be biting on a moist gauze pad to control bleeding. Keep slight pressure on this gauze for at least 30 minutes. Don’t change it during this time; it needs to remain undisturbed while a clot forms in the extraction socket. After 30 minutes, you may remove it. You may bite on another moist gauze for another 30 minutes if you feel it is still bleeding. Moistening the gauze will keep it from disturbing the clot when removing it. Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and may be noticed the rest of the day after the procedure.
  • Smoking- Smoking should be stopped immediately following your surgery. Healing and success of the surgery will be substantially reduced by the cigarette smoke chemicals in your body. Also, the suction created when inhaling cigarettes can dislodge the clot. Smokers are at a greater risk of developing a painful dry socket.
  • Pain- Some discomfort is normal after surgery. To minimize pain, take 600mg of Ibuprofen every 8 hours until bedtime to maintain comfort. Take it before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Do not exceed the dose on the label. Taking with food or milk will help reduce upset stomach.
  • Antibiotics- If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.
  • Nausea- This is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food and taking the pill with a large glass of water.
  • Swelling- Applying an ice bag to the face over the operated area will minimize swelling. Wrap the ice pack in a dry towel to avoid frostbite. Apply for 20 minutes, then remove for 20 minutes. Continue this for the first day only.
  • Brushing- Do not brush your teeth for the first 8 hours after surgery. After this, you may brush your teeth gently, but avoid the area of surgery for 3 days.
  • Rinsing- Avoid all rinsing or swishing for 24 hours after extraction. Rinsing can disturb the formation of a healing blood clot which is essential to proper healing. This could cause bleeding and risk of dry socket. After 24 hours, you may begin gently rinsing with a salt water solution (1/2 teaspoon salt + 8 ounces warm water). Avoid over the counter mouthwash.
  • Diet- Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.
  • Activity- After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing.
  • Please call us if you have uncontrollable pain, excessive or severe bleeding, marked fever, excessive warm swelling occurring a few days after the procedure, or reactions to medications- especially rash, itching, or breathing problems.