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 takesseveral days for the brain to recognize the new position of your teeth or theirthickness as normal. If you continue to detect any high spots or problems withyour bite, call our office at 626-792-4300 so we can schedule an adjustmentappointment.

It is normal to experience some hot and cold sensitivity. The teethrequire some time to heal after removal of tooth structure and will besensitive in the interim. Your gums may also be sore for a few days. Warm saltwater rinses (a teaspoon of salt in a cup of warm water) three times a day willreduce pain and swelling. A mild pain medication (one tablet of Tylenol orIbuprofen (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 increasedsalivation. This is because your brain is responding to the new size and shapeof your teeth. This should subside to normal in about a week.

Daily brushing and flossing are a must for your new dental work. Dailyplaque removal is critical for the long-term success of your new teeth, as areregular cleaning appointments.

Any food that can crack, chip or damage a natural tooth can do the sameto your new teeth. Avoid hard foods and substances (such as beer nuts, peanutbrittle, ice, fingernails, or pencils) and sticky candies. Smoking will stainyour new teeth. Minimize or avoid foods that stain such as coffee, red wine,tea and berries.

If you engage in sports let us know so we can make a custom mouthguard.If you grind your teeth at night, wear the night guard we have provided foryou. Adjusting to the look and feel of your new smile will take time. If youhave any problems or concerns, please let us know. We always welcome yourquestions.

After Crown and Bridge Appointments

Crowns and bridges usually take two or three appointments to complete. Inthe 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 customrestoration is being made. Since the teeth will be anesthetized, the tongue, lipsand roof of the mouth may be numb. Please refrain from eating and drinking hotbeverages until the numbness is completely worn off.

Occasionally a temporary crown may come off. Call us at 626-792-4300 ifthis happens and bring the temporary crown with you so we can re-cement it. Itis very important for the temporary to stay in place, as it will prevent otherteeth from moving and compromising the fit of your final restoration.

To keep your temporaries in place, avoid eating sticky foods (gum), hardfoods, and if possible, chew on the opposite side of your mouth. It isimportant to brush normally, but floss carefully and don’t pull up on the flosswhich may dislodge the temporary but pull the floss out from the side of thetemporary crown.

It is normal to experience some temperature and pressure sensitivityafter each appointment. The sensitivity should subside a few weeks after theplacement of the final restoration. Mild pain medications may also be used asdirected by our office.

If your bite feels uneven, if you have persistent pain, or if you haveany other questions or concerns, please call our office at 626-792-4300.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stopthe bleeding and begin the healing process. That’s why we ask you to bite on agauze pad for 30-45 minutes after the appointment. If the bleeding or oozingstill persists, place another gauze pad and bite firmly for another 30 minutes.You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodgethe clot as it aids healing. Do not rinse vigorously, suck on straws, smoke,drink alcohol or brush teeth next to the extraction site for 72 hours. Theseactivities will dislodge or dissolve the clot and retard the healing process.Limit vigorous exercise for the next 24 hours as this will increase bloodpressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience someswelling. An ice pack or an unopened bag of frozen peas or corn applied to thearea will keep swelling to a minimum. Take pain medications as prescribed. Theswelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office at 626-792-4300 ifthe medication doesn’t seem to be working. If antibiotics are prescribed,continue to take them for the indicated length of time, even if signs andsymptoms of infection are gone. Drink lots of fluid and eat nutritious softfood on the day of the extraction. You can eat normally as soon as you arecomfortable.

It is important to resume your normal dental routine after 24 hours. Thisshould include brushing and flossing your teeth at least once a day. This willspeed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normalactivities. If you have heavy bleeding, severe pain, continued swelling for 2-3days, or a reaction to the medication, call our office immediately at626-792-4300.

After Composite Fillings (white fillings)

When an anesthetic has been used, your lips and tongue may be numb forseveral hours after the appointment. Avoid any chewing and hot beverages untilthe numbness has completely worn off. It is very easy to bite or burn yourtongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivityafter 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 toalleviate the tenderness. If pressure sensitivity persists beyond a few days orif the sensitivity to hot or cold increases, contact our office at626-792-4300.

You may chew with your composite fillings as soon as the anestheticcompletely 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 haveany other questions or concerns, please call our office at 626-792-4300.