Reduce activity on the day of extraction then increase as tolerated .Avoid heavy exercise (running, aerobics) for one week after surgical removal of impacted teeth or major surgery.
Bite firmly on the folded gauze for 20-30 Minutes (or until home and resting comfortably ).Some seepage of blood is common and may persist into the next day. If excessive or prolonged bleeding continues bite on another folded gauze for an additional 30 minutes. You may have to do this several times .If this is not successful try biting on a moist tea bag .Rest (with head elevated) and avoid physical activity. Do not suck at blood clot or spit. Do not use a straw. Do not smoke for at least 2 days. If excessive bleeding persists, please call our office.
Do not rinse or brush teeth after surgery, for the remainder of the day. The following day, gently rinse after all meals and at bedtime with lukewarm water. You may now carefully brush your teeth but avoid the extraction sites until tenderness is gone.
Lips should be kept moist with a cream or Vaseline to prevent drying and cracking.
Swelling reaches a maximum at about 48 hours. Therefore apply an ice pack to the surgical area “on and off every 20 minutes ” the day of and the day after surgery (2 days ). Start opening jaw exercises once bleeding has stopped because swelling will make it stiff. After 2 days start applying moist heat (wet wash cloth) to the surgical area for 20 minutes “at least” 4 times a day .Continue jaw exercises until full opening returns .If you develop a hard, enlarging swelling and associated fever please call and return for treatment.
Take the pain medication that was prescribed for you with food .In cases where no prescription was written you may take 2 tablets of Tylenol or Advil (if tolerated)every 4 hours for the slight discomfort .Severe pain in the lower jaw occurring about 4 days after operation usually indicates delayed bone healing (“dry socket”). Please call and return for treatment if this occurs.
DO NOT drive ,operate machinery or use alcoholic beverages while taking prescription pain medication .
Drink only liquids until the numbness has worn off then eat soft bland foods. Be sure to drink large amounts of fluids (not through a straw).Continue to add non-scratchy foods until you can comfortably return to a normal diet .Antibiotics are best taken on an empty stomach but if they irritate the stomach or cause nausea then take them with food.
- Effect of local anesthesia may be last for 1-2 hour after dental treatment.
- Avoid hot food and drinks until anesthesia wears off.
- Make sure you don’t bite your cheeks and tongue.
- If possible eat other side of mouth.
- You might got anesthesia to alleviate pain while getting filling procedure done.
- Try not to eat on side of filling until anesthesia wears off , you may bite your tongue or chicks while anesthesia still in effect.
- If your bite feels high or uneven bite has to be readjusted contact our office immediately
- You may feel little sensitivity for fist few days after filling , but that is normal sensitivity will go away after few days , if there is sever pain contact our office.
- Start following all daily oral hygiene care procedure like brushing , flossing , rinsing with mouth rinse.
- You have to take care about filled teeth as much as you take care about your natural tooth.
- If you received filling just above your gum lines of teeth , use soft tooth brush and just apply gentle pressure on tooth brush while brushing teeth.
Until your next appointment:
- IF anesthesia was used avoid eating on same side until anesthesia wears off.
- You might feel sensitivity to temperature and pressure , little bit soreness and some discomfort on that tooth ,it will subside after cementation of permanent crown.
- Avoid hard ,sticky foods that may destroy temporary crowns.
- IF temporary crown breaks or came off contact your dentist.
- Rinse your mouth with OTC mouth rinse or warm salt water to minimize inflammation of the gum tissue.
- Temporaries attracts more bacterial plaque , so its advisable to brush regularly like you brush your natural teeth.
- Mild to moderate discomfort is common after crown preparation , you can take OTC medicine ,if problem become worse call your dentist.
- Take any OTC pain medicine, prescription pain medicine and antibiotic according to dentist’s advice.
- Try to be easy for 48-72 hours after implant placement procedure.
- Resting will help healing process after implant placement.
- You can apply ice pack to side of face where surgery is done to reduce swelling.
- If you received implant on top arch do not blow your nose for two weeks.
- It is common to experience little bit of bleeding for about two days after surgery ,if bleeding is too much contact your dentist.
- You may feel little uncomfortable for first two-three days after surgery.
- If bone graft is also placed , do not eat directly on bone graft site.
- DO NOT remove the denture for any reason. The denture will be removed and adjusted when you return to the School the text day at your appointment.
- To reduce swelling ,place an ice bag (or ice cubes in a plastic bag covered with a damp cloth )over the area of extractions for 10 minutes on, 10 minutes off, for the first two hours. For the rest of the day use the ice for 10 minutes of each hour.
- You may take two aspirin compound tablets (Anacin, Bufferin, Empirin, etc.) or aspirin substitute (Tylenol, Anacin III, etc.) every four hour for pain as needed. You will receive a prescription if something stronger is needed .
- You should take some food for an evening meal on the day of extractions. Scrambled eggs, soups, and /or ice cream can usually be managed without problems.
- Two or Three days after extractions, the denture will be removed by dentist and adjusted in office .You may rinse gently with warm water. The healing sockets should not be disturbed .Do not remove the dentures until the next day.
- Unless instructed otherwise, on the second day after extractions the denture is removed and carefully washed after each meal .A brush and hand soap is used to thoroughly clean the denture .Rinse your mouth gently with glass of warm water with a teaspoon of salt in it before replacing the denture .The denture should ne worn at night for the first two days, after that time the denture should be removed at night before retiring.
- A soft diet is indicated for the first 10-14 days , Each person has different levels of sensitivity and manipulative skills .If it is painful to chew harder food, select somewhat softer food until there is better healing.
- After 1-2 weeks ,the denture will be loose and a temporary liner will be used to improve the fit. As a rule, a temporary liner will be needed about every 2 months.
- In about 6 month to one year ,your denture will require a new processed liner. The usual charge will be made for a processed liner.
Instruction for Complete Denture:
- Always insert the mandibular denture first then the maxillary.
- You may expect some discomfort is to be expected and follow-up adjustments and maintenance are always required.
- Chewing Food may be problem for new denture wearers and often for experienced ones. Recommend that chewing food simultaneously on both sides will greatly reduce tipping, and greater chewing forces are possible. Demonstrate this using cotton rolls.
How to keep your Denture clean:
- Your dentures must be kept very clean to prevent the fouling of food particles and the overgrowth of bacteria. It is best to brush the dentures after each meal and before retiring. A special denture brush is DO NOT use an abrasive soap or cleaner as the latter can ruin the fit of the denture. Clean the denture over a sink bowl that is half filled with water. This will prevent breakage in case the denture slips from your fingers.
- Tartar tends to collect on the denture just as it did on your natural teeth. This can often be removed by soaking the denture in white vinegar for an hour or more. Another problem is stain which comes from smoking, coffee, tea ,etc. Many commercial preparations are available, but you can make your own cleansing solution by using :
1 teaspoon of kitchen bleach (Clorox, Purex) + 2 teaspoons of calgon (water softening agent) in 1 glass of water.
Soak the denture twice a weak for twenty minutes in this solution and the denture will be relatively free from stain, tartar and bacteria. Do NOT soak metal partial denture in this solution because the bleach will ruin the metal.
The health of your gums and tissue that support the denture is very important.
When cleaning the denture, it is advisable to rinse the mouth vigorously with plain water or mild commercial mouthwash.
A daily gentle massage with a soft nylon toothbrush with toothpaste is very beneficial.
Healthy oral tissue is best obtained when the dentures are left out at night. The compressed gums must have rest for proper blood circulation and repair.
Some denture wearers must keep the dentures in all night for personal reasons. In this case, the dentures should be left out at other times during the day. For the best results, follow your Dentist’s advice in this matter. When the dentures are left out of the mouth, they are placed in a container of water as otherwise they may wrap and the fit can be changed.
- You may received local anesthesia for scaling and root planning procedure , try not to eat until anesthesia will wears off.
- Your gums might sore for few days. You should rinse your mouth with warm salt water to relieve pain, faster healing.
- Routine oral hygiene care should be continue from next day, but brush softly and gently.
- If you fill discomfort or pain use OTC pain killer medicine or medicine prescribed by dentist.
- If swelling or pain become worse contact our office.