Toothaches That Happen At Any Time

Sensitivity to Temperature

Hot sensitivity may be of short duration or linger many seconds.  Short duration sensitivity often go away on their own.  Lingering sensitivity may indictate a problem that should be resolved by seeing a dentist.

Cold Sensitivity

Short duration:   These sensitive pangs are often caused by root exposure but may have other causes.  These sensitivities may resolve spontaneously but usually require professional intervention.

Long duration:  These sensitivities do not usually self-correct.  Visit your dentist.

 Sensitivity/Pain when Biting or Chewing

This is often associated with a cracked or fractured tooth.  However it may also occur with recently restored teeth. If the tooth is cracked or fractured, the tooth will need to be rebuilt.  This may be a restoration that is a filling or a crown .

If the tooth was recently restored, the surface of the new restoration may need to be adjusted.  Sometimes even the slightest difference in the bite will create a stress point that can be easily adjusted at the dental office.

Can’t put your teeth together without pain/ Sensitivity to any form of pressure?

This usually indicates a serious dental problem.  Prescribed medication can temporarily relieve the pain but you must see your dentist.

 Swelling or a Bubble on the gums?

Swelling seen in the mouth or externally (face, cheek, neck) usually means there is an infection.  Prescription medication will help alleviate the pain.  To resolve the problem you will need to see the dentist to treat the tooth that has the infection.  Even if the medication has taken the pain away that does not mean that the infection has disappeared.  Without treatment usually the pain returns.

 Can’t Sleep or Wakes you up?

This situation has multiple causes and you must see your dentist to resolve the problem.

Something is really stuck between your teeth

Every so often something gets stuck between your teeth. Even after flossing and  flossing, you can still feel something stuck.   The smallest pieces can feel very irritating.  At this point you may be thinking of trying to get at the problem with a sharp object.  That is not a good idea. Contact your dentist. This is definitely not a DIY project. Your dentist will have proper tools that will safely open up the contacts between your teeth and remove the foreign objects.

Use your teeth only for food not as a bottle opener.

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Post Dental Treatment Trauma

Pain in the Tooth?

Toothaches are never a good thing. Start by cleaning your mouth as gently as possible with warm  or cold salt water whichever feels best to you.  Be sure to brush, floss and rinse with mouth wash.  Placing an aspirin on your aching tooth or gums is an old wives’ tale.   It’s really not a good idea and may burn the gum tissue. Some people like rubbing on some oil of clove or swallowing an aspirin or Tylenol.  Contact your dentist.

Sports and Accidental Injuries

Oh oh my tooth is Out!

So you’ve knocked out a permanent adult tooth…

Time is of the essence.  The tooth may be good enough to re-implant.  But it should be re-implanted as soon as possible.  Assuming the tooth is still in one piece, you’ll want to keep it moist in order to place it back in the socket.  It is important to NOT handle it by the root. An easy thing to do is to place the tooth between the cheek and gums.  If this option feels uncomfortable to you, you can always keep your tooth viable in a glass of milk.  Now that the tooth is protected, get to the dentist as soon as possible!  Good chance that it can be put back.

Cracked Up !

You’ve cracked your tooth!  The first thing you would do is rinse your mouth with warm water immediately.  If you had an injury to the face, you might also want to keep your face from swelling with a cold compress as you head to your dentist. Depending on the fracture, bring the piece to the doctor.  It may be useful.

Biting Off More Than You Can Chew!

When you bite your tongue or lip it’s annoying but it will heal on it’s own.  However, if you bite through your tongue or lip, causing quite a gouge in your flesh, gently cleanse the area with water and apply a cold compress. Go straight to your dentist or emergency room.

Broken Jaw?

It is never a good thing to have  a broken jaw, but that can happen.   The very first thing to do is to get a cold compress in the area that is broken  and the as quickly as possible, go straight  to a hospital emergency room for treatment

Avoiding the problem

These are just a few basics in dealing with the most common of dental emergencies.  How about avoid having to deal with them in the first place?

  1. Always wear a mouthguard when playing sports or recreational activities.
  2. Do not chew ice, hard candy or hard popcorn kernels. It might taste good and feel fun but do you want to see the dentist between your check ups?
  3. Use scissors,  bottle openers, knives for their appropriate activitiesl…NOT YOUR TEETH. Teeth are built to chew and cut food only.

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Live Person Answering 24 Hrs 7 Days Per Week

If you have a dental emergency please call any time of the day or night.

  • We have dental offices open on Saturday and Sunday
  • If you are calling after hours and you are in pain we will find the nearest dentist open to you the following morning
  • If you are in pain our experienced personnel will be able to give you suggestions for relief

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Temporary Crowns and Bridges – Post-Treatment Instructions

Post Dental Treatment Instructions
post dental treatment instructions for crowns


After your first crown or bridge appointment, refrain from eating for at least 1 hour and until the anesthesia has worn off.

Temporary: A temporary crown or bridge will be placed on the prepared teeth while the permanent restoration is being made. The temporary serves very important purposes. It protects the exposed dentin so it is not sensitive, prevents food and bacteria from collecting on the tooth preparation, and prevents the tooth from shifting or moving, which can make seating of the permanent restoration more difficult or even impossible. The temporary is placed with a cement that is designed to come off easily, so avoid chewing sticky foods such as gum or taffy or anything very crunchy. Use your toothbrush to clean the temporary as you normally do your other teeth. However, when flossing, it is best to slide the floss out below the contact rather than popping up through the contact between the temporary and the tooth next to it.

If your temporary comes off between appointments, even if there is no discomfort, slip it back on and call our office in order to have us recement it for you. It cannot be stressed too much how important this is.

A little denture adhesive or even toothpaste placed inside the crown can help to hold it in place in the interim.

Sensitivity: Sensitivity, especially to cold, is common while you are wearing the temporary. If you experience this, avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If your gums are tender, rinse with warm salt water by dissolving 1/2 teaspoon of salt in an 8 oz. glass of warm water. An analgesic, such as whatever you would take for a headache, will help to increase your comfort.

Permanent Crown or Bridge: Typically, we will have your permanent crown or bridge around 2 weeks after the appointment which the tooth or teeth were prepared. It may take a few days to get used to the new crown or bridge, after your permanent restoration is finally cemented. If your bite feels high or unbalanced, please be sure to call our office for an appointment for a simple adjustment.

Home Care after seating your Permanent Crown or Bridge: Although crowns and bridges are often the most durable of all restorations, the underlying tooth is still vulnerable to decay, especially at the interface between the tooth and crown. It is important to resume regular brushing and flossing immediately. Daily home care and regulating your intake of sugar-containing foods will increase the longevity of your new restorations.

If you have any problems or unanswered questions, please feel free to call our office at 604-805-2500 any time so we may be of assistance to you.

Composite Fillings – Post-Treatment Instructions

Composite fillings

  1. Composite fillings set up hard right away. There is no waiting time to eat. Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks, or tongue which can cause serious damage.
  2. Sensitivity to hot and cold is common for a few weeks following dental restoration. Usually, the deeper the cavity, the more sensitive the tooth will be. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.
  3. The gum tissue could have been irritated during the procedure and may be sore for a few days along with the anesthetic injection site.
  4. The finished restoration may be contoured slightly different and have a different shape than the original tooth. Your tongue usually magnifies this small difference and will become adjusted to this in a few days.

Porcelain Veneers – Patient Instructions

porcelain veneers

First 72 Hours

The resin bonding process takes at least 72 hours to cure in its entirety. During this time, you should avoid any hard foods and maintain a relatively soft diet. Extremes in temperature (either hot or cold) should also be avoided. Alcohol and some medicated mouthwashes have the potential to affect the resin bonding material during this early phase and should not be used.

Maintenance

  1. Routine cleanings are a must at least every four months with a hygienist, who should avoid using an ultrasonic scaler and the air abrasion systems. Use a soft toothbrush with rounded bristles, and floss as you do with natural teeth. If daily cleaning of plaque is a problem, use a mechanical plaque removal device (Interplak), because plaque-free maintenance of these restorations is essential to their longevity and the health of your teeth and supportive tissues.
  2. Use a less abrasive toothpaste and one that is not highly fluoridated.
  3. Although laminates are strong, avoid excessive biting forces and habit patterns: nail biting, pencil chewing etc.
  4. Avoid biting into hard pieces of candy, chewing on ice, eating ribs.
  5. Use a soft acrylic mouthguard when involved in any form of contact sport.

Mouth rinses

Acidulated fluoridated mouth rinses can damage the surface finish of your laminates and should be avoided. Chlorhexidine antiplaque mouth rinses may stain your laminates, but the stain can be readily removed by a hygienist.

Oral Hygiene – Post Treatment Home Care


We want you to keep your teeth and gums healthy for a lifetime. We are happy to explain and demonstrate proper home care. However, responsibility for your oral health ultimately lies with you. Yes, it is really up to you to keep things on the right track. If you do the following every day, you will significantly increase the likelihood of a lifetime of good oral health.

Floss

Floss is used to remove plaque and whatever else decides to take refuge on your teeth, both above and below the gum line. Plaque refers to the bacteria and other things that stick to your teeth. There is direct connection between plaque, gum disease and tooth decay. Therefore, if you don’t remove the plaque, you will get gum disease and tooth decay.

Glide Floss is one of top floss products currently available. It is designed not to shred or get caught on your teeth or fillings. Take about an 18 inch length of floss and wrap it around your 2 middle fingers. Hold about a 1 inch length of this floss between the thumb and forefinger of each hand, keeping it tight. Gently place this 1 inch tight piece between the tooth contact. When you reach the gum line, hold the floss against one tooth and move it into the space between the gum and tooth below the gum line. While keeping the floss in contact with the tooth, move it up and down along the side of the tooth, from just below the contact to as far as you can comfortably get below the gum line. It is important that you get the floss in the space between the gum and tooth, as this is where gum disease begins. Repeat this procedure for the tooth on the other side of the contact. As you move from tooth to tooth, use a fresh section of floss.

If you haven’t flossed in awhile, your gums may bleed at first when you do this. If you are doing it correctly (and at least once a day), your gums will start to heal and the bleeding should stop in no more than 2 weeks.

Brush/Toothpaste

Brushing removes plaque and food debris on the chewing, inside and outside tooth surfaces. After flossing, use a soft brush along with a fluoride containing brand-name toothpaste. For the inside and outside surfaces, hold the brush at a 45 degree angle to the teeth and gums and use a gentle back-and-forth motion. This technique will not only clean your teeth, it will also keep your gums healthy. It is important to have the brush contact the teeth and gums at the same time. On the chewing surfaces hold the brush flat and use a gentle scrubbing motion.

Brush for two minutes. That is a long time, but it will be much more effective than the 20-30 seconds that most people do. Since two minutes standing by the sink is much longer than most people think, you may benefit by using a toothbrush timer. Brush at least 2 times a day, especially in the morning and at bedtime.

When done, spit out as much as you can. Don’t swallow any of the toothpaste, and don’t rinse out with any water.

Scrape

A tongue scraper is great for removing bacteria and food debris on the tongue. These substances get stuck in the deep crevices of your tongue, and if not removed, the byproducts give you bad breath. After brushing, a tongue scraper followed by a rinse is frequently the best way to control bad breath.

The tongue scraper we give you has two sides, regular and soft. Usually you will use the regular side.

Hold the scraper with two hands, between the thumbs and forefingers. Bend the scraper so that it forms a “C”. Stick out your tongue and start scraping from back to front several times. You will notice a creamy film develop on the scraper. Rinse it off. Repeat the scraping and rinsing until the film coming off your tongue is clear.

Rinse and dry the tongue scraper. It is designed to last a long time.

Rinse

An antibacterial rinse is just that, a rinse that cuts down on the bacteria that causes gum disease and cavities, plus it reduces those bacteria and the bacterial byproducts that cause bad breath. After scraping your tongue, it is recommended that you use a non-alcoholic anti-bacterial rinse, such as BreathRx or Crest Pro Health Rinse. This will significantly decrease the bacteria and volatile sulfur compounds (the substances responsible for bad breath). It will improve the health of your mouth and you will be a delight to be near. Why a non-alcoholic rinse? Most mouth rinses (such as Scope) contain a high percentage of alcohol. Alcohol dries your mouth out. Just put some alcohol on your hand and observe how quickly the skin dries out. Using a mouth rinse with a high alcohol content may make your mouth smell nice for only a short period of time. Once the alcohol begins drying the tongue and gums, your breath can actually smell worse than before you used it. Therefore, an alcoholic mouth rinse is not recommended.

Use a very small amount (you need less than you think) of mouth rinse and swish for 10-15 seconds and spit it out. No rinsing with water.

Remember: You don’t have to clean all your teeth; only the ones you want to keep. Congratulations! You are on your way to excellent oral health.

Scaling and Root Planing: Post-procedure Instructions

The dental prophylaxis just completed has been preventive in nature due to your thorough oral self-care. That means that there was no gum disease evident. The prophylaxis was completed quickly and with the minimum of trauma to your teeth and soft tissues. In this event, you should have insignificant postoperative discomfort in your mouth. Congratulations on a job well done. Keep up the good work. We would rather assist you in preventing periodontal disease than in curing the problems periodontal disease can cause.

A therapeutic prophylaxis has been completed. In this case, the gingival (gum) tissue showed signs of infection and inflammation and you may have had significant calculus (tartar) buildup. You may notice that your teeth feel different where the calculus was removed. The soft tissues may be sensitive or sore for approximately one day as they begin to heal. You may find that taking an over-the-counter pain reliever (aspirin, ibuprofen, etc.) will help during this 24-hour period. You may also rinse your mouth every few hours with warm salt water. Make sure that you brush and floss your teeth during this time period as you have been instructed. Be gentle, because the brushed areas may be sore, but be thorough! You do not want to have the periodontal infection begin again.

When you have had scaling and root planing, or other more involved periodontal procedures, you can expect your gingival (gum) tissues to be quite sore. This is normal when the gum tissues have been infected and inflamed for some time. The more severely they have been affected, the more discomfort you can expect. This soreness should go away very quickly. You may rinse with warm salt water every few hours until the soreness is gone.

You may also notice that the teeth have become sensitive to temperature changes after the scaling and root planing. This sensation frequently occurs when the surfaces of the roots of your teeth have been cleaned. Removal of the debris covering the roots and attached to the roots leaves the roots open to temperature stimulus. If the problem persists, please let us know.

When you examine your gums closely in a mirror, you will also observe that the color, texture, and position of your periodontal tissues will undergo a change as the healing takes place. The swollen, reddened gum tissue will shrink, become more firm, and return to a healthy pink color. Watch for these welcome signs of improvement and be encouraged by the healing process.

Please do not forget to brush, floss, and use other periodontal cleaning aids as you have been taught. It is important that you begin establishing proper oral self-care habits immediately. If you find that the recently treated areas are sensitive to the brushing and flossing, be gentle, but be thorough! With proper technique you cannot damage the teeth or gingival tissues.

Brush after every meal with a fluoride-containing toothpaste. Rinse with a fluoride-containing mouthrinse once each day.

Use the oral irrigator with the periodontal attachment as instructed.

Use the periodontal cleaning aids as you have been shown.

Please return for your followup appointment. During this time, your periodontal tissues will be evaluated for the expected improvement and effectiveness of your oral self-care and to determine the possible necessity of further periodontal treatment. This appointment will include reprobing the periodontal tissues.

Because of your periodontal condition, we strongly recommend that you return for your next examination and preventive prophylaxis appointment.

If you have any questions about these instructions, please feel free to ask us.

Oral Surgery Postoperative Instructions

 

What to Expect After Oral Surgery

Some teeth are imbedded or positioned in the jaw in such a way that bone surgery is necessary for their removal. This is especially true of impacted wisdom teeth. The removal of such teeth is quite different from the extraction of erupted teeth. The following conditions may occur, all of which may be considered normal in the first few days after surgery.

The area operated on will swell. The swelling will reach its peak about 36 hours after surgery.

Trismus (tightness) of the muscles may cause difficulty in opening the mouth.

You may have a slight earache and a sore throat may develop.

Note that you have been given a long-acting local anesthetic. This anesthetic may last as long as 8 to 12 hours. Even if your procedure involved I.V. sedation, you are still given local anesthetic although you may not remember even getting it. Therefore, you will experience numbness for several hours. Numbness around the corner of the mouth or in the lip or tongue on the side from which the tooth was removed may persist. This is called “paresthesia” and is generally a temporary condition which will resolve. It may persist for a few days to several months. In remote instances, it may be permanent. If numbness persists long-term, there may be surgical treatment available.

If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with a cream or ointment.

There will be a cavity or socket where the tooth was removed. This will eventually fill in with tissue. Black and blue or yellow discoloration may occur on the outside of the face near the area of the surgery. This occurrence is not unusual and will disappear within several days.

There may be a slight elevation in temperature for 24 to 48 hours. If this continues, please notify the office.

Instructions Following Removal of Impacted and Surgically Extracted Teeth

1. PAIN – Take your pain medicine as directed. Medication instructions must be followed very carefully including not exceeding recommended doses, not combining different medications unless specifically directed, and not driving, operating machinery, or making important decisions while taking medication that can cause drowsiness or impair judgment. Note that elevation of the head (i.e. not lying flat) and use of ice packs as described below will both contribute to relief of pain. Note also that some pain medications may cause dizziness. You should stand up slowly while taking these medications. If you are lying down, sit up first and then stand up slowly to avoid dizziness that could result in a fall. Do not drink any alcohol while taking pain medication.

2. SWELLING – To help minimize ordinary immediate postoperative swelling, apply an ice pack to the face over the operated area (15 minutes on, 15 minutes off, repeat) for the first 36 hours following surgery. After 36 hours, discontinue the ice packs and begin moist heat compresses. It is not unusual to have additional swelling on the second or third day. Do not go to sleep with an ice pack or hot compress in place.

3. BLEEDING – A certain amount of bleeding is to be expected following the operation. Blood tinted saliva may be seen for about 36 hours. If bleeding occurs after you return home, place a small moistened gauze pad (about the size of a tea bag) or a moistened tea bag directly over the socket for at least 30 minutes, holding it in place with firm biting pressure. If your wisdom teeth have been removed, the correct position of the gauze pack will be behind the last tooth in the mouth. It may be necessary to repeat this procedure. If bleeding continues, please call the office. If bleeding is excessive, call the office immediately.

4. DO NOT DISTURB THE BLOOD CLOT – Its grayish or yellowish appearance and slight odor do not indicate an infected condition. Keep fingers, toothpicks, or other matter that may cause infection out of the mouth. Keep your tongue away from the surgical area. Do not smoke, rinse your mouth vigorously or drink through a straw for 48 hours. These activities create suction in the mouth which could dislodge the clot and delay healing. Forceful spitting and excessive physical activity tend to increase and prolong bleeding as does bending over to pick up objects. A semi-reclining position and rest for the first few hours is recommended. Limit strenuous activity for at least 24 hours after the extraction. This will reduce bleeding and help the blood clot to form. Avoid vigorous exercise for the first 3-5 days. Contact sports should be avoided until healing is complete to avoid the possibility of jaw fracture.

5. MOUTH RINSING – Vigorous mouth rinsing may stimulate bleeding by breaking clots which have formed. Therefore, do not rinse the mouth for 24 hours following extractions. The exception to this would be the patient on anticoagulants who is prescribed tranexamic acid, as discussed below. After 24 hours, you may gently rinse the mouth with a warm salt water solution (½ teaspoon salt in an 8 ounce glass of warm water) 4-5 times a day for several days. If bleeding continues, stop all mouth rinsing and follow instructions in paragraph 3 above regarding bleeding. Do not rinse with commercial mouthwashes. After 24 hours you may gently brush the teeth.

6. ANTIBIOTICS – If antibiotics have been prescribed for you, take them in accordance with the instructions on your prescription. Discontinue the antibiotics immediately if a rash, hives, itching, swelling, or difficulty breathing occurs. This may be the sign of a serious allergic reaction. The patient who experiences difficulty breathing or swelling and constriction of the throat, mouth and face area should call 911 or their local emergency medical service, as serious allergic reactions can be fatal if not treated promptly. Notify the office so that a different antibiotic can be prescribed. Any infection should be taken seriously and reported to the office.

7. DIET – It is important to maintain a good diet. A liquid to soft diet is advisable for the first few days. It is very important to drink plenty of fluids (6-8 glasses per day). Avoid drinking very hot liquids as these may cause resorbable sutures to break down too quickly. Nutritional intake is very important during the healing stages following surgery. Now is not a good time to go on a diet. You should supplement your vitamin and mineral intake with a supplement such as Centrum, which is available both in tablet form as well as liquid form. Calcium, vitamin D, magnesium, and manganese are important for proper bone healing and can be obtained in a single product form such as Caltrate Plus. A complete nutritional supplement such as Ensure can be taken to insure complete nutrition. Be very careful with anesthetized areas so you do not bite your lip, cheek, or tongue. Do not chew anything until after the numbness wears off. However, you can begin liquids right away provided that they are not too hot. Hard, crunchy foods should be avoided until healing is complete to avoid the possibility of jaw fracture.

8. POST-OPERATIVE OFFICE CARE – Most patients are seen approximately one week after surgery for evaluation and suture removal. If you have any doubts concerning your progress and recovery, please feel free to call the office. There may be a slight elevation in your temperature for 24-48 hours. If this continues, or if any other unusual events such as persistent weakness, lethargy, or malaise occur, please notify the office immediately. You may be seen sooner than one week if you so desire. If pain or swelling occurs after the surgical site has apparently healed, return for an examination. When this type of condition occurs, it usually happens on the third or fourth day after surgery. It may be indicative of a condition called “alveolar osteitis” (dry socket) and is generally treated by placing a medication into the tooth socket with almost immediate relief.

Special Instructions for Special Circumstances

1. NAUSEA – If you experience any nausea with your pain medicine, try taking it with milk, yogurt, ice cream or a milkshake. In rare cases, an anti-nausea drug may be prescribed. In very rare cases when nausea is so severe that the patient cannot keep oral medications down, anti-nausea medication can be administered in suppository form. While significant post-operative nausea is uncommon, it is more common in women and in patients with a history of motion sickness and migraine headaches.

2. EXCESSIVE PAIN – If you still experience pain after taking your prescription pain medication, you may add ibuprofen (such as Advil or Nuprin) or acetaminophen (such as Tylenol). The maximum adult daily dose of ibuprofen is 800 mg three times a day for a total of 2400 mg per day. The maximum adult daily dose of acetaminophen is 1000 mg four times a day for a total of 4000 mg per day. Keep in mind that many prescription pain medications (for example, Vicodin and Percocet) contain acetaminophen and some (for example, Vicoprofen) contain ibuprofen. If your pharmacist fills your prescription with a generic drug, note that the letters “APAP” on the label means that this product contains acetaminophen. Maximum daily doses include all sources of a drug added together. Acetaminophen taken in excess can cause liver failure and death, especially if combined with alcohol. Please be careful not to exceed the maximum daily dose.

3. ATTENTION WOMEN OF CHILDBEARING AGE – Women of childbearing age should keep in mind that all antibiotics have the potential to interact with birth control pills and lessen the effectiveness of the oral contraceptive. Although this has never been proven, alternative nonhormonal forms of birth control should be used after checking with your physician and should be continued for one full week after antibiotics are completed. You should also continue to take your oral contraceptives according to their directions while you are using antibiotics.

4. ANTIBIOTIC MOUTH RINSES – You may receive a prescription for an antibiotic mouth rinse containing chlorhexidine (Peridex, PerioGard, etc.). Do not use this rinse for 24 hours following extractions. After 24 hours, you should use this rinse after meals and before bedtime until the surgery site has healed. Do not swallow the rinse – swish it gently and then spit it out. Although extremely effective against micro-organisms, these rinses may cause staining of your teeth. This is not permanent staining and it can be removed with professional polishing. Staining can be minimized by thoroughly brushing and flossing your teeth at least twice per day.

5. SPECIAL INSTRUCTIONS FOR PATIENTS ON ANTICOAGULANTS AND PATIENTS WITH BLEEDING DISORDERS – If you are taking Coumadin (warfarin) or other anticoagulant medication or if you have a bleeding disorder, you may be given a special prescription for a mouthwash called tranexamic acid to minimize bleeding. Following the surgery appointment, rinse your mouth with 1 tablespoon for 2 minutes four times daily (every 6 hours) for 7 days. Do not swallow the rinse – swish it gently and then spit it out. Do not eat or drink during the first hour after using this mouthwash. Eat only a liquid diet on the first day after surgery. Contact the doctor if bleeding develops that cannot be controlled by compression by a gauze pad for twenty minutes while sitting upright.

6. SPECIAL INFORMATION FOR PATIENTS WITH IMMEDIATE DENTURES – If you have had immediate dentures placed at the time of surgery, it is extremely important that you do not remove these dentures for any reason until you are instructed to do so by the doctor. If the dentures are taken out too soon, there will most likely be additional swelling and it will be impossible to place the dentures in the mouth again. Please call the office for specific instructions as to when you should remove your immediate dentures.

7. BONE FRAGMENTS – During the healing process, small sharp fragments of bone may loosen and work through the gum. These fragments, which are not roots, usually work out on their own accord, but if they are annoying, return to the office so the dentist can advise or treat you.

8. SMOKING – Smoking will delay healing and may cause increased postoperative pain as well as the formation of a dry socket. Do not smoke for at least 48 hours after any type of oral surgery. This may be a good opportunity to seriously consider quitting smoking permanently.

9. SPECIAL INSTRUCTIONS FOR DIABETIC PATIENTS – Diabetic patients should note that blood glucose levels should be checked more frequently for the first few days following oral surgery. If you are eating less than usual or not eating regularly, you may need to adjust your insulin dosage. Please consult with your physician for additional guidance.

10. SINUS PRECAUTIONS – POSTOPERATIVE INSTRUCTIONS FOR PATIENTS WITH SINUS INVOLVEMENT Because of the close relationship between the upper back teeth and the sinus, a communication (also called a fistula) between the sinus and the mouth sometimes results from oral surgery. A communication between the sinus and the mouth often heals slowly. Certain precautions will assist healing and we ask that you carefully follow these instructions:

  • Take prescription medication as directed.
  • Do not smoke for at least two weeks. Smoking is a severe irritant and significantly delays healing.
  • Do not forcefully blow your nose for at least two weeks, even though your sinuses may feel “stuffy” or there may be some nasal drainage.
  • Try not to sneeze, as sneezing will cause an increase in sinus pressure. If you must sneeze, do so with your mouth open.
  • Do not drink through a straw for at least two weeks.
  • Do not forcefully spit for at least two weeks.
  • Do not rinse vigorously for at least two weeks. Gentle saltwater swishes may be used as needed.
  • Eat only soft foods for several days and chew on the opposite side of your mouth.

Slight bleeding from the nose may occur for several days after surgery. Please call the office if drainage or pain increases. It is very important that you keep all appointments until this complication has resolved. In rare cases, another surgical procedure may be necessary to close the communication between the mouth and the sinus.

10. ADDITIONAL INSTRUCTIONS FOR IV SEDATION PATIENTS – Since you may be drowsy following the appointment, a responsible adult must escort you home. Two adults should accompany children. Arrange to have the entire day off work and limit your activities for the remainder of the day. Do not drive, operate machinery, drink alcohol, or make any important decisions or judgments for 24 hours after the appointment as your faculties and abilities will likely be impaired. Have someone assist you in and out of the car on your way home and up and down the stairs. Stand up slowly; if you are lying down, sit up first and then stand up slowly to avoid any drop in blood pressure that might make you dizzy. If you experience any unusual reactions, report them to the office as soon as possible. Occasionally, the injection site of the IV may become inflamed and tender. This is caused by the anesthesia drugs irritating the vein. If this happens, apply moist heat to the area and the inflammation will eventually resolve.

Please feel free to call anytime you have a question or concern.