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Monument Family Dentistry | Post-Op Instructions in Richmond

Monument Family Dentistry

with Dr. Sterling

Cosmetic & Family Dentistry

804.359.3449

Post-Op Instructions

 

It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.

Root Canal Therapy

You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.

Crowns and Bridges

Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.

White Fillings (Bonding)

After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.

Scaling and Root Planing

After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.

Veneers

Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.

Extractions 
BLEEDING

Do not disturb the wound. Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by placing a gauze pad on the surgical site and biting down firmly. Continue pressure for 30 minutes. If bleeding continues, place a moist tea bag over the surgical site for 30 minutes, (the tannic acid in the tea helps to form a clot). If bleeding persists, please call for further instructions.

SWELLING

Swelling can be a normal occurrence after surgery. In some instances swelling can be worse or peak on the third to fourth day after surgery. Should the swelling increase beyond this time period, or be accompanied by severe pain or an elevated temperature, then please notify your doctor. To minimize swelling, apply an ice pack/ bagged frozen peas or corn to the outside area that the surgery occurred in. A good rule for proper circulation is to keep the ice pack in place for 20 minutes at a time then rest for 20 minutes. Please apply ice packs for 48 hours starting the day of surgery. Another aid that can be used is frozen seedless grapes. Apply the grape between the surgical site and the cheek. This applies pressure and coolness. When laying down keep your head propped up on a couple of pillows, this will help reduce swelling.

PAIN MEDICATIONS

You may have been given prescriptions for one or more pain medications to help manage post operative discomfort following your surgery. However, in some cases moderate discomfort can be controlled with Tylenol or an anti-infl ammatory medication (Advil/Motrin/Ibuprofen; Aleve/Naprosyn; Etodolac). Anti-infl ammatory medications can be alternated with a narcotic medication in most cases. Take these and all medications as prescribed and in the manner indicated by your doctor. It is a good idea to begin taking your pain medications while you are still numb.

ANTIBIOTICS

If you have been placed on antibiotics, take them as directed. If you have an unfavorable reaction such as a rash, please discontinue the medication and call the office for further instructions.

ORAL HYGIENE

Mouth cleanliness is essential to good healing. Start rinsing 24 hours after your surgery. Rinse with warm salt water (1/2 teaspoon of salt to an 8 oz cup of warm water) three to four times a day. Use the salt water rinse in addition to any other rinses prescribed by your doctor. You may begin to brush your teeth 24 hours after surgery, and be gentle in the region(s) of the surgery.

DIET

Drink plenty of fluids; however avoid hot/steamy hot foods and liquids. Cool soft food and liquids should be eaten on the day of surgery. You may return to a normal diet, as tolerated, beginning the day after surgery but avoid crunchy food (popcorn, pretzels, and potato chips) for a week after surgery, as these could become lodged and irritate the surgical area.

ACTIVITIES

Resume normal activities a day or so after surgery, or as directed by doctor. Please keep physical activities to a minimum
immediately following surgery.

Avoid smoking for as long as possible following surgery. The use of tobacco products slows down the healing process and
may lead to developing other complications. We strongly recommend one full week.

 
 
 
Richmond Dentist | Post-Op Instructions. Arden Sterling is a Richmond Dentist.