CARE FOR YOUR MOUTH AFTER AN EXTRACTION
1.Keep gauze pressure on the extraction site for 1-2 hours. A moistened gauze pack has been placed on the extraction site to limit bleeding and confine the blood while clotting takes place. If bleeding or oozing continues after the pack is removed, follow this procedure:
a. Fold a piece of clean gauze into a pad thick enough to bite on. Dampen the pad and place it directly on the extraction site.
b. Apply moderate pressure by biting firmly on the pad. Maintain this pressure for about 30 minutes. Repeat if necessary.
2.To allow the blood clot to form and heal undisturbed:
a. Do not smoke for the first 36 to 48 hours after the extraction. Smoking can cause the loss of the blood clot, resulting in exposure of the bone, delay in healing, and pain.
b. Do not rinse your mouth vigorously, suck on the extraction site or drink through a straw for 36 to 48 hours. These activities can create suction in the mouth which can dislodge the clot and delay healing.
c. Do not clean the teeth next to the healing tooth socket for the rest of the day. You should however, brush your other teeth thoroughly.
d. Limit strenuous activity for 24 to 36 hours after an extraction.
3. To reduce swelling and pain, apply cold compresses to the outside of your face for the first several hours after the extraction. Apply the ice pack to the side of your face for 15 minutes on then 15 minutes off. After the first 24 hours, do not apply anymore ice.
4. Drink lots of fluids and eat soft, nutritious foods. Avoid alcoholic and carbonated beverages.
5. Begin rinsing gently with warm salt water on day after the extraction. Rinse with warm salt water after eating and before bed time.
6. We may prescribe medications to control discomfort and to prevent infection. Use only as directed. Do not drive or operate machinery while taking pain medications containing narcotics.
CARE OF THE MOUTH WHILE WEARING TEMPORARY CROWNS
Today your tooth was prepared for a Crown and/or Bridge. The Crown or Bridge that was placed is a temporary and is designed to protect your teeth while the permanent replacements are fabricated at our laboratory. Please do not be concerned about the color, size, or shape of this temporary. The permanent replacements will be shaped and colored to match your other teeth as close as possible.
Your temporary has been cut purposely short of the tissue to avoid irritation and/or recession of the tissue around the tooth. Because of this, you may experience some sensitivity to anything extremely hot or cold.
The tissue around the tooth may also feel irritated for a couple of days. Warm salt-water rinses will help to soothe and heal the tissue. We recommend ½ teaspoons of table salt to an 8oz glass of warm water, 2-3 times a day.
Use a soft toothbrush and keep the area around the temporary clean. Do not use toothpicks around the temporary as it may dislodge it. When flossing around the temporary, pull the floss out through the side. Also avoid hard or sticky foods (i.e. gum, nuts, taffy, French bread, and pizza crusts) as they can pull the temporary off.
This temporary is cemented with a sedative cement. Occasionally a temporary may come loose. If this should occur, don’t worry. Please call the office and we will be happy to make an appointment for you to have the temporary re-cemented. No damage will occur to the tooth other than possibly being sensitive until the temporary is replaced. You may place toothpaste or some Denture adhesive (i.e. Fixodent) inside of the temporary and place it back on your tooth.
CARE FOR YOUR MOUTH FOLLOWING PERIODONTAL SURGERY
1. Discomfort – There may be discomfort following your surgical procedure. To help you control the discomfort, please take your pain medications, as soon as possible and ideally, before the numbness wears off. Taking your pain medications with food will reduce nausea. Please avoid aspirin or aspirin containing compounds.
2. Swelling – Swelling may accompany surgery and generally peaks on the third day following surgery. It may be partially controlled by using ice packs on the outside of your face for the first 24 hours. After the first 24 hours, apply warm, moist compresses to help reduce the swelling. The packs may be applied twenty minutes on the then twenty minutes off.
3. Bleeding – Slight oozing of blood may occur for the first few hours. If excessive or continuous bleeding occurs, apply pressure with gauze or a tea bag. Do not rinse. If bleeding persists, please contact us.
4. Rinsing and Brushing – Do not rinse during the first 24 hours. After 24–36 hours, you may rinse with salt water, Listerine or Viadent. Those who have high blood pressure should avoid salt. Brush and floss the areas where surgery was not performed. In the area where surgery was performed, gentle brushing may be done after a few days.
5. Diet – Diet should be limited to soft or semi-soft foods for the first few days. IT IS IMPORTANT TO MAINTAIN A GOOD DIET. Nourishing and easy to eat foods include milkshakes, cottage cheese, yogurt, soup, ground meat, eggs, etc. Avoid hot liquids and spicy or acidic foods the first week after surgery.
6. Dressing – A dressing or bandage may be used to cover the surgical area. The dressing should not be disturbed and will become hard in 2 hours. If small pieces of the dressing break off after a few days, it is of no concern unless the area becomes uncomfortable. If a dressing has been placed, your diet should consist of items which are cool to luke-warm.
7. Smoking – Do not smoke. Smoking can delay and complicate healing.
8. Activity – Limit your activity to those requiring minimal exertion.
If you have any questions or problems, please do not hesitate to call at any time (408) 578-8010.