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2680 S. White Road, Suite #100
San Jose, CA 95148
  408-531-9501
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Post Operative Instructions
 
AFTER TOOTH EXTRACTION:
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After an extraction, it's important for a blood clot to form to stop the bleeding and begin the healing process. That's why your dentist will ask you to bite on a gauze pad for 30 to 45 minutes after an extraction. If bleeding or oozing continues after you remove the gauze pad, place another gauze pad on the area and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it's important to protect it, especially for the next 24 hours. It's important to not:
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» smoke
» suck through a straw
» rinse your mouth vigorously
» clean the teeth next to the extraction site
 
These activities could dislodge the clot and slow down healing.

Limit yourself to calm activities for the first 24 hours. This keeps your blood pressure lower, reduces bleeding, and helps the healing process.

After the tooth is extracted, you may feel some pain and have some swelling. You can use an ice bag (20 minutes on, 20 minutes off) to keep this to a minimum. The swelling usually starts to go down after 48 hours.

To control discomfort, take pain medication as recommended. Don't take medication on an empty stomach or nausea may result. If antibiotics are prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone. Also:
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» Drink lots of fluids.
» Eat only soft, nutritious foods on the day of the extraction.
» Don't use alcoholic beverages.
» Avoid hot and spicy foods.
 
You can begin eating normally the next day, or if not by then, as soon as it's comfortable. Gently rinse your mouth with warm salt water three times a day (put a teaspoon of salt in a cup of warm water, and then gently rinse, swish, and spit). Also, rinse gently after meals. This helps keep food out of the extraction site.

It's very important to resume your normal dental routine after 24 hours. This should include brushing your teeth and tongue and flossing at least once a day. This will speed healing and help keep your breath and mouth fresh. Call your dental office right away if you have heavy bleeding, severe pain, continued swelling after two or three days, or a reaction to the medication. After a few days, you'll be feeling fine and can resume your normal activities.
 
 
AFTER ROOT CANAL THERAPY:
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Root canal therapy often takes two or more appointments to complete. A temporary filling or crown is placed by your dentist to protect the tooth between appointments.

After each appointment when anesthetic has been used, your lips, teeth and tongue may be numb for several hours. Avoid any chewing until the numbness has completely worn off.

Between appointments, it's common (and not a problem) for a small portion of your temporary filling to wear away or break off. If the entire filling falls out, or if a temporary crown comes off, call your Houston dentist so it can be replaced.

It's normal to experience some discomfort for several days after a root canal appointment, especially when chewing. To control discomfort, take pain medication as recommended by your dentist. If antibiotics are prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone.

To further reduce pain and swelling, rinse three times a day with warm salt water; dissolve a teaspoon of salt in a cup of warm water, then rinse, swish, and spit.

To protect the tooth and help keep your temporary in place:
 
» Avoid chewing sticky foods (especially gum).
» Avoid hard foods and hard substances, such as ice, fingernails and pencils.
» If possible, chew only on the opposite side of your mouth.
 
It's important to continue to brush and floss normally. Usually, the last step after root canal treatment is the placement of a crown on the tooth. A crown covers and protects the tooth from breaking in the future.

If your bite feels uneven, you have persistent pain, or you have any other questions or concerns, please call our dental office.
 
 
After Composite Fillings (White Fillings):
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When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivity after 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 to alleviate the tenderness. If pressure sensitivity persists beyond a few days or if the sensitivity to hot or cold increases, contact our office.

You may chew with your composite fillings as soon as the anesthetic completely 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 have any other questions or concerns, please call our office.
 
 
AFTER CROWN AND BRIDGE:
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Crowns and bridges usually take two or three appointments to complete. In the 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 custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness is completely worn off.

Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.

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

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

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.

 
 
Teeth cleaning (Deep cleaning):
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» You may experience some cold and heat sensitivity (especially after deep cleaning).
» Do not eat anything until the numbness has worn off.
» Continue your regular brushing and flossing.
» Some bleeding for a few days after cleaning is normal.
» Please Call our office if you are in pain or if you have any questions
 
 
Gum surgery:
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» You may experience some pain, swelling and bleeding after the surgery.
» Take all the prescribed medications based on given instruction.
» Apply an ice bag on your face over the surgical site on the day of surgery for 10 minutes on and 5 minutes off.
» Keep your next appointment on time for removal of sutures and follow up checks.
» DO NOT raise your lips with your fingers to inspect the treated area.
» DO NOT brush teeth near the surgical site. Brush teeth in the rest of your mouth.
» There is often a temporary loss of feeling in the operated area and the tooth may feel loose.
» Do not smoke, spit or use a straw on the day of the surgery (avoid smoking for a few days after the surgery).
» Should any difficulties occur, do not hesitate to call our office anytime.
 
 
Denture delivery:
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You will experience some discomfort with any new denture for a few days. All new dentures need several adjustments to completely and comfortably fit your mouth.
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You should take the dentures out every night and keep them in a clean container containing water or denture cleaning solution. Your gum needs rest and to be without the dentures everyday for a period of time.
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Clean dentures thoroughly with brush and water before putting them back in your mouth.
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It may be difficult to talk normally with the new denture for few days. A way to practice is to read a book or newspaper out loud for a period of time everyday. Your tongue and muscles will get used to the new denture and you will talk normally very soon.
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Call our office if you are experiencing pain, discomfort or if you have any questions.
 
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