Home Care Instructions
After Crown and Bridge Appointments
Crowns and Bridges usually take two to three appointments to complete unless you are undergoing a full mouth reconstruction. In the first visit, the teeth are prepared and molds of the mouth are made. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being fabricated at the dental lab. Usually the teeth will be anesthetized, and possibly the tongue, lip and cheeks will be numb as well. Caution must be used when eating and/or 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 temporarily re-cement it. It is very important for the temporary to stay in place, so 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, caramels), hard crunchy foods, and if possible chew on the other side of your mouth. It is important to brush normally, but flossing must be done carefully if at all. Do Not pull the floss up through the contact between the teeth because that may dislodge the temporary. Instead, pull the floss out through the side of the teeth and temporary crown.
It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few days after the placement of the final crown or bridge. Over the counter medications such as Ibuprofen (Advil) or Tylenol may be used as directed.
If your bite feels uneven, if you have persistent throbbing pain, or if you have any other questions or concerns, please call our office at 314-993-6262.
After Placement of Dental Implants
DO NOT DISTURB THE WOUND. AVOID TOUCHING OR VIGOROUS RINSING THE DAY OF SURGERY. THERE WILL BE A METAL HEALING ABUTMENT PROTRUDING THROUGH THE GINGIVA (GUM TISSUE). DO NOT TOUCH IT WITH YOUR TOUNGUE!
- BLEEDING– Some minor bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by bitting on a gauze pad directly on the bleeding wound for 30 minutes. If bleeding continues, please call for further instructions.
- SWELLING– Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice pack or unopened bag of peas on the cheek in the area of the surgery. Apply the ice continuously 15 minutes on, 15 minutes off, as much as possible for the first 36 hours.
- DIET– Drink plenty of fluids. Avoid hot liquids or hot food. HEALTHY soft food and liquids should be eaten on the day of surgery.
- PAIN– You should begin taking pain medication before the local anesthetic wears off. Typically all that is necessary is an Over The Counter (OTC) medication after implant surgery. Ibuprofen (Advil or Motrin) bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3 – 4 hours as needed for pain if you cannot take Ibuprofen. If Dr. Camfield prescibed a pain medication for you it should be taken as directed. DO NOT TAKE any of the above medication if you are allergic , or have been instructed by your doctor not to take it.
- ANTIBIOTICS – If prescribed, be sure to take the antibiotic as directed to help prevent infection.
- ORAL HYGIENE – Good oral hygiene is essential to good healing. In some cases Dr. Camfield will prescibe a mouthrinse called PerioRX (Chlorhexidine). Please use as directed. Otherwise, warm salt rinses should be started the day after surgery 4-5x a day for 5 days, especially after meals. (1 teaspoon of salt in 1 cup of warm water). Brushing with a soft brush around the teeth and the healing cap is not a problem the day after surgery, but intially be extra gentle in the area.
“Clean surgical sights heal better and faster!!!”
- ACTIVITY – Keep physical activities to a minimum immediately following surgery. If you’re considering exercise, you may experience thobbing or bleeding may occur at the surgical site. If this occurs, you should stop exercising.
- If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to your medication, call our office immediately 314-993-6262 or 314-497-7308.
After Tooth Extraction
- After tooth extraction, it is important for a blood clot to form to stop the bleeding and begin the healing process. That is why we ask you to bite on a gauze pad for 30-45 minutes after the surgery apointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times. Biting on a teabag has also been shown to be very effective at stopping bleeding.
- After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, or brush vigorously around the clot for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.
- After the tooth is extracted, you may feel some pain and experience some swelling. To minimize swelling, place an ice pack or unopened bag of peas on the cheek in the area of the surgery. Apply the ice on 15 minutes, off 15 minutes for the first 36 hours.
- Use pain medication as directed. Call the office if the medication does not seem to be working. If antibiotics are prescribed, continue to take them for the indicted length of time,even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
- It is important to resume your normal dental hygiene routine after 24 hours. This should include brushing and flossing your teeth at least two times a day. This will speed healing and help keep your mouth fresh and clean.
- After a few days, you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately at 314-993-6262 or 314-497-9638.