YOU
HAVE JUST HAD BONDED COSMETIC VENEERS
Congratulations!
You have just received the most advanced, state-of-the-art cosmetic
and structurally sound restorative dentistry available today.
We are excited by what Cosmetic Dentistry can do for you and your
teeth, and are pleased that you are as committed to high quality
dentistry, as we are. It's our privilege to provide you this service.
We care about you and want you to be as comfortable as possible
so here are a few follow ups.
1. First - SMILE - you now have a bonded restoration that
looks great.
2. The cement is already set - and your bonded restoration is
ready for immediate use.
3. If any minor discomfort occurs, it should diminish over a few
days.
4. If anesthetic was used, please be careful not to bite your
cheek or tongue. Also, do not eat or drink anything extremely
hot or cold until all has worn off.
5. The bite should feel normal. If you find when the anesthetic
has worn off that you are “hitting” any area when
you speak or chew it is imperative that you come to the office
the next business day. You can’t “wear it in”
you can only break it. If sensitivity to hot, cold or biting pressure
is present; it should not linger! Call us so we can check things
out, even before any scheduled follow-up visit.
6. Chewing extremely hard or crunchy foods may affect your new
bonded restoration. In particular, please refrain from chewing
ice, tearing open packages with your teeth, and biting anything
that may cause damage (such as fingernails, paper clips, etc.).
7. Proper care of your new bonded restoration is a must! Brushing
and flossing can be accomplished nicely, as normal. There are
no special precautions needed.
8. We recommend professional 'recare' evaluations at least twice
per year. We then can evaluate the wear of your new bonded restoration;
touch-up and polish where needed.
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WAITING
FOR YOUR LABORATORY CRAFTED INLAY/ONLAY
Congratulations!
You are on your way to receiving the most advanced, state-of-the-art
cosmetic and structurally sound restorative dentistry available
today. We are excited with what Cosmetic Dentistry can do for
you and your teeth, and are pleased that you are as committed
to high quality dentistry, as we are. It's our privilege to provide
you this service. Please call if you have any questions
Here are a few simple rules to follow as your final restoration
is being custom fabricated for you by our laboratory.
DISCOMFORT:
After the tooth/teeth have had the decay removed and structure
stabilized, you may experience some minor sensitivity. You can
help reduce this by taking aspirin or ibuprofen every four hours.
Please remember, if you have been given anesthetic, it should
wear off in a couple of hours. Please be careful not to chew on
the tooth (teeth) until this occurs.
TEMPORARY CARE:
A temporary tooth-colored restoration was placed to protect the
tooth (teeth) while your new restoration is being made. Avoid
heavy chewing and sticky foods. If the restoration seems to loosen,
do not be alarmed. Call our office and we will arrange a time
so things may be placed in their proper positions. Even if
there is no discomfort involved, it is very important that we
re-cement this restoration; so that the teeth don't drift
– making placement of your final restoration very difficult.
CLEANING:
Proper care of the interim restoration - if placed - is a must!
Brushing can be accomplished with a gentle motion on the sides
of the tooth - flexing the soft bristles at the gum line. We may
instruct you not to use dental floss, depending on the procedure.
When flossing is recommended, place it gently between the teeth,
clean the gum areas as usual, then release your inside finger
and pull the floss through the space, toward the cheek. Do not
draw the floss back between the two teeth.
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WAITING
FOR YOUR LABORATORY CRAFTED CROWN OR BRIDGE
Congratulations!
You are on your way to receiving the most advanced, state-of-the-art
cosmetic and structurally sound restorative dentistry available
today and are pleased that you are as committed to high quality
dentistry, as we are. It's our privilege to provide you this service.
Please call if you have any questions.
Here are a few simple rules to promote healing and make yourself
more comfortable; as your final restoration is being custom fabricated
for you by our laboratory.
CARE OF THE INTERIM CROWN or BRIDGE:
• Avoid chewing anything sticky or very hard on your new
temporary. Avoid bagels, crusty bread seeds and nuts etc.
• If the restoration seems to loosen or is dislodged, do
not be alarmed. Call our office and we will arrange a time so
things may be placed in their proper positions. Even if there
is no discomfort involved, it is very important that we re-cement
this restoration; so that the teeth don't drift – making
placement of your final restoration very difficult.
• If the temporary restoration breaks save any pieces which
will assist us in creating a new temporary and call the office.
DISCOMFORT:
After the tooth/teeth have been reshaped, you may experience some
minor sensitivity. Aspirin or Ibuprofen usually works very well.
Your gums may be irritated. If necessary rinse with Peroxyl which
is available at your pharmacy, or a half/half mix of hydrogen
peroxide and water; three times per day. This is an excellent
method for soothing sore gums. We may recommend gentle finger
massage, as well!
The jaw joints may be sensitive, as well. This can easily be soothed
with the application of warm compresses on the jaw joint. We suggest
a heating pad that is designed to be moistened. Place the moist
heat on the jaw joint areas - open and close the mouth slightly
during this application. The heat should be applied at 10 - 15
minute intervals with 15 minutes of rest between placement.
MEDICATION:
We may prescribe medication to control discomfort. Please use
only as directed. If this medication does not seem to work for
you, do not increase the dosage; or mix with other pain medications.
Call us! Medications work differently on each individual. It is
common to change medications; and a new formulation may work very
well. If the discomfort is prolonged; there is swelling, excessive
bleeding or fever - again call us.
CLEANING:
Proper care of your temporary restoration as well as the gum tissue
in the area is a must! Brush with a gentle motion on the sides
of the tooth - flexing the soft bristles at the gum line of the
interim restoration. We would like you to use dental floss. However,
place the floss gently between the teeth, clean the gum areas
as usual, then release your inside finger and pull the floss through
space, toward the cheek. Rinsing with Tooth and Gum Tonic or Listerine
will also aid in maintaining healthy gums.
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WAITING
FOR YOUR LABORATORY CRAFTED VENEERS
Congratulations!
You are on your way to receiving the most advanced, state-of-the-art
cosmetic and structurally sound dental enhancement available today.
We are excited by what Cosmetic Dentistry can do for you and yo
and are pleased that you are as committed to high quality dentistry,
as we are. It's our privilege to provide you this service. Please
call if you have any questions.
Here are a few simple rules to promote healing and make yourself
more comfortable; as your final restoration is being custom fabricated
for you by our laboratory.
First of all, the temporary veneers may be a very big change in
your appearance and may take a short time for you and those around
you, to adjust to the “new you”. Within a very short
time you will begin to appreciate your new look. We DO want your
feedback about the temporary veneers. Although they are plastic
and have none of the true depth and subtlety of color, shine,
or finish, they are a “template” for the final restoration
in length, shape and form so your input will help us design the
most pleasing smile possible for you.
CARE OF THE TEMPORARY VENEERS:
• DO NOT EAT ANYTHING THAT REQUIRES BITING ON THE TEMPORARY
VENEERS! These temporary veneers are just “formed in place”
and are not secured to the teeth by cement or any other adhesive.
Biting on ANYTHING will break or dislodge them.
• Avoid chewing anything sticky in case it comes in contact
with the temporary veneers.
• If the restoration seems to loosen or is dislodged, do
not be alarmed. Call our office and we will arrange a time so
things may be placed in their proper positions. Even if there
is no discomfort involved, it is very important that we re-stabilize
this restoration to avoid its breaking.
• If the temporary restoration breaks save any pieces which
will assist us in creating a new temporary and call the off ice.
DISCOMFORT:
After the teeth have been reshaped, you may experience some minor
sensitivity. Aspirin or Ibuprofen usually works very well. Your
gums may be irritated. If necessary rinse with Peroxyl which is
available at your pharmacy, or a half/half mix of hydrogen peroxide
and water; three times per day. This is an excellent method for
soothing sore gums. The jaw joints may be sensitive, as well.
This can easily be soothed with the application of warm compresses
on the jaw joint. We suggest a heating pad that is designed to
be moistened. Place the moist heat on the jaw joint areas - open
and close the mouth slightly during this application. The heat
should be applied at 10 - 15 minute intervals with 15 minutes
of rest between placement.
CLEANING:
Proper care of your temporary restoration as well as the gum tissue
in the area is a must! If you don’t have healthy gums
we cannot bond the permanent veneers which may delay the entire
process. Brush with a gentle motion on the sides of the tooth
- flexing the soft bristles at the gum line of the interim restoration.
Rinsing with Tooth and Gum Tonic or Listerine will also aid in
maintaining healthy gums. You cannot floss temporary veneers since,
unlike the final restorations, these are all connected as one
piece.
AFTER DEEP CLEANING
We have now begun the ‘deep cleaning’ therapy sequence.
The goal of this therapy is to ‘cleanse’ your oral
tissues of bacterial toxins and debris and start the process toward
gum and tissue healing. Thus, your gum and supporting structures
can be the stable foundation we are seeking; to complete your
dental treatment.
• What to expect!
- Immediately upon dismissal from our office - you may notice
slight ‘oozing’ from the gums. This will decrease
rapidly.
- Some sensitivity is expected following your ‘deep cleaning’
appointments. This may include:
• extreme hot and cold
• spicy foods
• acidic foods (citrus; as an example)
- Over the next few days and weeks, as your teeth and gums become
healthier, the gum tissue will actually 'shrink.' More tooth may
be exposed. Increased sensitivity can occur with these teeth -
which is transient in nature. The best way to decrease this sensitivity
is to keep the area as clean as possible [brushing, flossing and
rinsing; as directed].
• How do I take care during therapy?
Every person is different; thus, all post operative instructions
are ‘customized’ for you by our dental hygiene staff.
However, basic rules do apply.
• Salt/Water rinses [1 tsp. to 1 tsp. salt w/8 oz. warm
water]; 3 times per day - for 30 to 60 seconds
• Peroxide/Water rinses to assist with impacted debris
• Tooth and Gum Tonic or Prescription rinses to begin 24
- 48 hours after therapy; per your hygiene staff recommendation.
• Are any medications necessary?
Perhaps; however, not normally. In a vast majority of cases; should
medications for sensitivity be necessary - over the counter anti-inflammatory
formulations work very well. These include:
• Ibuprofen [600mg {3 tablets} - 3x/day]
• Aleve - Two Caplets follow by one caplet every 12 hours
An excellent method to reduce sensitivity post operatively is
to take one of these medications one hour PRIOR to your appointment.
The success of your deep cleaning therapy is a team effort. Your
commitment to proper care is essential for success!
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AFTER
FINAL LABORATORY CRAFTED RESTORATIONS ARE BONDED IN
Congratulations!
You have just received the most advanced, state-of-the-art cosmetic
and structurally sound restorative dentistry available today.
We are excited by what Cosmetic Dentistry can do for you and are
pleased that you are as committed to high quality dentistry, as
we are. It's our privilege to provide you this service. We care
about you and want you to be as comfortable as possible
Care Instructions: Veneers, Bonding, Nonmetallic Fillings
You've received a beautiful - cosmetic - restoration. What Now??
1. First - SMILE - you now have a bonded restoration that looks
great.
It also provides the ultimate in function; as well as strengthening
the supporting tooth.
2. The cement is already set - and your bonded restoration is
ready for immediate use.
3. If any minor discomfort occurs, it should diminish over a few
days.
4. If anesthetic was used, please be careful not to bite your
cheek or tongue. Also, do not eat or drink anything extremely
hot or cold until all has worn off.
6. Sensitivity to temperature may result from the extensive treatment
of the teeth but it should not linger. If you have an concerns
call us so we can check things out, even before any scheduled
follow-up visit.
7. Chewing extremely hard or crunchy foods may affect your new
bonded restoration. In particular, please refrain from chewing
ice, tearing open packages with your teeth, and biting anything
that may cause damage (such as fingernails, paper clips, etc.).
8. Proper care of your new bonded restoration is a must! Brushing
and flossing can be accomplished nicely, as normal. There are
no special precautions needed. Correct care also includes rinsing.
We may have suggested the use of “Tooth and Gum Tonic”
or Listerine - a minimum of twice per day. This care will not
only prolong the life of the restoration, but will also help to
prevent problems elsewhere in the mouth.
9. We recommend professional 'recare' evaluations at least twice
per year. We then can evaluate the wear of your new bonded restoration;
touch-up and polish where needed.
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AFTER-SURGERY
INSTRUCTIONS
1. Swelling Control:
If directed by the doctor place an ice bag on the outside of the
face that corresponds to the operative site. Alternate 15 minutes
on and 10 minutes off for at least two to three hours.
2. Bleeding Control:
A) Fold one or two pieces of the gauze that was provided into
a dense pad that can be placed directly on the extraction site.
It must be bulky enough to prevent the upper and lower teeth meeting
when biting firmly. It is important that the pack be placed directly
over the bleeding site and not over adjacent teeth. Bite down
and keep firm pressure for 30 minutes. Remove the gauze and if
there is no “active bleeding” which is more than oozing
do nothing more. If there is active bleeding place a second gauze
pad as above and bite down for 45 minutes. If there is “active
bleeding” at the end of this time please call the office.
Do not be concerned about temporary oozing of blood when the gauze
is removed which is normal and will cease quickly.
B) Do not rinse your mouth for at least 24 hours.
C) Do not drink from a straw for 24 hours.
D) Do not drink alcoholic beverages for 48 hours and preferably
for two weeks.
E) Avoid smoking for at least 24 hours - and longer, if possible.
Do not use chewing tobacco.
D) If bleeding still persists, place a moist tea bag over the
surgical site, and apply firm biting pressure and call the office.
3. Sutures:
If sutures were required the doctor may have instructed you to
return in a few days so they may be removed. For your continued
comfort and health it is important that you don’t miss this
follow up appointment. If any of the sutures become loose prior
to your follow up appointment do not be alarmed this is a normal
event and requires no special care.
4.Comfort Control:
A) Take pain medication as prescribed.
B) Stay away from extremes in temperature and spices.
C) Keep to a softer diet for at least 24 hours.
4. Hygiene control:
A) Starting 24 hours after the surgery, begin salt & water
or peroxide and water rinses four times per day for one to two
weeks.
B) Light brushing around the surgical site should be started at
this time, as well. Brush more vigorously each day as comfort
allows.
We ask that you follow the above instructions carefully. They
will greatly assist you in having a smooth recovery from your
surgical dental care.
Please do not hesitate to call us should there be any questions
or excessive discomfort.
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AFTER
ROOT CANAL THERAPY
After Therapy Instructions:
Your Root Canal treatment may take one or more visits to
complete. During treatment, we will remove the diseased pulp (nerve),
then clean, shape and fill the space where the pulp was (the nerve
canal of the tooth; which is in the root). The filling material
is specially designed for this purpose, to help prevent recontamination
of the nerve chamber.
What to Expect During Treatment
• Because cleaning the root canals may cause inflammation
of the tissue surrounding the tooth, you may experience some discomfort
for a day or so.
• Some initial minor swelling may also occur. If necessary
place an ice bag on the outside of the face that corresponds to
the site of the tooth. Alternate 15 minutes on and 10 minutes
off for at least two to three hours. If the swelling should linger
more than a few days, or increases, call us!
• Over-the-counter pain relievers usually assist with the
discomfort. We will advise you as to which medicine to take. At
times, a prescription pain medication will be suggested. If the
discomfort continues for more than a few days, or if severe pain
occurs, call us!
• Sometimes antibiotics will be prescribed to help control
infection. It is very important that you take the medication as
directed!
How To Take care of your mouth
• Between appointments, a temporary filling will be
placed over the entry to the nerve space. Because temporary restorations
may loosen, call us if there is significant loss of this filling.
• Teeth that are treated with root canal therapy are more
likely to fracture, which can cause the loss of the tooth. Avoid
chewing or biting with excessive force directly on the treated
tooth until the root canal is completed and the tooth restored.
•Do not ignore brushing and flossing this tooth; as comfort
allows.
Please Note:
Retreatment may occasionally be necessary. Even though the pulp
of the tooth was removed, the tooth is still nourished from surrounding
tissues. As with any living tissue, treatment is occasionally
unsuccessful and retreatment, surgically treating the root end
(apicoectomy), or even tooth removal may be indicated.
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DESENSITIZING
with Recommended Paste & Gel Products
Many of these products do clean teeth well. However,
as a desensitizing tool, we recommend you increase the effectiveness
of the desensitizing chemicals incorporated within them -- that
is by the process of…
Smash, Massage and Brush.
Step 1: Put a ‘dab’ of the paste/gel on the end of
a cotton swab, or fingertip, and "smash" on the tooth
at the gum line where the sensitivity is occurring.
Step 2: "Massage" this paste onto the tooth surface.
Keep the product on the same surface for at least 5 - 10 seconds.
Step 3: Put another dab of the paste on your regular toothbrush
and gently "brush" all your teeth.
An additional benefit can be obtained, just before bed, by placing
another dab of paste on your teeth in the sensitive areas, "massaging"
it in, and leaving it there, as you sleep!
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AFTER
BRITESMILE WHITENING
First of all….SMILE. You now have the whiter teeth you’ve
always wanted.
Some patients experience sensitivity to hot and cold for a period
of time after whitening. This is normal and gradually disappears.
If the sensitivity is intrusive call us and we will dispense a
therapeutic level of fluoride or other medication to alleviate
the discomfort.
You may also experience “zingers” of discomfort which
last only a second. These will disappear within 24 hours.
24 Hour Restrictions - Staying White
Restrictions
•Important: BriteSmile requires that you abstain from staining
substances such as coffee, tobacco, wine, or other colored liquids
and dark foods for 24-hour. Avoid anything that will stain a white
shirt.
How can I maintain my new white teeth?
All bleached teeth will darken over time, some more quickly than
others depending upon the original shade family. We recommend
the following to maintain your new BriteSmile:
• Use the BriteSmile-To-Go brushes or BriteSmile trays that
were dispensed at your bleaching appointment. When you need more
of either material please let us know so you can continue maintaining
your BriteSmile.
•Use the BriteSmile Whitening Toothpaste and a soft bristle
toothbrush
•Visit us for regular cleanings and checkups (minimum: every
6 months)
The long-term results depend primarily on the individual. Certain
habits, such as the use of tobacco products, drinking a lot of
coffee, tea, dark soft drinks, and infrequent visits to the dentist
for regular cleanings, etc., can work against the results. Regular
dental visits and use of the BriteSmile Professional Whitening
System will help maintain the BriteSmile for at least 2 years
but some people may prefer to do the BriteSmile whitening treatment
more frequently.
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NITEWHITE
SMILE WHITENING
At-Home Use Instructions
Congratulations - you are beginning the treatment
process that will most definitely improve your appearance. The
amount of whitening that you obtain during the tooth whitening
process is dependent on three factors:
a) The length of time the appliance is worn
b) The number of times the appliance is worn
c) The susceptibility of your teeth and it's internal contaminants
to the whitening agent.
Procedure
1) Thoroughly brush and floss your teeth prior to applying
the whitening gel
2) Load the appliance, as demonstrated, by gently depressing the
syringe cap - expressing the material only on the front 8-10 teeth
- the surfaces that face toward the lip.
3) Place the appliance completely and firmly onto the teeth, but
gently. Excessive pressure will express too much material out
of the appliance.
4) Gently wipe off excess gel with a toothbrush or Q-tip.
5) Expectorate any excess material.
6) Wear for a minimum of 2-4 hours/day. This can be accomplished
during 'sleep time' or during waking hours. The thin tray is very
comfortable and can be worn easily while accomplishing other tasks.
7) When the appliance is removed brush teeth and gums thoroughly.
The 'tray' should be rinsed thoroughly and placed in the appliance
case - ready for the next application.
Possible Side Effects
Occasionally patients will experience sensitivity to cold
with some minor gum irritation during treatment. This difficulty
normally resolves on its own in 1-3 days after interruption or
completion of the whitening treatment. We also have the option
of supplying a fluoride gel that can be placed in the appliance
in place of the whitening agent. Alternating the fluoride therapy
with the whitening therapy is of great assistance, should sensitivity
persist. Simply waiting a day or two after sensitivity occurs
before restarting the whitening process is another method to alleviate
symptoms.
Precautions:
Please keep the whitening carriers out of heat and/or direct
sunlight at all times. The whitening agent will break down and
become ineffective, should this occur. It is best to store the
material in a refrigerator. Never attempt to use any household
or commercial bleaching agents in your mouth. Only use the teeth
whitening agents that we prescribe for you - those that have been
tested and approved for intraoral use. Over-the-counter whitening
agents normally have a very high acid content - which can dissolve
your teeth, permanently ruining your smile.
Please Note:
Normal tooth whitening starts at the biting edges of the
teeth and works its way up. Normal color of teeth is darker toward
the gum line. We have never had one patient experience any irreversible
effects to the teeth from the whitening process!
Contact our office with any questions or problems.
Store Whitening Gel in the refrigerator to maintain shelf life.
KEEP OUT OF REACH OF CHILDREN -- KEEP OUT OF HEAT & SUNLIGHT
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IMPLANT
INSTRUCTIONS
Stage one implant placement surgery
Congratulations! You have begun the process of enjoying
the most sophisticated and reliable dental prosthetic ever devised.
Dental implants allow us to replace your missing teeth with a
prosthetic that will feel and function as close to the natural
structures as possible.
IT IS IMPERATIVE THAT YOU READ AND FOLLOW THESE INSTRUCTIONS
CAREFULLY.
If you have any questions be sure to ask them of the doctor or
his assistants.
Peridex Rinses: DO NOT DILUTE THE PERIDEX
• Rinse with _ oz. the evening before the implant surgery.
• Rinse with _ oz. the morning of the implant surgery
If the implant surgery is after 12 noon rinse _ oz. 1 hour prior
to procedure.
• After implant surgery rinse with _ oz twice a day for
two weeks.
Antibiotics
Penicillin: Penn VK 500 mgs. 40 tablets.
