Dr. Erini P. Redmond DDS

181 Avenida Vaquero, Suite A,
San Clemente, CA 92672-3601
(949) 361-1124
 

Pre and Post Operative Instructions

PRE & POST Operative Instructions:

The post-operative instructions listed below should be followed accurately in order to speed your recovery.

  1. Please avoid rinsing today. You may begin brushing your teeth tomorrow
  2. The gum tissue could have been irritated during the procedure and may be sore for a few days along with the anesthetic injection site.
  3. Avoid spitting and using a straw. This will help you avoid the condition known as dry socket.
  4. Do not smoke.
  5. Do not drink alcoholic beverages.
  6. The surgical sight may continue to bleed slightly this is no cause for alarm. Use damp gauze or tea bag and place over the bleeding area and maintain firm pressure for 30 minutes.
  7. You may eat and drink what you want after anesthetic has worn off. Soft foods like, eggs, pastas, soups and yogurts are recommended. Please be aware of numbness, unawareness of biting tongue or lip may occur.
  8. Some discomfort is to be expected. Use over the counter Ibuprofen every 4 - 6 hours.

Post Op Instructions – Fixed Crowns and Bridges

You have just had your crown or bridge cemented. They will replace your missing tooth structure or missing teeth and should give you years of service if you will observe the following suggestions:

  1. Chewing: Do not chew ice or very hard objects. Avoid chewing very sticky candy because it can remove restorations.
  2. Continuing Care: Visit us at regular intervals as discussed with your doctor. Often problems that are developing around restorations can be found at a early stage and corrected easily. Inadequate return for examination is the most significant reason for failure.
  3. Brushing and flossing: Brush and floss twice daily especially before bedtime.

Post Op Instructions – Temporary or Provisional Crowns and Bridges

After your first crown or bridge appointment, refrain from eating until the anesthesia has worn off.

Temporary: A temporary crown or bridge will be placed on the prepared teeth while the permanent restoration is being made. Please be aware temporary material texture is more porous, thus not replicating natural tooth structure but permanent restoration will. The temporary serves very important purposes. It protects the exposed dentin so it is not sensitive, prevents food and bacteria from collecting on the tooth preparation, and prevents the tooth from shifting or moving, which can make seating of the permanent restoration more difficult or even impossible. The temporary is placed with a cement that is designed to come off easily, so avoid chewing sticky foods such as gum or taffy or anything very crunchy. Use your toothbrush to clean the temporary as you normally do your other teeth. However, when flossing, it is best to slide the floss out below the contact rather than popping up through the contact between the temporary and the tooth next to it.

If your temporary comes off between appointments, even if there is no discomfort, slip it back on and call our office in order to have us re-cement it for you. It cannot be stressed too much how important this is. A little denture adhesive placed inside the crown can help to hold it in place in the interim.

Sensitivity: Sensitivity, especially to cold, is common while you are wearing the temporary. If you experience this, avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. While there may be sensitivity to temperature and biting any and all symptoms should only last anywhere from 2 days to 2 weeks. If symptoms persist and begin to increase in intensity, please call our office immediately. If you appear to be hitting the temporary first please call our office immediately, you may need to have an adjustment made or if you choose not to have the adjustment Root Canal therapy may be necessary. If your gums are tender, rinse with warm salt water by dissolving 1/2 teaspoon of salt in an 8 oz. glass of warm water. An analgesic, such as whatever you would take for a headache, will help to increase your comfort.

Permanent Crown or Bridge: Typically, we will have your permanent crown or bridge around 2 weeks after the appointment which the tooth or teeth were prepared. It may take a few days to get used to the new crown or bridge, after your permanent restoration is finally cemented. If your bite feels high or unbalanced, please be sure to call our office for an appointment for a simple adjustment. Normally no anesthetic is needed for this appointment.

Home Care after seating your Permanent Crown or Bridge: Although crowns and bridges are often the most durable of all restorations, the underlying tooth is still vulnerable to decay, especially at the interface between the tooth and crown. It is important to resume regular brushing and flossing immediately. Daily home care and regulating your intake of sugar-containing foods will increase the longevity of your new restorations.

Porcelain Veneers - Patient Instructions

First 72 Hours

The resin bonding process takes at least 72 hours to cure in its entirety. During this time, you should avoid any hard foods and maintain a relatively soft diet. Extremes in temperature (either hot or cold) should also be avoided. Normally no anesthetic is needed for this appointment unless patient requests it.

Maintenance

  1. Routine cleanings are a must at least every six months with a hygienist. Use a soft toothbrush with rounded bristles, and floss as you do with natural teeth. Plaque-free maintenance of these restorations is essential to their longevity and the health of your teeth and supportive tissues.
  2. Use a less abrasive toothpaste and one that is not highly fluoridated.
  3. Although laminates are strong, avoid excessive biting forces and habit patterns: nail biting, pencil chewing etc.
  4. Avoid biting into hard pieces of candy, chewing on ice, eating ribs.
  5. Use a soft acrylic mouthguard when involved in any form of contact sport.

Post Op Restrictions for Sealants

Sealing over the pits and grooves of teeth is a very wise and preventive measure, and no anesthetic is needed! Your making a good choice to do so. The following are precautions you should be advised of to get the most benefits from the sealants.

It is very important to follow the diet restrictions listed below:

  • Do not eat sticky candy such as taffy, "Red Hots", "Jolly Ranchers", etc. This can pull the sealants out. (chewing sugarless gum is okay)
  • Do not bite on extremely hard foods such as hard, clear ice cubes, unpopped popcorn kernels, etc. This can break or chip part of the sealant out leaving the tooth susceptible to decay.

Parents should keep these diet restrictions in mind when allowing your child to snack. We offer a one year guarantee on all sealants. Any sealants that are lost in less than one year (excluding abuse) will be resealed at no charge. However, with reasonable diet and care, most people get many years of service from a single sealant. All previously sealed teeth will be checked at preventive hygiene visits for any possible loss or breakage of the sealant.

Thank you for allowing us to be your preventive health care team.

Composite Fillings - Post-Treatment Instructions

  1. Composite fillings set up hard right away. There is no waiting time to eat, other than allowing the anesthesia to wear off. Due to the strange feeling of the anesthetic, many patients will chew the inside of their lips, cheeks, or tongue which can cause serious damage.
  2. Sensitivity to hot and cold is common. Duration for sensitivity is different for every tooth. Usually, the deeper the cavity, the more sensitive the tooth will be. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.
  3. The gum tissue could have been irritated during the procedure and may be sore for a few days along with the anesthetic injection site.
  4. The finished restoration may be contoured slightly different and have a different shape than the original tooth. Your tongue usually magnifies this small difference and will become adjusted to this in a few days.

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