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Wagner Dentistry

Patient Procedure Aftercare

For at least the first 24 hours after most surgical procedures, you should take great care of your mouth to allow for proper healing and to avoid infection. Below are some guidelines to help ensure proper oral healing and care.

After Composite Fillings (White Fillings)

When an anesthetic has been used after a filling, 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 at (702) 877-2222.

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 at (702) 877-2222.

After Crown or Bridge Appointments

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 at (702) 877-2222 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 at (702) 877-2222.

After a Root Canal

Root Canal Therapy usually takes one or two appointments to complete.  The diseased nerve tissue has been removed from the tooth and the inside of the tooth was smoothed and cleansed of infection.  Finally, we used a sealer to seal the tooth at the root.

When your tooth was infected, some infection was spread out of the root into the bone.  Until this infection is healed, you should expect tenderness and discomfort.  We have prescribed for you an antibiotic and pain medication for you to help with these symptoms.

During the period of healing it is very important to take care of yourself as you would in treating any other infection in your body.  It is important that you eat properly, drink plenty of water and finish all of your medication.

Now that your tooth has had the nerve and nutrient supply removed and is no longer a “live” tooth, it will tend to become brittle.  A crown is now necessary to protect the tooth and provide the needed strength for everyday stress.

With proper care and normal healing responses from your body, this tooth can provide good use for a long period of time.  If you should have any questions or problems concerning your treatment, please call our office at (702) 877-2222.

After an Implant

After your Implant procedure, take care to only have cold drinks and do not eat until the local anaesthetic has worn off. Avoid hot drinks or hot food for the first day and do not ‘swill’ liquid over the area. Try not to disturb the area with your tongue or fingers. Do not undertake strenuous exercise for the first 48 hours.

You may have some swelling and/or bruising following your treatment – this usually reaches a peak two to three days later.  This is quite normal and both will subside naturally after a few days. Swelling can be reduced with ice packs (or a bag of frozen peas) wrapped in a towel. Hold on the cheek area for a maximum of ten minutes at a time with twenty minutes’ break. After twenty-four hours, gentle heat is more beneficial. Sleeping propped up slightly on two to three pillows may also help.

Pain should not be a big problem. Although you may be sore for a few days after any surgery in your mouth, this can be easily managed with simple analgesics (painkillers).  You should take these regularly at the maximum stated dose for the first two days after your surgery. Take whatever painkillers you normally take for headaches, aches, and sprains (ibuprofen and paracetamol make a good combination), and take your first dose before the local anaesthetic has completely worn off.

If after a few days you experience increasing pain and swelling, you must return to our office as soon as possible, so that we can ensure you are not beginning to develop an infection.

If you have a Denture that covers the surgical area, please wear it as little as possible for the first week to protect the surgical site during its initial healing period. You should always leave the denture out at night.

The stitches are dissolvable but often remain for around two to three weeks. If they are uncomfortable or annoying, you may contact us to remove them.

Some minor bleeding after surgery in the mouth is normal. If this persists, apply pressure by biting firmly down over the area on a dampened gauze swab or clean handkerchief for sixty minutes whilst sitting upright. Do not keep checking or changing the gauze. You should contact us if bleeding persists for any reason after applying pressure in this way.

If you have been given a course of antibiotics to take after your surgery, please ensure that you complete the course.

After Oral Surgery (Extractions)

After tooth Extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. 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.

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, drink alcohol or brush teeth next to the extraction site 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. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed.  If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid 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 routine after 24 hours. This should include brushing and flossing your teeth at least once 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 (702) 877-2222.

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4618 Meadows Ln
Las Vegas, NV 89107

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