Winsted Dental

Kenneth D. Ness, DDS
Todd A. Brewer, DDS
Charles E. Toews, DDS

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Dental Care Instructions

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• Resin/Composite (tooth colored fillings)
• Crowns and Bridges
• Deciduous Extractions (Baby teeth)
• Extractions
• Invisalign and Clear Correct Aligners - wear and use
• Invisalign and Clear Correct Aligners - care and maintenance
• Root Canal Therapy
• Scaling and Root Planing
• Sealants

Amalgam or Resin/Composite (tooth colored fillings) - After an amalgam filling you need to wait 24 hours before eating/chewing on the side the fillings were placed. For composite fillings there is no need to wait 24 hours. Sometimes after an amalgam or composite filling is placed you may experience hot/cold sensitivity or pain when biting/chewing. This may indicate the filling is “high” and may need to be adjusted. Please call the office and the dentist will be able to adjust your bite.

Crowns and Bridges: - You have just had a crown preparation on one or more teeth. Avoid chewing food until local anesthetics have worn off, as you could accidentally bite your lip, cheek or tongue.

You have left the office with one or more temporary crowns. Do only light to moderate chewing on the temporary and avoid gum, ice, nuts, and hard or gooey foods. These could loosen or remove the temporary crown. If the temporary crown should come off, please contact the office as soon as possible. Please do routine brushing (1-2 times a day) around the temporary, brushing gums to avoid plaque and stimulate healing.

Avoid flossing around the temporary until the permanent crown is on, unless instructed to do so by the dentist. If flossing is necessary to remove food caught around the temporary, gently pull the floss down toward the gums to remove the debris and pull the floss out around the gum line of the tooth.

For the first day or two, do warm saltwater rinses (1 cup warm, not hot water, mixed with 1/2 to 1 tsp. salt). This helps to relieve any discomfort following the crown preparation and impressioning procedure and stimulates healing. Do this 2-3 times a day. Over the counter Advil 400-600 mg. 3x daily is recommended to keep the tooth comfortable or 2 tablets of Aleve 2x daily.

You may experience hot/cold sensitivity depending on your sensitivity level and depths of crown preparation, old filling, decay, etc. This may soon subside or could continue for several weeks or months.

If you begin experiencing pain (greater than 30 minutes) or spontaneous pain (not associated with temperature or chewing) please call the office as soon as possible for necessary medication for relief of discomfort or for treatment.

Deciduous Extractions (Baby teeth) - Post operative care is important after extractions and recovery may be delayed if this is neglected. Some swelling, stiffness and discomfort are to be expected. If this is excessive, please call or return for care.

Avoid chewing food until local anesthetics have worn off or you could accidentally bite your lip, cheek or tongue.

Bleeding:

  1. Keep gauze pack in place 15-20 minutes with constant firm pressure.
  2. Keep head elevated and rest quietly.
  3. Do not suck or spit excessively. If bleeding persists, repeat the above.
  4. Some oozing and discoloration of saliva is normal.

Pain:
Take appropriate dose of children’s Tylenol or children’s Advil for discomfort.

Diet:
Liquids, soft or regular foods (as desired). Do not skip meals.

Evening of Extraction:
Brush teeth. Use warm rinse (1/2 tsp. salt in glass of warm water) 2-3 times per day. Continue tablets for pain if necessary. Call with any concerns.

Extractions

BLEEDING AND BLOOD CLOTS: There may be some bleeding when you get home today. Gauze packs may have been placed that are used to apply pressure to the socket or wound. Keep the original packs in place for 1 hour or until they become saturated. To place new packs, fold the gauze into a small square and place the pack directly over the socket. Then bite firmly on the gauze pack. Place more than one pack if needed. Keep the packs in as long as possible (1-2 hours). Frequent packing changes may disturb the established clot, causing its loss.

A clot forms within 60 minutes and organizes to form a strong matrix within several hours. All gauze packs should be removed before sensation returns to the surgery site.

A slight amount of blood may seep at the extraction site until a clot forms, causing your saliva to be pink for a few days. This is normal. However, if heavy bleeding continues, please call. (Remember though, a lot of saliva and a little blood can look like a lot of bleeding).

Bleeding stops quicker if you lie down with your head raised.

There are some activities that you should avoid to help protect the blood clot. Avoid smoking, spitting or sucking through a straw for 3-5 days. These activities create suction in the mouth, which could destroy the clot and delay healing.

You should take it easy the day of surgery. Try to avoid any excessive bending or heavy lifting.

SWELLING: After a tooth is removed, you may notice some swelling. If so, for the first 24 hours, apply cold packs on the side of your face where your tooth was removed. Put it on for 10 minutes and then off for 10 minutes. Make sure you don’t keep it on for too long, as you may freeze the side of your face and not know it because the area is already numb. After 48 hours if you still notice any swelling or stiffness in the jaw, apply warm packs near the extraction site.

RINSING YOUR MOUTH: Unless otherwise directed, do not rinse your mouth the day of surgery.

The day following surgery, rinse gently using warm salt water (half a teaspoon of salt dissolved in an 8 oz. glass of warm water). Rinse after eating to keep food particles out of the incision or tooth socket. Do not rinse vigorously or the clot may be disturbed. Avoid using a commercial mouthwash for a week.

DIET: After surgery, proper nutrition is very important to assure proper healing. Begin by drinking clear liquids after the bleeding is controlled and the packs have been removed. Once these are well tolerated, begin eating soft foods such as soup, eggs, ice cream, cooked cereal, noodles, yogurt, etc. In 4-5 days begin eating solid foods and try to return to a normal diet.

ORAL HYGIENE: It is important to continue to brush and floss as normal, but it is also important to be careful near the extraction site for the next few days. The tongue should be brushed, which will help eliminate the bad breath and unpleasant taste that is common after an extraction. A clean mouth heals faster.

SUTURES: If they are used, do NOT fail to return for the suture removal at the appointed date given.

PROBLEMS:

Call us if you have any one of the following:

ANESTHETICS: The length of time you experience numbness varies depending upon the type of anesthetic, how much was given, and your blood circulation through the area. While you are numb be careful not to bite your tongue, lip, or cheek.

MEDICATIONS: TAKE ALL MEDICATIONS THAT ARE PRESCRIBED!

DRY SOCKET: A dry socket can occur if a blood clot is lost prematurely. The symptoms of a dry socket are increasing pain 3-5 days after the surgery, at a time when the pain should be decreasing. Returning to the office easily treats dry sockets. Dry sockets can be avoided by:

Following the above diet instructions. A soft diet is very important in preserving the clot.

Avoid smoking, using a straw, spitting, and vigorous activity for 3-5 days after the surgery.

Root Canal Therapy

Avoid chewing foods until local anesthetics have worn off; you could accidentally bite your lip, cheek or tongue. You have just had endodontic or root canal therapy performed on one or more of your teeth. Eat a soft diet and avoid chewing on this side for the next 24 hours. It is common to feel sensitivity or achiness in this area for the next several days. Swelling sometimes will follow endodontic therapy. It is important that you finish your antibiotic medication, if this was previously prescribed.

*Take 400-600 mg. Advil/Aleve/Motrin (anti-inflammatories) at bedtime the day of the root canal regardless of how the tooth feels that evening. After that, continue with anti-inflammatories every 6 hours as needed for discomfort. If discomfort does not diminish, or if you have any questions or concerns, please call. We will address your concerns as soon as possible to keep you well informed about your dental health.

Scaling and Root Planing

Rinse your mouth two to three times a day with warm salt water. (One teaspoon salt/8 oz. of warm water).

Your gums may feel achey. Take pain medication, but avoid aspirin products, unless you doctor has prescribed aspirin—don't stop doing anything your doctor has told you to do. Sensitivity to cold may occur. Use toothpaste containing fluoride for sensitive teeth. Avoid tartar control, peroxide (whitening) and baking soda pastes, as they can add to tooth sensitivity. Use ACT fluoride rinse or Sensodyne toothpaste if teeth are sensitive to cold. Sensodyne is very harsh so apply gently, possibly even with your fingertip, to the area and don't rinse off.

Your next meals should be soft. Avoid popcorn, peanuts, chips of any kind, raw vegetables, crispy crusts or any type of seeds. These can float up under the tissue and interfere with healing. Follow this for the next three days.

Swelling or jaw stiffness occurs very rarely. However, if this does happen, place cold, moist towels to the face in the affected area to reduce swelling.

Please do not smoke following scaling and root planing procedures. Tobacco smoke is an irritant to healing. The nicotine and chemicals also constrict the blood vessels, making the healing time longer and more difficult. Refrain from smoking for 24 hours or longer.

Sealants

We may recommend sealants for your child. A sealant is a plastic material applied to the chewing surfaces of the back teeth. A sealant acts as a barrier, protecting enamel from cavities. At your child’s sealant appointment, we will be checking for decay that is not detectable by x-rays or instruments. If decay is noted on a tooth that is to be sealed, a sealant cannot be placed on this tooth and your child will need to be scheduled for a filling at a future date.

PHONE NUMBER:
Clinic: 320-485-3881