EXTRACTIONS

     Bleeding - maintain light pressure on gauze for up to two hours.  Re-application may be necessary later with some areas.  Absolutely NO SMOKING, NO STRAWS, NO SPITTING,  NO RINSING for at least 24 hours for healthy clot retention.  Excessive bleeding as indicated by large gelatinous clots should be reported for inspection.

     Swelling - for difficult extractions, some degree of swelling is expected.  The use of ice (cubes in a baggie under a face cloth) is very effective up to 20 minutes at a time several times the first day or so.

     Activity - avoid physical activity to avoid excessive bleeding.  Relax, take it easy the rest of the day.  Do not brush the area, nor spit out your toothpaste forcefully.

     Medications - take any meds the doctor may have prescribed for you.  You probably received long acting anesthetic to prolong your comfort.  Ibuprofen (Advil) or acetaminaphen (Tylenol) may be taken for mild discomfort.  Avoid aspirin.

     Diet - do not eat until the anesthetic has worn off to avoid biting your lips, tongue, or cheeks.  A soft, or liquid diet is beneficial for the first 24 hours.

     After 24 hours - resume normal activity with care.  Resume a semi-soft (no nachos) diet as tolerated.  Rinse with salt water (one cup of warm water and a teaspoon of salt) 4-6 times per day for up to 1-2 days after any stitches you may have had are gone.  Unless told otherwise, sutures will usually fall out within 5-10 days.

     Concerns - if you experience excessive bleeding, severe pain or swelling, or if you have any questions, please call our office.  In case of serious emergencies, call 911, then Dr. Bolduc at 483-8123 or 483-0301.

FILLINGS

     Anesthesia - try not to eat on your new filling until the numbness is gone to prevent self-inflicted soft tissue wounds.  Children need close monitoring in this regard.

     Metal - do not bite forcefully on new METAL FILLINGS  for at least 24 hours.

     Composite - tooth colored fillings may be cold or pressure sensitive if the bite is not entirely correct.  Please call after a few days for a quick adjustment.

     Soreness - you may experience mild soreness in your gums that will subside in a few days, particularly if a rubber dam was used, or the filling was very close to the gum.

CROWN AND BRIDGE

     Anesthesia - try not to eat after your crown or bridge work until the numbness is gone to prevent self-inflicted soft tissue wounds.

     Soreness - you may experience tenderness in your gums for a short period after the preparation and impression appointment (remember the strings?). 

     Bite off -  If after a few days you feel your bite is off, call us for a quick adjustment.

     Diet - take care of your temporary (plastic) crown or bridge.  Eat nothing hard (popcorn, peanuts, bagels, etc.) or sticky (gum, candy, caramels) food until you get your finished crown or bridge cemented.

     Flossing - when flossing, pull the floss out the side and not up through the contact as to not pull your temporary prosthesis off.

     Temp off / fractures - if your temporary crown or  bridge comes off or fractures CALL US--do not wait more than two days to insure that other teeth don't move and cause your finished crown or bridge not to fit.  If it is the weekend, place vaseline in the crown and replace it in your mouth, and call us first thing Monday morning.

ROOT CANALS

     Anesthesia - try not to eat on your root canal tooth until the numbness is gone to prevent self-inflicted soft tissue wounds.

     Discomfort - it is possible that you may experience mild to moderate pain immediately following root canal treatment, particularly if the tooth was infected.  The tooth should settle down quickly during the next few days and become comfortable.

     Medications - take any meds the doctor may have prescribed for you.  Advil, Tylenol, or Aleve are good supplements.

     Temp filling - your temporary filling will "cup" in a few days, but will stay intact.

     Brittleness - remember, all root canal teeth become brittle and need to be protected from fracture.  Try to be gentle with this tooth and eat on the other side whenever possible.  DO NOT delay the placement of a crown on your tooth beyond the advised period.

PERIODONTAL TREATMENT

     Anesthesia - try not to eat following periodontal treatment until the numbness is gone to prevent self-inflicted soft tissue wounds.

     Deep Cleaning - you should only experience mild tenderness, if any.

     Periodontal Surgery - you may experience mild discomfort, swelling, or pain.  Apply ice (cubes in a baggie under a facecloth) for up to 20 minutes at a time, several times the first day or so.

     Medications - take any meds the doctor may have prescribed for you.  Advil, Tylenol, or Aleve are good supplements.  Avoid aspirin.

     Sensitivity - you may experience increased temperature sensitivity after treatment due to loss of swelling in areas of bone loss, and thus exposing the top sensitive part of your tooth root to changes in mouth temperatures.  This sensitivity should gradually subside.  A fluoride rinse (Act, Fluoriguard) will help dramatically in a few weeks.

     Hygiene - do not brush surgical areas for several days to allow undisturbed healing.  After that, you should attempt gentle brushing and flossing to keep the area as clean as possible.  Mouth washes are helpful.

     Concerns - call our office if you have severe pain or swelling or if you have a question.

PARTIAL or FULL DENTURE DELIVERY

     Soreness - there is a break-in period for several days for any hard prosthesis that sits on soft tissue.  Natural teeth that support a partial denture may become sore due to minor tooth movements.  We expect to make some adjustments so that your new teeth are comfortable.  This may take several visits.  Call us if you are in pain.

     Hygiene - take your partials and dentures out of your mouth every night, and use this time to properly clean them.  Your gums need time for proper circulation, and not doing so will accelerate the loss of bone on your remaining ridge.  Don't become a "wish you had bone" patient.  Don't forget to brush and floss all remaining natural teeth.

     Speech - practice speaking regularly by reading aloud in private.  Your tongue, lips, and muscles will accommodate very quickly.

     Gagging - report any gagging you may experience.  Transient gagging when inserting or removing a full upper denture may rarely persist.