It is important to follow instructions after you have oral surgery to ensure proper healing and avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth.
White Fillings (Bonding)
Following treatment, be sure to brush your teeth three times a day and floss once a day to promote quick healing. After the anesthesia wears off, your teeth will likely be sensitive. It is normal for fillings to be more sensitive to hot or cold for up to 2 months. Your nerve may be “upset” after all that work and need some time to calm down. You should avoid hot and cold food or drink to reduce your risk of tooth sensitivity. If your teeth are sensitive when you chew, your filling may be high and need adjustment. See your dentist.
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it every thirty minutes. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Mashed Potatoes
- Ice Cream
- Thin Soups
- …and other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly, call your dentist for a follow up.
Crowns and Bridges
Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods (especially gum) while you have the temporary. If your temporary crown comes off, store it in a safe place and give us a call so we can re-cement it.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away. You should brush and floss regularly to promote quick healing.
When the permanent crown or bridge is placed, it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.
Scaling and Root Planing (Deep Cleaning)
After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. It is normal to experience some pain after teeth scaling and planing, especially if you had a tooth sensitivity problem before the procedure. Before the periodontal scaling, some exposed dentin tubules might be covered by calculus ‘protecting’ them from external stimuli that could cause sensitivity pain. After the calculus is scraped away, the dentin becomes exposed again, explaining the incidents of increased tooth pain after tooth scaling and root planing procedures. Use a desensitizing toothpaste (like Sensodyne) until it improves.
Root Canal Therapy
You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.