Avoid hard or sticky foods such as “hard tack” candies for a least 24 hours as chewing on these types of foods can loosen or damage a restoration. Never chew on ice. Carefully follow all guidelines provided by our office, and, most importantly, practice good oral hygiene. Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions. In the event of an emergency please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Instructions Following Crown, Bridge, Inlay/Onlay

Following Tooth Preparation:

• Sensitivity and tenderness of the tooth and surrounding gums is common for the first day or two after a tooth has been prepared for a restoration. If the tenderness or sensitivity lasts longer than this, please contact our office.
• If anesthesia is used, avoid chewing, biting, and eating until the numbness wears off.
• The final restoration may be placed the same day that the tooth is prepared or may be placed during a separate appointment.

For Temporary Restorations:

• Eat softer foods, and avoid foods that are particularly crunchy, chewy, or hard.
• Carefully clean around the restoration, brushing and flossing daily. Be gentle when flossing, taking extra care not to loosen the temporary restoration. Slowly pulling the floss out by one end can help avoid putting too much pressure on the temporary.
• If the temporary restoration becomes loose or breaks, please call us immediately.
• After Final Restoration Placement:
• Avoid chewing on hard, crunchy, or sticky foods for 24 hours in order to give time for the cement to fully bond.
• Mild sensitivity to hot or cold foods is not unusual and should dissipate after a few weeks. If sensitivity lasts more than six weeks, please let the office know.

Ongoing Care:

• Proper care of your restoration includes brushing your teeth after every meal and snack, and flossing at least once a day before bedtime.
• Rinsing your mouth with water or mouthwash with also help to remove any additional particles that may have been missed during brushing and flossing.

Please call our office if you are in pain or have any questions regarding your treatment.

Instructions Following Fillings

• Do not eat or chew until any numbness from anesthesia has worn off.
• If you are supervising a child who has had treatment, make certain that they are not eating or chewing while numb. Please make sure they do not bite their lips or tongue as doing so can cause serious injury to their soft tissue.
• Avoid sticky, crunchy, or hard foods for 24 hours.
• Sensitivity to cold and heat, as well as any soreness, should not last more than a few days.
• Please call our office if you experience pain or discomfort for more than a few days.

Instructions Following Denture or Partial Delivery

• Dentures and partials will often need several adjustments in order to fit comfortably.
• To help yourself adjust to your dentures you can practice reading aloud for a little while each day.
• Dentures should be removed overnight or for at least 6 hours a day to give your mouth and gums time to rest.
• At night you should remove your dentures and clean them. They should be stored in a clean container filled with denture cleaning solution.
• Food particles can become trapped under dentures causing inflammation or sore spots. Lightly brush the roof of your mouth, your tongue, and your gums after removing your dentures.
• You may have discomfort for a few days after receiving your final dentures or partials.

Ongoing Care:

• Brush your teeth and the surrounding tissues after every meal and snack and flossing at least once a day before bedtime. If you have full dentures, brushing the dentures daily is very important.
• Rinsing your mouth with water or mouthwash will help to remove any additional particles that may have been missed during brushing and flossing.
• Make sure to visit our office at least once a year to have your dentures or partial adjusted and checked by the doctor. Wearing ill-fitting dentures or partials without proper care and adjustment can cause bone loss in the jaw area and oral disease.
• Please call our office if you are experiencing ongoing pain or discomfort or if you have any concerns regarding your denture or partial.

Instructions Following Scaling and Root Planing

• For the first 24 hours you may experience some cold and heat sensitivity.
• Do not consume hot foods or beverages until the anesthesia and numbness have worn off.
• Avoid vigorous physical exercise as well as extremely hot or spicy foods for the first 24 hours.
• Do not consume alcoholic beverages or smoke for at least 48 hours following treatment.
• Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding, please call our office.
• You can take ibuprofen or acetaminophen as needed according to the instructions on the label or those provided by your doctor.
• A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful.
• Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.
• Follow any other instructions provided by our office during your visit.
• Please take all medications as prescribed.

Instructions Following Root Canal Therapy

Please follow the guidelines below and contact us with any questions.

• No eating or drinking for the first 30 minutes following your treatment. Also avoid feeling around your tooth with your tongue. This is to allow the temporary filling sufficient time to harden.
• If you were given any prescriptions, please have them filled promptly and take as directed. If no prescriptions were given, you may choose to take ibuprofen medications such as Motrin or Advil (as long as you do not have any allergies to these medications) for alleviation of discomfort and swelling.  Alternatively, you may use Tylenol.  Do not exceed the guidelines printed on the label for any medication.  If you are unable to achieve adequate pain control, please call our office.
• Applying a cold compress to the face near the treatment area will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times. You may apply the cold compress for up to 20 minutes on and at least 20 minutes off for the next 6-8 hours as needed.
• Once you resume eating and drinking, avoid chewing or biting on the treatment area until your permanent restoration is placed. The temporary filling or crown placed immediately following root canal treatment is usually a soft composite that is vulnerable to fracturing (cracking).  For this reason, it is important to avoid chewing on hard substances such as peanuts, pretzels, hard candy, ice cubes, etc.. You may experience increased sensitivity prior to the placement of the final restoration.  You will need to see a restorative dentist within a month to have a permanent crown or filling placed.  Please contact your restorative dentist to make an appointment at your earliest convenience.  Waiting longer than a month increases the chances that the temporary will fracture or that decay will develop in the affected area.
• Please keep the treated area clean by gently brushing and flossing regularly.
• It is rare for a temporary filling to fall out although it may divot while in use.  If the temporary falls out, please contact your general dentist as soon as possible.  If your temporary falls out after office hours, you may purchase some temporary filling material from a pharmacy and follow the included instructions to cover the area until you can be seen in our office.
• Some discomfort is normal for 2 to 4 days following root canal therapy.  In some cases the tooth and surrounding tissue may be sore for a few weeks following treatment.
• Please brush and floss as usual unless otherwise instructed by our office. Follow any other instructions provided by our office during your visit. Please take all medications as prescribed.

THIS SECTION IS VERY IMPORTANT, PLEASE READ CAREFULLY

While flare-ups are rare, they occur in about 5% of cases and may cause significant pain.  They generally only occur with teeth that are extremely irritated and/or infected or with teeth that have a history of prior treatment.  These sometimes occur randomly, even on patients that have had root canals done in the past without problems.  If you have a flare-up, you may experience moderate to severe pain, swelling, throbbing, or general discomfort; please contact our office right away.  You may be prescribed additional medication such as antibiotics, and/or you may be asked to come to the office for further treatment.

Instructions Following Dental Extractions

• Immediately following surgery, maintain pressure on the surgical area by biting down on the provided gauze pad or roll until the bleeding stops. A certain amount of bleeding is to be expected following a surgical procedure. Placing the gauze pad over the area and biting firmly will help prevent excessive bleeding. Replace the gauze as necessary until the bleeding stops.
• Children should be supervised after having an extraction to make sure they do not bite or chew their tongue or lips as this can cause serious injury to the soft tissue.
• Please fill any prescriptions you have been given and take as directed. If you have been prescribed pain medication other than aspirin, Tylenol or ibuprofen (Advil or Motrin), do not drive, operate heavy equipment, work around machinery or tools, or engage in any other activity that may be unsafe when groggy, as your reflexes and judgment will be affected by the medication. Antibiotics may be prescribed to help prevent infection. If you have been placed on antibiotics, take the medicine as directed.
• Swelling around the face, eyes, and surgical site is not uncommon although it may not appear until the day following the surgery and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the extraction site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke. Avoid hot and spicy foods as well as carbonated and alcoholic beverages.
• Restrict your activities on the day of your surgery. Avoid excessive work or play, and resume normal activity the following day as tolerated.
• After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.
• During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.
• Sutures may have been placed. Most sutures placed by our office will dissolve on their own in 7-10 days, and it may not be necessary to return to the office for sutures to be removed. If you have sutures that do need a follow-up visit for removal, we will let you know at the time they are placed.
• Please call our office if you experience severe pain, excessive bleeding or swelling, or if you have any questions or concerns. In the event of an emergency please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Instructions for Invisalign

Do

• Use your fingers to put your aligners place. First place the aligners over your front teeth, and then use your fingers to push the aligner down gently over your molars. When aligners are correctly inserted, they will fit all the way down on the teeth, with no space between the top of the aligners and the top of the teeth. Aligners will fit tightly at first but should fit well at the end of the two week period.
• Keep aligners in except when flossing, brushing, eating. It’s also best to remove the aligners when drinking warm beverages such as coffee or tea.
• Remove the aligner by pulling it off both sides of your back teeth simultaneously then lifting it off of your front teeth. Place your aligners in the case we provided any time they are not being worn.
• Clean aligners with a toothbrush and toothpaste.
• Wear each set of aligners for two weeks unless our office directs you to vary from this schedule.
• Wear aligners in the correct numerical order. (Each aligner is labeled by number and with a U or an L to designate upper or lower.)
• Keep all of your old aligners and bring them to your orthodontic appointments.

Don’t

• Don’t place your aligners in or on a napkin or tissue. Many aligners have accidentally been thrown out this way!
• Don’t use your teeth to “bite” your aligners into place.
• If you have pets, don’t place your aligners anywhere that your pets can reach them. Pets are attracted to saliva and would enjoy chewing on your Invisalign trays!
• Do not use Denture cleaner, alcohol, or bleach to clean your aligners.
• Do not use boiling water or warm water on your aligners.
• Don’t chew gum with your aligners in.
• It would be best not to smoke while wearing aligners. The smoke can stain the aligners as well as your teeth.

Just in Case

• If you lose the tab attached to your tooth that helps the aligner snap on, please call our office right away so that we can determine if you need to come in before your next scheduled appointment.
• If you lose one of your aligner trays, please wear the next tray if you have it. If you do not have the next tray, please wear the previous tray. It is extremely important to use a tray to keep teeth from shifting. Call our office to let us know which tray was lost so that we can determine if a replacement tray is needed. There will be a fee if replacement trays are required.

Instructions Following Whitening

Following Bleaching:

• Teeth are more susceptible to staining for the first 48 hours following bleaching treatments. For the first 48 hours after whitening, it is best to avoid dark-colored foods or beverages that can stain your teeth. Any item that can stain your clothes can also stain your teeth.
• Avoid berries, cola or other dark sodas, red wine, coffee and tea, tobacco, and ketchup, soy or other dark sauces.

Using Your Custom Trays:

• Follow the instructions given by our office, placing the bleaching gel in the center of each tooth position on the tray so that the gel will rest against the anterior surface of the teeth once it is placed in your mouth.
• Wear trays for the recommended time.
• Rinse the mouth, and gently remove any gel remaining on your teeth with a soft bristle toothbrush.
• Clean the trays.

Instructions Following Wisdom Teeth (3rd Molars) Removal

• Immediately following surgery, maintain pressure on the surgical area by biting down on the provided gauze pad or roll until the bleeding stops. A certain amount of bleeding is to be expected following a surgical procedure. Placing the gauze pad over the area and biting firmly will help prevent excessive bleeding. Replace the gauze as necessary until the bleeding stops.
• For a few days following surgery, you may become dizzy when getting up. Sit up slowly, and give yourself a minute to adjust before getting up and walking.
• Avoid vigorous activities for three to four days after surgery. You may go back to your normal routine as tolerated.
• Please fill any prescriptions you have been given and take as directed. If you have been prescribed pain medication other than aspirin, Tylenol or ibuprofen (Advil or Motrin), do not drive, operate heavy equipment, work around machinery or tools, or engage in any other activity that may be unsafe when groggy, as your reflexes and judgment will be affected by the medication. Antibiotics may be prescribed to help prevent infection. If you have been placed on antibiotics, take the medicine as directed.
• Swelling and stiffness are to be expected the first 24 hours after surgery. Swelling around the face, eyes, and surgical site is not uncommon and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the extraction site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• For 24-48 hours following your surgery, do not suck on a straw, drink from a bottle, rinse, spit, or smoke. Avoid hot and spicy foods, carbonated and alcoholic beverages.
• During the first few days after surgery, restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.
• Do not rinse, spit, or brush your teeth on the day of surgery. Resume brushing the day after surgery, avoiding surgical sites with the toothbrush.
• After brushing, rinse gently with warm salt water (1/2 teaspoon of salt mixed with eight ounces of warm water). Start the salt water rinse the day after surgery and repeat 3 times a day for 7-10 days. This will help keep the surgical areas clean and will also help dissolve the sutures.
• Please do not use the irrigating syringe for the first five days. After five days, fill the syringe with warm salt water and flush out the socket. This will flush out any food or debris.
• If you are experiencing numbness of the lip, chin, or tongue, be aware that this is usually temporary in nature and normal feeling should return after a few days. Until then, please be cautious while eating and chewing in order to avoid accidentally biting your tongue, cheek or lip.
• A dry socket can develop when blood clot gets dislodged prematurely from the walls of the tooth socket. Symptoms of a dry socket include throbbing pain at the surgical site, the ear, chin, adjacent teeth, and/or jaw. These symptoms indicate a dry socket when they occur three to four days following surgery and do not respond to pain medication.
• Please call our office if you experience severe pain, excessive bleeding or swelling, or if you have any questions or concerns. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Instructions Following Implant Surgery/Implant Treatment

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. If you experience excessive bleeding or discomfort after 48-72 hours, please call our office immediately.
• You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by our office as needed.
• Swelling around the face, eyes, and surgical site is not uncommon and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the implant site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• A warm salt water rinse, approximately ½ teaspoon in an eight ounce glass of water, three times a day can be helpful.
• Avoid brushing your teeth near the surgery site but brush and floss the rest of your mouth as instructed by our office.
• For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke.
• For the first 24 hours you may experience some cold and heat sensitivity. Avoid hot and spicy foods as well as carbonated and alcoholic beverages.
• Restrict your activities on the day of your surgery. Avoid excessive work or play, and resume normal activity the following day as tolerated.
• After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.
• During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.
• Follow any other instructions provided by the office on your visit. Please take all medications as prescribed including your prescribed antibiotics to help prevent infection.
• If you have a denture that overlaps the implant site, please minimize the use of the denture following surgery to allow the site to heal. After the first week, you should be able to gradually increase the amount of time you can wear your denture.
• It is extremely important to keep your follow up appointment(s) so that we can monitor the healing process.
• If pain and swelling are increasing after a few days, please call our office right away.

Instructions Following Soft Tissue Graft

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
• After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
• Sutures may be placed after the surgery, and most sutures dissolve on their own.
• Swelling and bruising may occur and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Keep physical activities to a minimum immediately following surgery. Avoid strenuous activity for 2-3 days.
• If a surgical bandage was used, it will ideally remain in place for 24 hours. There is no need for you to remove it; it will come off when ready. Once it does, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.

Instructions Following Crown Lengthening

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, brushing and oral hygiene procedures should be done as usual in all untreated areas. In the treated areas, please limit your oral hygiene to brushing using a soft manual toothbrush. Avoid dental flossing in treated areas during the first week following surgery. No undiluted mouthwash, salt water or peroxide rinses should be used during the first week following surgery.
• Swelling and bruising may occur and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Keep physical activities to a minimum immediately following surgery. Avoid strenuous activity for 2-3 days.
• If a surgical bandage was used, it will ideally remain in place for 24 hours. There is no need for you to remove it; it will come off when ready. Once it does, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.

Instructions Following Osseous Surgery (aka Pocket Depth Reduction)

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
• After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
• Sutures may be placed after the surgery, and most sutures dissolve on their own.
• Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling. Alternate the warm pack on and off in 15 minute intervals as needed.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Keep physical activities to a minimum immediately following surgery.

Instructions Following Direct Sinus Lift

• Please refrain from blowing your nose for up to four weeks following your surgery. Do not hold your nose when sneezing. Avoid flying in pressured aircraft, scuba diving, bearing down when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure for at least four weeks after surgery.
• Please take all medications as prescribed, included decongestants as necessary.
• It is important to keep your mouth clean after surgery to reduce the risk of infection and promote rapid healing. Start salt water rinses (one-half teaspoon of salt dissolved in an 8 ounce glass of water) the evening of surgery or the day following your procedure after each meal or four to five times daily.
• Brush your teeth gently with a soft manual toothbrush on the evening of your surgery or the first day following your procedure and continue brushing at least twice a day.
• Drink plenty of fluids. Eat soft foods for the first several days after surgery. Advance to a regular diet as you become more comfortable. Please avoid chewing or creating pressure on the bone graft site. Please avoid drinking alcoholic beverages or smoking during the first one to two weeks following your surgery.
• All removable appliances, including partial dentures, flippers and full dentures, must be checked for proper fit before they can be worn.
• Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed.
• If you experience severe or persistent sinus or nasal congestion please let us know.

Do not chew on hard, sticky or chewy foods for a least 24 hours. Never chew on ice. Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration. Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene. Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions. In the event of an emergency, please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Instructions Following Scaling and Root Planing

• For the first 24 hours you may experience some cold and heat sensitivity.
• Do not consume hot foods or beverages until the anesthesia and numbness have worn off.
• Avoid vigorous physical exercise as well as extremely hot or spicy foods for the first 24 hours.
• Do not consume alcoholic beverages or smoke for at least 48 hours following treatment.
• Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding, please call our office.
• You can take ibuprofen or acetaminophen as needed according to the instructions on the label or those provided by your doctor.
• A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful.
• Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.
• Follow any other instructions provided by our office during your visit. Please take all medications as prescribed.

Instructions Following Implant Surgery/Implant Treatment

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. If you experience excessive bleeding or discomfort after 48-72 hours, please call our office immediately.
• You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by our office as needed.
• Swelling around the face, eyes, and surgical site is not uncommon and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the implant site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• A warm salt water rinse, approximately ½ teaspoon in an eight ounce glass of water, three times a day can be helpful.
• Avoid brushing your teeth near the surgery site but brush and floss the rest of your mouth as instructed by our office.
• For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke.
• For the first 24 hours you may experience some cold and heat sensitivity. Avoid hot and spicy foods as well as carbonated and alcoholic beverages.
• Restrict your activities on the day of your surgery. Avoid excessive work or play, and resume normal activity the following day as tolerated.
• After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.
• During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies.
• Follow any other instructions provided by the office on your visit. Please take all medications as prescribed including your prescribed antibiotics to help prevent infection.
• If you have a denture that overlaps the implant site, please minimize the use of the denture following surgery to allow the site to heal. After the first week, you should be able to gradually increase the amount of time you can wear your denture.
• It is extremely important to keep your follow up appointment(s) so that we can monitor the healing process.
• If pain and swelling are increasing after a few days, please call our office right away.

Instructions Following Soft Tissue Graft

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
• After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
• Sutures may be placed after the surgery, and most sutures dissolve on their own.
• Swelling and bruising may occur and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Keep physical activities to a minimum immediately following surgery. Avoid strenuous activity for 2-3 days.
• If a surgical bandage was used, it will ideally remain in place for 24 hours. There is no need for you to remove it; it will come off when ready. Once it does, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.

Instructions Following Crown Lengthening

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, brushing and oral hygiene procedures should be done as usual in all untreated areas. In the treated areas, please limit your oral hygiene to brushing using a soft manual toothbrush. Avoid dental flossing in treated areas during the first week following surgery. No undiluted mouthwash, salt water or peroxide rinses should be used during the first week following surgery.
• Swelling and bruising may occur and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Keep physical activities to a minimum immediately following surgery. Avoid strenuous activity for 2-3 days.
• If a surgical bandage was used, it will ideally remain in place for 24 hours. There is no need for you to remove it; it will come off when ready. Once it does, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.

Instructions Following Osseous Surgery (aka Pocket Depth Reduction)

• Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers. Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
• Please take all medications, including mouth rinses, as prescribed.
• After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
• After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
• Sutures may be placed after the surgery, and most sutures dissolve on their own.
• Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling. Alternate the warm pack on and off in 15 minute intervals as needed.
• Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
• Physical activities to a minimum immediately following surgery.

Instructions Following Direct Sinus Lift

• Please refrain from blowing your nose for up to four weeks following your surgery. Do not hold your nose when sneezing. Avoid flying in pressured aircraft, scuba diving, bearing down when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure for at least four weeks after surgery.
• Please take all medications as prescribed, included decongestants as necessary.
• It is important to keep your mouth clean after surgery to reduce the risk of infection and promote rapid healing. Start salt water rinses (one-half teaspoon of salt dissolved in an 8 ounce glass of water) the evening of surgery or the day following your procedure after each meal or four to five times daily.
• Brush your teeth gently with a soft manual toothbrush on the evening of your surgery or the first day following your procedure and continue brushing at least twice a day.
• Drink plenty of fluids. Eat soft foods for the first several days after surgery. Advance to a regular diet as you become more comfortable. Please avoid chewing or creating pressure on the bone graft site. Please avoid drinking alcoholic beverages or smoking during the first one to two weeks following your surgery.
• All removable appliances, including partial dentures, flippers and full dentures, must be checked for proper fit before they can be worn.
• Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed.
• If you experience severe or persistent sinus or nasal congestion please let us know.

During Treatment

Having braces should not cause any major changes in your day-to-day activities. You can still dine out, sing, play a musical instrument, or have pictures taken. With proper care and maintenance, you can promote your oral health while on your way to a more beautiful smile.

If you play a wind instrument, several companies make mouth guards and lip protectors, although you may not need them.

For certain sports it is a good idea to wear a mouth guard. Ask us about recommendations based on your specific needs when you come in for your next appointment.

Eating

Try to avoid foods that are particularly hard, chewy, crunchy or sticky. These types of foods can loosen, bend or even break your brackets or appliances.

Examples of Foods to Avoid

• Popcorn
• Tortilla Chips, Pretzels, Cheetos
• Hard Candies
• Chewing Gum
• Nuts
• Granola Bars
• Raw Vegetables
• Whole Fruits such as Apples, Pears, etc.
• Hard Tacos

Try to choose softer foods, and cut your foods into smaller pieces before eating rather than trying to bite through them. Chop whole fruits such as apples or pears into bite-sized pieces before eating, and please avoid chewing gum and chewing on ice.

After eating always check your braces for any loose or broken appliances. If you find any problems, please give our office a call so that we can make any needed adjustments.

Brushing

Carefully follow all instructions you are given regarding your dental care. Specific steps may vary depending on the type of braces you have. Be sure to brush thoroughly after any meal or snack . It is important to keep your teeth and braces as clean as possible to avoid potential problems. Also, rinse with water or mouthwash after brushing. It’s a good idea to carry a travel toothbrush when you will be away from home. Before going to bed at night be sure to brush thoroughly and floss carefully. It may take a little extra time but this is an important step in maintaining your oral hygiene on your way to a better smile and healthier teeth.

Use a soft rounded-bristle toothbrush that is in good condition. Toothbrushes will wear out faster and need to be replaced more often when wearing braces, so be sure to keep some spare toothbrushes on hand. When brushing you should also brush your tongue and rinse thoroughly when done.

Flossing

Flossing is an important part of good oral hygiene. With braces it may take a little more time and practice, and a floss threader may be necessary to get the floss under the arch wire. Make sure you clean along and under the gum lines with floss each night before going to bed. After you have properly brushed and flossed, your braces should look clean and shiny, making it easy to see the edges of the braces.

Wearing Your Removable Appliance

• Please wear your appliance at all times, even while sleeping, or as instructed by our office. Doing so will help reduce treatment time and will also ensure the best possible results from your orthodontic treatment.
• Please be sure to bring your appliance to every orthodontic appointment.
• Please clean your removable device both morning and night to remove dental plaque. You can clean the appliance with a toothbrush and toothpaste.
• Please place your removable device in the provided case any time it is not being worn.
• If you have pets, please do not place your removable device anywhere that your pets can reach them. Pets are attracted to saliva and would enjoy chewing on your appliance!
• Please do not place your appliance in or on a napkin or tissue. Many appliances have accidentally been thrown out this way!
• You may remove your appliance while participating in physical activities, but be sure to wear a mouthguard to protect your teeth, gums and lips.

Dental Wax

Dental wax can be very helpful with any areas that are irritating your mouth or gums. This can be especially helpful at night when sleeping when your mouth may get drier than during the day time when you can regularly hydrate.

Elastics

During orthodontic treatment the doctor may use elastics to assist your braces in making adjustments to your teeth and bite. Also known as rubber bands, elastics are typically attached to brackets on the upper and lower teeth and use tension to create changes in the teeth and bite.

You should always wear your elastics as directed. You may remove your elastics when eating and brushing, and you should always replace your elastics with new ones after eating or brushing. Only wearing your elastics occasionally will prolong treatment and also cause any tenderness to persist.

You may experience some tenderness when first wearing elastics, but the tenderness should subside after a few days. Over the counter medications like Ibuprofen should help, but if the soreness continues more than a week, please give us a call.

If an elastic breaks, please replace both the broken one and the adjacent elastic to ensure the same amount of force is applied on each side. You should always carry extra elastics with you in case one should break. If you think you might run out before your next appointment, please stop by our office for more elastics, or give our office a call, and we can mail extras to you.

Preventing Sports Injuries

Wear a mouth guard when playing sports to protect the mouth from injury.

Useful Items for Orthodontic Patients

Keep these materials on hand to help with the most common orthodontic maintenance and minor emergencies:

• Interdental or Proxabrushesfit between teeth and help patients to clean around wires without damaging them.
• Non-medicated orthodontic relief waxcan be placed over brackets or wires that may be irritating gum tissues.
• Antibacterial Mouthwashcan be used to reduce inflammation and prevent infection. For minor sores in the mouth, Peroxyl, an antiseptic rinse containing hydrogen peroxide may be used up to 4 times per day after brushing. Refer to the product label for specific instructions.
• Dental floss, an interproximal brush or a toothpick can be used for removing food that gets caught between teeth or wires.
• Sterile tweezerscan be used to replace orthodontic rubber bands that have come off.
• A Q-tip or pencil erasercan be used to push a wire up against a tooth if it has come loose and is irritating the cheeks or gums. If it is not possible to reposition the wire so it is more comfortable, place wax over the end of the wire and call our office so that we can set a time to have the wire adjusted and put back into place.
• Saltis used for warm salt-water rinses, which help heal sore gums and tissues in the mouth.
• Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help with the temporary discomfort that sometimes occurs for the first day or two after an orthodontic adjustment.
• Topical Anesthetic Treatments, such as Orabase or Ora-Gel, can be applied with with a Q-tip to any abrasions or sores in the mouth should they occur.

Invisalign Instructions

Do

• Use your fingers to put your aligners place. First place the aligners over your front teeth, and then use your fingers to push the aligner down gently over your molars. When aligners are correctly inserted, they will fit all the way down on the teeth, with no space between the top of the aligners and the top of the teeth. Aligners will fit tightly at first but should fit well at the end of the two week period.
• Keep aligners in except when flossing, brushing, eating. It’s also best to remove the aligners when drinking warm beverages such as coffee or tea.
• Remove the aligner by pulling it off both sides of your back teeth simultaneously then lifting it off of your front teeth.
• Place your aligners in the case we provided any time they are not being worn.
• Clean aligners with a toothbrush and toothpaste.
• Wear each set of aligners for two weeks unless our office directs you to vary from this schedule.
• Wear aligners in the correct numerical order. (Each aligner is labeled by number and with a U or an L to designate upper or lower.)
• Keep all of your old aligners and bring them to your orthodontic appointments.

Don’t

• Don’t place your aligners in or on a napkin or tissue. Many aligners have accidentally been thrown out this way!
• Don’t use your teeth to “bite” your aligners into place.
• If you have pets, don’t place your aligners anywhere that your pets can reach them. Pets are attracted to saliva and would enjoy chewing on your Invisalign trays!
• Do not use Denture cleaner, alcohol, or bleach to clean your aligners.
• Do not use boiling water or warm water on your aligners.
• Don’t chew gum with your aligners in.
• It would be best not to smoke while wearing aligners. The smoke can stain the aligners as well as your teeth.

Just in Case

• If you lose the tab attached to your tooth that helps the aligner snap on, please call our office right away so that we can determine if you need to come in before your next scheduled appointment.
• If you lose one of your aligner trays, please wear the next tray if you have it. If you do not have the next tray, please wear the previous tray. It is extremely important to use a tray to keep teeth from shifting. Call our office to let us know which tray was lost so that we can determine if a replacement tray is needed. There will be a fee if replacement trays are required.