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Post
operative instruction
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Extraction
Following the extraction of one or
more of your teeth you should care of the following;
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Avoid vigorous mouth
washing, violent exercise, stimulants, or very hot food or drink for the
rest of the day to minimize risk of post operative extraction hemorrhage.
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The extraction wound
should be cleansed up by rinsing the mouth with warm saline immediately before
going to bed on the day of operation.
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Use hot saline mouth bath
frequently during the following 2-3 days (half a teaspoon full of salt in
tumbler of warm water.)
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Patient should be warned
of biting his lips, tongue or cheeks, as they remain numb for 2-3 hours post
operative.
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Sutures should be left in
site for 7 days.
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A suitable analgesic could
be given if pain exists.
In presence of dry socket
(this clinical entity is a localized osteitis involving either the whole or a
part of the condensed bone lining a tooth socket, the lamina dura. the condition
is characterized by an acutely painful tooth socket containing bare bone and
broken-down blood-clot.)
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Irrigation with warm
saline intensively.
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Prescribe an appropriate
anti biotic and non-steroidal anti-inflammatory analgesic.
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In case of post operative
swelling:
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Cold soaks of water are
useful.
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In
the presence of restorative fillings in your mouth,
Amalgam fillings:
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Regular tooth brushing
after meals and before going to bed.
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Avoid vigorous flossing at
the amalgam formed proximal surfaces
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If a margin of the amalgam
is fractured try to brush that tooth well and try to review your dentist to
re-restore that tooth.
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As an average the amalgam
filling would last for 7-10 years so don't think it's a life lasting
restoration.
As for tooth colored
restorations:
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Composite filling material
do shrink while hardening, therefore some pain may occur one to two days
following the restoration.
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Tooth brush bristles
,tooth picks hard food boli and restorations which are opposite to composite
and glass ionomer , all of them will affect the potential wear of tooth
colored restorations.
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On average posterior
composite fillings should serve for 15 year in a relatively caries free
mouth.
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Drinking a lot of tea and
coffee will cause the filling to get stained.
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Endodontically
treated teeth:
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Presence of symptoms for a
few days after obturation is common, an analgesic is enough.
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If any discoloration,
swelling, extreme pain occur after treatment is completed you should review
your dentist.
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Recall evaluation to
assess the patient response to treatment is critically important.
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Bridges
and crowns:
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Keeping good oral hygiene
is very critical to maintain bridges and crowns as long as possible.
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Using the super floss
frequently to clean beneath the bridge is of great importance to remove food
debris and to prevent inflammation of soft tissues.
Some pain may be experienced after
the cementation of the bridge or the crown if the tooth is vital don' t panic
this will be transient.
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Occlusal wear and
perforations may occur over a period of time, that may lead to development
of caries therefore it should be repaired with an appropriate restoration.
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Chipping of porcelain
facing may happen ,metal etch and composite restoration will be enough.
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Denture
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If you have removable partial or
complete denture in your mouth then :
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Dentures should be worn at night
allowing the tongue cheeks and lips to become accustomed to their presence
for the first week.
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After that dentures should be
removed during night for tissue health.
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Whenever dentures should be
removed after every meal and food debris washed away well and at least once
daily the denture should be removed and cleaned with brush and a liquid
detergent.
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At night denture should be
placed in water.
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Don't use harsh abrasive
materials and hard bristles brush also avoid using sodium hypochlorite.
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Very hot water may cause warpage.
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If any difficulties, soreness or
ulcers develop remove denture but wear it the day before going to dentist.
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