If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

| Post-Op Instructions in South Portland

     LONG CREEK DENTAL LLC 

 

                    MICHAEL T RUETTY DDS

                             207-775-2072 

                               [email protected]

Post-Op Instructions
 



These are general post op instructions for the following procedures: Laser Periodontal Therapy, Root Canal Therapy, Crowns and Bridges, White Fillings(Bonding), Scaling and Root Planing, Porcelain Veneers(Laminates), Extractions.

If you are having symptoms that are not covered here or have a dental emergency, please contact the office directly.

LASER PERIODONTAL THERAPY

Medications:


Doxycycline – 100 mg tablets – 1 tablet 2 times a day for 10 days starting the day of surgery. Take the first tablet in the morning before the surgery.

· It is best to take doxycycline on an empty stomach (one hour before or two hours after meals), but if stomach becomes upset, take with food.

· Do not take with an antacid or any other product that contains aluminum, bismuth salts, calcium, magnesium or zinc or any iron products. These products may be taken two hours before or two hours after taking doxycycline.

· It is recommended that you NOT take doxycycline with milk owing to a slight (20-30 percent) decrease in the absorption of doxycycline.

· To reduce the risk of esophageal irritation and ulceration, take plenty of fluids. Take several sips of water before swallowing the capsule, and then swallow a full glass of water with the capsule as you remain in an up right or sitting position. This is how most medications should be taken.

· Do not recline for at least two hours after taking the capsule.

· Report any sudden onset of painful or difficult swallowing or chest pain.

· Avoid exposure to direct sunlight and ultraviolet light during and for four to five days after discontinuing therapy. Sunscreens provide little protection against phototoxicity (exaggerated sunburn).

· Concurrent use of doxycycline may render oral contraceptives less effective: use another form of birth control.

· Use of doxycycline might increase the incidence of vaginal candidiasis.

· Report the onset of diarrhea.


Motrin (ibuprofin) – 800mg three times a day for three

days. Take the first dose in the morning before the surgery. Even if there is no pain, take the Motrin to control inflammation and aid in healing. If there is any discomfort between the doses of Motrin, you may take Tylenol. Any pain should be gone after one day. If there is any more pain than this or any extended discomfort please call me.


PerioGuard – antibacterial rinse – will be given to you at the time of surgery – rinse for 30 seconds as directed two times a day until gone. Do not rinse your mouth with water after using the antibacterial rinse. Let it stay on the teeth and gums as long as possible. Just spit out the excess after 30 seconds. This rinse may stain you teeth over time. We will see you three weeks after the second treatment to polish this stain off.


Care Instructions:


· Do not brush or floss the side treated for 10 days. Do brush your tongue and the untreated side as directed. After 10 days start brushing and flossing but be careful around the gums. Do not try to push the brush or the floss under the gums as you would normally do. Brush and floss to the gums without putting any pressure on them.

· Do not use a power toothbrush for one month after the procedure.

· Do not chew on the treated side for three weeks. See diet instructions.

· Be careful not to disrupt the blood clot that is formed around the treated teeth. This blood clot will start out red then turn white after a couple of days. It will look like food stuck to the teeth. Do not try to remove it.


Post LANAP Diet Instructions


· The first three days following Laser Therapy, follow only a liquid- like diet to allow healing. Anything that could be put into a blender to drink is ideal. The purpose of this is to protect the clot that is acting as a “band-aid” between the gum and the teeth. Do not drink through a straw, as this creates a vacuum in your mouth that can disturb the “band-aid”. Take daily vitamins.

· Next four days after treatment, foods with a “mushy” consistency such as those listed below are recommended.*see below

· Starting seven to ten days after treatment, “mushy” - soft foods are allowable. Soft foods have the consistency of pasta, fish, or steamed vegetables. You may then, gradually add back your regular diet choices.

· Please remember that even after ten days, healing is not complete. The first month following treatment you should continue to make smart food choices. Softer foods are better.



*“Mushy” Diet Suggestions

· Anything put through a food blender
· Cream of wheat, Oatmeal, Malt O Meal
· Mashed Banana Mashed Avocado, Applesauce
· DAILY VITAMINS!
· Mashed Potatoes or Baked Potatoes – OK with butter/sour cream
Mashed Banana or any mashed/blended fruit except berries with seeds
· Broth or Creamed Soup
· Mashed steamed vegetables
· Mashed Yams, Baked Sweet Potato or Butternut squash
· Cottage cheese Cream or Soft cheese
· Creamy peanut butter without solid pieces
· Eggs any style, with or without melted cheese
· Omelets can have cheese and avocado
· Jell-O, Pudding, Ice Cream, Yogurt
· Milk shake/smoothies – OK to blend with fruit except no berries w/ seeds
· Ensure, Slim Fast -nutritional drinks
· Fish

DON’T

Chew gum, candy, cookies, chips, nuts, anything hard or crunchy, anything that has seeds or hard pieces, meat that shreds and can lodge under the gum and between teeth, raw vegetables/salad.



ROOT CANAL THERAPY

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue. This will also allow the temporary restorative material to harden.


You will most likely feel soreness in the area as well as pressure when you bite down. For this reason, you should avoid hard and chewy foods. Do not eat on the treated side of your mouth for at least 24 hours. The soreness should decrease within a few days.


Take any antibiotic medication prescribed to you by the doctor as this will eliminate any remaining infection in the tooth. Over the counter medications such as Advil/Ibuprphen or Tylenol should be enough to control your pain.

If you notice any of the following symptoms please contact our office:

- Increasing tenderness or swelling in the area surrounding the tooth
- A reaction to the medication: rash, swelling, itchiness, nausea, vomiting
- Loss of the temporary filling material

-Tooth fracture


CROWNS AND BRIDGES

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Temporary: Please be careful when cleaning around the temporary restoration. Do not pull up on the temporary when flossing this area but pull the floss out sideways. Make sure to brush this area normally and not to chew any hard or sticky foods on the restoration. It is best to try to chew on the other side if possible.


If your temporary comes off between appointments, please call our office so that we can reapply it for you. The temporary can be off for a day or two without a problem but any longer could allow the tooth to drift out of position.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment. This should only last a day or two. If it last any longer call the office and let use know as this may mean the temporary needs to be adjusted.

For the first few days, try to avoid extremely hot or cold foods and beverages.

It is normal to have mild discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an Advil or Tylenol if the discomfort persists.

Permanent Crown/Bridge: When the final restoration is placed, your bite should feel exactly as it did before. If it feels off please call the office so we can adjust it. If the bite is not correct the tooth will become sensitive.

Home Care: It is important to resume regular brushing and flossing immediately. A consistent daily home care routine will increase the longevity of the restoration.



WHITE FILLINGS (BONDING)


It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment but should resolve within two or three days. If the sensitivity does not resolve quickly please call the office and let us know.

For the first few days, try to avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an Advil or Tylenol if the discomfort persists.

Home Care: It is important to resume regular brushing and flossing immediately. A consistent daily home care routine will increase the longevity of the restoration.



SCALING AND ROOT PLANING


After your scaling or root planning, it is best to rinse your mouth 2-3 times per day with warm salt water. One teaspoon salt / 8 oz. water. You should start home care immediately, although you should be extremely gentle with the treated areas.

If you feel discomfort in the gum tissue where you had treatment, Advil or Tylenol may be taken to relieve this feeling. The treated areas will probably be sensitive to hot and cold.

It is best to refrain from eating any hard or chewy foods for the next 48-72 hours while the treated area begins to heal.

Smoking should be terminated for a period of 48-72 hours following these procedures. Please contact the office if any pain or swelling occurs.



PORCELAIN VENEERS (LAMINATES)

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Temporary: Please be careful when cleaning around the temporary restorations. Do not pull up on the temporary when flossing this area. Make sure to brush this area gently and not to chew any hard foods on the restoration.

If your temporary comes off between appointments, please call our office so that we can reapply it for you.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment.

For the first few days, try to avoid extremely hot or cold foods and beverages It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take Advil or Tylenol if the discomfort persists.

Permanent Veneers: When the final restoration is placed, your bite may feel a little different. This is just your mouth adjusting to the new addition. If it still feels off in a few days, please call the office for a slight adjustment.

Home Care: It is important to resume regular brushing and flossing immediately. It is very important to thoroughly clean the area between the veneer and the tooth at the gumline. A consistent daily home care routine will increase the longevity of the restoration.

EXTRACTIONS

Bleeding:

It is normal for minor bleeding to occur for the first 24 hours following surgery If slightly heavier bleeding occurs:

1. Place a piece of gauze over the surgery site.

2. Bite firmly on the gauze for at least 30 minutes. DO NOT chew on it.

3. If the bleeding continues, call the office

4. Do not suck on area where surgery occurred or drink through a straw during the first 48 hours.

Rinsing:

1. Do not spit or rinse the surgical area on the day of the surgery.

2. The day after surgery you may gently rinse with warm salt water to remove any food debris that may collect around the area.

3. You may brush your teeth and your tongue after the surgery. Be careful of the surgical site.

Eating:

You should start with liquids and very soft foods for the first 24-48 hours following the surgery. If the area feels a little better, you can then move on to a normal diet. Be careful of chewing on hard foods near the surgical area.

Pain & Swelling:

It is normal to experience a minor degree of swelling.

If you do experience swelling, you can place ice over your face for 20-30 minutes at a time during the first 24 hours. This should help to reduce pain and swelling. Do not ice after the first 36 hours.

If you feel discomfort, it is recommended that you take Advil or Tylenol to ease the pain. If the pain persists for more than three days please contact the office for this may be a sign of an infection starting.


 
 
 
South Portland Dentist | Post-Op Instructions. Michael Ruetty is a South Portland Dentist.