Following a Tooth Extraction
Amalgam or Composite Restorations (Fillings)
Crown or Bridge Treatment
Endodontic Treatment (Root Canal)
Information Following a
Bleeding - After an extraction, a
wet gauze pack is placed over the extraction site to prevent excessive
bleeding and to promote the healing blood clot. Keep pressure on
it for 30 - 45 minutes and replace if bleeding continues. Slight
bleeding may occur up to 2 days. Avoid activities that could apply
a suction action to the blood clot such as smoking or sucking though
Rinsing - Do not rinse your mouth
today. Tomorrow you can rinse your mouth gently with a glass of
warm water mixed with a 1/2 teaspoon of salt. You can do this every
3 - 4 hours a day especially after meals.
Swelling - Following an extraction,
some swelling and skin brushing may occur. A cold moist cloth or
an ice bag applied to the cheek will keep it to a minimum. Place
on affected area for about 15 - 20 minutes of every hour for the
next 6 hours.
Medications - If non-aspirin pain
medication doesn't relieve the discomfort you may experience, a
stronger medication can be prescribed. Be sure to use all medications
Food - A light diet with plenty of
fluids is recommended the first day. Chewing should be done away
from the extraction site.
Oral Hygiene - Continue brushing
and flossing being extra gentle near the extraction site.
Bone Chips - During healing you may
notice small bony fragments working their way though the gums. We
can easily remove them if they are too annoying.
Call our office if any unusual symptoms occur.
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Amalgam or Composite Restorations (Fillings)
Amalgam - Silver fillings
Composite - White fillings
• Do not bite together hard or eat on fresh amalgam
fillings for 2 to 3 hours. Composite fillings set up hard right
• Children should be observed until the anesthetic
wears off. Due to the strange feeling of the anesthetic, many children
will chew the inside of their lips, cheeks or tongue which can cause
• Sensitivity, especially to cold, is common
for a few days following a dental restoration. Usually, the deeper
the cavity, the more sensitive the tooth will be.
• Sensitivity is usually most noticeable the
first 12 to 24 hours after the anesthetic wares off.
• The gum tissue could have been irritated during
the procedure and may be sore for a few days together with the anesthetic
• The finished restoration may be contoured slightly
different and have a different texture then the original tooth.
Your tongue usually magnifies the small difference, but you will
become accustomed to this in a few days.
Following Crown or Bridge Treatment
• Following the first appointment for a crown or bridge procedure,
a temporary is usually placed on the tooth or teeth involved. This
will protect them while the custom restoration is being made.
• Temporary crowns are of a universal size and shade that
also serve a cosmetic function for front teeth. Your final restoration
will be shaped and shaded better then the temporary to match your
other teeth in both color and function.
• The use of a temporary cement is for easy removal on your
next appointment. If your temporary comes off between appointments,
slip it back on and call us for an appointment.
• Most crowns fit below the gumline. Therefore, you may experience
some discomfort for a few days due to the irritation of that area
during the procedures. Sensitivity to cold or pressure is also possible.
• After the final cementation of your fixed restoration, it
may take a few days to get used to the new crown or bridge. If you
feel the bite is not correctly balanced, be sure and call for an
appointment for a simple adjustment.
• Proper brushing and flossing is recommended to help you
retain your final restoration. The only area that a crowned tooth
can decay is at the edge of the crown at the gumline.
Following Endodontic Treatment (Root Canal)
• Endodontic treatment can take 1, 2 or 3 appointments depending
on each case. It is possible to experience any of the following
symptoms after any one of these appointments:
Sensitive to hot and/or cold
Sensitivity to pressure
• It is difficult to predict which symptoms, if any, you may
experience and to what extent, In complicated cases, pain medication
may be necessary.
•If you experience swelling, call our office; it may be necessary
to prescribe an antibiotic for you.
• A temporary filling may be used to seal the tooth between
• Be gentle on the tooth while eating until the final restoration
• During endodontic treatment the nerve, blood and nutrient
supply to the tooth is removed. This will cause the tooth to become
brittle and prone to fracturing which can result in the need to
extract the tooth. In many cases a full coverage crown restoration
(cap) may be recommended to prevent this from happening.