General Information

 FILLINGS

Some cold sensitivity can be experienced after a filling has been placed, especially if it was a very deep filling. The sensitivity normally subsides after a few days or sometimes months. A sensitive toothpaste might help to ease the sensitivity (apply some to your tooth before bedtime). However if the sensitivity does not subside, it can be that the nerve of the tooth was already affected by the cavity and you might need a root canal.

 

 CROWNS AND BRIDGES
 N3A Crown

Again some sensitivity might be experienced after the cementation of a crown (if it’s not a root canal treated tooth). Sometimes a crown can be a bit “high” and interfere with normal chewing (you will feel pain when you bite). If this occurs we can adjust the crown for you.

Please do not eat/dink for at least 45 minutes after the crown has been cemented, because the cement still takes some time to set. Overall it is best to avoid sticky foods such as toffees, since it can pull the crown off.

 

 ROOT CANALS
 root

Root canal treatment is usually done in 2 -3 appointments 1 week apart. Between visits some postoperative pain is normal; however it should subside after 2 days. If appointments are too far apart or you do not return for the “finish” of the root canal, the tooth can become infected again and the process will have to be restarted from the beginning.

We advise patients to have root canal treated teeth crowned, since they become brittle after the nerve has been removed.

 

 EXTRACTION
 N4A EXTRACTION

The most important aspect of tooth socket healing is maintaining the blood clot. The blood clot supplies all the building blocks to the bone/socket for new bone and tissue formation. Therefore most postoperative instructions are there to prevent the loss of the blood clot.

 

 Golden rules:

Golden rules:

• Bite on the gauze provided for 30 minutes – do NOT take it out and place it back in within this time. Keep it there for the full 30 minutes

• NO spitting or rinsing is allowed after the extraction for the rest of the day

• NO smoking for at least 3 days after the extraction

• Do NOT take aspirin afterwards

• Avoid alcohol

• Eat/chew on the other side of your mouth

If bleeding persists after 30 minutes, bite on a wet teabag. Contact us if severe bleeding persists.

Moderate pain is to be expected after tooth extraction. However if the pain becomes worse after 3 days, you will need to come back to the surgery for treatment of what we call a dry socket. This is a condition that develops when the blood clot is lost and normal healing cannot take place.

 

 DENTURES
gums

Dentures take some time getting used too, especially if it is your first set of dentures. You will need to give your mouth (gums/tissues/tongue) time to adjust. You may even need to practice some words in the mirror. In order for your mouth to get use to the new denture, you are allowed to sleep with the denture for the first few days (not longer than 5 days).

Thereafter you should take them out at night. Store them in a save place, dogs like them a lot! Remember that you will still need to clean them every day. Avoid regular toothpaste as it contains rough particles that will damage your denture.

There are some specific denture related brands on the market, but soapy water works just as well (please do not use Jik, it will corrode and stain your denture).

 

 BLEACHING
 bleach

Bleaching is different for each individual. Some may have instant results where others might need several treatments. Some cases are not even suitable for bleaching and may need a different approach. E.g. fillings and crowns can’t be bleached. Therefore we insist on a consultation before bleaching commences.

Sensitivity after bleaching is normal and can be managed by applying sensitive toothpaste like Sensodyne/Colgate ProRelief. However if sensitivity is severe, fluoride treatment may be necessary. Keep in mind that if you already have sensitive teeth, it will be worse after bleaching and might not subside.

Bleaching is not a permanent solution, the colour might relapse and therefore maintenance is needed to keep the whiteness of your teeth. Certain foods/drinks like coffee and red wine will lead to quicker relapse.