Post-op Instructions

Fillings

Following your filling appointment if an anesthetic has been used, your lips, tongue and cheek may be numb for several hours after the appointment. Avoid chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivity after your appointment. Injection sites may also be sore. Over the counter Ibuprofen (Motrin) or Tylenol (one tablet every 4 hours as needed for pain) work well to alleviate the tenderness. Once the numbness is completely worn off, if you feel that the filled teeth come in contact prior to the rest of the teeth contact our office for an adjustment.

You may chew with your composite (tooth colored) fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office. If you chose the silver fillings do not eat on that side for the next eight hours since silver fillings take longer to achieve their complete set strength.

Crowns

Crowns are usually completed in two appointments. Following anesthesia the teeth are prepared for a permanent crown and an impression is taken. This impression is very important. Your dentist may have to take more than one impression. It dictates the precision of your permanent crown. Then a temporary crown are placed on the teeth for protection. The size, shape, and color of the temporary do not resemble the final restoration. A temporary crown is easily removed; therefore care must be taken not to dislodge it before your permanent crown is placed. Do not chew sticky foods such as caramel or chewing gum. When flossing, pull the floss out the side; do not pop it through the contact with the tooth next to it. If your temporary crown comes off, you can place some Fixodent (available at any pharmacy) inside it and put it back on, then call our office during normal business hours and we will re-cement it. Do not leave your temporary off, even if you have no discomfort. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

Your gums may be sore. Warm salt water rinses will speed healing. You may have sensitivity to hot or cold. This is common and normal since the temporary is not an accurate fit of the prepared teeth.If you feel like you are biting first or harder on your temporary or permanent crown, call us for an adjustment or you will develop a sore tooth.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

Root Canal Treatment

Root canal therapy often takes two or more appointments to complete depending on the severity of infection. At the start of treatment your dentist may isolate the tooth with a rubber dam to prevent salivary contamination of the canal system and protect you from the irrigants used during the procedure. A temporary filling or crown is placed to protect the tooth between appointments. After each appointment when anesthetic has been used, your lips, teeth and tongue may be numb for several hours after the appointment. Avoid any chewing until the numbness has completely worn off.If the tooth was asymptomatic to start with there are usually no flare –ups between appointments. But if you came in with a severe toothache or a swelling it will take time to heal and expect to have flare-ups between appointments.

Between appointments it is common for a small portion of your temporary filling to wear away or break off. You may even have a bad taste. If the entire filling falls out, or if a temporary crown comes off, call us so that it can be replaced.

It’s normal to experience some discomfort for several days after a root canal appointment, especially when chewing. To control discomfort, take pain medication as recommended. To further reduce pain and swelling rinse three times a day with warm salt water.

If antibiotics are prescribed, continue to take them as prescribed, even if all symptoms and signs of infection are gone. Since the tooth is very fragile following treatment avoid eating sticky and hard foods. Avoid chewing on that side until the permanent crown is placed. The permanent crown will protect the tooth from breaking in future.

Extractions

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. You may have to do this several times. If bleeding still persists, biting on a moist tea bag wrapped in gauze may help control the oozing from the surgical site. Tea has an ingredient that promotes blood clotting.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Does not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

Failure to comply with the above instructions will result in dislodgement of the clot and severe throbbing pain at the extraction site, since the bone is now exposed to the oral environment. After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean. After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Deep Cleaning

If you require more than just a regular cleaning your Dentist /Hygienist may prescribe a deep cleaning (Scaling and Root Planing).It is usually done in sections. One half of the mouth is cleaned in one session & you will have to come back for the other half. First the teeth & the gums are anaesthetized then the teeth are cleaned using a combination of ultrasonic & hand instruments. It is normal to experience cold & hot sensitivity after the appointment. Your teeth may even be sensitive to chewing. Your gums will be sore and may bleed.

Sometimes your Dentist /Hygienist may advise the placement of an antibiotic ( arestin , perio-chip) in the pocket if it greater than 4mm. In that case, patients should postpone brushing for 12 hours and avoid the use of interproximal cleaning devices(flossing) for 10 days. Also patients should avoid eating hard, crunchy or sticky foods for 1 week.

After the completion of treatment it is important to follow good home care which includes regular brushing, flossing, using a mouth rinse (prescription or over the counter).Your Dentist / Hygienist may put you on a 3 -4 month follow up care. Failure to comply with it will return your gum condition back to square one. Regular follow up care will create an environment for the gums and bone to heal and will prevent further destruction. Gum disease is a silent disease and the importance of follow up care cannot be overemphasized.

Space Maintainers

Teeth and the bands should be brushed after each meal. Your child should avoid hard/sticky foods (suckers, caramels, gum, popcorn, etc.). Once a day, a fluoride mouthwash should be used to help prevent decalcification of the teeth around the band and wire. Do not try to bend the wire for any reason. Notify our office immediately if the bands come loose or the space maintainer is damaged in any way. If a tooth erupts under the wire we will need to remove the spacer.

Office Hours

Monday 8:00 AM - 5:00 PM (Kailua)
Tuesday 8:00 AM - 5:00 PM (Kaneohe)
Wednesday 8:00 AM - 5:00 PM (Kailua)
Thursday 8:00 AM - 5:00 PM (Kaneohe)
Friday 8:00 AM - 5:00 PM (Kailua)
Saturday Closed - Except Emergencies
Sunday 8:00 AM - 1:00 PM (Kailua)

Contact Us

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Our Address

Kailua Office
Weinberg Medical Plaza,
642 Ulukahiki St., Suite 308
Kailua, Hawaii 96734-4439

808-261-5354

Kaneohe Office
Castle Professional Center,
46-001 Kamehameha Hwy. Suite 418
Kaneohe, HI 96744-3749

808-235-3434