welcoming new patients

TREATMENT AFTERCARE

Fillings

It is very common to experience some discomfort after receiving dental treatment, especially if the fillings have been deep or close to the nerve. Usually, it can take a few days and occasionally a few weeks for the tooth to settle down. The nerve can become temporarily unsettled and as a result, the tooth can feel more sensitive.

Sometimes if a band has been placed around the tooth to rebuild the tooth structure, the gum can also feel sore for one to two days. This should heal very quickly, as long as you keep it very clean and brush gently around the tooth.

Occasionally, your symptoms can get worse if the nerve under the filling starts to die off and become infected, in which case you will need further treatment.

Crowns & Bridges

Your mouth can feel a bit different to usual following the placement of crowns or bridges. This is because your bite needs time to adjust and settle back in to place which can take up to 10 days.

Take care immediately after having crown or bridges cemented and avoid eating hard or sticky food, as the dental cement that bonds the crown to your tooth can take a few hours to fully set. It is very important to clean all around your teeth to prevent food from accumulating around the gaps.

We recommend using dental floss or interdental brushes around crowns and expanding floss or Superfloss around bridges.

Gum Treatment

Gum disease is a common disease caused by plaque (and the bacteria within it), which leads to damage to the periodontal tissues. This includes your gums and the underlying bone. Gum disease has an indirect effect on the teeth, and untreated, can lead to tooth loss.

The aim of gum treatment is to concentrate on removing tartar build up and as a result bacteria from around the gum line. You may experience some discomfort immediately after receiving gum (periodontal) treatment and notice some inflammation for a few days.

Depending on the severity of the gum disease, your symptoms can last from a few days to a few weeks. During this time, you may notice that the gums bleed when you brush them. However, this should resolve with continued cleaning over the next few weeks as the gums start to heal.

It is very important to clean all around your teeth to prevent food and plaque from accumulating around the gaps. We recommend using dental floss or interdental brushes around your teeth, as well as brushing thoroughly along the gum line for 2 minutes twice a day.

It takes a few months for the gums to heal and re-attach to the teeth following having the tartar build-up removed and as a result, your dentist may recommend a review in 3 months to check the progress.

Extractions

Blood normally clots in the empty socket. This clot is fragile and important for healing, so care should be taken not to disturb it.

Therefore after the extraction: -

  1. DO NOT RINSE MOUTH FOR 8 HOURS – if there’s blood or bad taste in your mouth, drink water over it (you can drink and eat as normal)
  2. DO NOT DRINK HOT BEVERAGES OR ALCOHOL
  3. DO NOT SUCK THE WOUND OR TOUCH THE SOCKET
  4. DO NOT SMOKE – for the few days

It is normal for the socket to be a bit sore for a few days. Start taking your usual painkiller before the numbness has worn off, and continue for a few days.

You may have cold drinks straight away and eat soft foods when the numbness has worn off.

REMEMBER a clean mouth heals more rapidly and there’s less risk of an infection, so the day after extraction mouthwashing should be started for one week. This can be done with:-

  • 1 teaspoon of salt in a glass of warm water (several times a day, especially after meals) or Corsodyl mouthwash (as instructed on the back of bottle)

Bleeding

A certain amount of bleeding after an extraction is normal, but if it continues after reaching home:- - Do not panic. A little blood diluted by your saliva will seem like a lot of blood!

  • Rinse mouth with cold water gently once to remove excess clot, but do not disturb the socket.
  • Make a thick pad of tissues, dampen and squeeze out excess water, place directly over the socket and bite firmly onto it. Keep the pressure for 15 minutes or longer if necessary.
  • Rest quietly.
  • If the bleeding is excessive or continues for more than a few hours, you can contact the surgery and further advice will be provided.

Dry Socket

Occasionally 4-5 days after an extraction a dry socket occurs. This is a fairly mild infection of the surface bone of the socket, but it can be extremely tender and does not respond well to painkillers. Its exact cause is unknown, but it occurs more often after difficult extractions, in smokers, in the lower jaw, in women, and if the above instructions are not followed carefully.

It is not a serious condition and if left it will eventually heal naturally, however it can take several weeks for it to resolve fully. If you suspect this to have occurred, please book an appointment to see your dentist.

Sometimes after a difficult extraction, small pieces of bone may break off and gradually rise to the surface, where they are often mistaken as sharp left behind bits of tooth. This is a normal healing process and the bony segments can be easily removed by the patient or the dentist.

Dentures

Your new denture may feel strange at first and will take time to get used to.Persevere! Wear it as much as you can.
Eating: You may find eating different at first so take your time to get used to the new sensations.
Speech: You may find that your new denture affects your speech. To overcome this, read aloud from a book and your tongue will quickly learn to adjust.
Cleaning: Wear your denture all day and take it out at night - store it in a container with a little water. Clean your denture after every meal. To clean your denture, remove it and brush using a toothbrush and ordinary soap or you may wish to use a special denture cleaning paste.
Toothpaste used for teeth is quite abrasive and is best avoided in the long term. During cleaning, fill the sink with water - if you accidentally drop it, the denture will sink slowly through the water instead of cracking on the sink! Do not soak your denture in strong bleach or boiling water as this may cause it to discolour.

If you find that your new denture is making your mouth very sore, do remove it and let your mouth rest. However, when you return for your review appointment, make sure that you wear it for 24 hours beforehand, in order that we can see the problem area.

Dental Implants

Your dentist will have advised you on how to clean all around the implant and its crown. We recommend regular professional cleaning around the implant every few months to promote the health of the gums and reduce the chances of failure.
Gum health has a direct effect on the underlying bone, which plays an integral role with the natural teeth and implants.

If you have any problems with your implant or the crown overlying it, please contact us promptly.

Braces

You may experience a mild discomfort initially when starting your orthodontic treatment. This is because in order to move you teeth into line slowly, the aligners put gentle pressure on the teeth and as a result on the underlying bone. This discomfort will reduce over time. Your dentist will have advised you on how to keep your teeth and your aligners clean.

If you have any problems with your aligners or there are breakages, you should contact us promptly as it can lead to delays in your treatment progression.

0208 642 5767

General / Aesthetic / Orthodontics / Implant / Family / Quality / Unique
find us on facebook follow us on twitter google plus