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INSTRUCTIONS FOR TAKING MEDICATIONS
Take the medication exactly as prescribed so it will accomplish what it is meant to do. If you are given a prescription for antibiotics like Penicillin, Clindamycin, or Keflex, take it as directed. However, whether the pain, or swelling appears to have gone away complete all medication unless otherwise directed.
Do not take pain medication on an empty stomach, this can cause nausea or other stomach disorders. In addition, you should never mix with alcohol, or operate any machinery or drive while taking pain medication.
If an allergic reaction occurs, like rash, hives, or itching stop taking the medication and call Dr. Pomerantz or your Physician. If difficulty breathing occurs call 911 because you need immediate emergency medical care.
Warning!! Many antibiotics commonly used in dentistry interfere with the action of oral contraceptives and can result in undesired pregnancies.
POST SURGERY INSTRUCTIONS
Bite firmly on gauze for (1) hour following surgery.Replacing the gause every 15 minutes. Gauze will be provided. If bleeding continues, replace guaze with another as provided and maintain pressure for another 15 minutes. Some oozing of blood is normal and it may persist until the next day. Do not replace gauze if there is no active bleeding. If you run out of gauze bite down on a moisened tea bag.
Apply an ice pack to the side of your face where your surgery was done for six (6) hours (20 minutes off, 20 minutes on). To avoid damage to your skin from the ice, make sure there is a cloth between the ice and your skin.
Do not rinse your mouth out with anything for 24 hours.
24 hours after surgery, begin rinsing your mouth gently with warm ( not hot) salt water. Do Not rinse vigorously, this may initiate bleeding or loosen or damage the blood clot formed at he surgical sight. Rinse 4-5 times per day for 4-5 days. Use approximately 1/2 teaspoon salt in an 8 ounce glass of warm water.
Do not drink any alcoholic or carbonated beverages for one (1) day.
Do not smoke cigarettes or drink through a straw for 48 hours. The suction in your mouth can dislodge the blood clot.
Take the medication prescribed for you, according to the directions.
If you had sutures placed in your mouth you must return to the office when instructed to have them removed.
You should eat soft foods for a few days because your gums will be sore. Begin a regular diet when it is comfortable for you.
Some swelling and pain often occur following oral surgery. However, if you have excessive bleeding, pain, fever, or other severe problems, get in contact with the office immediately. We will be available 24 hours a day should a question arise.
FILLINGS (POST OPERATIVE INSTRUCTIONS)
You may experience some thermal sensitivity, particularly to cold. This should subside over a few days or weeks.Any sensitivity that presents longer than a few days or weeks or is more severe than just "mild" or hurts when you bite or chew on the tooth, may indicate a more serious condition, please call Dr. Pomerantz so he can check it promptly. Often, when decay is deep and it nears the the pulp (nerve) of the tooth, a ulpitis (inflation of the pulp) develops. More often then not this is a reversable pulpitis and in time the tooth returns to normal sensations and comfort, other times though the tooth may require a root canal (removing the irreversable inflamed, damaged or dyeing nerve.). In addition your gums may be slightly sore in the area of the filling, but don't let this deter you form practicing good home care.
CROWN (CAPS) AND BRIDGE INFORMATION
Thanks to modern technology we have been able to construct a temporary crown or bridge. While you wait for the permanent one to come in from the lab.Because this was constructed chair side and is only meant to be temporary, the crown or bridge may, or may not, match the color, smoothness or bite of your original teeth.Your final crown or bridge will resemble your natural teeth in color, shape, bite and smoothness to the feel of your tongue and lips. The temporary crown or bridge is cemented in place with an adhesive that will enable it to be removed with minimum effort. For this reason, it might come loose. If this happens, please call the office.In the meantime, replace it if possible with vaseline or toothpaste as a temporary cementing agent. The final crown or bridge will be cemented to the prepared teeth with special dental adhesive that is designed to attach the crown or bridge firmly and permanently. We must stress that the function of the temporary crown or bridge is not only to protect the prepared teeth, but also keep them in the position they were in when the impression for the permanent crown or bridge was taken. The gums may be sore and tender for a few days, however, continue with proper home care of brushing and flossing (pull the floss out the side), and warm salt water rinses. Work with us during this brief period of inconvenience and the final results will be rewarding and satisfying.
ROOT CANAL THERAPY (POST OPERATIVE INSTRUCTION)
You have just had root canal therapy and may experience some tenderness.This is expected and may last a few days or weeks.Make sure to take any medications exactly as prescribed.Should you have swelling, fever or severe pain, please call the office promptly. Typically thetreated tooth should have a crown (cap) placed over it to restore shape, esthetics (appearance) and for stability.The temporary placed in the tooth will break down quickly and therefor requires a more stable-type filling.It may require a build-up or post beforehand to create a stump for a crown.
DENTURES AND PARTIALS (Post Insertion Instructions)
It will take time and patience to become comfortable with your new appliance. You will probably develop several sore spots at first.Call for an adjustment appointment, but make sure to wear the appliance 6-8 hours before coming in. You may have to cut your food in small pieces and chew evenly on both sides. When placing partial(s) in your mouth, seat them in place with finger pressure. Never bite them into place because you may bend or break them. All appliances should be brushed with a toothbrush or denture brush while brushing remaining teeth. Plaque and calculus forms on dentures exactly like it does on natural teeth. Don't sleep with your appliance in your mouth.Clean and soak it in water overnight. A cleaning solution may be added to the water, but this does not replace brushing the appliance regularly. Let us make any adjustments on the appliances. Please don't "whittle away" a "high" or "sore" spot. It requires time to learn to tolerate dentures. Please be patient !
ROOT PLANING (Deep Cleaning) AND CURETTAGE
Pre-Operative Instructions: Root planing and curettage is a minor surgical treatment performed under local anesthesia with Dr. Pomerantz and our dental hygienists. Root-planing involves deep scaling below the gum line to remove heavy calculus (tartar) can cause periodontal problems or pyorrhea of the gingival tissues and bone tissues.Curettage involves the surface removal of diseased gingival cells of a periodontal pocket or deep area around the tooth. The objective of root planing and curettage is reduction or elimination of inflammation, reduction or eradication of gingival or periodontal pockets. The patient's meticulous hygiene care is extremely important to aid in healing and further prevent gingival problems.
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