Permanent Bridge, Veneer and Porcelain Crown
Don’t be concerned if your speech is affected for the first few days. You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside in about a week.
If you engage in sports, let us know so we can make a custom mouthguard. If you grind your teeth at night, wear the night guard we have provided for you. Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, please let us know. We always welcome your questions.
You may experience one or more of the following symptoms after the procedure:
- Numbness of the mouth
Your mouth may remain anesthetized for 1-3 hours after your appointment. Do not eat until all of the numbness has worn off.
- Discomfort with the tooth and/or surrounding area
It is not uncommon for patients to experience stiffness or tenderness of the tongue or cheeks due to the isolation and retraction techniques used during the procedure.
- Stiffness or tenderness of the jaw
Tenderness in your TMJ may occur as a result of keeping your jaw open for a lengthy period of time. This should subside within a day or two.
- Tenderness from electrosurgery
If electrosurgery was required, the area will remain tender for 4-5 days. Apply Oxygen and follow the doctor’s recommendations below.
- Minor swelling of the mouth
Minor swelling in the mouth may occur for a couple of days following your procedure.
- Possible abnormal bite
Numbness of the mouth makes it very difficult for the patient to tell Dr. Davis if the occlusion of the restoration is correct. Once the numbness wears off, you will be able to tell if your bite feels normal. If it does not, please call the office ASAP and Dr. Davis will make the proper adjustments.
- Do not eat or drink (hot beverages) until all of the numbness from the procedure subsides. If you are hungry, a smoothie or milkshake is fine.
- Take the mediation prescribed by Dr. Davis to keep the discomfort and inflammation down.
- Apply Oxygel to the surrounding tissue 2-3 times per day for 4 to 5 days or until tenderness subsides. You may brush the area with Oxygel for a few days before using your regular toothpaste. Do not use any abrasive toothpastes such as whitening pastes or baking soda.
- You have a temporary restoration and the permanent version will be placed in about 5 weeks. Do not eat hard or sticky foods such as ice, gum, candies or dried fruits as this may break or displace the temporary. If the temporary comes off, it must be recemented at the office ASAP. Call the office immediately. Do NOT use superglue or denture adhesives.
- Brush and floss daily. If you have two temporaries, use a threader to get floss in-between them. In order to avoid causing the temporary to come off, pull the floss straight through and do not pull up on the floss.
How to care for your new bridge, veneers or porcelain crowns
- Your tissue may be tender the first night following the placement of your permanent restoration. If Dr. Davis supplied Oxyfresh gel, apply twice daily to the tissue until the tenderness subsides.
- Gently brush with a nonabrasive toothpaste such as Oxyfresh or Sensodyne. Do NOT use any products that contain baking soda.
- Floss as soon as the tissue can tolerate it. Plaque retention at the margin of the restoration can lead to failure; as a result, flossing is not negotiable if you wish to maintain your smile.
- Dr. Davis recommends avoiding the following foods as they can seriously damage your new restorations.
a. Sticky foods such as caramel, gummy bears, bubblegum, Starbursts and hard candies (i.e. Jolly Ranchers) can chip or pull off your restoration.
b. Hard foods such as apples, corn-on-the-cob, popcorn hulls and ribs should not be bitten into directly. Slice your apples, remove meat off of ribs and cut corn off of the cob. Do not eat ice and avoid popcorn hulls completely.
c. Stain-causing drinks such as coffee, tea, red wine, dark sodas and Big Red can stain the margins of the restoration if consumed in large quantities.
d. Acidic drinks that contain phosphoric acid (such as diet sodas) can be destructive to the cements and bonding agents used on your restoration. Please note that sports drinks, sodas and energy drinks can cause damage and/or demineralization to natural tooth enamel as well as lead to possible breakdown of restorative cements and bondingsIt is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (a teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one tablet of Tylenol or Ibuprofen (Motrin) every 3-4 hours) should ease any residual discomfort.
Caring for Your Temporary Restoration
Occasionally, a temporary crown may come off. if this happens, please call us at (817) 656-9366 and bring the temporary crown to your appointment so that we can recement it. It is very important for the temporary to stay in place because it prevents other teeth from moving and compromising the fit of your final restoration.
To keep your temporaries in place, avoid eating sticky foods (including gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully. Instead of pulling up on the floss, pull the floss out from the side of the temporary crown. Pulling up on the floss may cause the temporary to be dislodged.
It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office. If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office at (817) 656-9366.
Composite Fillings (white fillings)
When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing or drinking hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lips while you are numb. You may chew with your composite fillings as soon as the anesthetic completely wears off. They are fully set when you leave the office. If your bite feels uneven, you have persistent pain, or if you have any other questions or concerns, please call our office at (817) 656-9366.
It is normal to experience some hot, cold & pressure sensitivity after your appointment. Injection sites may also be sore. Ibuprofen, Tylenol or aspirin (one tablet every 3-4 hours as needed for pain) work well to alleviate tenderness. If pressure sensitivity persists beyond a few days, or if the sensitivity to hot or cold increases, contact our office at (817) 656-9366.