The following items are covered in this section:
- INSTRUCTIONS FOR TAKING MEDICATIONS
- POST SURGERY INSTRUCTIONS
- FILLINGS (POST OPERATIVE INSTRUCTIONS)
- CROWN (CAPS) AND BRIDGE INFORMATION
- ROOT CANAL THERAPY (POST OPERATIVE INSTRUCTION)
- DENTURES AND PARTIALS
- ROOT PLANNING AND CURETTAGE OR
OSSEOUS (Bone) SURGERY
INSTRUCTIONS FOR TAKING MEDICATIONS
Take the medication exactly as prescribed so it will accomplish what its meant to.
If you are given a prescription for antibiotics like Penicillin, Clindamycin, or
Keflex, take it as scheduled around the clock, even at night time. It is easiest
to take it before you retire at night, first thing in the morning, then at lunch
and finally at dinner. However, continue taking the antibiotics until the tooth
or infection is taken care of even if you have to get the prescription refilled.
For pain medications, do not take it on an empty stomach because it will make you
nauseous. Any pain medication should not be taken with alcohol, and operation of
any machinery or driving should be done with great caution or not at all.
If an allergic reaction occurs, like rash, hives, or itching stop taking the medication
and call Dr Mona Soliman 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 unexpected pregnancies.
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POST SURGERY INSTRUCTIONS
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- Bite firmly on gauze for (2) hours following surgery. If bleeding continues,
replace gauze with another as provided and maintain pressure for another 30 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.
- 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. Rinse
4-5 times per day for 4-5 days. Use approximately 1/2 teaspoon salt in 8 ounce glass
of warm water. The use of commercial mouthwashes during the healing period is not
- 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.
- Do not brush your teeth in the first day, instead use a wet cloth to
wipe teeth surfaces, gums, and tongue, is the second day, you may carefully brush
in the area of the mouth not involved by the surgical procedure. A clean mouth heals
- 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
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. Soliman so
she can check it promptly. Often, when decay reaches the pulp (nerve) of the tooth
(an exposure) we try to "direct pulp cap", sometimes allowing the pulp to heal itself.
Nevertheless, this can still lead to the need of a root canal treatment, particularly
if the pulp was infected by the decay. Any pin build-up filling should have a crown
(cap) placed over it as soon as possible. Your gums may be slightly sore, but don't
let this deter you form practicing good home care.
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CROWN (CAPS) AND BRIDGE INFORMATION
Thanks to modern technology we have been able to construct a temporary crown
or bridge, while you wait for your permanent 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 an 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 Dr. Soliman.
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.
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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 Dr. Soliman
promptly. The treated 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 therefore requires a more stable-type filling. It may
require a build-up or post beforehand to create a stump for a crown.
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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. Three, no-charge
adjustment appointments are usual. 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 three times per day with a toothbrush
or denture brush. 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!
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ROOT PLANNING AND CURETTAGE OR OSSEOUS (Bone) SURGERY
Pre-Operative Instructions: Root planning and curettage is a minor surgical
treatment performed under local anesthesia by Dr. Soliman or her dental hygienist.
Root-planning involves deep scaling below the gum line to remove a 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 planning
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. The regular
use of Rotadent toothbrush will make the Root planning and Curettage more successful
and heal much quicker.
Post-Operative Instructions: You have just had minor/major periodontal surgery.
You will experience some discomfort which can very considerable. Any prescribed
medication should be taken as directed. Soreness should subside in a few days, but
may last several weeks. It is imperative to continue with immaculate home-care (brushing
and flossing) even through the healing phases to insure proper results. Warm salt-water
rinses are necessary 4-5 times per day. Should any fever, swelling or severe pain
occur, please contact the office immediately! Bleeding is normal for up to 24 hours.
If any sutures (stitches) or periodontal dressing is placed on your mouth, gently
clean these areas as well as you can, and rinse with care. Return to my office in
one week for post-operative treatment.
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