Post operative instruction




Following the extraction of one or more of your teeth you should care of the following;

  •  Avoid vigorous mouth washing, violent exercise, stimulants, or very hot food or drink for the rest of the day to minimize risk of post operative extraction hemorrhage.

  •  The extraction wound should be cleansed up by rinsing the mouth with warm saline immediately before going to bed on the day of operation.

  •  Use hot saline mouth bath frequently during the following 2-3 days (half a teaspoon full of salt in tumbler of warm water.)

  •  Patient should be warned of biting his lips, tongue or cheeks, as they remain numb for 2-3 hours post operative.

  •  Sutures should be left in site for 7 days.

  •  A suitable analgesic could be given if pain exists.

 In presence of dry socket (this clinical entity is a localized osteitis involving either the whole or a part of the condensed bone lining a tooth socket, the lamina dura. the condition is characterized by an acutely painful tooth socket containing bare bone and broken-down blood-clot.)

  •  Irrigation with warm saline intensively.

  •  Prescribe an appropriate anti biotic and non-steroidal anti-inflammatory analgesic.

  •  In case of post operative swelling:

  •  Cold soaks of water are useful.


In the presence of restorative fillings in your mouth,

Amalgam fillings:

  •  Regular tooth brushing after meals and before going to bed.

  •  Avoid vigorous flossing at the amalgam formed proximal surfaces

  •  If a margin of the amalgam is fractured try to brush that tooth well and try to review your dentist to re-restore that tooth.

  •  As an average the amalgam filling would last for 7-10 years so don't think it's a life lasting restoration.

As for tooth colored restorations:

  •  Composite filling material do shrink while hardening, therefore some pain may occur one to two days following the restoration.

  •  Tooth brush bristles ,tooth picks hard food boli and restorations which are opposite to composite and glass ionomer , all of them will affect the potential wear of tooth colored restorations.

  •  On average posterior composite fillings should serve for 15 year in a relatively caries free mouth.

  •  Drinking a lot of tea and coffee will cause the filling to get stained.



Endodontically treated teeth:

  •  Presence of symptoms for a few days after obturation is common, an analgesic is enough.

  •  If any discoloration, swelling, extreme pain occur after treatment is completed you should review your dentist.

  •  Recall evaluation to assess the patient response to treatment is critically important.


Bridges and crowns:

  •  Keeping good oral hygiene is very critical to maintain bridges and crowns as long as possible.

  •  Using the super floss frequently to clean beneath the bridge is of great importance to remove food debris and to prevent inflammation of soft tissues.

Some pain may be experienced after the cementation of the bridge or the crown if the tooth is vital don' t panic this will be transient.

  •  Occlusal wear and perforations may occur over a period of time, that may lead to development of caries therefore it should be repaired with an appropriate restoration.

  •  Chipping of porcelain facing may happen ,metal etch and composite restoration will be enough.


Denture :

If you have removable partial or complete denture in your mouth then :

  • Dentures should be worn at night allowing the tongue cheeks and lips to become accustomed to their presence for the first week.

  • After that dentures should be removed during night for tissue health.

  • Whenever dentures should be removed after every meal and food debris washed away well and at least once daily the denture should be removed and cleaned with brush and a liquid detergent.

  • At night denture should be placed in water.

  • Don't use harsh abrasive materials and hard bristles brush also avoid using sodium hypochlorite.

  • Very hot water may cause warpage.

  • If any difficulties, soreness or ulcers develop remove denture but wear it the day before going to dentist.


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