Our dental office’s response to Coronavirus (COVID-19)

We know it has been a difficult couple of weeks, but we want you to know you are safe when you're with us. To do that, we are implementing some changes to our normal office policies to follow the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. Your health and wellness are our top priority.

Starting the week of May 11th, we will be back to seeing patients for routine dental care. That means we can finally start getting you back on track with cleanings, whitening, and Invisalign. As healthcare providers, that also means we will have to take extra precautions to ensure your safety. We want you to love your visit, and we will do everything we can to give you peace of mind so you can focus on the good stuff (the massage chairs, the Netflix, and the Dad jokes). The following are just some of our new office policies:

  • We are requesting that all of our new patients fill out your forms prior to your appointment. You can find these in the "Patient Resources" tab at the top of the page. Once you submit your information it will be safely stored in our system. This will limit the amount of time you spend in our reception area and keep patient to patient interactions to a minimum.
  • We love when you bring friends and family. Your people are our people. But for the time being we are requiring you to come alone to your visits. If you want or need to bring a guest with you, we would just ask that they wait in the car during your visit. We request that you continue to wear your face mask upon arrival, and limit your accompanying guest to 1, and only if they are essential to your care (e.g., a caregiver, translator).
  • There will be a touchless hand sanitizer dispenser at the front desk. Please use it when you arrive.
  • We have installed a medical grade air purification system.
  • We will be disinfecting all clinical and common areas that are contacted
  • We will be taking a quick forehead temperature on all patients and staff. If there are any special accommodations you need, please let us know prior to your visit so we can prepare. As always, we can't wait to see you, and we hope everyone is healthy and happy.

Note: If you are experiencing flu-like symptoms or if you or those you are in close contact with have been exposed to COVID-19, contact our office and we will assist you with rescheduling your appointment for a later date to make sure you are free of COVID-19 symptoms. There will be no cancellation or rescheduling fees during this time. If you or someone you are in close contact with have recently traveled to a country with outbreaks of COVID-19 or if you have been exposed to someone who was diagnosed with COVID-19 or quarantined as a precaution, wait 14 days before making an appointment to make sure you are free of COVID-19 symptoms.

Thank you for helping to flatten the curve, and we can't wait to see our community thrive again!

Post-Operative Instructions

About

Crown & Bridge

Patient Home-Care Following Crown or Bridge Appointment

If you have had anesthetic, please be careful when eating to not bite your tongue or the inside of your cheek. Avoid eating chewy foods until the numbness has worn off. It is important that the temporary crown (or bridge) stay in place until the permanent crown is placed. If the temporary crown becomes loose or feels uncomfortable, please call us so that we can see you as soon as possible. Do not attempt to glue the temporary crown back in yourself or leave it out as the teeth may become sensitive or shift slightly preventing placement of the permanent crown. You can use a denture adhesive like Fixodent to temporarily hold the crown or bridge in until you can get to our office. Some cold sensitivity and tenderness around the gum is normal for the first few days.

AVOID: Avoid chewing anything very hard or sticky on the temporary crown. Examples to avoid: Gum, hard crusty bread, taffy, or hard candy.

Brush as usual, but floss with care. When flossing, remove floss from the side of the tooth instead of pulling it back up. It is important to brush and keep your gums as clean as possible. Remember, we are happy to see you to check the temporary crown if you have a question prior to insertion of the permanent crown.Gum, hard crusty bread, taffy, or hard candy.

Long Term Care of Your New Crown or Bridge

Now that your restoration has been cemented, there are a few things to expect and to consider. Initially you may experience some sensitivity. Sensitivity toothpaste generally helps. Also, if after a couple of days your bite seems off or it just doesn’t feel normal, please call our office for a quick adjustment. It is extremely important to maintain excellent oral hygiene with your new crown or bridge. Some people have the misconception that a crowned tooth no longer needs to be maintained. That is simply not true. Crowns and bridges can still get cavities near the gumline just like a natural tooth.

The crown strengthens the part of the tooth above the gumline but this margin area requires special care. Regular brushing and flossing is a must. Additional use of a fluoride rinse at home and regular professional fluoride applications help to prevent cavities from forming. These additional aids are extremely important for a patient with a high decay rate and/or a history of gum disease.

All of our crowns and bridges are ceramic and metal-free. These materials are very strong and color stabile but they still have potential to fracture the same as a natural tooth, as a rule of thumb, don’t do anything with a crown or bridge that you wouldn’t do with a natural tooth. DO NOT CHEW ICE! The extreme temperature change greatly increases the fracture of porcelain and natural teeth.

Scaling & Root Planing

Care Instructions For Scaling and Root Planing (Deep Cleaning)

If you received anesthesia, do not eat or chew until the numbness has subsided.

Wait two hours after your procedure before eating, and eat only soft food for the first 48 hours (ideally, for 72 hours).

  • Until healing has occurred, avoid hot spicy foods and alcohol.
  • Avoid tobacco products for at least 72 hours.
  • On the first night, brush the area lightly with a soft brush.
  • Use a mouth rinse after 48 hours.
  • Continue with all antibiotics for the full course even if symptoms have subsided.
If you have any discomfort
  • Take a pain reliever before the anesthetic has worn off or as recommended.
  • Rinse your mouth with warm salt water (1 teaspoon of salt in a glass of water water).
  • Contact our office if you have any other concerns.

Extractions

Post-Op For Tooth Extractions Within the First 24 Hours

Bite firmly on a gauze pad (provided) for at least 30 minutes and replace it as necessary until any bleeding has stopped. Some bleeding is normal after an extraction.

  • Avoid spitting, sucking on candy, or drinking through a straw. Avoid rinsing your mouth, and do not brush or floss next to the extraction.
  • Avoid tobacco products for at least 72 hours.
  • Use allergy medication to prevent sneezing and coughing.
  • To reduce bleeding, avoid vigorous activity, and elevate your head when lying down. **Pro-tip: put a towel over your pillow case when you sleep the first night
  • Avoid hot, carbonated, or alcoholic beverages and hot or spicy foods.
  • When numbness has subsided completely, drink plenty of fluids, eat only soft foods, and chew on the opposite side.
For discomfort

Take a pain reliever before the anesthetic has worn off or as recommended. Ibuprofen is recommended. Use an ice bag over the area to minimize swelling, applying it for 20 minutes on and 20 minutes off.

After 24 Hours
  • Brush and floss as usual, using care around the extraction site for the first week.
  • Continue with all antibiotics for the full course even if symptoms have subsided.
  • Apply moist heat to any swelling & rinse with warm salt water.

Root Canal Therapy

Post-Op For Root Canal Therapy

Your root canal therapy should relieve your toothache, remove the source of the infection, and promote healing. Please avoid biting down on this tooth for the next few days. It is not uncommon for your tooth to be tender after a root canal. Avoid chewing on this tooth for the first few days as the ligament around the tooth heals from the infection. If you received anesthesia, do not eat or chew until the numbness has subsided.

If you were prescribed pain medication, take it as prescribed. If you were not, over the counter medication such as Acetaminophen (Tylenol) or Ibuprofen (Advil, Motrin) will help to reduce discomfort.

Whether you experienced discomfort prior to starting your root canal treatment or felt no syptoms, it may take up to a week or more for this tooth to return to “normal”. Infection can take time to heal. Any pain or discomfort should be alleviated with time – it make take up to a week or more.

Final Restoration After Root Canal Therapy

A permanent crown is often the next treatment step after your root canal therapy. If you have an existing crown already, your Doctor will discuss what your next steps should be – this may be either placing a permanent filling or replacing your existing crown.

If you do not have an existing crown on this tooth yet, you should schedule promptly for your next appointment. Your tooth will have just a temporary filling that needs to be restored with a permanent crown before it breaks down. Failure to have this crown placed in a timely manner will cause your tooth to become more susceptible to breaking or bacteria that can recontaminate your tooth.

When to Contact Us

Should you have pain that you cannot tolerate, abnormal swelling or fever, please contact us immediately. We want to make sure your recovery is as smooth as possible. Following these instructions will assist you, but if you have questions about your progress, please call our office. Someone is always available to contact, even after hours. Calling during office hours will afford a faster response to your question or concern.

Teeth Fillings

New Filling - What to Expect
Now that your new filling or fillings have been placed there are a few directions you need to follow

First, be sure that the local anesthetic has completely worn off before chewing. This is to prevent you from biting or injuring your lip, cheeks or tongue. Also, refrain from drinking anything hot in temperature or smoking to prevent burning. Sometimes patients also find it difficult to swallow while they are still numb, so please be careful.

Our office only places tooth colored resin type fillings. These fillings are completely hardened when you leave the office. You can eat on them as soon as the numbness wears off. Although the fillings are polished before you leave, they may feel slightly gritty at first. This should go away after a couple of days. If not please call back.

Immediate post-visit cold sensitivity is also possible

This is usually from a normal reaction of the nerve following the procedure. Give it a couple of days and try a sensitivity protection toothpaste (i.e. Sensodyne or Crest for Sensitivity) until it subsides.

Finally, if your bite seems off or if you cannot bite normally please call the office to have your filling adjusted. Do not wait for it to wear down on its own as the tooth may become tender.

At Home Whitening

At Home Whitening Instructions

Total treatment time is usually 2 – 3 weeks. Some cases may take longer, especially if treatment is interrupted. Make sure you brush and floss thoroughly prior to each treatment. The bleaching gel can work better if it is in contact with the tooth rather than plaque buildup. Mild sensitivity to cold liquids or air may occur, but this usually passes a few days after treatment is completed. If the sensitivity is severe or persists, discontinue using the gel and contact our office. Follow the instructions included with your whitening kit for use.

Whitening works best on yellow stained teeth. Gray teeth are more difficult to whiten, or may not respond to treatment. Such cases may require porcelain veneers to achieve the desired result.

Long term results vary from patient to patient. This can depend on many factors including habits such as coffee, tea, wine, or cola consumption. If you have any questions please call our office.

Periodontal Maintenance

Congratulations! It's been our pleasure working with you to get you back on track. The deep cleaning can stop the gum disease from progressing further, but it requires careful maintenance to avoid any relapse. You are now ready to begin the vitally important maintenance phase which will monitor, stabilize and control your periodontal disease.

According to the American Academy of Periodontology, “following a course of active periodontal treatment and periodic ongoing care at regularly prescribed intervals is essential. The majority of clinical studies have shown that 3 months is the most effective in controlling disease”

Periodontal disease or infection can recur. Continued maintenance is absolutely necessary to prevent this gum infection from becoming active once again and destroying what healing has occurred. Scientific studies support the belief of experts that the most important aspect of periodontal treatment is the long term maintenance therapy.

Individuals vary in their response to periodontal disease and resistance to the disease varies at different times of our life. When periodontal disease recurs following treatment, it may do so without signs or symptoms to the patient. This is why regular, frequent periodontal maintenance visits are so very important. The following treatment is included in a periodontal maintenance appointment.

  • Evaluation of oral health to detect subtle signs of disease recurrence
  • Appropriate debridement of teeth and gums (professional cleaning)
  • Antimicrobial therapy to destroy difficult to reach bacteria
  • Evaluation of home-care regimes and aids
  • Oral health evaluation including oral cancer screening

contact us today!

Are you ready to experience Tailor-Made Care? Contact our office today!

(407) 755-0936

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