• If you received anesthesia, do not chew until the numbness has subsided.
• For the first hour avoid chewing
• For the first day
• - Avoid eating hard or sticky foods
• - Brush as usual, but floss with care
• - When flossing, remove floss from the side of the tooth
• To protect your crown, avoid chewing hard objects such as ice.
• Crowns can be brushed and flossed normally, but a desensitizing toothpaste can be used if teeth are sensitive to cold.
• Gum soreness is normal for a few days.

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 sensitivity protection toothpaste until it subsides.
• If it continues beyond a week or so or seems to worsen please call our office.
• Discontinue the use of any whitening toothpaste or other whitening products until the sensitivity subsides.
• Finally, if your bite seems off or if you cannot bite normally please call the office to have your bite adjusted.
• Do not wait for it to wear down on its own. Let us know if you have any other concerns.
• If you have any questions please call @ +91 93288 02881

Within the first 24 hours:

• Bite firmly on a gauze pad for at least 60 minutes and as long as necessary to deal with the heavy oozing that is normal after an extraction. Insert a clean gauze pad after one hour if there is profuse oozing. Oozing may continue for 24 hours.
• Avoid spitting, sucking on candy, or sucking 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.
• 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.

In case of discomfort:

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

After 24 hours:

• Begin eating normally as soon as it's comfortable.
• 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, or rinse with warm salt water two to threetimes a day for one week.
• Contact our office if you experience heavy bleeding, pain or swelling for morethan two days, a bad taste in your mouth, or if you have a reaction to themedication.
• If you have any questions please call @ +91 93288 02881

• If you received anesthesia, do not eat or chew until the numbness has subsided.
• Wait one hour 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 prescribed)

If you have any discomfort:

• Take a pain reliever before the anesthetic has worn off or as recommended.
• Rinse mouth with warm salt water.
• Contact our office if you experience bleeding that continues for more than three days or if you have any other concerns.
• If you have any questions please call @ +91 93288 02881

Plaque can form on dentures, just like natural teeth. If it is not removed every day, your dentures may look less white and bright. It is important to clean dentures daily to avoid denture odor.

• Clean your dentures over a sink filled with water to avoid breakage if they drop.
• Rinse dentures thoroughly in warm water to remove any loose food particles.
• Use denture cleaner or cleansing tablets such as Fixodent. Some conventional toothpaste, bleach, vinegar, and soaps are notdesigned for denture cleaning and could, in some cases, cause damage. Scratched dentures will harbor unsightly plaque and bacteria, causing denture odor. Harsh products like bleach may even turn the pink partsof your denture white.
• Moisten a denture brush (not a soft-bristle toothbrush) to clean all surfaces of your denture gently. Brushingtoo hard can damage any plastic or metal parts. Rinse and brush in clean warm water.
• Use a soft-bristle toothbrush and toothpaste to brush your gums, tongue, palate, and natural teeth before reinserting your dentures. This removes plaque from your mouth and stimulates circulation.
• Rinse with a mouthwash for a refreshing feeling.
• If you have any questions please call @ +91 93288 02881

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 until it subsides.
• If sensitivity persists beyond a week or seems to worsen please call our office. Discontinue the use of any whitening toothpaste or other whitening products until the sensitivity subsides.
• Finally, if your bite seems off or if you cannot bite normally please call the office to have yourfilling adjusted. Do not wait for it to wear down on its own as the tooth may become tender.

Your new filling does not require any additional care other than daily brushing and flossing.

• Be sure your toothpaste contains fluoride. New fillings are susceptible to developing new decayaround the edges of the filling if not cared for.
• If you have experienced recurrent decay or have had multiple recurring cavities you may wantto use a fluoride rinse.
• There are also prescription strength fluoride paste and gels that our office can recommend.
• If you have any questions please call @ +91 93288 02881

Everyone's teeth have a protective layer called the acquired pellicle. This layer contains thesurface dental stains and is removed during a regular dental cleaning or the whiteningprocess. It takes twelve to twenty-four hours for the barrier to fully develop again. Duringthis period we ask that you avoid the items listed below.

White and clear foods you mayconsume for the next 24 hours:

• *milk, water, clear soda
• *bananas, apples (no peel)
• *white bread, flour tortillas
• *oatmeal, cream of wheat
• *plain yogurt, white cheese, sour cream, cottage cheese
• *white rice, baked potato
• *plain pasta and white sauce

We recommend that you avoid the following for the next 24 hours:

• *red wine
• *coffee
• *dark colas
• *red sauces
• *mustard or ketchup
• *soy sauce, A-1 sauce
• *smoking or anything that would stain a white shirt

• You may also experience some tooth sensitivity during this period. If you do have any sensitivitysymptoms, you may take whatever you would normally use for a headache.
• Whitening works best on yellow stained teeth. Gray teeth are more difficult to whiten, or may notrespond 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 habitssuch as coffee, tea, wine, or cola consumption and smoking.
• At Home Whitening trays will be needed to maintain your new color. This could be done once every six months or every year. Depending on your habits (smoking, coffee, etc.). Touch-ups shouldrequire only wearing the trays once or twice to bring back the brightness.
• If you have any questions please call @ +91 93288 02881

• If you have had anesthetic, please be careful not to bite your tongue or the inside of your cheeks.
• Avoid eating chewy foods until the numbness has worn off.
• Initially you may experience some sensitivity to cold as the tooth may be slightly irritated by the cement. 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 slight 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 simple not true. Crowns and bridges are still susceptible to decaynear the gum line the same as a natural tooth.
• The crown strengthens the portion of the tooth above the gum line but this margin area requires special care. Normal brushing and flossing is a must.
• Additional use of a fluoride rinse/mouth wash and a high fluoride content toothpaste or gel is excellent for preventing additional root decay. These additional aids are extremely important for patient with a high decay rate and/or a history of periodontal disease.
• Mostly all crowns and bridges have a ceramic outer layer or are all ceramic. These materials are verystrong 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 could damage a natural tooth. DO NOT CHEW ICE! The extreme temperature change greatly increases the fracture of porcelain andnatural teeth.
• Fixed bridges require addition cleaning under the pontic (missing tooth). Since this “Fake tooth” is connected to the adjacent teeth a bridge threader is used to thread floss under it to remove plaque. These are readily available at most pharmacies. We would be happy to demonstrate how to use them.
• Avoid chewing anything very hard or sticky on the crown. Examples to avoid: Chewing Gum, Hard Crusty Bread, hard candy, papdi/papad no lot.
• It is important that the crown (or bridge) stay in place. If the crown becomes dislodged or feels uncomfortable, please call us so that we may see you as soon as possible.
• Do not attempt to "glue" the crown back in yourself or "go without it" 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.
• Brush as usual, but floss with care. When flossing, remove floss from the side of the tooth. It is important to brush and keep gum tissue as clean as possible. Remember, we are happy to see you to check the crown if you have a question prior to insertion of the permanent crown.
• If you have any questions please call @ +91 93288 02881

• New wearers often report a "full-mouth" feeling, as though the dentures are too big and pushing the lips forward. This feeling will wear off as you adjust.
• Your dentures may feel like they don't fit properly at first. They may "gag" you, or cause you to bite your cheeks or tongue.
• If you wear an upper denture, it may take some time for your tongue to get used to the feeling of being pressed against the denture and not your palate.
• Don't worry. These problems will lessen over time. Because a denture is a "foreign object" in the mouth, you may produce more saliva for a while. This, too, will lessen and eventually go away.
• Something as simple as sucking a mint will encourage you to swallow more frequently, clearing away excess saliva.
• Some soreness is to be expected, usually within a few hours of putting your dentures in your mouth. However, if soreness becomes a problem, make an appointment with our office for an adjustment.
• Never try to make adjustments to your dentures yourself.
• Patience and practice will help you build confidence with the important activities of speaking and eating. When you speak , much of the sound of your own voice reaches your ears through vibrations in the bones of the jaw and skull.
• Wearing dentures changes the sound and makes it seem louder. This change will be much less noticeable to others than to you.
• If your dentures "click" when you speak, try speaking more slowly. Slower speech helps avoid movements that raise or move the lower denture.
• The muscles of your lips, cheeks, and tongue are learning to keep the denture in place.
• Time and practice will help overcome this difficulty. For confident speaking try to bite and swallow to position your dentures before you speak.
• Practice reading aloud in front of a mirror to help your tongue to get used to your dentures.
• A small amount of denture adhesive like Fixodent will also increase your sense of security.
• To improve eating, begin with small amounts of food. Instead of biting intofood with your front teeth, cut it into smaller pieces. When you put food in your mouth, divide it so that you arechewing one half on the back left side of your mouth and the other half on the back right. This will even out thepressure on your dentures.
• Start with soft foods such as eggs, cooked vegetables, andpuddings.
• Once you've gained more confidence with your dentures, try tougher foods like steak and celery.
• Atfirst you may feel that food has lost its flavor. This is because the messages your brain is receiving about yourdentures can, for a short time, overpower those from your taste buds.
• You may also have trouble sensing how hot food and drinks are at first. Taste carefully so you don't burn yourmouth.
• If you have any questions please call @ +91 93288 02881

Once your implant has been placed by the surgeon, follow his directions and report any abnormalities to their office immediately. Our final restoration phase will begin as soon as the surgeon gives the ok to proceed. This is typically 3-6 months following implant placement. If you are wearing any type of temporary prosthesis from our office please call if you have any difficulty with it.

Fixed Implant Restorations:

• If your restoration is a single crown or a bridge with multiple teeth that do not come out of the mouth follow these instructions.
• Your restoration is cemented to an abutment that is attached to your implant by a screw. Great care was taken to tighten the screw properly so it does not loosen. In rare instances these screws can loosen.
• It isimportant to notify us if you think you feel any movement in the tooth. This may indicate that the retaining screw is loosening. Loose screws are prone to fracturing and can be difficult orimpossible to remove.
• It is also imperative to return for regular dental checkups so we can inspect the implantrestoration.
• Maintain the gum tissue around the implant with normal brushing and flossing.
• Ifyou experience any slight bleeding or inflammation of the gum tissue, use a warm salt waterrinse 3-4 times a day. If not resolved in 3-4 days call our office. Immediately report any excessbleeding or swelling around the implant area.
• Do not use toothpicks or any metal type picks around the implant. This could cause serious damage to the implant.
• There areimplant safe instruments we can recommend if additional cleaning aids are needed.
• Thecrowns attached to your implants require the same care as a normal crown.
• Do not chew ice asit will cause the porcelain to fracture. Exercise caution when eating very hard foods and do nottry to open or tear items with your teeth.

Removable Implant Restorations:

• If you can remove your restoration follow these instructions.
• Your denture or partial attaches to your implants with various nylon retainers that are embedded into your prosthesis. These retainers will require replacement as time goes on. The time frame varies so if you notice that your prosthesis is loosening it may be time to have the retainers replaced.
• We recommend that you remove your teeth at night and thoroughly clean them with a denture brush.
• Food and tarter can build up around the retainers and prevent them from completely attaching to your implants. Also use a commercial cleaner such as Stain Away of Efferdent at least once a week. Your implants will have receptors attached to them that will either look like a gold bar or a metal basket. These need to be kept thoroughly clean.
• Food and tarter build up will prevent your attachments from completely seating and your prosthesis will be loose.
• They also need to be bushed like natural teeth to keep the gum tissue healthy around the implants.
• Do not use toothpicks or any metal type picks around the implants.
• Our office can recommend additional cleaning devices if needed. Your implants are susceptible to gum disease the same way teeth are. If proper hygiene and regular dental cleanings are not followed your implants can be lost to periodontal disease.
• The retainers attached to your implants are held in by screws. It is extremely important to return to our office periodically to have these evaluated. If you notice any loosening of your receptors, notify our office. Loose screws are prone to fracture and can be difficult or impossible to remove.
• If you have any questions please call @ +91 93288 02881