Post-Appointment Care

HOME CARE INSTRUCTIONS

Please do not eat until the anesthetics wear off. Please keep to soft foods for 24 hours after the procedure. (i.e., soups, smoothies). Generalized discomfort to be remedied with over the counter pain medication. If pain is excessive, please contact Dr. Pham at the 24 hour phone number given. Please avoid all excessive activity. Do not do things that will raise your blood pressure. Go home and rest.

Extraction Patients:

For proper care of blood clot, please maintain gentle pressure by biting on gauze sponge for 45 minutes over the surgical area. If bleeding persists, replace gauze as needed. Please go home and stay off your feet. Do not rinse, spit, swish, or take any liquid by straw for at least 36 hours. After that, you may gargle with warm salt water to keep area clean. Use a concentration of ¼ teaspoon of table salt in 8 oz of warm water. The use of commercial mouthwashes during the healing period is discouraged because it may cause burning and discomfort. Avoid spicy and citrus foods, alcoholic beverages, and smoking for at least 48 hours to avoid delayed healing. You may brush carefully but thoroughly around surgical area. If sutures are placed, you should return for removal on the appointment date given. If immediate prosthetics (dentures) were placed, please wear as healing cap for 48 hours.

Crown, Bridge, Filling or Veneer Patients:

Avoid chewing directly on area for at least 24 hours.
Stay away from sticky or chewy foods to avoid dislodging temporary crowns. Continue to maintain proper home care (i.e., brushing and flossing). Floss vertically toward the gum and then pull out horizontally. After anesthetic wears off, if your bite feels high, please call our office ASAP for proper adjustment. In the unlikely event that the temporary does come loose, retain the temporary and call the office for further instructions. After receiving your final restorations, avoid sticky or chewy foods for 3-4 hours to allow the cement to fully set.

Root Canal Patients:

Some discomfort may occur when the local anesthesia (numbness) wears off. Expect the tooth to be sensitive when chewing. The discomfort will depend primarily on the severity of the abscess (infection), if present. Eat soft or liquid foods, avoiding the tooth in treatment during the first 24 to 48 hours. If a temporary restoration is placed on root canal treated tooth, please schedule a follow-up appointment to restore tooth with a final restoration. Normal homecare should be carried out following the root canal therapy.

Dermal Filler Patients:

DO NOT:  touch, press, rub or manipulate the implanted areas for the rest of the day after treatment.  Avoid kissing, puckering and sucking movements for the rest of the day as these motor movements can undesirably displace the implanted dermal filler material.  Irritation, sores, and post operative complications including scarring are possible if you manipulate the dermal filler implants.

AVOID:  Alcohol, caffeine, motrin, gingko biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, fatty acids, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, or cigarettes 24 hours before your treatment.  This is to reduce the incidence of bruising after these procedures.

AVOID:  Vigorous exercise and sun and heat exposure for 3 days after treatment.

DISCONTINUE:  Retin – a 2-days aftertreatment. It is best to wear no makeup or lipstick until the next day.  Earlier use can cause pustules.

  • One side may heal faster than the other side.
  • You can expect some bruising and swelling around the areas that were injected. Apply ice for the first hour after treatment for ten minutes on and ten minutes off.
  • You must wait 2 weeks before any enhancements.

***Please report any redness, blisters, or itching immediately if it occurs after treatment. ***

At-Home Bleaching Patients:

Some may experience discomfort and sensitivity during and/or after bleaching procedure. If this occurs, you may use bleach trays every other day instead of every day. We can also recommend an over-the-counter fluoride rinse that can help reduce the sensitivity. You should schedule appointments with our office for periodic evaluations and shade check.

In-Office Whitening Post-Care Instructions:

Everyone’s teeth has a protective layer called the acquired pellicle. This layer contains the surface dental stains; stains are removed during a regular dental cleaning or the whitening process. It takes 12 to 24 hours for the barrier to fully develop again. To maximize the whitening, we ask that for the next 48 hours, you DO NOT consume dark or yellow staining substances such as:

All Tobacco Products, Coffee, Tea, Red Wine, Tomatoes,  Red Sauces, Soy Sauce, Soft Drinks,  Potato Chips, Mustard, Ketchup, Berries, Chocolate,  Beetroot, Curry, Dark Meats, and Avoid Colored Lipstick

Remember that you must not use any colored toothpastes or gels for the first 48 hours. In addition, do not use any colored mouthwash or home fluoride treatments. If your daily homecare involves the use of Perio Rx or any Chlorahexidine, please wait 48 hours before continuing the usage of this product. If post operative sensitivity occurs, chew sugarless gum to reduce the peroxide levels, take an Advil or Tylenol, or what you would normally use for a headache, and brush with Sensodyne.

FOOD & DRINK RECOMMENDATIONS FOR 48 HOURS

  • Main Entrée Suggestions: Turkey, white tuna (no vinegar), white fish, canned chicken breast, chicken breast without the skin, grilled cheese with white cheddar or mozzarella cheese, pasta with white sauce such as alfredo.
  • Side Dish Suggestions: Plain pasta, white rice, mashed or baked potato (no peel).
  • Beverage Suggestions: Milk, water, clear soda (sprite) or tonic.
  • Alcohol Suggestions: Gin or Vodka (no orange juice). White wine is ok.
  • Fruits & Vegetable Suggestions: Apples, bananas, pears (no peels) and cauliflower.
  • Snack Suggestions: Cottage cheese, plain or vanilla yogurt, snack wells vanilla cookies, vanilla pudding, white cheese, white cheddar or mozzarella.
  • Condiment Suggestions: Mayonnaise, sour cream and white gravy.
  • Carbohydrate Suggestions: White bread (no crust), flour tortillas (white), crackers.
  • Breakfast Suggestions: Pancakes with white syrup, egg whites, oatmeal, cream of wheat.

Additional ways you can help maintain your sparkling Zoom! smile is to avoid staining related habits, use an electric toothbrush, floss and have regular professional hygiene visits twice a year to keep your smile its whitest!

BOTULINUM TOXIN (BOTOX®):

The following guidelines for post-treatment have been used for years, and are still employed today to prevent the possible side effect of ptosis (drooping of the eyelids).  These measures should minimize the possibility of ptosis:

  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It is now known that it takes the toxin approximately 2 hours to bind itself to the nerve to start its work, and because we do not want to increase circulation to that area to wash away the Botox® from where it was injected.
  • Avoid manipulation of area for 3-4 hours following treatment. (For the same reasons listed above.) This includes not doing a facial, peel, or micro-dermabrasion after treatment with Botox®.  A facial, peel, or micro-dermabrasion can be done in same appointment only if they are done before the Botox®.
  • Facial exercises in the injected areas is recommended for 1-hour following treatment. This is to stimulate the binding of the toxin only to the localized area.
  • It can take 2 -10 days to take full effect. It is recommended that the patient contact the office no later than 2 weeks after treatment if desired effect was not achieved and no sooner to give the toxin time to work.
  • Makeup may be applied before leaving the office.