Home Care Instructions

After Cosmetic Reconstruction

Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the brain to recognize the new position of your teeth or their thickness as normal. If you continue to detect any high spots or problems with your bite, call our office so we can schedule an adjustment appointment.

It is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (a teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one tablet of Tylenol or Ibuprofen (Advil) every 3-4 hours) should ease any residual discomfort.

Don’t be concerned if your speech is affected for the first few days. You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside to normal in about a week.

Daily brushing and flossing are a must for your new dental work. Daily plaque removal is critical for the long-term success of your new teeth, as are regular cleaning appointments.

Any food that can crack, chip or damage a natural tooth can do the same to your new teeth. Avoid hard foods and substances (such as beer nuts, peanut brittle, ice, fingernails, or pencils) and sticky candies. Smoking will stain your new teeth. Minimize or avoid foods that stain such as coffee, red wine, tea and berries.

If you engage in sports let us know so we can make a custom mouth-guard. If you grind your teeth at night, wear the night guard we have provided for you. Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, please let us know. We always welcome your questions.

After crown and bridge appointments

Crowns and bridges usually take two or three appointments to complete. In the first visit, the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness is completely worn off.

Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.

To keep your temporaries in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up on the floss which may dislodge the temporary but pull the floss out from the side of the temporary crown.

It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office at Mississauga Office Phone Number 905-567-4999.

After Tooth Extraction

After tooth extraction, its important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and slow down the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately at Mississauga Office Phone Number 905-567-4999.

After Composite Fillings (white fillings)

When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivity after your appointment. Injection sites may also be sore. Ibuprofen (Advil), Tylenol or aspirin (one tablet every 3-4 hours as needed for pain) work well to alleviate the tenderness. If pressure sensitivity persists beyond a few days or if the sensitivity to hot or cold increases, contact our office.

You may chew with your composite fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office at Mississauga Office Phone Number 905-567-4999.

After ZOOM Whitening

1. Most patients experience sensitivity.  If sensitivity occurs please continue to use the “Relief ACP” gel provided. Place a small amount in the trays provided and wear for 30 minutes a few times per day until sensitivity subsides. A pain medication such as Advil or Aleeve can be taken as well.  Continue to use Fluoridex Daily Defense 5000 PPM Neutral Sodium Fluoride Sensitivity Relief with 5% KNO3 twice daily  as well.

2. Everyone’s teeth have a protective layer called the acquired pellicle. This layer contains the surface dental stains and is removed during a regular dental cleaning or the whitening process. It takes twelve to twenty four 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           

Red Wine

Mustard / Ketchup            

Soy or Steak Sauce

Avoid Colored Lipstick

lettuce & tomatoes

Berries, Grapes or any fruit with colour

Red Meat (steak or hamburger)      

Coffee / Tea

Soft Drinks / Potato Chips

Red Sauces        

Acidic foods such as oranges

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 Fluoridex Daily Defense 5000 PPM Neutral Sodium Fluoride Sensitivity Relief with 5% KNO3.

 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, 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.

3. Two weeks to a month following the procedure the teeth may begin to stain. Now is when at home applications can be started with the whitening material provided and the trays that our office fabricated to fit your teeth. To do so:

  • Place a small dab of the whitening material on the outside of the 10 front teeth (up to the second pre-molar) in the upper and lower arch.
  • Be sure to brush and floss before beginning to whiten.
  • Place trays over teeth and then wash hands.
  • The trays are to be worn once or twice per day for up to 1 hour but
  • Once complete, clean trays with an old toothbrush and liquid hand soap.
  • If the teeth become sensitive following the at the home whitening, no longer than 1 hour at a time. please use the “Relief ACP” gel that was provided in the trays as explained in step one.

If you have questions or concerns please call us at Mississauga Office Phone Number 905-567-4999.

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!