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                                          Manalo Family Dentistry 

                                           McMurray Dental
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POST OPERATIVE INSTRUCTIONS

FILLINGS
For silver/amalgam fillings you must wait 1 hour before eating unless you are numb then you must wait until the numbness is gone.  You must wait 24 hours before eating harder foods.  The larger the filling, the more post op sensitivity you will experience and for longer periods of time.  If you experience a lot of pain or pain that worsens as time passes, please call us immediately.  For white/composite fillings you may eat immediately unless you are numb. Large composites also have the same issues with sensitivity as silver fillings.

CROWNS & TEMPORARY CROWNS
you must wait 1-2 hours for the cement to dry before eating unless you are numb then you must wait for the numbness to pass.  for temporary crowns you must avoid anything sticky or hard and refrain from flossing while you are wearing the temporary crown.  with permanent crowns you can resume your normal eating and daily brushing and flossing.  

LOCAL ANESTHESIA
there may be pain and swelling in and around the injection site(s).  do not do any chewing and avoid hot drinks while you are numb.  avoid rubbing or biting your lips and tongue while you are numb.  If the numbness lasts more than 24 hours, please call our office immediately.  

WHITENING
brush and floss daily, maintain regular check ups and cleanings.


BITE/OCCLUSAL GUARD
wear the device nightly if possible.  the device is brushed and cleaned every morning in cool water and stored in a cool place.

FLIPPER (IN CONJUNCTION WITH AN IMPLANT)
wear the device during the day.  it may need to be removed while eating depending on comfort and stability.  the device is cleaned with a brush and water.

DENTAL IMPLANT
brush and floss regularly around the implant and avoid extremely hard foods and do not use your teeth as a tool.

FLUORIDE
for the next 4-6 hours after application-do not brush or floss, avoid hot drinks, avoid hard or crunchy foods, avoid products containing alcohol, and avoid other products that have fluoride like toothpastes, rinses, and gels.
after the 4-6 hours pass you can resume your normal activities. DO NOT USE IF YOU HAVE PRESCRIPTION FLUORIDE MEDICATIONS SUCH AS GEL-KAM OR PREVIDENT FOR 3 DAYS AFTER TREATMENT.
A thorough brushing and flossing after the 4–6-hour window will remove any remaining traces of your fluoride varnish.
CORE/POST & CORE
wait 1-2 hours before eating.  avoid anything hard until a permanent crown is placed.

PERIO/GUM TREATMENTS
be careful with hard foods.  there may be sensitivity with hot and cold for several weeks.  tooth sensitive toothpastes can help with this temperature sensitivity.  you may experience tooth mobility as a result of all the bone damage from the gum disease.