Home Care Instructions

After Cosmetic Bondings

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 (Motrin) 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 mouthguard. 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.

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After crown and bridge appointments

Crowns and bridges usually take two 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 Newburgh Office Phone Number 845-562-1108.

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After Tooth Extraction

After tooth extraction, it’s 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 retard 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 Newburgh Office Phone Number 845-562-1108.

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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 (Motrin), 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 Newburgh Office Phone Number 845-562-1108.

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Post-Op Denture Care Instructions

  • Take denture out every night.
  • Brush denture with water and a toothbrush
  • Place it in a denture cup with 1/2 mouthwash and 1/2 water.
  • Let it soak overnight.
  • In the morning rinse denture with water and put it in mouth.
  • Never wrap your denture in a napkin while eating because it can easily be thrown out that way.
  • Do not leave out on the table, especially if you have dogs. They love to chew on them!
  • If you have any questions do not hesitate to call us.
  • Even with full dentures it is important to get a yearly exam. So, make sure you schedule an appointment with us.

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Scaling & Root Planing Post-Op

To minimuze the discomfort and encourage proper healing following your scaling and root planing, follow these instructions:

  • After the procedure, take acetaminophen (Tylenol), or Ibuprofen (Advil) before the anesthetic wears off. Continue to take one tablet every four hours for the next two days if needed.
  • After a 6 hour period (12 hours if arestin was used), use of saltwater solution (1/2 teaspoon of salt + 1/2 teaspoon of baking soda + 8 ounces of warm water) swished in your mouth for 2 to 3 minutes every hour may make your mouth more comfortable.
  • Use of a soft toothbrush at least 2 times a day. Be gentle and clean thoroughly. Slight bleeding may occue while brushing as the tissues begin to heal. Also, flossing twice a day is recommended. (Do not do this step if Arestin was used during your scaling & root planing).
  • Avoid spicy seasonings, and hard crunchy food for the next few days. 
  • Smoking should be stopped. Success of the treatment will be substantially reduced by the cigarette smoke chemicals in your body.
  • As the tissue heals, some temporary sensitivity to cold may occur. Use a desensitizing  toothpaste (such as Sensodyne) or a fluoride gel (such as Prevident) at least 4 times a day for 1 to 2 weeks. The cleaner the teeth are kept, the less sensitive they will be.
  • Faithfully use any other oral hygiene aids that have been recommended (floss, Perio-Aid, rubber tim, Electric toothbrush, Proxabrush, Peridex mouthrinse, etc.)
  • If you have any questions or concerns, please call Dr. Koumas‘s office at Newburgh Office Phone Number 845-562-1108

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Scaling & Root Planing with Arestin Post-Op Instructions

What is it? Arestin is bioresorbably gel containing Minocycling (a tetracycline derivative) Microspheres. It has been FDA approved for treatment of gum disease after a deep cleaning procedure known as scaling and root planing.

How does it work on gum disease? When placed in a periodontal pocket, Arestin maintains a high level of antibiotic right at the gum disease site without exposing the rest of the body to antibiotics. This allows treatment using one-hundreth the usual pill form dose. It directly fights the gum disease infection for 30 days.

How do I get the best results from my treatment with Arestin?

  • Avoid touching the treated areas for one week.
  • Wait 12 hours after your treatment before brushing teeth.
  • Wait 10 days before using floss, toothpicks, or other devices designed to clean between the treated teeth.
  • Avoid foods for 1 week that could hurt your gums, such as hard crunchy foods or strong spicy seasonings.
  • Don’t chew gum or eat sticky foods.
  • After 10 days, resume cleaning between the treated teeth on a daily basis.

Remember, you must do your part. After your Arestin therapy. If you don’t brush at least 2 times per day and floss every day as directed, any dental treatment of your gum disease will not work effectively.

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