What to do and, more importantly, what not to do after performing common procedures at Lumed.

After each procedure our patients receive detailed instructions on what to do and not do, what our patients can expect and how to behave. After certain procedures however, our patients may be tired, distracted by other events or simply preoccupied, and the following will help explain what our patients can expect and provide basic instructions to be followed after each procedure.

Tooth Extraction

As a procedure tooth extraction is not painful, but our patients can expect pain once the anaesthesia wears off. The pain patients can expect is moderate and can be treated with painkillers (ibuprofen). Bleeding can also occur, but unless this bleeding is profuse and prolonged, this is not a worry.

What to do after an extraction?

  1. Do not smoke for at least 24 hours, preferably for a couple of days. Smoking can cause inflammation and severe pain.
  2. Do not swill liquids or rinse the socket. This will result in the blood clot, which is essential for the socket to heal, being washed away, potentially causing severe pain and inflammation of the socket and the surrounding tissue.
  3. Avoid active sports. Strong physical activities increase circulation which results in stronger blood supply to the socket and subsequent severe bleeding.
  4. Eat on the opposite side of your mouth.
  5. Avoid carbonated or hot drinks.
  6. If swelling occurs you can put a cold compress on your cheek (without applying pressure).
  7. Brush other teeth whilst avoiding the area around the exposed socket.
  8. Contact your doctor if there is profuse and prolonged bleeding, severe pain that lasts for days after the extraction or any subsequent swelling.

PRGF (Plasma Rich Growth Factors) Treatment

Redness around the area of treated skin, small haematomas at the injection site and small bumps are normal after PRGF treatment. The redness and small bumps will disappear after few hours and if haematomas appear they are an absolutely normal phenomenon that relate to the skin’s structure and blood supply and will pass within a few hours/days.

Exposure to the sun should be avoided and patients should use UV-protective sun creams.

There are no limitation to returning to work the following day.

Whitening

Tooth sensitivity may occur after whitening, but this passes within a few hours or days. Hypersensitivity to external stimuli (cold drinks, ice, ice cream, sour fruit such as lemons or pineapples) can also exacerbate tooth sensitivity, and it is recommended that patients should avoid food and drinks that differ greatly in temperature. Whether these symptoms occur depends on the whitening technique used and the condition of your teeth.

What to avoid.

Smoking

Drinks: coffee, red wine, blackberry liqueur, chokeberry and blackberry cordials and black and green teas.

Spices: turmeric or curry.

Fruits: blackberries, chokeberries or beetroot

If whitening is performed using splints, then it is preferable that patients do not consume any of the foodstuffs listed above. However, if you choose to eat some of them, these foodstuffs will not interrupt the teeth whitening process, but it is advisable to follow these guidelines to get the best possible result.

After whitening it is recommended that patients use toothpaste for sensitive teeth and regularly maintain their oral hygiene in addition to regular tartar removal and cleaning with dental sand to make the whitening last as long as possible.

ICON (Icon Resin Infiltration) Treatment

The removal of white sports through the ICON system is a minimally invasive procedure that causes absolutely no pain. Patient may feel minimal hypersensitivity on the day of the treatment, which will disappear entirely, together with hypersensitivity that was present prior to the treatment.

Furthermore it is important to note that the teeth will be dehydrated and the results will look even better the following day once the tooth has rehydrated.

Prosthetics

There is always an adjustment period following prosthetic therapy. A single tooth may be replaced with a prosthetic or all teeth may be replaced with circular bridges or dentures. These result in a different number and shape of teeth, more bite surfaces, a changed bite and differing vertical dimension. This can mean that patients have more teeth than before, and often, if they had no teeth for longer period of time, they can have a ‘full’ mouth feeling where it can feel there is insufficient space for the tongue.

This feeling can lead to difficulty with phonation, especially to ‘slurring’, but this lasts for a very brief period of time.

Once cementing work has finished the abutment tooth may be sensitive, but again this is quite normal and does not last very long.

With mobile dentures it is also normal for some rubbing to occur at the beginning, but this can be resolved quickly and easily, by a visit to the surgery. Patients should also understand that they must learn to live with dentures, and that it may take some time for them to accept them as foreign objects (which they obviously are). This does not mean that dentures are not a good solution, but it does mean that they require a longer adaptation period and corrections.

Once cementing has taken place for fixed prosthetics (bridges or crowns), patients are made aware of the importance of oral hygiene and aids such as floss and interdental brushing and showers. It should also be noted that maintaining good dental hygiene and attending the surgery for regular check-ups and tartar cleaning is essential for ensuring the longevity of any dental work.

Tooth Repair

Once a tooth has been repaired or an old filling has been replaced it is possible that there might be tooth sensitivity. If a tooth was affected by a deep cavity each patient will be informed on an individual basis on what to expect and when to return. Such deep cavities can be compared to deep wounds where it is naturally expected that the body will react after a procedure. If pain occurs, it is mild to moderate in its intensity, as can be treated with a painkiller. Small fillings result in almost no pain or sensitivity.

Once repaired you can eat or drink whatever you want because the white composite filling are completed in the surgery and require no further ‘hardening’.

Endodontics/Dental Treatment

Dental treatment is a complex procedure and involves different stages of inflammation, medications, materials and grounds upon which treatment is carried out, so it is important to emphasise to patients what outcomes are expected after each visit.

Patients can suffer a variety of symptoms, from absolutely no complaints to severe pain and swelling. We always explain what our patients can expect and when to come to the surgery. Our general rule is that patients should come to the surgery immediately if they are suffering severe pain or swelling.