Patients dental instructions

This treatment itself is painless. However between visits is likely to present some pain may be caused by:

• Iirritation around the tooth, because of the required manipulations of the treatment or
• A come back of old infection that existed before, but was in decline
The symptoms are varied and can be a simple sensitivity tooth during mastication, a feeling of heaviness or swelling rarely area and pain. In this case, follow the instructions below:
1. Make oral rinses with warm salt water or chamomile. The liquid should be quite hot, as you tolerate it, washes lasting 5 minutes and will be repeated every 1-2 hours
2. If you notice the appearance of puffiness, put outside the region (on the skin) ice wrapped in a towel, hold it there 5-10 minutes and repeat every 1-2 hours.
3. Complete the treatment with hot mouth washes at intervals
4. If it hurts you, take painkillers tablets, one every 4 hours or 6 hours
• Do not hesitate to call us or notify as by contact form and we will answer as soon as possible
Symptoms that may occur between visits are not worrying about the fate of the tooth, or the affect the final treatment

The prosthetic restoration that you havein your mouth (porcelain bridge or removable partial denture) replacing some missing natural teeth

The materials used are biocompatible and do not deteriorate over time. However, we must not forget that the prosthetic restoration supported by natural teeth, which are living organisms and are threatened by diseases, both in themselves (caries) and tissues that support them (periodontal disease)

Indeed, teeth – supported are more at risk than the other teeth because:
i) Have increased microbial load (the presence of foreign material modifies the oral microbial flora)
ii) Practically, are more difficult to clean

Your own role in the long-term success of the prosthetic restoration is very important!

So to keep your healthy natural teeth for years, follow the instructions below:

1. Brushing teeth thoroughly 2-3 times a day for at least 5 minutes each

2. Use the special daily flossing (super floss) or interdental brushes, according the instructions given to you

3. Use fluoride solution after each brushing

4. Avoid frequent consumption of foods that contain sugar, especially in the time between meals

5. Avoid very hard foods (sesame, dragees, hard nuts, etc.) And generally putting excessive pressure on the teeth, such as grinding or clenching teeth, holding pipe or other objects with his teeth, biting pencil etc.

6. Do not forget the regular dental check up (every six months or more frequently in according the instructions given to you) is very important!

Oral care and hygiene instructions for patients undergoing periodontal treatment:

1. Systematic use of dental floss.

2. Better brushing based on the instructions given to you by the periodontist, change of technique where necessary.

3. Use of a motorized toothbrush or ultrasonic toothbrush.

4. Use mouthwash.

5. Use of interdental brushes.

6. Periodic re-evaluation by the periodontist, every 3-4 months.

Periodontal laser treatment:

1. Systematic use of dental floss.

2. Better brushing based on the instructions given to you by the periodontist, change of technique where necessary.

3. Use of a motorized toothbrush or ultrasonic toothbrush.

4. Use mouthwash.

5. Use of interdental brushes.

6. Avoid very hot and cold foods as well as sour and spicy foods during treatment.

7. Avoid smoking immediately after treatment, as it delays healing and facilitates infection.

8. Periodic re-evaluation by the periodontist, every 3-4 months.

Surgical periodontal treatment:

1. Use an analgesic before the anesthetic wears off. Possibly in accordance with the instructions of the periodontist, it is possible that antibiotic treatment is needed at the same time. Remember to avoid the simultaneous consumption of alcohol with painkillers – antibiotics.

2. Immediately after the surgery it is necessary to place ice on the operated area. Place it outside in the area for 5 minutes and take a 5 minute break. Repeat only the first 24 hours. This will greatly help you to avoid possible swelling. In case of excessive swelling, acute pain or fever, please contact immediately

3. It is perfectly normal for your saliva to feel bloody after surgery. Do not panic! In case of bleeding in the area, apply a sterile gauze for 15 minutes. In case the bleeding does not stop, please contact us immediately.

4. Avoid brushing your teeth, do not use mouthwash and interdental brushes on the day of surgery.

5. Avoid rinsing, spitting or sucking with a straw for 24 hours after surgery

6. After the first 24 hours after the operation you can use a toothbrush and interdental brushes in the non-operated areas and apply to gentle rinses with mouthwash indicated by the periodontist

7. If you wear a partial denture, it would be good to avoid placing it in the mouth for 48 – 72 hours after the operation, while do not forget that you will need to be meticulous enough so that your denture always stays clean after every meal.

8. Avoid smoking immediately after surgery, as it delays healing and facilitates the infection of the area.

9. Avoid physical exercise for a period of 7 – 15 days.

10. Avoid hot foods for the first 24 hours after surgery and prefer cold, soft foods such as yogurt, soups, purees, well-cooked vegetables, rice, spaghetti. Avoid chewing hard food on the operated area for 30 days.

11. Periodic re-evaluation by the periodontist, every 3-4 months.

Instructions for patients with composite veneers:

Congratulations!!!

In your mouth you have aesthetic restorations made with the latest dental technology, in materials and techniques.

To maintain the longevity and excellent aesthetic performance of resin surfaces in the long run, you need to follow some rules:

1. Brush with a soft toothbrush at least 2 times a day. Floss at least once a day, preferably before bedtime.

2. As with your natural teeth, your bonded restorations can become pigmented. For this reason, try to minimize the use of cigarettes, red wine, coffee, tea, chamomile, soy sauce, grapefruit juice, raspberry, beetroot. Daily brushing of your teeth usually removes stains.

3. If oral solution is required, use ½ hydrogen peroxide and ½ water solution or choose an alcohol-free solution.

4. Avoid or interrupt habits such as: opening packages with teeth, biting nails, pen, pin, pipe, chewing ice. Avoid direct bites on ribs, bones, nuts, crayons, nuts or other hard nuts. Also, biting foods such as apples, corn, carrots can exert additional stresses and lead to frequent repairs.

5. If small breaks or larger fractures are observed, the resin face can be repaired with the same material. It is a short-term appointment and the fee is similar to that of a simple occlusion of the front teeth

6. The duration of composite veneers depends on many factors. It’s like buying new tires. How long they will last depends on the quality of the tire, the surface of the road, the way you drive and how many kilometers you travel each year. In the same way, the longevity of your faces depends on your habits and how big tendencies develop in your front teeth.

7. As composite veneers are usually made in a single visit to the doctor’s office, you will have a different feeling with your lips and tongue when you first close your mouth. This is normal and expected when there are changes in the shape and size of the teeth. Your speech may also change to some degree or be affected initially, until your language assimilates the changes. Although the changes may be small (measured in millimeters), your mouth is very sensitive and will swell this first sensation. Usually after a few days, this sensation is normalized and your mouth will feel as familiar as before.

Instructions that need to be followed after bleaching:

Bleaching in the doctor’s office with LED lamp or LASER method:

To maintain the longevity and excellent aesthetic effect of teeth whitening in the long run, you need to remember some rules:

1. Brush with a soft toothbrush and whitening toothpaste at least twice a day. Floss at least once a day, preferably before bedtime.

2. Avoid eating foods with stains. Try to minimize the use of cigarettes, cigars, red wine, coffee, tea, chamomile, cola, soy sauce, grapefruit juice, cherries, strawberry, raspberry, beetroot, red meat. Daily brushing of your teeth usually removes pigments.

3. If oral solution is required, use a solution that does not contain chlorhexidine.

4. If you feel any sensitivity, you can take analgesic tablets, one every 4 hours or 6 hours

5. Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Whitening at home with splints:

To achieve the expected results from home whitening with personalized splints, you will need to follow the instructions below:

1. The whitening gel recommended for whitening your teeth, recommended only by the dentist and intended exclusively for dental use.

2. The whitening gel must be stored in a cool place. Especially in summer, you will need to keep it in the fridge.
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3. The amount of whitening gel you have received is enough for daily use for 15 days, at which time the whitening process with splints at home is completed. The amount of whitening gel that needs to be placed on the braces will be equal to one “lentil” on each tooth. Placing excess material on the splints does not speed up the bleaching process. Save on your hardware for extra security, but also to use it for as many days as possible. You can remove excess material from the gums with a cotton swab or your toothbrush.

4. Brush your teeth well before and after each application of the whitening gel on your teeth, as well as the use of dental floss. We recommend the use of whitening toothpaste to increase the whitening effect.

5. Always keep the whitening splints clean before and after applying the gel, rinsing with water. Always make sure they are dry before applying the gel.

6. Avoid eating or drinking immediately after removing the splint for one hour. Avoid eating foods with dyes. Try to minimize the use of cigarettes, cigars, red wine, coffee, tea, chamomile, cola, soy sauce, grapefruit juice, cherries, strawberry, raspberry, beetroot, red meat.

7. If you feel sensitivity in your teeth, stop using the teeth whitening gel for a day. If the sensitivity persists, tell your dentist.

8. By clicking on the image below, you will see the instructions for whitening at home with splints:

9. Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions for dentures:

1. In cases where they are placed in the mouth for the first time, they need the appropriate time to familiarize with the patients. This is always observed, no matter how well made they may be.

2. Dentures need to be checked by a dentist at least once a year, as all dentures wear out over time and need to be repaired or replaced.

3. Care must be taken in the way you brush your dentures so that they do not break. Use a nylon toothbrush to remove food waste on a daily basis. Put your denture in a special cleaner every night to remove pigments, remove bad breath and avoid mouth infections.

4. Chew with vertical movements instead of sideways.

Massage the gums with a soft toothbrush daily.

Instructions for dentures:

1. In cases where they are placed in the mouth for the first time, they need the appropriate time to familiarize with the patients. This is always observed, no matter how well made they may be.

2. Dentures need to be checked by a dentist at least once a year, as all dentures wear out over time and need to be repaired or replaced.

3. Care must be taken in the way you brush your dentures so that they do not break. Use a nylon toothbrush to remove food waste on a daily basis. Put your denture in a special cleaner every night to remove pigments, remove bad breath and avoid mouth infections.

4. Chew with vertical movements instead of sideways.

Massage the gums with a soft toothbrush daily.

Instructions for proper oral care in patients undergoing orthodontic treatment:

1. Brushing your teeth after every meall.

2. Frequent change of toothbrush, indicatively every 3 months.

3. Use mouthwash.

4. Frequent use of dental floss.

5. Regular check of the teeth by the orthodontist.

6. Avoid eating hard foods, sticky foods such as bread, crackers, popcorn, nuts, ice, candies, chewing gum. Of course you can eat foods such as apple, carrot and boneless meat as long as you cut them into small pieces.

7. In case of irritation on the cheek or lip, place a candle on the spot where the hook (brace) bothers you so that its rough edge is smoothed.

8. In case the orthodontic wire irritates the cheek or gums, use a pencil eraser and bend the tip of the wire towards the tooth, while if the wire loosens or breaks and you feel uncomfortable, put wax on the spot and contact us

Instructions for patients undergoing orthodontic treatment without braces (aligners):

Your role in the success of orthodontic treatment with splints (aligners) is very important!

1. Brush your teeth meticulously 2-3 times a day, for at least 5 minutes at a time.

2. Use the special floss (super floss) or the interdental brushes daily, according to the instructions given to you.

3. Orthodontic treatment without braces (aligners) is effective when applied 18 – 20 hours a day
If you wear them for less than 20 hours, their effectiveness will decrease and your teeth will move little or not at all.

4. Remove aligners when eating, brushing your teeth and drinking hot beverages and cola drinks

5. Clean the splints with toothpaste and rinse with lukewarm water (never hot) each time you remove and reposition the splint in your mouth.

6. To avoid the loss of splints (aligners) when you remove them from your mouth, store them in the special box
Do not place them on a napkin because you are sure to throw them away
Also do not put them in your pocket without having previously placed them in the special box, as they are more likely to warp or break.

7. When you come to our clinic for the recording and delivery of the next monthly set of splints, it will be good to keep the previous set
Do not throw it away, as we may need to back up the previous set.

8. When you change to the next monthly set of splints it is recommended to do it at night for easier adjustment to the new set

9. Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

First aid:

If you have a toothache and are unable to see a dentist right away, try the following:

1. Take an analgesic or anti-inflammatory painkiller.

2. Place a benzocaine-containing medicinal product directly on the tooth.

3. If you have edema (swelling) place an ice pack on the outside of your mouth and rinse with warm saline several times.

4. Contact your dentist immediately.

Caution: Do not put aspirin on the aching tooth. Aspirin contains acid and can cause burns in the area.

Instructions for proper brushing:

1. Brush your teeth at least twice a day and ideally after every meal.

2. Place the toothbrush along the gums forming a 45 degree angle with your teeth. Move the toothbrush gently in a circular motion back and forth, repeating for all teeth.

3. Brush the inner surfaces of the teeth in the same way.

4. Brush the flat surface of each tooth.

5. Use the tip of the toothbrush to brush behind your front teeth.

6. Do not forget to brush your tongue as well.

Instructions for proper dental flossing:

1. Take 45 cm of dental floss.

2. Wrap the tips around your middle fingers, threading more on one side than the other.

3. With your index fingers and thumbs, guide the floss between your teeth.

Floss the side of the tooth you want to clean.

5. Move the floss up and down between your teeth to remove plaque. Use a clean floss for each tooth.

Instructions after implant placement:

For better wound healing and avoidance of side effects, please follow the instructions below:

• The cotton swab or gauze placed on the operated area, hold him / her in this position, biting him / her for 30 minutes. If the bleeding persists, apply a new one for another 60 minutes. To minimize further bleeding, avoid exercise and sit up. If the bleeding persists for more than 24 hours, the patient must go to the doctor’s office.

• If swelling (swelling) occurs in the operated area after implant placement, it is recommended to place an ice pack orally for one hour. After 36 hours, the ice no longer has an effect. In case of jaw stiffness, do not worry, as this is a normal reaction after surgery.

• For the first 24 hours you will need to avoid eating hard and hot food. Consume only soft and warm food. At the same time, the chewing will need to be done for the next three 24 hours from the opposite side of the implant placement.

• Avoid rinsing your mouth with water or various antiseptics and touching the implant site, as this increases bleeding and delays healing. After the first 24 hours, rinses are made with chlorhexidine mouthwash, 3 times a day for 4-5 days and the teeth are cleaned normally, but with gentle movements.

• To prevent infection, always according to the surgeon’s instructions, you will need to have received one day before surgery and for 5-7 days, then, antibiotic treatment.

• Avoid smoking for at least 12 hours after surgery.

• If you feel nauseous or have a tendency to vomit, stop the analgesic or antibiotic for at least 1 hour after surgery. Take a sip of a soft drink (Coca Cola) or tea for 15 minutes. When the nausea subsides, you can eat solid foods and continue your medication. In case the symptoms do not subside, please contact the treating surgeon immediately.

• In patients who use dentures, it is advisable not to place them immediately after surgery and for an additional 15 days. Then, before they are placed, a soft coating will need to be applied by the prosthetist, a procedure that will be repeated every 15 days. Remember that you will need to be meticulous enough that your dentures always stay clean after every meal.

• Sutures are usually removed 10 – 15 days after surgery.

• Caution! If you get up suddenly, you may feel dizzy. If you are lying down and want to get up, make sure you sit for a minute before getting up.

• Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions after bone regeneration surgery:

For the best healing and avoidance of side effects, please follow the instructions below:

• Use an analgesic before the anesthetic wears off.
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• Follow your surgeon’s instructions for antibiotic treatment.

• Remember to avoid the simultaneous consumption of alcohol with painkillers – antibiotics.

• Immediately after the surgery it is necessary to place ice on the operated area. Place it outside in the area for 5 minutes and take a 5 minute break. Repeat only the first 24 hours. This will greatly help you to avoid possible swelling. In case of excessive swelling, acute pain or fever, please contact immediately.

• It is perfectly normal for your saliva to feel bloody after surgery. Do not panic! In case of bleeding in the area, apply a sterile gauze for 15 minutes. In case the bleeding does not stop, please contact the treating surgeon immediately.

• Avoid brushing your teeth, do not use mouthwash and interdental brushes on the day of surgery.

• Avoid rinsing, spitting or sucking with a straw for 24 hours after surgery.

• After the first 24 hours after the operation you can use a toothbrush and interdental brushes in the non-operated areas and proceed to gentle rinses with mouthwash indicated by the surgeon.

• If you use a partial denture, it would be good to avoid placing it in the mouth for 48 – 72 hours after the operation, while do not forget that you will need to be meticulous enough so that your denture always stays clean after every meal. If the denture rests on the operated area, inform the surgeon so that you can be given the necessary instructions.

• Avoid smoking immediately after surgery, as it delays healing and facilitates the infection of the area.

• Avoid physical exercise for a period of 7 – 15 days.

• Avoid hot foods for the first 24 hours after surgery and prefer cold, soft foods such as yogurt, soups, purees, well-cooked vegetables, rice, spaghetti. Avoid chewing hard food on the operated area for 30 days

• If you feel nauseous or have a tendency to vomit, stop the analgesic or antibiotic for at least 1 hour after surgery. Take a sip of a soft drink (Coca Cola) or tea for 15 minutes. When the nausea subsides, you can eat solid foods and continue your medication. If the symptoms do not go away, please contact your surgeon immediately.

• Sutures are usually removed 10 – 15 days after surgery

• The membrane used to cover and protect the bone graft should never be exposed, ie it should be visible to the mouth. If you see a white film at the site of the operation, it is possible that the membrane has been exposed. In this case it is necessary to contact your surgeon immediately.

• Caution! If you get up suddenly, you may feel dizzy. If you are lying down and want to get up, make sure you sit for a minute before getting up.

• Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions after sinus lift surgery:

For the best healing and avoidance of side effects, please follow the instructions below:

• Use an analgesic before the anesthetic wears off.

• Follow your surgeon’s instructions for antibiotic treatment.

• Remember to avoid the simultaneous consumption of alcohol with painkillers – antibiotics.

• Immediately after the surgery it is necessary to place ice on the operated area. Place it outside in the area for 5 minutes and take a 5 minute break. Repeat only the first 24 hours. This will greatly help you to avoid possible swelling. In case of excessive swelling, acute pain or fever, please contact immediately.

• It is perfectly normal for your saliva to feel bloody after surgery. Do not panic! In case of bleeding in the area, apply a sterile gauze for 15 minutes. In case the bleeding does not stop, please contact the treating surgeon immediately.

• If you feel a stuffy nose, it is a good idea to take decongestants.

• Avoid blowing your nose and sneezing for 2 weeks after surgery. In case of sneezing, try to sneeze with your mouth open to minimize the pressure.

• Avoid brushing your teeth, do not use mouthwash and interdental brushes on the day of surgery.

• Avoid rinsing, spitting or sucking with a straw for 24 hours after surgery.

• After the first 24 hours after the operation you can use a toothbrush and interdental brushes in the non-operated areas and proceed to gentle rinses with mouthwash indicated by the surgeon.

• In patients who use dentures, it is advisable not to place them immediately after surgery and for an additional 15 days. Then, before they are placed, a soft coating will need to be applied by the prosthetist, a procedure that will be repeated every 15 days. Remember that you will need to be meticulous enough that your dentures always stay clean after every meal.

• Avoid smoking immediately after surgery, as it delays healing and facilitates the infection of the area.

• Avoid physical exercise for a period of 7 – 15 days.

• Avoid hot foods for the first 24 hours after surgery and prefer cold, soft foods such as yogurt, soups, purees, well-cooked vegetables, rice, spaghetti. Avoid chewing hard food on the operated area for 30 days.

• If you feel nauseous or have a tendency to vomit, stop the analgesic or antibiotic for at least 1 hour after surgery. Take a sip of a soft drink (Coca Cola) or tea for 15 minutes. When the nausea subsides, you can eat solid foods and continue your medication. If the symptoms do not go away, please contact your surgeon immediately.

• Sutures are usually removed 10 – 15 days after surgery.

• The membrane used to cover and protect the bone graft should never be exposed, ie it should be visible to the mouth. If you see a white film at the site of the operation, it is possible that the membrane has been exposed. In this case it is necessary to contact your surgeon immediately.

• Caution! If you get up suddenly, you may feel dizzy. If you are lying down and want to get up, make sure you sit for a minute before getting up.

• Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions after labial frenectomy or ulectomy:

For the best healing and avoidance of side effects, please follow the instructions below:

• Use an analgesic before the anesthetic wears off.

• Follow your surgeon’s instructions for antibiotic treatment.

• Remember to avoid the simultaneous consumption of alcohol with painkillers – antibiotics.

• Immediately after the surgery it is necessary to place ice on the operated area. Place it outside in the area for 5 minutes and take a 5 minute break. Repeat only the first 24 hours. This will greatly help you to avoid possible swelling. In case of excessive swelling, acute pain or fever, please contact immediately.

• It is perfectly normal for your saliva to feel bloody after surgery. Do not panic! In case of bleeding in the area, apply a sterile gauze for 15 minutes. In case the bleeding does not stop, please contact the treating surgeon immediately.

• Avoid brushing your teeth, do not use mouthwash and interdental brushes on the day of surgery.

• Avoid rinsing, spitting or sucking with a straw for 24 hours after surgery.

• After the first 24 hours after the operation you can use a toothbrush and interdental brushes in the non-operated areas and proceed to gentle rinses with mouthwash indicated by the surgeon.

• Avoid smoking immediately after surgery, as it delays healing and facilitates the infection of the area.

• Avoid hot foods for the first 24 hours after surgery and prefer cold, soft foods such as yogurt, soups, purees, well-cooked vegetables, rice, spaghetti. Avoid chewing hard food on the operated area for 30 days. Avoid consuming alcohol and soft drinks for 7 days after surgery.

• Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions after soft tissue gingival recession:

For the best healing and avoidance of side effects, please follow the instructions below:

• Use an analgesic before the anesthetic wears off.

• Follow your surgeon’s instructions for antibiotic treatment.

• Remember to avoid the simultaneous consumption of alcohol with painkillers – antibiotics.

• Immediately after the surgery it is necessary to place ice on the operated area. Place it outside in the area for 5 minutes and take a 5 minute break. Repeat only the first 24 hours. This will greatly help you to avoid possible swelling. In case of excessive swelling, acute pain or fever, please contact immediately.

• It is perfectly normal for your saliva to feel bloody after surgery. Do not panic! In case of bleeding in the area, apply a sterile gauze for 15 minutes. In case the bleeding does not stop, please contact the treating surgeon immediately.

• Avoid brushing your teeth, do not use mouthwash and interdental brushes on the day of surgery.

• Avoid rinsing, spitting or sucking with a straw for 24 hours after surgery.

• After the first 24 hours after the operation you can use a toothbrush and interdental brushes in the non-operated areas and proceed to gentle rinses with mouthwash indicated by the surgeon.

• Avoid smoking immediately after surgery, as it delays healing and facilitates the infection of the area.

• Avoid physical exercise for a period of 7 – 15 days.

• Avoid hot foods for the first 24 hours after surgery and prefer cold, soft foods such as yogurt, soups, purees, well-cooked vegetables, rice, spaghetti. Avoid chewing hard food on the operated area for 30 days.

• The first sutures are removed 7 days after surgery, while the remaining 15 days after surgery.

• Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.

Instructions after applying Botox or hyaluronic acid (dermal fillers):

After the cosmetic injection of botox or hyaluronic acid, be sure to:

• Stay upright.
• Do exercises on the injected areas for 2-4 hours.
• Avoid touching this area for 6 hours.
• Avoid sun exposure or solarium.
• Avoid drinking alcohol.
• Avoid the sauna.
• Avoid aspirin, 3 days before surgery.
• Avoid the administration of anti-inflammatory drugs or preparations that affect blood clotting, 3 days before the operation.
• Avoid chewing ice or chewing gum or biting your nails immediately after treatment.
• In case of a splash, do not forget to apply the splint splint.

Do not hesitate to call us for anything you deem necessary or to inform us from the contact page and we will make sure to answer you as soon as possible.