Care for your recent filling
Your anesthesia should wear off approximately 1 to 3 hours after the procedure. It is very important not to chew on the numb side (to prevent biting tongue, lip, etc.) until the anesthesia wears off. With that in mind, don’t eat until the numbness wears off.
Children should be observed until the anesthesia has worn off. Due to the strange feeling of the anesthetic, many children chew on the inside of their cheeks, lips, and tongue which can cause serious damage.
Your tooth (or teeth) may be sensitive to hot, cold or pressure from this procedure. This is completely normal. The possible symptoms of hot, cold or pressure sensitivity will cease within a few days to a couple of weeks. In very few instances, this sensitivity could last longer than a couple of weeks. As long as your teeth or gums are continuing to feel better, (not staying the same, or getting worse) everything is fine, and there is no need for concern.
The gum tissue could have been irritated during the procedure and may be sore for a few days. The anesthetic injection site may also feel sore or bruised. This soreness for the first few days after the filling is not uncommon. If there is a throbbing pain after a week, please call us.
You may (and should) brush and floss your teeth on a regular basis, especially around the new filling. Dental fillings and crowns are still susceptible to cavities, especially at the edge where the filling or crowns meets the tooth. Take care to brush and floss at these edges, especially at the gumline and in between the teeth. This is where potential problems begin (e.g. more tooth decay or gum disease).
This is also true for root canal treated teeth. The difference here is that in teeth with a root canal, a cavity doesn’t hurt since the nerve is not present. The tooth structure can still get a cavity. These are generally diagnosed at the dentist during an exam or found on an x-ray.
Dental Care Tips After Your Dental Implants
The aftermath of dental implants are quite minimal, so not all of the instructions indicated here may apply to everyone. Follow these guidelines or call our office if you have any questions about your recovery from dental implant surgery. Please note that Madison Avenue Dentists post-operative care has no additional charge when you visit the office.
Usually, bleeding is very minimal since the wound is often shut with sutures. The sutures are usually the dissolving type which will fall out on their own after almost a week.
Bleeding and oozing may be expected during the first 24 hours after the dental implant surgery. Please keep firm biting pressure on the gauze pack over the surgery site for about one hour. Remove the gauze and then check the site for bleeding. If significant bleeding continues, a new gauze pack should be placed and firm pressure should be applied for one hour. Repeat as necessary.
Please avoid vigorous chewing, spitting, or rinsing your mouth or sucking through a straw for 24 hours. Allowing the tissues to rest can fasten the healing process. Avoid continually pulling at your lip to check the operative site.
Depending on the procedure, you may or may not experience swelling. Swelling may be at a maximum about 2 or 3 days after surgery. Keeping your head elevated or sitting in a reclined chair with several pillows will help reduce swelling. Ice packs applied continuously are helpful too for the first day or so.
The day following your dental implant surgery, it is recommended that you begin rinsing your mouth with warm salt water rinses (1 teaspoon of salt in a glass of warm water). Continue rinsing with the saltwater mixture approximately 3 or 4 times a day over the next few days following your surgery.
Brush your teeth and gums as normal except being gentle in an area where the procedure was performed.
Soft Diet is advisable for the first days after surgery. The day of your surgery, start with nourishing liquids and soft/colder foods, such as ice cream, pudding, yogurt, etc. Avoid extremely hot foods, foods with sharp edges just like chips and pretzels. Do not chew immediately over the surgery area. Avoid straws for the first 24 hours. Gradually return
to your normal diet as tolerated.
Limit physical activity during the first 24–48 hours after surgery. Overexertion may lead to post-operative bleeding and discomfort. When you lie down, keep your head elevated on a pillow. You may wish to place a towel on your pillowcase to avoid staining from any blood-tainted saliva.
It is advisable that you refrain from smoking for at least 3 days after the surgery, as this increases the risk of infection and may delay healing.
Initially, you may have some discomfort. Your dentist will give you painkillers to relieve pain. The pain will gradually diminish. If the medication was prescribed, use it according to the directions as needed. Make sure you get some type of food or a drink in your stomach before taking your prescription pain medication, as otherwise, it can make you feel nauseated.
As was discussed at your pre-operative consultation, partial dentures, flippers, or full dentures should not be used after the dental implants unless otherwise advised by your doctor. These may need to be adjusted at or after your first post-operative return visit.
Madison Avenue Dentists, PC Post-Op Visits
It is important to return for your post-op visit, generally scheduled 1–2 weeks after treatment.
After Your Tooth Extraction
Please understand that dental treatments and recommendations are customized for each patient. These recommendations are NOT a substitute for the dentist’s instructions but as a supplement. Not all of the recommendations will apply to everyone.
BLEEDING: When you leave the office, you will be given verbal instructions regarding the control of postoperative bleeding. A gauze pad will be placed on the extraction site that you are asked to keep firm pressure on. Hold it firmly in place, by biting down on the gauze pad or use finger pressure, for about 60 minutes. Change this dressing after 1 hour a new piece of gauze.
Do not chew on the pack. Do not suck on the extraction site. It is normal for some blood to ooze from the area of surgery for up to 24 hours. If bleeding/oozing continues for more than 24 hours, contact Dr. Stella Oh at tel:+12126880103
To prevent swelling, it may be necessary to apply an ice pack or a cold towel to the outside of your face in the area of the extraction during the first 12 to 24 hours. Apply alternately, 10-20 minutes on then 10-20 minutes off, for a 6 hour or longer if necessary.
Do not rinse, spit, suck on a candy or straw for 24 hours. This is important so as not to disturb the initial healing.
SMOKING: Do not smoke or use tobacco for at least 72 hours after the surgery. Smoke can interfere with the healing process, promote bleeding and can cause a very painful situation know as “dry socket”. Smoking can also interfere with the bone growth that surrounds the socket resulting in slowing its process of filling in the socket.
Pain Management is dictated by the doctor specifically for each patient at the time of surgery. Madison Avenue Dentists will make sure you’ll receive utmost care. If you have any questions, please call the office at tel:+12126880103
Preventing Tooth Decay (Preventing Dental Caries)
What are Cavities?
Cavities is another term for tooth decay. Tooth decay is resulted based on our lifestyle, what we eat, how well we take care of our teeth, and the presence of fluoride in our water and toothpaste.
To avoid cavities, dentists recommend proper dental hygiene regimen: brushing and flossing twice a day, regular dental check-ups, diet control, and fluoride treatment.
Importance of Brushing and Flossing Everyday
Cavity prevention starts with a good oral hygiene routine. This will remove dental plaque — a sticky, colorless film of bacteria and sugars that constantly forms on our teeth.
Flossing is particularly important because a toothbrush can’t reach in between the teeth the way floss can. Make sure to floss both sides of every tooth, including the back molars, at least once each day.
Brush your teeth at least twice each day, using a toothpaste that contains fluoride — a naturally-occurring mineral which helps prevent cavities.
Monitor Your Diet
Certain foods and beverages are no friends to your teeth, and soda tops the list. Soda, sports drinks, and so-called “energy drinks” are all acidic — even the sugar-free varieties. The acids they contain attack tooth enamel and make your teeth more prone to decay. Fruit juices can also be very acidic. Drinking water is much better for your dental health, not only because it has a completely neutral pH (is non-acidic), but also because it helps replenish your saliva — which has natural cavity-fighting properties. Sugary and starchy foods (cookies, candy, donuts, and chips) are also a problem — especially when they are not promptly cleaned from your mouth. They nourish the oral bacteria that cause cavities and raise the acidity level in your mouth.
Madison Avenue Dentists, PC Oral Care Plan
Brushing & Flossing
Are you brushing your teeth too hard?
Brushing hard in a horizontal scrubbing is not the right way of brushing teeth as you can harm your teeth more than doing good. The Modified-Bass cleaning technique is the one recommended by Dr. Estafan and Dr. Oh – it is beneficial for those who have healthy gums and those who have gingivitis or periodontal disease.
- Keep the toothbrush at the margin of the gums at 45° angle and put mild force on the bristles so that they press against the teeth and gums softly.
- Engage the toothbrush in back-and-forth strokes. Through this motion, both the dental plaque and the food debris will be washed off.
- Brushing should be done three times in a day, after meals.
- A minimum of two minutes should be given for brushing. Divide 2 minutes as a minute for upper and a minute for the lower jaw.
- In each jaw split one minute to half so that each side (right or left) gets 30 seconds.
- You can further split 30 seconds to half so that you can give 15 seconds to clean the outside surface (cheek/lip side) and the other 15 seconds for inner side.
Please Note, we specifically caution patients against using a medium or firm toothbrush. Medium and firm toothbrushes can also lead to overly aggressive pressure being placed on the teeth and gums. While these stiffer bristles can indeed clean the teeth better, these are much more likely to cause or hasten gum recession – and can cause tooth abrasion.
We encourage all our patients to clean their teeth properly at home, but it is equally important to preserve gums and tooth structure. Take your time (for a full 2 minutes) and make sure to use a soft or extra-soft toothbrush. Fortunately, most of the toothbrushes available on the shelf at the drug store are soft. This is by far the most popular type. Similarly, quality electric toothbrushes like the Oral B Pro Series or Philips Sonicare come with soft brush-heads by default. They also have extra-soft (AKA sensitive) replacement brush-heads available.
Extra-soft/Sensitive Brush-heads are indicated for those who already have some gum recession (gingival recession, not to be confused with gum/periodontal disease). Once the gums have receded, they do not come back on their own. They only way to restore it is to have a gum doctor do a special type of gum graft. We have found it’s much easier to prevent the recession than to need the gum surgery. For that reason, if you already have a recession, please make sure you are using an extra-soft/sensitive toothbrush (or brush-head)
Regular flossing removes plaque, helping to prevent the buildup of plaque, which can lead to tartar. Simply flossing your teeth can make them look brighter by removing plaque and excess food particles that you may not see in the mirror or in areas that your toothbrush doesn’t reach.
How to floss properly? Please follow these procedures.
Take at least 18 inches (50 cm) of floss and hold at least 2 inches of floss in between your fingers. The rest of the floss should be neatly wound around your middle finger.
Using your thumbs and index fingers gently insert the floss (that is held tightly) in between two teeth. Care should be taken not to thrust the floss onto the gums injuring them.
Now curve the floss such that it forms a shape of “C” around the tooth. Engage your fingers in an up-down movement so that the floss cleans the surface falling in between the teeth. Release a small section of unused floss each time you shift from one tooth to other.
Cleaning around Bridges & Implants
It is extremely essential to frequently clean the teeth that have crowns and bridges or those that are supported by implants. This is because these teeth are prone to develop dental decay or gum disease when not kept clean.
If you have any questions as to whether or not you are brushing too hard, you should come in to see the dentist. Dentists can show you the ropes: instruct you on how often to brush, demonstrate proper technique for brushing your teeth and using floss, and what approximate force to apply to the teeth when you are brushing.
Come to Madison Avenue Dentists to let us show you the technique of using FLOSS THREADERS and INTERDENTAL BRUSHES. You will be assisted by Dr. Stella Oh and Dr. Ash Estafan. These cleaning aids help in cleaning around restorations. We do have samples on hand, should you need them.
Interdental Brush (AKA Proxybrush & Piksters)
Did you know? When you use only a toothbrush, 40% of dental plaque between teeth are left behind! Interdental brushes improve plaque removal rate up to 95%!
Cleaning in between teeth and around gums is important if you want to maintain a healthy mouth. Many people use floss to clean in between teeth, but an interdental brush offers an easy, practical alternative. Some pressure is required to insert the brush, but not too much. Your gums can be damaged by careless use of the brush.
How do you use an Interdental Brush?
- Place an interdental brush at the point where the interdental gap begins, tilt the tip at an angle to the centreline of the teeth and push it in gently at the correct angle as far as the center of the teeth..
- Without putting any more pressure on the brush, hold the handle at 90° to the teeth.
- Push the brush through with care and then pull it out – job done!
Every patient is unique
Every mouth, every tooth, and every gap, too. This means that optimum cleaning must be adjusted to suit a person’s individual anatomy, age, and abilities. Get advice from experts on how to do it. Perfect, gentle and effective teeth cleaning is not something you can learn just by reading about it.
Get help from Professionals – Madison Avenue Dentists
Your dentist will tell you precisely which gaps need cleaning with dental floss and which gaps can be cleaned with interdental brushes and what size brush to use. Have your cleaning methods checked regularly by your dental hygienist or your dentist?
Nightguard Care Instructions | The Do‘s And Don’ts Of Night guard Care
A dental night guard is an excellent choice for patients who have a history of grinding their teeth during sleep. Nightguard must be made by a dentist and are made of either hard or hard/soft acrylic material.
Please be aware of the over-the-counter night guards as they can be detrimental to your TMJ and bite. Patients who use over-the-counter nightguard can permanently deform the bite and sometimes need braces or surgery to correct it.
A Nightguard could be easily and comfortably made at our office by an accurate impression performed by our doctors at Madison Avenue Dentists. Depending on the material, Dr. Stella Oh and Dr. Estafan would recommend different instructions of care.
- In the morning, clean the nightguard with soap and water with an extra soft toothbrush
- Do not brush the night guard with a hard toothbrush as it causes scratches.
- For hard night guard, you can use denture cleansing tablets with water.
- When storing it, keep it in the air(not water) for hard/soft kind.
- Rinse the night guard with water before insertion.
Denture Care: How Do I Clean Dentures?
- Clean your dentures every day. Cleaning daily with a denture brush and soaking in a cleanser will help keep your dentures looking white and bright while preventing plaque build-up and remove denture odor.
- Remove your denture(s) at least once per day for at least 1 hour. Many patients prefer to sleep without them in place.
- When dentures are not in place, leave them in the air (not in water). Leaving them in mouthwash is likely to discolor them.
- Rinse and brush your dentures in clean warm water with a denture brush.
- Don’t brush too hard; after all, you don’t want to damage any plastic or metal parts of the denture.
- If needed, moisten the denture brush to avoid damages or scratches to the denture surface.
- Brush your gums, tongue, and any natural teeth with a fluoride toothpaste before reinserting your denture. This will help remove plaque from your teeth, stimulate circulation in your mouth, and help maintain good oral health.
- After brushing, rinse with a mouthwash to give your mouth a refreshing feeling.
Do you feel anxious about seeing a dentist?
It’s normal to be nervous about the dentist. Very few people relax at the idea of sitting in the dentist’s chair. Sometimes we have a previous bad experience – other times we anticipate problems based on stereotypes. The days of white-knuckled painful dentistry are over. And there are so many ways to manage patients who are apprehensive about sitting in the chair. A dental office can be a relaxing place. Picture a clean, quiet office where the people are very nice, the chairs are comfortable and the dentist cares about your well being. Not just your teeth, but your time, your comfort-level and your mentality. Come in, sit, charge your phone. Have a cool drink of water. Need a pillow? Great, doesn’t that feel better? As we word, if you need to stop for any reason, raise your left hand. Anytime. It won’t be so bad. Dental visit really can be a good experience 🙂
Will it Hurt?
We don’t thing so but you be the judge. Dr Oh and Dr Estafan pride themselves on keeping patients comfortable. If this is the one thing that has been keeping you away, we think you may be pleasantly surprised. While not all procedures require a local anesthetic (like Novocain) it is standard now, but first, some numbing gel to take the edge off. Speaking of numbing gel, certain procedures can be done with just that (no needles). If and when the time comes for a needle, be sure that you won’t see it. We prefer not even saying the word ;D
Will they be able to fix my tooth?
We can fix almost any tooth. It all depends on the prognosis. Prognosis in dentistry is the likelihood that the restoration will last and perform. Dr Oh and Dr Estafan agree that the worst part of dentistry is extracting a tooth. Similarly, the best part is restoring a teeth which were once lost or broken down. We don’t rush to take teeth out, but in some instances there are better alternatives than keeping a diseased tooth. Sometimes a tooth needs a filling to get fixed up, or a porcelain veneer or onlay; sometimes it needs a root canal, post and crown. As long as the prognosis is good, we depend on those procedures every day to fix teeth. Occasionally a tooth is so badly broken down that even a root canal post and crown can only get us to a guarded or poor prognosis. It’s hard to justify doing all that work if the tooth is not likely to last 5-10 years. If however extracting the tooth and replacing it with an implant and crown gives us a dramatically higher likelihood of reaching 20 years or more – then implant becomes a more logical choice. Couple that with the fact that implants will never decay; for the patient who gets cavities frequently, the implant is the clear choice. Not in every case – but for those cases of badly diseased teeth – it’s nice to have the implant option. How can we determine prognosis? This is where the extra three years of formal education as Prosthodontists sets Dr Oh and Dr Estafan apart from general dentists. Whenever possible, recommendations and advice is given based on credible clinical research. Do you want your dentist practicing new procedures and materials on you? Or would you prefer he/she perform the latest procedures that have been proven better? The same goes for treatment options. Our education and training makes us better at selecting and performing the best treatment for you.
Will my questions be answered?
Yes. Absolutely. Not only will your questions be answered, Dr Oh and Dr Estafan know the kinds of questions patients have for all the procedures they do. If there is something you should know – but you have yet to ask the question – they will advise you. It became clear to them early in practice that when patients know what to expect, and when patients receive updates throughout the procedure, it makes it all that much less nerve-racking and more tolerable. Most questions are answered on the day you meet Dr Oh or Dr Estafan. The staff are also quite knowledgeable having been involved in so many treatments with the patients over the years. They are happy to answer questions or alert Dr Oh or Dr Estafan to the issue.
Will I be able to smile more?
If you are not smiling more by the time you leave here, we have not done our job. It’s true, we are cosmetic dentists – for many patients we are improving their smile either with veneers, bonding, invisalign or even with a simple dental hygiene visit. But in a more global sense, we are taking care of you and your mouth. Many people traditionally avoid and dislike dental visits. Dr Oh and Dr Estafan are here to change that. Along with their caring staff, they have a goal of taking care of your mouths and doing so in the most pleasant manner possible. Our best indicator that we have all done our job is when a patient is smiling on their way out the door.