909-982-8893
168 North Euclid Avenue,
Upland, CA, 91786

Office Hours

Monday 8:00 AM6:00 PM
Tuesday 8:00 AM6:00 PM
Wednesday 8:00 AM6:00 PM
Thursday 8:00 AM6:00 PM
Friday Closed Except Emergencies
Saturday Closed Except Emergencies
Sunday Closed Except Emergencies

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Post-op Instructions

INSTRUCTIONS AFTER ROOT CANAL (TEMPORARY)

Root canal therapy often takes two or more appointments to complete depending on the severity of infection. At the start of treatment your dentist may isolate the tooth with a rubber dam to prevent salivary contamination of the canal system and protect you from the irrigants used during the procedure. A temporary filling or crown is placed to protect the tooth between appointments. After each appointment when anesthetic has been used, your lips, teeth and tongue may be numb for several hours after the appointment.

  • Endodontic treatment can take 1, 2 or 3 appointments depending on each case. It is possible to experience any of the following symptoms after any one of these appointments: sensitivity to hot and/or cold, sensitivity to pressure, spontaneous pain, possible bruising or swelling. Warm facial packs or oral rinses may be helpful to alleviate the symptoms.
  • It is difficult to predict which symptoms, if any, you may experience and to what extent. In complicated cases, pain medication or antibiotics may be necessary.
  • If you experience swelling, call our office; it may be necessary to prescribe an antibiotic for you.
  • A temporary filling has been used to seal the tooth between visits.
  • Be gentle on the tooth while eating until the final restoration is placed.
  • During endodontic treatment the nerve, blood and nutrient supply to the tooth are removed. This will cause the tooth to become brittle and prone to fracturing which can result in the need to extract the tooth. In many cases a full coverage crown restoration may be recommended to prevent this from happening.
  • Please call our office if any unusual symptoms occur.

INSTRUCTIONS AFTER ROOT CANAL (PERMANENT BUILD-UP)

  • Your endodontic treatment has been completed. It is still possible to experience any of the following symptoms for a while: sensitivity to pressure, irritable gums, possible bruising or swelling. Warm facial packs or oral rinses may be helpful to alleviate the symptoms.
  • It is difficult to predict which symptoms, if any, you may experience and to what extent. In complicated cases, pain medication or antibiotics may be necessary.
  • If you experience swelling, call our office; it may be necessary to prescribe an antibiotic for you.
  • The permanent post and build-up have been placed to restore the missing tooth structure in the crown part. This is not your final restoration on this tooth.
  • During endodontic treatment the nerve, blood and nutrient supply to the tooth are removed. This will cause the tooth to become brittle and prone to fracturing which can result in the need to extract the tooth. In many cases a full coverage crown restoration may be recommended to prevent this from happening.
  • Be gentle on the tooth while eating until the final restoration is placed.
  • Please call our office if any unusual symptoms occur.

INSTRUCTIONS AFTER COMPOSITE RESTORATIONS

  • Composite (Tooth colored) fillings set up hard right away. You do not have to wait to eat on them, except for the fact that your lip and your tongue may be still numb and you can easily bite them.
  • Sensitivity, especially to cold, is common for a few days or weeks following a dental restoration. Usually, the deeper the cavity, the more sensitive the tooth will be. Sensitivity is usually most noticeable the first 12 to 24 hours after the anesthetic wears off.
  • The gum tissue could have been irritated during the procedure and may be sore for a few days, same as the anesthetic injection site.
  • The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small difference, but you will become accustomed to this in a few days. If the bite feels too high on your restoration, or it feels rough or has sharp edges, please call us for a simple adjustment.
  • Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks or tongue, which can cause serious damage and pain later.
  • Please call our office if any unusual symptoms occur.

HOME CARE AFTER PERIODONTAL TREATMENT

If you require more than just a regular cleaning your Dentist /Hygienist may prescribe a deep cleaning (Scaling and Root Planing).It is usually done in sections. One half of the mouth is cleaned in one session & you will have to come back for the other half,usually not more than a week later. First the teeth & the gums are anaesthetized then the teeth are cleaned using a combination of ultrasonic & hand instruments. It is normal to experience cold & hot sensitivity after the appointment. Your teeth may even be sensitive to chewing. Your gums will be sore and may bleed.

  • You can take over-the-counter pain medication for any discomfort you may have.
  • Drink a lot of water today to help remove the bacteria that are present.
  • Avoid eating crunchy, spicy, or hot foods today, i.e.: tortilla chips, carrots, crispy fried chicken.
  • Rinse gently with warm salt water if your gums are sore and tender: (1teaspoon salt in 1 cup warm water)
  • Brush gently today even if your gums are tender to help remove the plaque that has started to reform. Always use gentle fluoridated tartar control toothpaste.
  • You don’t need to floss or use any home care aids (i.e.: toothpicks, rubber stimulator…) today if there is too much sensitivity. But starting tomorrow, do so each day.
  • Follow all our home care instructions exactly as directed. Success of treatment depends directly on the improvement of your oral hygiene.
  • Please call our office if any unusual symptoms occur.

INSTRUCTIONS AFTER A TOOTH EXTRACTION

  • Bleeding – After an extraction, gauze is placed over the extraction site to prevent excessive bleeding and promote the healing. Bite on it for 20 minutes and replace it if bleeding continues. Slight bleeding may occur for up to 3 days. Avoid activities that could apply a suction action to the blood clot such as sucking through a straw, forceful spitting …
  • Rinsing – Do not rinse your mouth today. Tomorrow you can rinse gently with a glass of warm water mixed with one teaspoon of salt. Do this 3 – 4 times a day especially after meals.
  • Swelling – Following an extraction, some swelling and skin bruising may occur. A cold moist cloth or an ice bag applied to the cheek will keep it to a minimum for the first 24h. Place it on the affected area for about 15 – 20 minutes every half-hour for the next 6 hours. Do not sleep with ice bag on extracted area to avoid frostbite. After 24h, hot pads are recommended.
  • Medications – Mild pain may be experienced after the anesthetic wears off. Take all prescribed medications as directed, or two ibuprofen tablets every 4 to 6 hours as necessary.
  • Food – A light diet with plenty of fluids is recommended the first day. Avoid carbonated or hot beverages. Chewing should be done on the opposite side of the mouth.
  • Smoking and Alcohol – DO NOT smoke or drink alcoholic beverages for two to three days to avoid developing a very painful dry socket infection.
  • Please call our office if any unusual symptoms occur.

INSTRUCTIONS AFTER CROWN OR BRIDGE TREATMENT

  • Following the first appointment for a crown or bridge procedure, a temporary is usually placed on the tooth or teeth involved. This will protect them as well as serve a cosmetic function for front teeth while the custom restoration is being made.
  • Temporary crowns are of a universal size and shade. Your final restoration will be shaped and shaded better than the temporary to match your other teeth in both color and function.
  • The use of temporary cement is for easy removal on your next appointment. Please be careful not to eat any hard or sticky foods, or when brushing and flossing around that area. If your temporary crown comes off between appointments, slip it back on and call us.
  • Many crowns fit below the gumline. Therefore, you may experience some discomfort for a while due to the irritation of that area during the preparation procedure. Warm salt water rinses will speed healing. Sensitivity to temperature or pressure is also possible.
  • After the final cementation of your fixed restoration, it may take a few days or weeks to get used to the new crown or bridge. If you feel the bite is not correctly balanced, be sure to call for an appointment for a simple adjustment.
  • Proper brushing and flossing is highly recommended to help you retain your final restoration. The area of a crowned tooth that can decay is at the edge of the crown at the gumline. With a bridge, you will need special floss threaded or other aids to reach and clean all areas properly.
  • Please call our office if any unusual symptoms occur.

INFORMATION FOR TEETH WHITENING

  • Home “teeth whitening techniques” are designed to lighten dark or stained teeth. You will apply a peroxide type material at home. If you are aware of any allergy or adverse reaction to this ingredient, do not proceed with treatment.
  • These materials appear to be safe. As with any treatment, there are benefits and risks. The benefit is that teeth can be whitened very conservatively, and in a fairly quick and simple manner. The risk involves some soft tissue irritation (gingiva, cheek, tongue), and some tooth sensitivity or tingling, which is usually slight and temporary and will subside when treatment is discontinued.
  • The amount of whitening and its duration vary per individual. While most teeth achieve a considerable amount of lightening, some do not. In some instances, lightening is minimal or inapparent. Following the whitening procedure an instant lightening is usually seen in most cases. However fading is not uncommon. On an average during the first month there may be loss of one shade unit, another shade unit during the next 6 months.
  • Coffee, tea and tobacco will stain teeth after treatment in the same manner as before treatment, especially if proper brushing is not continued after treatment.
  • Additional treatments may be required over time (every six to eight weeks) to maintain the lightening originally obtained.
  • If you do experience any adverse reactions, discontinue treatment and call our office.

  • General Dentistry
    Nagib Bahri, DDS, MAGD, PC
    168 N. Euclid Avenue,
    Upland, CA 91786
    Phone :  909.982.8893

THE CRACKED TOOTH SYNDROME

Teeth may crack when subjected to stress of chewing hard foods or ice, or biting on an unexpected hard object. Teeth may or may not have any restorations, but teeth restored with large silver alloy restorations are the most susceptible.

Any of the following symptoms or signs can be present:

  • Pain on chewing
  • Pain on cold air application
  • Unsolicited pain (usually leakage of sugar into the tooth crack)
  • No radiographic evidence of the problem
  • No dental decay present
  • Easy identification of crack when tooth is being prepared for restoration

TREATMENT OF A SIMPLE CRACK: Most cracked teeth can be treated by the simple placement of a crown on the tooth. When the tooth is prepared for the crown, the pain usually subsides with the temporary placement. If this is the case with your tooth, we will place the final restoration usually without a problem on your next appointment and the condition should be solved.

TREATMENT OF A COMPLEX CRACK: Occasionally the tooth cracks deep into the pulp (nerve). If the pain persists after the placement of the temporary crown, you may have a very deep crack reaching into the pulp of the tooth. Please call us, this may require an endodontic treatment (Root Canal Treatment) before the final crown is placed. This procedure will require additional visits before the final crown placement.

If you have any questions or concerns, please do not hesitate to call our office.