Postoperative Instructions


Homecare

Tooth Brushing: Always use a soft toothbrush! Brush at least morning and before bedtime.

Flossing: between teeth and under gumline-at least once/day.

Hydrogen Peroxide: straight out of a bottle OR household bleach mixed 1:20 with water OR Peroxyl or other peroxide based mouthwash:

Baking Soda:

Brush onto teeth with toothbrush.

Dip dry toothbrush first into peroxide, then into baking soda, and brush teeth.

Fluoridex Toothpaste: use in place of regular toothpaste

Sensodyne, Crest Sensitivity, or other OTC Toothpaste for Sensitive Teeth

Xylitol: products include gum, mints, mouthrinse, toothpaste, xylitol “sugar.”

Ozonated Oil:

CariFree Treatment Kit: one kit lasts approximately three months-use twice daily if you are at a high risk for tooth decay.

Irrigator: (Water Pik) with cannula-for under the gumline disinfection

Solutions for in reservoir of irrigator:

Prevident: home fluoride-cream or gel. Available by prescription only.

MI Paste: contains calcium and phosphate to desensitize and remineralize (strengthen) teeth.

MI Paste PLUS: has additional ingredients to treat symptoms of dry mouth.

Oral Care Products Ordering Information:

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Deep Teeth Cleaning

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MI Paste Instructions

Custom Tray Application for Management of Tooth Sensitivity, White Spot Reduction, Cavity Prevention: to be done twice daily, preferably morning and night:

  1. Apply small amount of MI Paste to tray
  2. Brush teeth first, then place tray in mouth and leave in place for 5 minutes
  3. Remove tray
  4. Spread remaining (residual) MI Paste through mouth with tongue, leaving on as long as possible
  5. Expectorate (spit out) excess
  6. Do not rinse, eat, or drink for 30 min
  7. Rinse and brush remaining MI Paste from tray, allow to air dry

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Extractions

  1. Replace oral gauze every two hours until bleeding stops.
  2. Use ice bags to help reduce swelling for 12 hours only.  After 24 hours, application of ice or heat is not recommended.  In fact, it may be detrimental to healing.
  3. No rinsing or spitting for the first 24 hours. After 24 hours, keep the wounds cleansed by gentle rinsing with warm salt water at least two times a day  Do not brush the surgical area, but you may gently brush the teeth around the surgical area.  Do not use mouthwash.
  4. A liquid or soft diet is recommended for the first day or so.  As you are able to tolerate a more regular diet, you may do so.
  5. Do not smoke or drink through a straw for 48 hours. This could break the clot that is forming and cause pain and complications.
  6. If you are given prescriptions, please follow the doctor’s directions when taking the medications.
  7. Should you have any increased pain, swelling, bleeding, or other concerns, call our office immediately.

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Arestin Follow-Up Care

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Teeth Whitening

1. Brush and floss your teeth.

2. Load tray by expressing one continuous bead of gel approximately one third to one half way up from the biting edge of the tooth, from molar to molar (in the tray). This will create a “ribbon” of material across the tray. This should use no more than one third to one half of a syringe.  A dot of gel can also be placed on the tongue side so that stains on the back sides of the teeth are removed.

3. Place the tray with the gel in your mouth and gently compress the tray to assure that the gel covers the entire front surface of the teeth.

4. Remove excess gel with your finger or a Q tip. More or excess gel will only create more gum irritation!

5. Wear the tray for 30 minutes to one hour. To avoid sensitivity, do not exceed one hour.

6. After whitening, remove and rinse the trays with cold water. If necessary, use a toothbrush to remove any residual gel from the trays or on your teeth. Place the trays in the storage case and store them in a cool place.

The following should be avoided while whitening:

   Red or dark foods or drinks-WHITE or CLEAR best

   Red meat

   Smoking

NOTE: If you experience extreme sensitivity with this technique, discontinue immediately and call our office. Some patients experience some sensitivity the first 2 to 3 days of whitening. This is normal and usually diminishes once treatment is completed.

Congratulations! You are well on your way to whiter, brighter teeth and a beautiful smile. We are pleased that you are as committed to high quality dental care as we are and it is our privilege to provide this service for you. Please call us at (724) 543-4948 if you have any questions. At Voller Dentistry we care about you and want you to be as comfortable as possible.

If you’re happy with your results, tell your friends and family about us!

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Temporary Restorations (Provisionals)

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BOTOX©

These guidelines have been followed for years and are still employed today to minimize the potential for developing the side effect of ptosis (drooping of the eyelids).

Makeup may be applied before leaving the office.

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JUVÉDERM© Injectable Gel & Dermal Fillers

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Dentures

How long will it take to get used to wearing a full denture? For the first few weeks, your new denture may feel awkward or bulky. However, your mouth will eventually become accustomed to wearing it. Inserting and removing the denture may require some practice. Your denture should fit into place with relative ease. Never force the denture into position by biting down.

Wearing new dentures can be a somewhat trying experience for some patients, especially for the first time wearers. Initially, dentures may feel strange and bulky, and may cause a feeling of fullness of the lips and cheeks. In time, these feelings will subside, and you will feel more comfortable. Time and patience will be your biggest allies.

It is especially difficult to adjust to a lower denture. Try resting your tongue against the back of the front of the lower denture to help hold it in place. Until you learn good tongue and lip control, it may be wise to use adhesives to help hold your lower denture in place. Adhesives may also be useful for upper dentures. It is important to remember that a lower denture often “floats” on your lower gums and will not have the suction that your upper denture has. It will move around in your mouth, even out of your mouth, until you have mastered it. This takes time, willpower, and patience.

Other symptoms you may experience with new dentures are slurred or altered speech, gagging, excessive salivation, and unusual or diminished taste. Again, these symptoms usually disappear over time. However, if they continue, please contact our office to let us know about your particular difficulty. We are here to help you.

How long should I wear the denture? Initially, you may be asked to wear your denture all the time. Although this may be temporarily uncomfortable, it is the quickest way to identify those denture areas that may need adjustment. If the denture puts too much pressure on a particular area, that spot will become sore. One of our Team members will adjust the denture to fit more comfortably. After making adjustments, it is recommended that you take the denture out of your mouth before going to bed and replace it in the morning. This gives your tissues a chance to “rest”.

What will it be like eating with dentures? Learning to chew with new dentures takes time. Start with soft foods and gradually introduce more difficult foods. Chew on both sides of your mouth at the same time to stabilize your teeth. Avoid biting into foods with your front teeth as it may dislodge your dentures.                         (over)

How do I care for my dentures? Handling a denture requires care. It’s a good idea to stand over a folded towel or a sink of water just in case you accidentally drop the denture. Brush the denture each day to remove food particles and plaque. Brushing your denture helps prevent it from becoming permanently stained. It’s best to use a brush that is designed for cleaning dentures. A denture brush has bristles that are arranged to fit the shape of the denture. A regular, soft-bristled brush is best. Avoid using a brush with hard bristles, which can damage the denture.

It is recommended that you use hand soap or mild dishwashing liquid to clean your denture. Other types of household cleaners and many types of toothpaste are too abrasive and will scratch the denture.

A denture could lose its proper shape if not kept moist. At night, the denture should be placed in water to soak.

Will my denture need adjusting? Over time, adjusting the denture may be necessary. As you age, your mouth naturally changes, which can affect the fit of the denture. Your bone and gum ridges can recede or shrink, resulting in a loose-fitting denture. Dentures that do not fit properly should be adjusted by the dentist or a dental Team member. Loose dentures can cause various problems, including sores and infections. See Dr. Voller promptly if your denture becomes loose. You can do serious harm to your denture and to your health by trying to adjust or repair your denture. Using a do-it-yourself repair kit can damage the denture beyond repair. Glues sold over-the-counter often contain harmful chemicals and should not be used on a denture.

If your denture no longer fits properly, if it breaks, cracks, or chips, or if one of the teeth becomes loose or comes off, call our office immediately. In many cases we can make necessary adjustments or repairs, often the same day. Complicated repairs may require that the denture be sent to a special laboratory.

How often should I visit Dr. Voller? You should return yearly for an examination and an oral cancer screening. Having your mouth professionally monitored is vital for maintaining a healthy smile.

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The team at Voller Dentistry has provided Kittanning and Pittsburgh area families with excellent dental care since 1981. Call the Voller Dentistry location closest to you to reserve a checkup, consultation, or second-opinion visit with Dr. Voller. We serve patients from Harrison Township, Freeport, New Kensington, Oakmont, and beyond.

135 North Grant Avenue, Kittanning, PA 16201 USA
Raymond J. Voller, DMD PA dentist and orthodontist (724) 543-4948 (724) 543-5535 drvoller@comcast.net
563 Epsilon Drive, Suite 100, Pittsburgh, PA 15238 USA
Raymond J. Voller, DMD PA dentist and orthodontist (412) 406-8100 (412) 406-8101 drvoller@comcast.net