* Post-operative instructions

Fillings | Crown and Bridge | Root Canal Treatment | Extraction | Scaling and Root Planing | TMJ Exercises | Denture Delivery | DayWhite Maximum White Instructions | DayWhite Touch-ups Instructions | Fluoride Varnish

Fillings

  • Wait about one hour before eating or drinking and be careful chewing until the anesthesia wears off.  The numbness may last anywhere from 3-5 hours.
  • If you are supervising children who had fillings done, make sure they don’t bite on their numb lips or tongue (it can cause serious injury to their soft tissue).
  • You may experience cold and heat sensitivity and some gum soreness; this usually subsides within a few days.
  • Call our office if you experience pain or discomfort for more than a few days after the fillings, or if you have any questions.

Crown and Bridge

Preparing your tooth for a crown (or a bridge if a missing tooth is involved) generally involves two or more appointments. During treatment, your dentist will remove a portion of the tooth or teeth to fit the crown or bridge. An impression is made to provide an exact model of the prepared teeth. A temporary crown or bridge may be placed while the permanent one is made.

What to Expect After Treatment

  • Because temporary restorations eventually loosen, be sure to return to our dental office at the appointed time.
  • Temporary cement allows you to wear the crown for several days and to have it removed for further adjustment if needed.
  • You may experience sensitivity, gum soreness, and slight discomfort on the tooth/teeth; it should subside after the placement of the permanent crown(s).
  • Whenever anesthesia is used, avoid chewing on your teeth until the numbness has worn off.

Taking Care of Your New Restoration

  • A temporary crown is usually made of plastic-based material or soft metal. It can break if too much pressure is placed on it.
  • The temporary crown may also come off; if it does, recement it with the temporary cement given during your appointment.
  • To avoid losing your temporary and prevent damaging/fracturing the crown or bridge, do not chew on sticky or hard food (chewing gum, ice). Try to chew on the opposite side of the temporary as much as possible.
  • Brush twice a day and clean thoroughly between teeth with floss or an interdental cleaner. Clean around a crown the same as you would your natural teeth.
  • Be careful while flossing around the temporaries (remove the floss gently from the side). If it is difficult to get the floss between the temporary and surrounding teeth, refrain from flossing until you receive your permanent crown.
  • After the permanent restoration is placed you may feel slight pressure for a few days. Also, the bite may feel different for a day or two. But if after 2-3 days the bite still feels uneven or if you feel discomfort when chewing on the tooth, call our office.
  • Delaying the necessary adjustments may damage the tooth permanently.
  • Help keep your gums and remaining natural teeth healthy by scheduling regular dental visits.

Root Canal Treatment

Your root canal treatment may take one or more visits to complete. During treatment, your dentist will remove the diseased pulp, then clean, shape and fill the root canal to prevent recontamination.

What to Expect After Treatment

  • You may experience moderate pain and sensitivity to pressure on your tooth. Also, you may feel gum soreness for few days after your treatment. The healing process may take several days but the pain and discomfort should subside gradually.
  • Take any medication that was prescribed for you according to instructions.
  • Usually a temporary filling has been placed on your tooth; do not bite on the tooth for one hour and while you are numb. Also, until the permanent restoration is placed, be very gentle with the tooth. Try to chew with the opposite side.

How to Take Care of Your Mouth

  • Continue your brushing and flossing.
  • Follow up with the placement of your permanent restoration as you have been advised. Any unnecessary delay in placement of final restoration may damage the tooth permanently.
  • Call our office if you are in severe pain or experience swelling, or if you have any questions.

Extraction

  1. GAUZE: Bite on the gauze for ½ hour, then discard. Discontinue use of gauze when bleeding stops.
  2. DO NOT RINSE MOUTH TODAY: Tomorrow, rinse mouth gently every 3 - 4 hours (especially after meals), using ¼ teaspoon of salt to a full glass of warm water. Continue rinses for several days.
  3. FOOD: Avoid foods and beverages of all kinds for at least three (3) hour. Then eat any beneficial foods tolerated. Smoking should be avoided for at least the first day. Also avoid drinking through a straw and other sucking motions.
  4. COLD APPLICATION: If swelling occurs, ice bag or chopped ice wrapped in a towel should be applied to the operated area, ½ hour on and ½ hour off, for 4 - 5 hours. After the first 24 hours, apply moist heat in the same manner.
  5. PAIN: Upon arrival home, take whatever medication you would normally use for pain or any prescription the doctor has given you.
  6. BLEEDING: Following any extraction, bleeding is to be expected. If persistent or extensive bleeding occurs, place gauze pads and tea bags over the bleeding area and bite down firmly for ½ hour. Repeat if necessary. You may have the overwhelming urge to spit, avoid this if possible.
  7. REST: Bed rest is desirable, raising head to half sitting position with two or three pillows. Extensive exertion of any type is to be avoided.

Scaling and Root Planing (deep cleaning)

Most patients experience little to minimal discomfort after scaling and root planing. The most frequent complaints are: slight tenderness of the gum tissue, teeth that are mildly sensitive to cold drinks and foods; and discomfort when eating spicy foods. Please refrain from eating for at least 2 hours after procedure, and until the anesthesia has worn off.

Things to Avoid the First 24 Hours

  • Vigorous physical exercise, but you may return to work. Drinking through a straw of sucking motions
  • Do not smoke, it is better to refrain for 48 hours.
  • Drinking alcoholic beverages will slow the healing process.
  • Foods that are extreme in temperature or are spicy or very crunchy.
  • Avoid using any strong mouthwashes that contain alcohol.

Things to Do

  • Take a non-aspirin analgesic to relieve any tenderness or discomfort, such as ibuprofen (Advil) or acetaminophen (Tylenol) as long as you have no allergies to them.
  • Eat a well balanced soft diet for today. You may chew on the side opposite to the treated area until it is comfortable to chew normally on the treated side.
  • Rinse with a warm salt water rinse, a teaspoon in an 8oz. glass of water, 3x a day.
  • Brush your teeth very lightly with an extra soft bristle toothbrush in the treated area for the first night, then begin flossing lightly the next day. Gradually increase to normal force by the week’s end.
  • After flossing and brushing, rinse with chlorhexidine gluconate (Peridex), if it was prescribed, for at least 60 seconds. Do this twice daily. If Peridex was not prescribed to you, then use a gentle mouthwash such as Peroxyl (from Colgate) until your gums are no longer tender.
  • Use a desensitizing toothpaste such as Sensodyne or Crest for Sensitive Teeth if you experience discomfort when eating cold foods or drinking cold beverages.
  • If you are experiencing swelling, a reusable ice bag wrapped in a soft towel may be applied to the jaw area of the area of deep cleaning. Alternating 20 minutes on and 20 minutes off will usually be adequate for the first 24 hours after the procedure.
  • Minor bleeding following the procedure is normal for up to 48 hours. If bleeding continues, apply light pressure to the area by biting on a moistened gauze or a wet tea bag for 20 - 30 minutes.
  • If bleeding continues or your mouth fills with blood, please call our office.

Several days after treatment your gums should begin to appear pinker, less swollen, and will bleed less when you brush and floss. These are signs of healing and improving periodontal health. Please do not hesitate to contact our office if you have any questions.


TMJ Exercises

  • Isotonic Exercise (do each exercise series 4x a day) 
  1. Open mouth wide – count to four
  2. Return to rest position
  3. Move jaw to the right – count to four
  4. Return to rest position
  5. Move jaw to the left – count to four
  6. Return to rest position
  7. Move jaw forward – count to four
  8. Return to rest position

Repeat the above steps two more times.

  • Isometric Exercise (do each exercise series 4x a day)
  1. Hold chin firmly – attempt to open – maximum tension
  2. Hold chin firmly – attempt to close – maximum tension
  3. Hold right jaw – attempt right lateral movement – maximum tension
  4. Hold left jaw – attempt left lateral movement – maximum tension
  5. Hold chin – attempt to move jaw forward – maximum tension.

Repeat the above steps two more times.


Denture Delivery

  • You will experience some discomfort with any new denture for a few days. All new dentures need several adjustments to completely and comfortably fit your mouth.
  • You should take the dentures out every night and keep them in a clean container filled with water or denture cleaning solution. Your gums need to rest and be without the dentures every day for a period of time.
  • Clean dentures thoroughly with a brush and water before putting them back in your mouth.
  • It may be difficult to talk normally with the new dentures for a few days. One way to practice is to read a book or newspaper out loud for a period of time everyday. Your tongue and muscles will get used to the new dentures and you will talk normally very soon.
  • Call our office if you are experiencing pain, discomfort, or if you have any questions.

DayWhite Maximum White Instructions

  1. Brush and floss your teeth before bleaching teeth.
  2. Place a small pea-size drop of bleaching material inside each compartment of your tray. Do not place bleach in the molars (the big teeth in the back) because they are not usually visible when you smile.
  3. Place trays inside your mouth. Make sure to remove excess bleach with cotton Q-tip or cotton gauze. Excess bleach resting on your gums for a prolonged period of time can cause gum irritation.
  4. Wear the trays for 15 minutes twice a day (AM and PM) or for 30 minutes at night. If teeth are sensitive, wear trays for 15 minutes at first and slowly work up to the full 30 minutes.
  5. Clean out trays with cold water and toothbrush and store them in their container.
  6. If teeth are sensitive after bleaching, brush teeth with desensitizing toothpaste (we recommend Sensodyne) or place desensitizing toothpaste directly in the bleaching trays and wear for 5-10 minutes.
  7. Optimal results are achieved when you whiten your teeth for 2 consecutive weeks.
  • The rule is NO COLORED BEVERAGES (coffee, tea, wine, soda), within 3-4 hours after whitening because your teeth can sometimes absorb the stain.
  • Try to limit the amount of colored beverages during the span when you are whitening your teeth, and make sure to brush your teeth afterwards if you are drinking colored beverages.
  • For maintenance and to keep your smile bright between treatments, whiten your teeth with our DayWhite Touchups.
  • Whitening kits are available in our office for a nominal charge.
  • Please call our office if you have any questions.

DayWhite Touch-ups Instructions

  1. Brush and floss your teeth before bleaching teeth.
  2. Place a small pea-size drop of bleaching material inside each compartment of your tray. Do not place bleach in the molars (the big teeth in the back) because they are not usually visible when you smile.
  3. Place trays inside your mouth. Make sure to remove excess bleach with cotton Q-tip or cotton gauze.
  4. Excess bleach resting on your gums for a prolonged period of time can cause gum irritation. Wear the trays 5 to 10 minutes daily for approximately 5-7 days until your next full treatment.
  5. Clean out trays with cold water and toothbrush and store them in their container.
  6. If teeth are sensitive after bleaching, brush teeth with desensitizing toothpaste (we recommend Sensodyne) or place desensitizing toothpaste directly in the bleaching trays and wear for 5-10 minutes.
  • The rule is NO COLORED BEVERAGES (coffee, tea, wine, soda), within 3-4 hours after whitening because your teeth can sometimes absorb the stain.
  • Try to limit the amount of colored beverages during the span when you are whitening your teeth, and make sure to brush your teeth directly afterwards if you are drinking colored beverages.
  • Whitening kits are available in our office for a nominal charge: Please call our office if you have any questions.

Fluoride Varnish

  1. Eating and drinking immediately afterwards is fine, but please avoid HARD, STICKY and CRUNCHY food for 2 hours after treatment. This may chip the varnish off.
  2. DO NOT BRUSH OR FLOSS UNTIL 6 HOURS AFTER TREATMENT.
  3. Do not do any additional home fluoride treatment (such as ACT) on the day of treatment.
  4. If your child takes fluoride pill supplements, do not take the supplement the day of treatment.
  5. It is best to re-apply the varnish every 6 months, or every 4 months for a cavity-prone individual.
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Professional, kind, and as good an experience you can have at a dentist! — Joan M.

I always have a great experience with Dr. Leung and his assistance's. I have even recommended Dr. Lessne and Dr. Leung to friends. — James C.

From the front desk to the patient chair our experience has always been friendly and positive. We always feel better after any procedure. — Terry M.

The entire office has a great mix of professionalism and friendliness. It's always a pleasure to visit Dr. Leung and his staff. — Eric M.

I have been a patient for many years. Dr. Leung saw me on an emergency basis recently and resolved my problem quickly and efficiently. — Steve L.

The dental hygienist is very thorough, and Dr. Leung is excellent. Everyone in the office is efficient and pleasant. — Joyce W.

I've been going to Drs. Lessne and Leung for close to ten years now. Doctors and staff are professional and personable, and provide great care. Irina is the best! — Antoinette P.