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Temporary restorations Permanent restorations Dentures tooth whitening sedation
You have just received a plastic restoration that will serve you a short period of time. A few comments about this temporary restoration will be helpful to you.

Chewing: The temporary cement requires about one-half hour to set. Please do not chew during that period of time. Temporary restorations are not strong. Do not eat anything sticky and do not floss them. If one of your temporary restorations should fall off, you can temporarily replace them by either putting Fixodent or Vaseline inside of it. Place the temporary on your tooth holding it in place.. Please do not leave the temporary out of your mouth because the teeth will move and the final restoration will not fit. Certain foods will stick to the temporary restoration. This is not the case for the porcelain or gold restoration to be cemented soon.

Color: The color of the plastic temporary does not resemble the final restoration in any way.

Shape, Size: The anatomy of the temporary plastic does not resemble the final restoration in any way.

Tooth Sensitivity: Temporary restorations may leak saliva or food into the tooth. Sensitivity to cold, hot, or sweets in not uncommon. This will not be the case with your later restoration. Unless it is extreme, you do not need to contact us.
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You have just had some crowns, veneers or fixed bridges cemented onto your teeth. They will replace your missing tooth structure or missing teeth very well and should give you years of service if you will observe the following suggestions.

Chewing: Do not chew hard or sticky foods on the restorations for 24 hours from the time they are cemented. The cement must mature to have optimum strength.

Continuing Care: Visit us at regular intervals as discussed with your doctor or hygienist. Often problems that are developing around restorations can be found at an early stage and corrected easily, while waiting for a longer time may require redoing the entire restoration. Inadequate return for examination is the most significant reason for prostheses failure. We will contact you when it is time for your appointment.

Use the following preventive procedures:
  1. Brush and floss after eating and especially before bedtime.
  2. Use bridge cleaners as advised by us.
Sensitivity: Don't worry about mild sensitivity to hot or cold foods. It will disappear gradually over a few weeks.

Aggressive Chewing: Do not chew ice or other very hard objects. Avoid chewing very sticky "hard tacky" candy because it can remove restorations.

Problems: If one or more of the following conditions occurs, please contact us to avoid further difficulties.
  1. A feeling of movement or looseness in the restoration.
  2. Sensitivity to hot, cold, or sweet foods that doesn't disappear in a few weeks.
  3. A peculiar taste from the restoration site.
  4. Breakage of a piece of material from the restoration.
  5. Sensitivity to pressure.
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We have done our best to provide you with well fitted, functional, and esthetic artificial dentures. It may take several weeks of becoming adjusted to the new dentures. The following information will be helpful to you at this time.

Your First Few Weeks: New dentures always feel strange when first placed in your mouth. Several days or even weeks will be required for you to feel accustomed to them.

Sore Spots: Usually, your mouth will have a few sore spots after wearing the dentures for 24 hours. Don't worry about these areas. They can be relieved with very little effort on your next appointment. A second appointment about 7 days later will usually eliminate any other sore areas.

Chewing: The new bite or occlusion will not feel comfortable for a period of days. We will adjust the contacting surfaces of your teeth when necessary. Wearing Dentures to Bed: Your dentures should not be worn to bed. By keeping your dentures out at bedtime, your gums and jaw bones are given a rest and shrinkage of these tissues is kept to a minimum. Please follow the cleaning instructions given to you.

Upper VS. Lower Dentures: Your upper denture will rest comfortably in place with moderate to strong suction. Although your lower denture will have good stability, it is infrequent that suction can be expected on a lower denture.

The Future: Your jaw bones and gums shrink up to 1/32 of an inch per year when the teeth are missing. This is one of the main disadvantages of artificial dentures. Because of this shrinkage, you should plan to have your dentures and oral tissues evaluated once per year by us. We will inform you when lining or rebasing of the dentures is necessary. Wearing ill fitting dentures for too long without refitting can cause severe bone loss and very serious oral diseases. We look forward to helping you adjust to and enjoy your new dentures. For your information, dental implants are a wonderful option if you have ill-fitting dentures. If you would like more information on dental implants, please ask one of our team members and we will be glad to assist you on finding out whether you are a candidate for dental implants.
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At-Home Tooth Whitening: The tooth whitening system is a chemical process that dramatically lightens the shade of your natural teeth (it has no whitening effect on porcelain crowns, veneers, bridges or fillings). Replacing crowns and fillings to match your new tooth colour should be delayed until after the whitening treatment is completed. Crown and filling replacement is not included in the fee for the whitening treatment. Your whitening treatment may or may not include an in-office treatment.

The colour lightening effect is obtained by wearing the whitening gel in custom trays (we make for you) covering your teeth. We recommend wearing the trays up to two (2) hours a day.

Patient Instructions:
  1. After dinner, brush your teeth with your regular toothpaste.
  2. Hold the mouth tray parallel to the floor.
  3. Find the impression of your two front teeth and count back six teeth (either side), start there on the one side.
  4. Slowly press down on the plunger of the syringe with your thumb. Express a little bead of the gel into that tooth indentation.
  5. Use a small drop in each tooth indentation of the tray.
  6. Wear for one (1) hour each night.
The more you are able to avoid dring caffeinated beverages, drinking red wine and smoking; the longer you can expect to enjoy the benefits of whitening.
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Post sedation appointment instructions
  1. PATIENT CANNOT DRIVE FOR 24 HOURS AFTER SEDATION
  2. DO NOT OPERATE ANY HAZARDOUS DEVICES FOR 24 HOURS
  3. A REPONSIBLE ADULT SHOULD BE WITH THE SEDATED PATIENT FOR SEVERAL HOURS AFTER THE END OF THE APPOINTMENT TO ENSURE THAT THE EFFECTS OF THE MEDICATION HAS WORN OFF. THIS AMOUNT OF TIME VARIES FROM PERSON TO PERSON.
  4. PATIENT SHOULD NOT GO UP AND DOWN STAIRS UNATTENDED. IT MAY BE NECESSARY FOR THE PATIENT SHOULD SLEEP ON THE LIVING ROOM COUCH RATHER THAN GO UP STAIRS TO A BEDROOM.
  5. PATIENT CAN EAT AND DRINK AS SOON AS THEY WOULD LIKE AND DOING THIS WILL LIKELY 'WAKE THEM UP' FASTER THAN IF THEY DID NOT.
  6. PATIENT SHOULD DRINK FLUIDS AS SOON AS THEY ARE ABLE.
  7. PATIENT MAY SLEEP FOR A LONG TIME (SEVERAL HOURS) AFTER THEY LEAVE. THEY MAY ALSO BE ALERT. ATTEND TO BOTH ALERT OR ASLEEP PEOPLE THE SAME WAY. DO NOT TRUST HIM OR HER ALONE.
  8. ALWAYS HOLD PATIENT'S ARM WHEN WALKING.
  9. CALL US IF YOU HAVE ANY QUESTIONS OR DIFFICULTIES. IF YOU FEEL THAT YOUR SYMPTOMS WARRANT A PHYSICIAN AND YOU ARE UNABLE TO REACH US, GO TO THE CLOSEST EMERGENCY ROOM IMMEDIATELY.
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