FAQ

Teeth Whitening

What are the basic whitening instructions?

Start the whitening process by brushing your teeth. Rinse well. Place a dot of bleaching gel in the front portion of the custom fitted tray and spread the gel with the syringe tip. Place the trays on your teeth and gently press the tray to move the gel into place. Wipe away any excess gel on the gum tissue with your finger or tissue and spit out any excess. Wear the trays for 1-2 hours or overnight, depending on the bleach. Remove the trays. Wipe the gel out with tissue and use a toothbrush with water (no paste to clean the trays thoroughly.

How long will it take for my teeth to whiten?

Every individual whitens at a different rate, but the average time that most people notice a color change is wearing the trays daily for 2-3 weeks. Yellow and brown stains bleach faster than blue or grey stained (tetracycline-stained) teeth.

Is it normal for my teeth to be sensitive?

Sensitivity is one of the most common side effects from bleaching. After the whitening process, it is common to experience sensitive teeth. It is also common to experience little "zings" in the teeth during the process and even a day or two afterwards. If this occurs and is not toloerable, you may want to change the schedule to ever 2nd or 3rd day or night. To help in preventing or temporarily reducing sensitivity, you may choose to use a toothpaste for "sensitive teeth" which usually takes 4-6 weeks for a noticeable change.

Can I whiten my teeth if I have periodontal disease?

Patients with periodontal disease or with excessive root surfac exposure may notice significanet sensitivity. Use a "sensitive teeth" toothpaste and nighttime fluoride rinse to help desensitize your teeth prior to bleaching.

Is it normal for my gums or teeth to have white spots?

It is common to see white areas on the gum tissue or teeth after removing the trays from your mouth. Do not panic as it will disappear usually within the hour. Try to remove as much excess gel from the gum tissue to prevent this from occurring on your gum tissue.

Why are my teeth not whitening evenly?

Coffee, tea, tobacco, dark soda, red wine, cherries, blueberries and tomato sauce can all discolor teeth and should be avoided during the entire whitening processAnything that will stain a white shirt may stain your teeth.

Will my white fillings and crowns whiten?

Surface stains on fillings may lighten during the whitening process, however the filling itself, as well as crowns, will not whiten. Fillings and crowns may need to be replacedif you are not satisfied with the color match.

Where should I store the bleaching gel?

You can increase the shelf life of the gel by storing it in the refrigerator. Take the gel out 1 hour before whiteing or place the tube of gel under warm water prior to loading your trays to get the gel to room temperature.

DO NOT WHITEN IF PREGNANT OR BREASTFEEDING
PLEASE CALL THE OFFICE IF YOU HAVE ANY QUESTIONS



Crown

How long will I be numb?

Your lips, teeth, cheek and/or tongue may be numb for several hours after the procedure. To avoid injury, you should avoid any chewing and hot beverage until the numbness has completely worn off. It is very easy to bite or burn your tongue, cheek or lip while you are numb.

Is it normal for my gums or jaw to be sore?

Irritation to the gum tissue can occur from dental work. Rinsing your mouth 2-3 times per day with ½ tsp of warm saltwater can help to alleviate discomfort. Injection sites can be sore for several days after your appointment. Over the counter pain medications works well to alleviate the tenderness.

My bite feels off, is this normal?

If your bite feels uneven, please call our office so we can make a quick adjustment to the temporary or final restoration. Do not assume your bite will get better after time. The tooth may become irritated and a toothache may occur, if this is not done. It may also cause an increase in temperature sensitivity with the tooth.

Is it normal for my tooth to be sensitive?

It is normal to experience some sensitivity to heat, cold, sweets and pressure after your appointment. It is common for this sensitivity to last several months after treatment. Usually, deeper cavities will be more sensitive. Again, make sure your bite feels even.

What foods should I avoid with the temporary?

Avoid eating chewy and sticky foods, such as gum, taffy, licorice, etc. Also, try not to eat hard foods directly on the temporary as it may fracture. It is best, if possible, to chew on the opposite side from the tooth that was worked on to avoid dislodging the temporary.

Why do I need the temporary to stay on?

While the custom restoration is being made, temporaries serve to protect the teeth and to help minimize temperature sensitivity. In addition, they help to prevent movement of the adjacent and opposing teeth so that the final crown will fit properly.

What should I do if my temporary comes off?

Occasionally, a temporary crown may come off or fracture. Call us if this occurs and bring your temporary to the office so that we may recement or repair it. If the temporary comes off during off hours or if you are our-of-town, you can purchase recementing products from the drug store and attempt to do it yourself by following the instructions.

Can I brush and floss around my temporary?

You may brush your teeth and temporary crown as usual using a soft toothbrush. Floss your temporary crown carefully. Do not pull up on the floss as this may dislodge or loosen the temporary. Instead, pull the floss out from the side of the temporary. If a temporary bridge was placed, use a floss threader to clean underneath the bridge and pull the floss our through the side or front of the temporary.



Deep Cleaning / Periodontal

How long will I be numb?

Your lips, teeth, cheek and/or tongue may be numb for several hours after the procedure. To avoid injury, you should avoid any chewing and hot beverage until the numbness has completely worn off. It is very easy to bite or burn your tongue, cheek or lip while you are numb.

Is it normal for my gums or jaw to be sore?

Irritation to the gum tissue can occur from dental work. Rinsing your mouth 2-3 times per day with ½ tsp of warm saltwater can help to alleviate discomfort. Injection sites can be sore for several days after your appointment. Over the counter pain medications works well to alleviate the tenderness.

Is it normal for my gums to bleed when I brush & floss?

You may encounter some bleeding while brushing and flossing. It is important to continue gentle brushing with a soft toothbrush and flossing even if bleeding occurs. As healing progresses, the bleeding will gradually reduce or disappear.

Why do I now have spaces between my teeth?

After removal of plaque and tartar buildup, it is common to have spaces between your teeth and gum tissue. Some spaces may appear as “black triangles” near the gum area, whereas other spaces may separate the teeth. Flossing and brushing regularly will keep the spaces from building up with plaque and tartar.

Is it normal for my teeth to be sensitive?

Normal healing results in some tissue tightening and shrinkage which way expose more tooth structure leading to sensitivity to cold, hot or sweets. This is a common side effect and usually diminished with time.

Can I do anything for my sensitivity?

Continue to brush and floss to remove plaque bacterial that produces acids which contributes to tooth sensitivity. Brushing with a “sensitivity toothpaste” will help alleviate the sensitivity over a 2-4 week time frame. If the sensitivity lasts longer, contact the office and special fluoride rinses or toothpastes may be prescribed.

When do I come back after my “deep cleaning”?

Normally 2-3 weeks after your “deep cleaning”, you will be brought back to the office for reevaluation of the pocketing. At this time, we will recommend the time frame of your subsequent periodontal cleanings, called periodontal maintenance or supportive periodontal therapy. These cleaning usually are preformed 3-4 times per year and are important to prevent reinfection and possible tooth loss.



Dentures

How should I care for my mouth and dentures?

Dentures must be brushed DAILY to remove food partials and plaque. Use a denture brush or a soft-bristled toothbrush with non-abrasive soap or toothpaste to prevent your denture(s) from becoming permanently stained. Clean the denture(s) over a folded towel or sink filled with water to prevent breakage if dropped. At least once a day, use a soft toothbrush to brush your tongue, gums and palate to remove debris. Any natural teeth remaining in your mouth should be brushed and flossed daily.

Can I sleep with my denture?

It is not desirable that your gum tissues are constantly covered by the denture material. Remove your denture(s) each night or at least for a few hours a day to allow your gum tissue to rest. Remember to store your denture(s) away from children and pets.

My denture is causing sore spots, is this common?

You may have some discomfort when you receive your denture(s). It is NOT unusual to experience irritations and soreness with new dentures. IF you have a sore spot, please call the office to have it adjusted. DO NOT ADJUST THE DENTURE YOURSELF! One or more follow-up visits are generally indicated for your mouth to become accustomed to the denture(s). Remember, new dentures will not fit like your old dentures.

Is it difficult to eat with dentures?

Eating with your new denture(s) will require practice. It is important to remember that dentures are artificial replacements of your natural teeth and will not function exactly as your natural teeth did. Eating with your new denture(s) will require practice. Start with soft foods for the first few days and with time you will feel more comfortable eating a variety of foods.

Will dentures change the way I speak?

It is common to notice a change in your speech pattern with new dentures. If speech does not sound right to you, give it some time and normal body adaption should resolve your concern. Pronouncing certain words may require practice. If time does not resolve any speech issues, please call the office. New dentures may also cause an increase in your saliva flow. As your mouth becomes accustomed to the denture, this should diminish in a short period of time.

When do my dentures need to be replaced?

Over time, dentures will need to be relined or remade. Dentures become loose because the mouth changes with time. Loose dentures can cause health issues, including sores and infections. It is important to address poorly fitting dentures before they pose a problem. Periodic checkups will help denture needs.

Should I use denture adhesive?

Denture adhesive can provide additional retention for dentures. It is not a solution for old or ill-fitting dentures. If your denture feels loose or uncomfortable, please call the office.

How often should I schedule an appointment?

Annual dental examinations are required to ensure proper oral health maintenance of your denture(s). Monitoring changes in the shade of the bone ridge, wear of teeth and general oral health, including oral cancer, is essential for a healthy mouth.



White Filling

How long will I be numb?

Your lips, teeth, cheek and/or tongue may be numb for several hours after the procedure. To avoid injury, you should avoid any chewing and hot beverage until the numbness has completely worn off. It is very easy to bite or burn your tongue, cheek or lip while you are numb.

Is it normal for my gums or jaw to be sore?

Irritation to the gum tissue can occur from dental work. Rinsing your mouth 2-3 times per day with 1/2 tsp of warm saltwater can help to alleviate discomfort. Injection sites can be sore for several days after your appointment. Over-the_counter pain medications work well to alleviate the tenderness.

Do I have to be careful with my filling?

Your white filling is as hard as it will be when you leave the office. Immediately following the appointment, you can brush, floss and chew as you would normally. Please use the precaution as stated above if you are numb.

IF YOU EXPERIENCE ANY THROBBING OR SHARP PAIN, PLEASE CALL OUR OFFICE.

My bite feels off, is this normal?

If your bite feels uneven, please call our office so we can make a quick adjustment to the filling. Do not assume your bite will get better after time. The tooth may become irritated and a toothache may occur, if this is not done. It may also cause an increase in temperature sensitivity with the tooth.

Is it normal for my tooth to be sensititive?

It is normal to experience some sensitivity to heat, cold, sweets and pressure after your appointment. This sensitivity may las from several weeks to several months after treatment. Usually, the deeper the cavity, the more sensitive th etooth will be. Again, make sure that your bite feels even.

Why does the filling feel different?

The filling may be contoured differently and have a defferent texture than your original tooth or restoration. Your tongue may magnify this slight difference and you should become accustomed to this "new feel" in just a few days. If not, please call the office.

IF YOU HAVE ANY ISSUES OR CONCERNS, PLEASE DO NOT HESITATE TO CALL THE OFFICE.