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Welcome to Aurora Dental Centre!

At the Aurora Dental Centre we believe that understanding your dental procedure is a very important part of making your visit more comfortable.  Knowing what to expect after treatment is just as important.  We hope the following list helps to answer your questions and to put you at ease.

If you have any further questions, please call the office. We will be glad to help you!

I just had a tooth coloured filling…

-Following your filling appointment, if an anesthetic (freezing) has been used, your lips, tongue and cheek may be numb for several hours. Avoid chewing and hot beverages until the numbness has completely worn off as it is easy to bite or burn your tongue or lip while you are numb.

-It is normal to experience some discomfort and sensitivity after your appointment, which can last from a few hours to a few days. Usually, the deeper the cavity, the more sensitive the tooth will be. Injection sites may also be sore. Often, regular strength ibuprofen (Advil) or acetaminophen (Tylenol), taken as directed, works well to alleviate tenderness and discomfort.

-You may chew with your tooth coloured fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.

-The new fillings 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

-You may notice that the filling maybe a “little high”. Contact our office to schedule an evaluation. If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I Just had a Crown/Veneer...

 -Now that your new porcelain work has been cemented, it may take a few days to get used to. Hot and cold sensitivity is possible for a few weeks and occasionally lasts for several months. If the bite feels a “little high” contact our office to schedule and evaluation.

-The cement from your porcelain restoration sets up hard right away. There is no waiting time to eat.

-Proper brushing, flossing, and regular visits with your dental hygienist are required to help you maintain your final restoration. The only area that a crowned tooth can decay is where the restoration meets your natural tooth. Often, small problems that develop around the restorations can be found at an early stage and corrected easily, but waiting for a longer time may require redoing the entire restoration.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had a bridge preparation/delivery…

-Bridges are completed in two appointments. Following anesthesia, the teeth are prepared for a permanent bridge and an impression is taken. This impression is very important as it dictates the precision of your permanent bridge.

-A temporary bridge is placed on the teeth for protection between visits. It is important to note that the size, shape, and colour of the temporary does not necessarily resemble the final restoration.

-A temporary bridge is easily removed; therefore care must be taken not to dislodge it before your permanent bridge is placed. Do not chew sticky foods such as caramel or chewing gum. When flossing, pull the floss out the side; do not snap it back up through the contact.

-If your temporary bridge comes off, attempt to place it gently on the teeth and contact our office immediately to have our staff re-cement it. Without a temporary bridge to hold your teeth in place, your teeth can move causing your new bridge not to fit.

-Following the procedure, it is normal to experience some discomfort and sensitivity after your appointment, which can last from a few hours to a few days. Injection sites may also be sore. Often, regular strength ibuprofen (Advil) or acetaminophen (Tylenol), taken as directed, works well to alleviate tenderness and discomfort.

-Once the anesthetic (freezing) wears off and you notice that the bridge maybe a “little high,” contact our office to schedule an evaluation. If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had a root canal…

-Root Canal treatment can take 1 or 2 appointments depending on the case. It is possible to experience any of the following symptoms after any of these appointments:

  • sensitivity to hot and/or cold
  • sensitivity to pressure
  • possible swelling

If you experience swelling, please call our office immediately as additional medication may be required.

-It is common for your treated tooth to feel high when you bite your teeth together. If this occurs it will cause your tooth to stay sensitive for a longer period of time. Please call us if your bite feels “high” as this problem is easily rectified with a simple bite adjustment.

-A temporary filling may be used to temporarily seal the tooth between visits. It is not uncommon for pieces of your temporary filling to chip away however, if the entire filling is lost call the office immediately. Be gentle on the tooth while eating until the final restoration is placed.

-The gum tissue could have been irritated during the procedure and may be sore for a few days together with the anesthetic injection site.

-During endodontic treatment, the nerve, blood and nutrient supply to the tooth is removed. This will cause the tooth to become brittle and prone to fracturing which could result in the need to extract the tooth. A full coverage crown is recommended to prevent this from happening.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had a nightguard delivered…

-Your nightguard is meant to keep your teeth from contacting while you sleep and to allow the lower jaw to return to a comfortable hinge position without interference and guidance from the teeth. It is essential that you wear your night guard every night although exceptions are to be expected.

-If you experience pain in your jaw after use, please call the office for an appointment.

-Your nightguard should be placed in the case provided between uses to prevent loss and damage; pets especially like to chew these appliances!

-Use a retainer cleanser (ie. Polident) regularly to keep your appliance clean. -Bring your appliance to your check up appointments for proper maintenance.

I just had tooth whitening trays delivered…

-For ultimate results, a thorough brushing and flossing regime should be performed prior to tooth whitening.

-Place a drop of whitening material into the tray for each tooth to be whitened. Seat the tray fully and remove excess whitening material with a clean finger or toothbrush. Wear the trays as directed, either for two applications at 30 minutes or once a day for at least 4 hours. For most patients, lightening of the tooth is usually noted within the first 24 hours.

-It is common for teeth to be sensitive for a few days following tooth whitening procedures and occasionally may last longer. Patients often describe the sensitivity as a momentary tingling or stinging sensation, often to cold air and fluids. Additionally, some patients report irritated gums and a sore throat following tooth whitening. The discomfort often resolves in a couple days, but some patients find that regular strength ibuprofen (Advil) or acetaminophen (Tylenol), taken as directed, does help manage the discomfort. If severe sensitivity occurs or the sensitivity lasts longer than a week, contact our office for an evaluation.

-To counter-act the sensitivity, a fluoride mouth rinse or sensitivity toothpaste can be used during the duration of the tooth whitening procedure. As well, if the sensitivity is too severe, decreasing the frequency of the tooth whitening (ie. every 2-3 days) can help minimize the severity of the sensitivity.

-For best results, avoid foods and beverages that stain such as red wine, dark sodas, coffee, tea, and soya sauce. As well, smoking should be avoided. Maintenance of your whiter teeth will need to be performed, usually every 6 months, but does vary among patients. -Store your whitening trays in the case provided to prevent loss or damage.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had a tooth extraction…

For the first 24 hours:

Do NOT:

* Rinse the area
* Spit saliva
* Drink through a straw
* Smoke
* Drink alcohol
* Probe the area with any objects
* Perform vigorous exercise
* These activities can also dislodge the blood clot, possibly resulting in improper healing (a painful condition known as dry socket).

-A small amount of bleeding or oozing is to be expected, but severe bleeding should not occur. It is normal to see blood in the saliva (pink or pinkish red in colour) for 24 to 48 hours after the procedure. If bleeding does occur or becomes heavy, place the provided gauze onto the area and apply pressure for 20 to 30 minutes. If bleeding remains uncontrolled, please call our office.

-You may brush your teeth gently, avoiding the surgical area.

-Eating soft nourishing foods that can be taken with comfort is recommended, such as soup, mashed potatoes, and scrambled eggs. Avoid extremely hot or cold foods and do not use a straw. Avoid hard foods like nuts and small foods such as rice, which can be lodged in the socket, impairing proper healing.

– Unfortunately, most oral surgery is accompanied by some degree of discomfort depending on the procedure and patient. To help manage discomfort, take ibuprofen 400mg (Motrin, Advil) or acetaminophen 500mg (Tylenol) before the freezing or anesthetic wears off. The effects of pain medication vary widely among individuals. Remember, that the most severe pain is usually within six hours after the local anesthetic wears off and the discomfort should taper afterwards.

The next couple of days:

-Keeping your mouth clean after surgery is essential. Start warm saline rinses 24 hours after the oral surgery procedure. Use 1/4 teaspoon of salt dissolved in an 8oz. glass of warm water and gently rinse with the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least two or three times daily preferably after meals for one week after surgery. Avoid commercial mouth rinses, as they contain a small amount of alcohol.

-Oral surgery is often associated with post-operative swelling. It can be minimized by using a cold pack or ice bag wrapped in a towel and applied firmly to the area of the swelling (cheek) for twenty minutes on then twenty minutes off during the first 24-48 hours after surgery.

-Begin your normal oral hygiene routine 24 hours after surgery. Soreness and swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort.

-Over the next several days, you may gradually progress to solid foods.

Normal healing after tooth extractions should be as follows:

The first two days after surgery are generally the most uncomfortable and there is usually some swelling and/or bruising in the affected area.

On the third day you should be more comfortable and although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be a gradual steady improvement. If you don’t see continued improvement, please call our office.

Common temporary post operative symptoms:

* Jaw stiffness with difficulty in opening
* A slight earache on the side of the surgery
* Your other teeth may ache. This is “sympathetic” pain.
* The corners of your mouth may be dried, cracked or bruised. Use cream or ointment to keep the area moist and to promote healing.
* Black and blue discolorations or bruising may occur on the face in the area of surgery. This should resolve itself within several days.
* There may be elevation of body temperature for 24 to 48 hours (Up to 101 F). If temperature persists, please call our office.
If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had dentures delivered…

-Your mouth may have a few “sore spots” after wearing the dentures for 24 hours. These areas can be relieved with very little effort during your next appointment.

-The new bite may not feel completely comfortable for several weeks. We can adjust the contacting surfaces of your teeth after the dentures have settled into place.

-Your denture can be cleaned easily by using a denture brush and a mild toothpaste. Periodic denture soaks are also very useful (ie. Polident). We recommend leaving your partials out of your mouth at night and soaking in water.

-With partial dentures, use special care to clean parts of the partial that contact any natural teeth. Both the partial and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay starting.

-Over time, your jawbone and gums shrink when there are teeth missing. When this occurs, your dentures will feel loose and may require relining. Wearing ill-fitting dentures for too long without refitting can cause severe bone loss and very serious oral disease. Please call our office if these symptoms occur.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I just had gum therapy…

-If anaesthetic(freezing) was used, it is best to wait until it has worn off before eating. Also, it is important that you are careful not to bite your lip, cheek or tongue while it is numb.

-You may experience some degree of gum soreness. It usually subsides within 24 hours. Most patients will find that their discomfort can be controlled with Advil or Tylenol. Also, rinsing with warm salt water ( 1/2 teaspoon salt mixed in 8 oz. warm water) up to six times per day can be soothing to the tissues.

-As gum tenderness diminishes, begin using your dental floss daily to remove the plaque from between the teeth. This will help promote healing and decrease sensitivity.

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

-Normal healing results in some tissue tightening and shrinkage and as a result you may experience some sensitivity to cold, hot or sweets. This is a common side effect of this procedure and usually diminishes with time.

-Tooth sensitivity can be diminished by brushing and flossing to remove plaque bacteria that produce acids which contribute to tooth sensitivity and by using a desensitizing paste (ie. Sensodyne). Special fluoride rinses may also be prescribed.

-If sensitivity persists for more than 2 weeks, please call the office as there are desensitizing agents we can apply to decrease or eliminate the sensitivity in most cases.

If you have any questions or concerns, please do not hesitate to call our office. Your comfort is our priority!

I will be having a “Safe Removal” of my silver filling appointment…

At the Aurora Dental Centre we believe in whole body dentistry, which means we go beyond your mouth and consider your overall health when treating your dental needs.

We are a “mercury-free office” which means that we do not place silver fillings, but we do remove them when necessary.

It is known that the highest mercury exposure from your silver fillings occurs in placing and removing the filling. For this reason, we recommend our “Safe Removal” procedure; a combination of measures that significantly reduces your exposure to mercury vapors released during your visit with us.

There is no extra fee, simply a service we offer to all of our patients as a part of our commitment to whole body dentistry.

IQ Air purification:  
During the removal of your amalgam filling we will be using the IQ Air which helps to remove the mercury vapor and amalgam particles generated by removing your silver fillings.

The IQ Air, which resembles an elephants trunk, is placed close to your mouth and makes a gentle hum as it helps to clean the air around you.

Clean breathing:
We believe that it is beneficial to provide you with an alternative air source while your silver fillings are being removed so that you do not have to breathe the air directly over your mouth during the process.  This isn’t necessary after the removal of the silver is completed, when the tooth is being prepared for the new filling, and while the new filling is being placed.

During the actual amalgam filling removal, you will be provided with a nose mask through which to breathe oxygen from a tank.

Clean breathing for staff:
Just as clean air and protection from the vapours and particles produced while removing your silver filling is important for yourself, we take the same precautions for our staff during your appointment.

You will see Dr. Kohen and his assistant wearing a special type of mask which provides them with clean air during your procedure.

The Dental Dam:

A non-latex rubber dam, or dental dam, is used to help reduce the amount of mercury vapour inhaled through your mouth and also to help catch any pieces of debris during the removal of your filling.   It is held in place with the help of a small ring that sits around your tooth.

Activated Charcoal:  

A small drink of activated charcoal will be offered to you before your silver filling removal.  This is known to bind smaller particles of swallowed mercury, allowing them to be harmlessly passed out of the intestine.