Dr. Shweta's Dental Clinic

D – 42 Kalkaji, New Delhi–110019
Ph.: +91–11–26414243
+91–9811227991, +91–9810335961


Dr. Puneet Batra
Consultant Orthodontist & Implantologist
BDS(Gold Medalist). MDS (Orthodontics-AIIMS)
M Orth RCS (Edinburg), FFD Orth RCS (Ireland)
DNB, PGDHM, PGDMLS, FPFA, FWFO, FACDE, FICD
Dr. Shweta
Consultant Dental Surgeon
BDS(Gold Medalist). PGDHM, PGDMLS, FICOI(USA)
FACDE(USA), FPFA(USA), Ex Resident AIIMS
Trained for: Tobacco Intervention Initiative of IDA
Jt Secretary: IDA South West Delhi Branch

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Dr. Shweta's Dental Clinic is an IDA Certified Tobacco Intervention Centre(TII Centre)
Tabacco Intervention Initiative Centre

Patient Education

 


Post-Operation Instructions after Tooth Extraction


» DO NOT SPIT OR RINSE MOUTH TODAY. Do not spit, swallow saliva for today. Tomorrow rinse mouth gently every 3 to 4 hours (especially after meals) using one-quarter teaspoon of salt to a glass of warm water. Continue rinses for several days.

» BLEEDING: Following extractions some bleeding occurs, place gauze pads over the bleeding area and bite down firmly for one hour. After the blood clot forms, it is important not to disturb or dislodge the clot, especially for the first 24 hours.

» DO NOT smoke, suck through a straw, rinse vigorously, or brush near the extraction site for one to two days. But keep the operated site clean.

» SWELLING: Ice bag or chopped ice wrapped in a towel should be applied to the operated area (from outside) one half hour on and one-half off for 4-5 hours.

» PAIN: For mild to average pain use medication that has been prescribed at Dr Shweta’s Dental Clinic. Please take only as directed, and do not drive or operate machinery if taking narcotic medications. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone.

» Avoid any biting on your numb cheek or lips or tongue until numbness has completely worn off

» FOOD: Soft and cold diet is advisable during the first 24 hours. Drink lots of fluids, and eat soft food on the opposite side from the extraction site. Avoid alcoholic beverages and hot or spicy foods. You may resume normal eating as soon as you are comfortable.

» BONY EDGES: Small sharp bone fragments may work up through the gums during healing. These are not roots; if annoying return to this office for their simple removal

» Reduce exercise for the first 24 hours. This will keep blood pressure lower, which will reduce bleeding from the extraction site.

» The proper care following oral surgical procedures will hasten recovery and prevent complications.

» If sutures (stitches) were placed, please be sure to keep your follow-up appointment for removal after 1 week.
Contact Dr Shweta’s Dental Clinic immediately if you have heavy uncontrolled bleeding, severe pain, continued increase in swelling after two to three days, or a reaction to the medications prescribed

Contact Dr Shweta's Dental Clinic immediately if you have heavy uncontrolled bleeding, severe pain, continued increase in swelling after two to three days, or a reaction to the medications prescribed


Post-Operation Instructions after Root Canal Treatment


» Avoid any biting on your numb cheek or lips or tongue until numbness has completely worn off.

» The tooth and surrounding tissues may be tender for several days as a result of manipulation during treatment, and due to the previous condition of your tooth. This is a perfectly normal and expected reaction. For a few days you may experience mild to moderate discomfort when eating. Avoid chewing on the tooth as much as possible.

» If a temporary filling was placed to seal the tooth, avoid flossing in the area. It is not uncommon for a small portion of the filling to wear down or chip.

» It is important to continue to brush normally.

» It is normal to experience some discomfort for several days after a root canal appointment, especially when chewing. To control discomfort, take pain medications as directed. Warm salt water rinses (one teaspoon of salt in one cup of warm water) may aid in relieving discomfort.

» If swelling occurs, place an ice pack on the affected area. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection and swelling are gone.

» To protect the tooth and keep temporary in place, avoid eating sticky foods (especially gum), hard foods, and if possible chew only on the opposite side of the mouth. A permanent filling and crown must be placed to protect the root canal tooth from fracture or decay. Please be sure to keep all scheduled follow-up appointments for these procedures.

If you experience uncontrollable pain or swelling, or if your bite feels uneven, please contact Dr Shweta’s Dental Clinic.


Instructions for Crowns and Bridges


» When anesthesia has been used, your lips, teeth, and tongue may be numb for several hours after the appointment. Avoid any chewing until the numbness has completely worn off. It is easy to bite or burn your tongue or lip while numb.

» The gum tissue around the prepared teeth may be sore for several days. You may rinse your mouth with warm salt water (put a teaspoon of salt in a cup of warm water, rinse and spit) to reduce pain and swelling. There are times when a mouthwash may be dispensed to assist with gum tissue healing. It is important to use as directed.

» Crowns and bridges usually take two to three appointments to complete. At the first visit, the teeth are prepared and a temporary crown or bridge can be placed when indicated.

» With your temporary crown and with your permanent crown, you may experience some discomfort due to irritation of the area during the treatment procedures. You may also experience sensitivity to cold or pressures.

» Your tooth may feel sensitive to temperature, sweets, or biting. This is normal and should subside in a few days. If this sensitivity is severe and does not dissipate, please contact Dr Shweta’s Dental Clinic immediately for an evaluation.

» Do not eat anything sticky, hard or chewy as this may pull the temporary off or break it. Be careful brushing and avoid flossing adjacent to the temporary as this may cause it to become dislodged. Once the permanent restoration is placed, you may brush and floss normally.

» The temporary or the tooth prepared may feel rough to your tongue and may not be the same shape or color as the permanent restoration. You can feel confident that your new restoration is being made using state-of-the-art materials by the finest laboratories and technicians.

» After your new permanent crown is in place you may feel discomfort or difficulty in closing teeth properly. It may require some bite adjustment after few days.

» Care for your new crown with proper brushing twice a day and flossing. It is especially important to keep the edge of the crown clean at the gum line. If using a bridge use Superfloss as instructed. Rinse after meals.

» Do not eat anything for the next one hour after cementation of the crown or bridge and eat soft food on the other side for the rest of the day.

» Avoid eating sticky and hard food like stick jaws, chewing gums nuts, end of toast etc with the teeth having the crown or bridge.

» In case crown or bridge comes off, keep it carefully and inform us immediately. The crown or bridge will be cleaned, sterilized and cemented back.

Please come for regular checkup after 6 months even if there is no problem or discomfort.


Post-Operation Instructions after Composite (white) Fillings


» Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the "brain" to recognize the new position of your teeth or their thickness as normal. If you continue to detect any high spots or problems with your bite, call us so we can schedule an adjustment appointment.

» It's normal to experience some hot, cold and pressure sensitivity. Your gums may be sore for several days. Removing tooth structure and placement of new materials may result in a period of adjustment. Your gums may also be sore for several days. Rinse three times a day with warm salt water (tea spoon. of salt in a cup of warm water, rinse-swish-spit) to reduce pain and swelling. Mild pain medication should ease your discomfort during the adjustment period.

» Don't be concerned if your speech is affected for the first few days. You'll quickly adapt and be speaking normally. You may notice increased salivary flow. Your brain may respond to the new size and shape of your teeth by increasing salivary flow. This should subside to normal within a week or so.

» Daily plaque removal is critical for the long term success of your dental work. Maintain a regular oral hygiene routine. Daily brushing and flossing is a must. Regular cleaning appointments in our office are also critically important. We'll use the appropriate cleaning abrasives and techniques for your specific cosmetic work.

» Your new composite fillings are fully hardened before you even leave the office; however, it is wise to chew on the opposite side from the location of the newly placed filling(s). One of the most common problems following filling placement with anesthesia, is an incorrect bite. If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please contact Dr Shweta’s Dental Clinic immediately to obtain help or advice.

» It's important to change habits to protect your new teeth. Any food that could chip, crack, or damage your natural teeth can do the same to your new cosmetic restorations. Avoid sticky candies, any unusually hard foods or substances (such as peanut brittle, fingernails, pencils or ice). Avoid or minimize your use of foods that stain, such as tea, coffee, red wine and berries. Smoking will quickly yellow your teeth.

» Let us know if you grind your teeth at night or engage in sports so we can make you a custom mouthguard. Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, we always welcome your questions.


Post-Operation Instructions for New Partial or Complete Dentures


» New dentures always require a period of adjustment. First-time denture patients may require several weeks to get used to their new appliance. If this is your first denture it might take awhile to become accustomed to its feel. Initially, the denture may stimulate your gag reflex, feel very large in your mouth or simply feel foreign. Even experienced denture wearers need some time to adjust to new dentures. However, any continuing pain, discomfort or difficulty adapting to your denture should be brought to our immediate attention. Speech may be altered, and may require adaptation of the tongue and lips.

» For the first few days, you should wear your dentures for as long as possible, and chew soft food in small bites. Remember, dentures do not have the same chewing efficiency as natural teeth and may affect your taste of food. If your bite feels uneven after several days, we can adjust the way your teeth contact at follow-up visits.

» The denture is constructed so that it rest on top of your gum tissue and all of the chewing forces must be born by your gum tissue. As a consequence, you may experience some soreness or discomfort under the denture base. This may be alleviated by adjustments and issue treatment. In some cases it takes several appointments before the denture can be made comfortable.

» It is not unusual for sore spots to develop in isolated areas of the mouth. These areas can be relieved easily at follow-up appointments. If a severe sore spot develops which prevents wearing the denture and an appointment is made for adjustment, please wear the denture for 24 hours prior to the appointment. This will greatly aid in locating the exact location of the area, and make adjustments significantly easier and more predictable.

» Proper cleaning of your denture is important to prevent stains and bacteria from accumulating on your appliance. Since cleaning procedures differ for various types of appliances, please follow the directions given to you at your insertion appointment.

» Do not wear your complete or partial dentures to bed. It is important to allow your gum tissues and jaw bones to rest in order to prevent further tissue irritation, infection, and future bone shrinkage.

» Over time, or with weight loss or gain, the supporting gum tissues and bone may change shape and size. Periodic relines of your dentures may be necessary to ensure a retentive fit. Denture teeth may wear or chip over time. For this reason, an annual check of your tissues and dentures is recommended.


Patient instructions after Periodontal treatment


» After your periodontal surgery, your lips, teeth and tongue may be numb for several hours. Avoid any chewing until the numbness has completely worn off. Don't eat anything for two hours following surgery.

» For pain or discomfort you may take pain medication as prescribed at Dr Shweta’s Dental Clinic. Do not take medication on an empty stomach or nausea may result. Apply an ice pack (20 minutes on, 20 minutes off) for six hours following surgery to decrease pain and swelling.

» Some slight bleeding is normal for a day or so following surgery. If bleeding persists, apply firm pressure with a moist gauze pad or bite on a tea bag for twenty minutes. Elevate your head with pillows. Call Dr Shweta’s Dental Clinic if this doesn't control bleeding or if bleeding increases

» It is advisable to eat only soft food for the first 48 hours, and avoid any hard or spicy foods, which could cause infection. Restrict your diet to soft foods such as yogurt, ice cream, cottage cheese, and soups until you can chew comfortably.

» Relax as much as possible and avoid all strenuous activities for the first twenty-four hours following surgery.

» Drink plenty of water during the first 24 hours? At least 8 glasses are recommended.

» Place cold towels or an ice bag to the outside of your face in the treated area. Apply for 15 minutes, then remove for fifteen minutes, then remove for fifteen minutes during the first 4-6 hours.

» On the morning after the treatment, rinse mouth with warm salt water (1/2 teaspoon salt to glass of warm water). Repeat this several times daily.

» Brush teeth gently to help remove plaque that has started to form. We suggest using fluoridated, tartar control toothpaste.

» Don't use floss or other home tooth care products, such as toothpicks or electric brush, until after the day of your treatment. Begin very gently at first.

» Because it is very common for periodontal disease to reoccur, patients should have regular checkups to monitor progress and prevent recurrence.

Please follow these home instructions carefully and call Dr Shweta’s Dental Clinic if you have any questions or concern


Post-Op Instructions after Scaling/ Root Planning


» Following scaling and root planning, you can expect to notice less redness, less bleeding, and less swelling of your gum tissues. Your teeth may feel smoother, and your mouth will taste and feel better. Your gum health must be maintained with proper homecare, as instructed, and regular professional care.

» When anesthesia has been used, your lips, teeth, and tongue may be numb for several hours after the appointment. Avoid any chewing until the numbness has completely worn off. It is easy to bite or burn your tongue or lip while numb. It is recommended that you take some analgesic as recommended at Dr Shweta’s Dental Clinic before the anesthetic completely wears off. This will help with any swelling or pain at the injection sites where anesthetic was administered.

» It is not unusual for the teeth to be more sensitive to hot or cold temperatures, and/or sweets. This occurs as the gum tissue heals and shrinks in size. Brushing two to three times daily with sensitivity toothpaste or using fluoride rinses may help alleviate this over time. If sensitivity continues or is severe, professional application of a desensitizing agent may be required.

» For a few days, a soft diet is recommended, chewing on the opposite side.

» Consistent and thorough daily oral hygiene is essential to the proper healing of your gum tissues. Brushing, flossing and rinsing with recommended products are critical. Use prescribed mouthwash.

» If a localized antibiotic was placed, please follow all additional instructions given to you at your appointment.

» In most cases, only one half of the mouth is treated at a visit. Please remember to keep all appointments to complete the treatment on the opposite side, and all follow-up appointments thereafter


Patient instructions after Twin Block appliance delivery


All About your Twinblock Appliance
The Twin Block Appliance will help straighten your teeth and encourage your jaws to grow. Success in treatment is totally dependent on YOUR full co-operation.

» Wear the appliance full time. If you have any problems wearing the appliance contact us.

» Take the appliance out for cleaning your teeth, contact sports and swimming. You should wear it at meal times. This requires a little practice but is worth the effort.

» At first the appliance may be a little uncomfortable. Any sore spots will usually pass off as you get used to your appliance. If the discomfort persists don't wait for the next appointment but contact us and an appointment will be made for you to be seen as soon as possible. You may produce a little more saliva initially but this will soon return to normal. You must try to keep the blocks in contact at all times. You will soon learn to speak with your appliance.

» Keep the appliance very clean by brushing thoroughly with a toothbrush and pay particular attention to brushing your teeth and gums at least twice a day.

» The twin block appliance is expensive to make and so you must take care of the appliance. When the blocks are not in the mouth store the appliance in a plastic box and DO NOT wrap in tissue paper - many appliances have been thrown away after being wrapped in a napkin after lunchtime. If the appliance breaks or becomes distorted contact the practice immediately.

» Twin block therapy typically lasts 6-8 months and is followed by fixed appliance treatment.

» Fluoride mouth rinse (Phos-Flur) should be used daily throughout orthodontic treatment and disclosing tablets should be used regularly to help you keep your teeth clean.

» Bring you toothbrush every time you come and see us and always clean your teeth thoroughly just before each appointment.

Patient instructions during orthodontic treatment


  • » Your active role in orthodontic treatment helps ensure long-term success.
  • » While you're in braces, it's important to practice good oral hygiene and avoid breakages.
  • » Keeping your orthodontic appointments is crucial for the success of your treatment.
  • » To get the most out of your treatment, be sure to follow your orthodontist's instructions during and after treatment.
  • How do I take care of my braces?

  • » Extra time is needed with toothbrushing (ORTHODONTIC BRUSH- STIM recommended) to make sure that all areas around the braces have been cleaned properly. Specialized brush tips are available to help get in between the braces and under the wires. Brushing twice daily is mandatory.

» Over-the-counter mouth rinses (PHOS FLUR recommended) can be used to help reduce the level of bacteria around the teeth.

    • » You may need Dentogel/ Dologel CT on ulcers that might form in the mucosa adjacent to your braces.

     

    FOOD GUIDELINES
    DON’T BITE FROM FRONT TEETH
    Eliminate sticky foods
    - Bubblegum
    - Caramels
    - Lollipops
    Avoid hard/crunchy foods
    - Raw Carrot and apple
    - Nuts
    - Sweets
    Minimize sugar intake
    - Sweets
    - Sugar-based drinks
    eg: Fizzy drinks & orange juice
    - Cakes

    Extra time is needed with toothbrushing

     

    Specialized brush tips help get in between braces and under wires

     

    Patient instructions after active orthodontic treatment

    RETENTION

     

    » Your role in caring for your smile doesn't end when orthodontic treatment does. In fact, the post-braces period is extremely important in assuring long-lasting results. That's because the bone needs time to strengthen and provide stability for your new tooth positions.

    » A retainer is an appliance that holds teeth in place after orthodontic treatment. Most retainers are removable.

    » Retainers need to be worn for 24 hours at least for the first six months and at night time only for the next six months.

    » It's important to wear your retainer as prescribed  by your orthodontist to prevent a relapse of your  orthodontic problems. Once teeth return to their  pre-corrections positions, the orthodontist may  need to start all over again with treatment. Some patients wear a fixed retainer, bonded to the backs  of the teeth, to provide permanent support.

    » Retainers need to be removed only while brushing in the morning as well as before sleeping. While you brush your teeth, the retainer needs to be cleaned too.

    » If retainers break somehow please contact us immediately and we will try to fix your appointment as soon as possible!!!

    If you stay with your treatment and follow through with post-braces care, you can expect lasting results from your orthodontic procedure.


    Patient instructions after active orthodontic treatment


    » Your role in caring for your smile doesn't end when orthodontic treatment does. In fact, the post-braces period is extremely important in assuring long-lasting results. That's because the bone needs time to strengthen and provide stability for your new tooth positions.

    » A retainer is an appliance that holds teeth in place after orthodontic treatment. Most retainers are removable.

    » Retainers need to be worn for 24 hours at least for the first six months and at night time only for the next six months.

    » It's important to wear your retainer as prescribed by your orthodontist to prevent a relapse of your orthodontic problems. Once teeth return to their pre-corrections positions, the orthodontist may need to start all over again with treatment. Some patients wear a fixed retainer, bonded to the backs of the teeth, to provide permanent support.

    » Retainers need to be removed only while brushing in the morning as well as before sleeping. While you brush your teeth, the retainer needs to be cleaned too.

    » If retainers break somehow please contact us immediately and we will try to fix your appointment as soon as possible!!!

    » If you stay with your treatment and follow through with post-braces care, you can expect lasting results from your orthodontic procedure.

    BRUSHING


    Selecting the right toothbrush:
    Toothbrushes vary in size and design, as well as in length, hardness and arrangement of bristles. The type of brush is purely a matter of individual preference but the following points must be considered:

    It should be able to reach and efficiently clean most areas of the mouth.


    Another point of controversy is the hardness of the bristles. Use of hard-bristle brush is linked enamel wear. But the fact is that it is the manner in which the brush is used and the abrasiveness of the toothpaste that affects enamel abrasion to a greater degree than the bristle hardness itself.

     

    Overzealous brushing can lead to gum recession, painful ulceration of gingiva and triangular-shaped defects in the neck area of the tooth.


    To maintain the cleaning effectiveness, toothbrushes must be changed as soon as bristles begin to fray. Generally with regular use, brushes wear in about 3 months time. If all the bristles are flattened after 1 week of use, probably the brushing is too aggressive; if the bristles are straight even after 6 months of use then either the brush is not regularly used or brushing is very gentle.

     

    The recommended brush for most people should have a short-head with round-ended, soft to medium nylon bristles arranged in 3 to 4 rows of tufts are recommended.


    How frequently should I brush?


    If the efficiency is good i.e. it removes all deposited plaque, brushing once a day is sufficient. However, if the efficiency is less than optimum, a second brushing will help.

     

    Toothbrushing technique

     

    Place the bristles at the gum margin, establishing an angle of 45 degrees to the long axis of the teeth. Exert gentle vibratory pressure, using short back-and-forth motions without dislodging the tip of the bristles. Complete approximately 20 strokes in the same position.
    Continue around the arch, brushing around three teeth at a time, then use the same method to brush the inner surfaces of the teeth. To help reach the inner surfaces of the front teeth, insert the brush vertically.
    Press the bristles firmly into the chewing surfaces of the teeth and brush with about 20 back-and-forth strokes.


     

    FLOSSING:

    Flossing removes plaque from in between tooth surfaces. Again the use of a particular brand is based on ease of use and personal preference.

     

    Technique:

     

    Start with apiece of floss long enough to grasp securely; 12 to 18 inches is usually sufficient. Stretch the floss tightly between the thumb and fore-fingers.
    Pass the floss gently through each contact area of the tooth with a firm back-and-forth motion
    Once the floss is below the contact area between the teeth, wrap the floss around the proximal surface of one tooth, and slip it under the gum margin. Move the floss firmly along the tooth up to the contact area and gently down into the gum margin again, repeating this up and down stroke several times.

     

    Mouth Rinsing

    The use of tooth brushing and dental floss will loosen many particles of food and tooth plaque bacteria. These can be removed by vigorous rinsing with water. Repeated rinsings also results in a rapid lowering of sugar level in saliva.

     

    It is therefore recommended, that following ingestion of sugar rich snacks, one should rinse one's mouths vigorously two or three times with as much water as can be adequately held in the mouth. It is especially important to do this if it is impractical to brush the teeth at such a time.

     

    Bad breath

    Bad breath (also called as Halitosis) is caused primarily by volatile sulfur compounds, specifically hydrogen sulfide and methyl mercaptan, which result from degradation of sulfur containing proteins.

     

    The foul smell may have its origin within the mouth or might be caused by certain extra oral factors. Contributing factors within the mouth include retention of odoriferous food particles on and between the teeth and or tongue, artificial dentures, smoker's breath and healing surgical or extraction wounds. Any disease of gums or tooth decay may also cause an unpleasant mouth odor from accumulated debris. Extra oral sources of mouth include infections of the respiratory tract (bronchitis, pneumonia etc.) and odors secreted in breath from aromatic substances in bloodstream (alcoholic breath, odor of diabetes and uremic breath that accompanies kidney dysfunction.


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