After Treatment Instructions


After An Extraction

  • Take prescribed medication as directed
  • You will likely be biting on cotton gauze when you leave the office. Keep biting on the gauze until you get home. We have given you some clean extra gauze to take with you. If the area is still bleeding, moisten the clean gauze and apply pressure (biting) for another 20 minutes. If the area is still bleeding after 20 more minutes, bite on a wet tea bag to apply pressure.
  • If the bleeding cannot be controlled or persists beyond 10 hours, please call us. Keep in mind: A little bit of blood mixed with saliva can seem like a lot of blood. The socket may weep a little bit of blood for 24-48 hours, which is normal. Don’t be alarmed is there is a small amount of blood on your pillow in the morning.
  • Your mouth will be numb after the extraction. Be careful not to bite your cheeks, lip or tongue. It’s best to wait until the numbness is gone before eating.
  • Take your pain medications as prescribed. It is a good idea to start them before the freezing wears off. That way they’re working in your system when the freezing comes out.
  • You may want to apply a cold compress (20 minutes on, 20 minutes off) for the first 24 hours to decrease swelling, pain, and bleeding.
  • Drink plenty of liquids and eat a balanced diet. Try to avoid any hot liquids as this can burn a numb area, and heat can also increase bleeding. Warm soup is a good meal for the day of an extraction.
  • For the first 24 hours, don’t do any heavy rinsing, spitting, or sucking through a straw. Leave the area alone as much as possible to let the blood clot stabilize.
  • You should never smoke again, but if you must, wait as long as possible.
  • After the first 24 hours, gently rinse with salt-water every 2-4 hours for 4-5 days. Mix 1 teaspoon of salt with 1 cup of warm water.
  • If stitches were placed, they will dissolve in a few days.

Call us if you have:

  • Severe pain that is not controlled by medication
  • Uncontrolled bleeding
  • Pain or swelling that worsens after 3 days
  • Nausea, vomiting or fever
  • Any questions

Over-the-counter pain medications that work well are:

  • 1000mg Acetaminophen (ie. 2 Extra Strength Tylenol) every 4-6 hrs
  • 400mg Ibuprofen (ie. 2 Regular Strength Advil) every 4-6 hrs

Do not hesitate to call us at any time if you have any questions or concerns.
Contact Numbers
Smileworx Dental: 905-845-5566


After A Root Canal

By following these instructions, you can minimize the occurrence of complications and expedite recovery:

  • Take your pain medication before the freezing comes out. That way it is working in your system when the freezing wears off.
  • Unless otherwise instructed, take 400mg of Ibuprofen (ie. Motrin, Advil) every 6 hours for the first 24 hours, by the clock, regardless of pain levels. This will help minimize inflammation.
  • The root canal procedure causes some inflammation around the tooth. This can make the tooth tender to biting, or even achy. This is normal, and usually resolves in a week or two. Occasionally it may take a month or two to completely resolve.
  • When you leave the appointment, you will most likely have a temporary filling on the tooth. This temporary filling is the consistency of plaster. Be careful not to eat anything too hard or sticky on the temporary filling. Don’t worry if little pieces of the temporary crumble off, but do call us if something happens where the entire temporary filling falls out.
  • As you know, root canal therapy weakens a tooth. To minimize the risk of fracture, avoid eating hard foods on the treated tooth until the final permanent protective restoration is placed on the tooth.

Call us if you have:

  • severe pain that is not controlled by medication
  • uncontrolled bleeding
  • pain or swelling that worsens after 3 days
  • nausea, vomiting or fever
  • any questions

Do not hesitate to call us at any time if you have any questions or concerns.
Smileworx Dental: 905-845-5566


Home Whitening Instructions

Applying The Whitening Gel

Refer to the packaging for instructions on applying the gel to the whitening trays. The instructions show how to apply a small drop to the outer perimeter of the inner surface (the surface of the tray that contacts the areas of your teeth that show when you smile).
How long should you wear the trays?

Your whitening schedule can range from 30 minutes every second day for extremely sensitive individuals, to 3 hours twice per day for individuals who have no sensitivity. This whitening schedule is personal to you, and will be determined by the level of whitening you are trying to achieve, how quickly you are trying to achieve that level, and the degree of sensitivity that occurs due to the whitening.

Rule of thumb: Whitening your teeth more often, for longer periods of time will result in whiter teeth more quickly, but increases the chance of developing sensitive teeth.

Sensitivity

All whitening systems cause your teeth to become dehydrated, which can make your teeth temporarily sensitive to cold temperatures, air, and sweets. The sensitivity can range from very mild to quite severe. This is normal and will resolve.

If you are one of the small percentage who experience severe sensitivity, apply a thin layer of Sensodyne toothpaste to your whitening trays and wear them overnight. You may have to do this for a few nights, but the sensitivity will resolve. Ibuprofen (Advil?) also helps reduce tooth sensitivity.

Keeping Your Teeth White

Your teeth are most susceptible to darkening during the 1-2 week period that you are whitening your teeth, and for the first two weeks after. During this time, avoid consuming anything with dark-staining pigments. Examples of things to avoid are: coffee, tea (including green tea), red wine, tobacco, tomato sauce, dark gravy, cola, dark candies, berries and berry juices, and dark popsicles.

On average, patients do whitening touch-ups 6-8 months after the initial whitening session. A touch-up typically involves using the DayWhite for 1-2 hours per day for 2 days. This is usually enough to return your teeth to the shade achieved during the initial session.

If you require more whitening gel, we supply additional syringes at cost.

The longer and more often you use DayWhite gel, the whiter your teeth will become, to your maximum whitening potential. However, this also increases the likelihood you will experience sensitivity. The key to successful home whitening is determining the time and frequency that allows you to achieve your desired whitening results while keeping your teeth comfortable. This balance is different for everyone.

Remember, if your teeth are sensitive, use a thin layer of Sensodyne toothpaste in the whitening trays overnight.