Post-Op Instructions

General Guidelines for all procedures:

Do not chew on hard, sticky or chewy foods for a least 24 hours. Never chew on ice. Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration. Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene. Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions. In the event of an emergency, please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Your teeth are held into your jaw bone by ligaments. Food, bacteria, plaque, and calculus (tarter) can cause the ligament to detach from the tooth, resulting in bone loss (periodontal disease). This can occur in a few localized areas of your mouth.

In an attempt to prevent further loss and regain the ligament attachment, a localized antibiotic (Arestin) has been administered.

This antibiotic has no systematic affects.

Arestin is indicated as an adjunct to scaling and root planning. The area may be somewhat sensitive for several days after the administration.

For optimum results it is important for you not to use any dental implements (floss, proxi-brush, soft-picks) to clean between your teeth in the area where the Arestin was placed. It is important that you continue cleaning other areas of your mouth as normal and regular brushing is advised.

After 10 days, you can resume cleaning the treated area as usual.

At your next appointment, we will reevaluate the area. You may require additional treatments at your regular hygiene appointments to prevent further bone loss and periodontal disease.

Your tooth and gums may be sore for several days after the appointment where your tooth/teeth were prepared, impressions made, and fitting of a provisional (temporary) restorations. You can rinse with warm salt water several times daily to encourage the area to heal faster. You can also take over the counter pain relievers of your choice.

Your final restoration will be ready in several weeks.

You are currently wearing a interim temporary restoration. This is generally made of plastic and is cemented with an intermediate cement.

Avoid chewing anything excessively hard, tough, or sticky. Chewing things such as gum will stick to them and possibly pull them off.

To maximize your whitening results dark staining substances should be avoided for 48 hours. Your teeth remain porous for the first 48 hours after whitening. This is why we ask you to refrain from dark pigmented foods or beverages. If it can stain your clothes, it can stain your teeth.

Avoid such things as:

  • Coffee or tea
  • Cola, Sodas
  • Berries
  • Tobacco
  • Red Wine
  • Dark Sauces
  • Soy Sauce
  • Ketchup, or mustard

You may have sensitivity for the first 24 hours. You can use prescription fluoride gels or toothpaste to help protect your teeth. Over the counter pain relievers can be used if you feel the need.
You have also been given custom made trays. You can utilize these for 3-7 days and should be worn for the designated time below. The trays can be used achieve the optimal whitening effect and to compensate for any rebound (teeth returning to the pre-whitening shade) that may occur over time.

To use the trays:

Place a small drop of bleach in the center of each tooth on the internal surface of the tray that sits against the front of your anterior teeth. Wear for the recommended amount of time. When finished, remove the trays, rinse, gently brush off any gel that remains with a soft tooth brush. Clean the trays.

  • 10% wear 8 to 10 hours
  • 15% wear 4 to 6 hours
  • 20% wear 2 to 4 hours
  • 35% wear 30 to 45 minutes

Some pain, bleeding, swelling and seeping are normal following oral surgery. A cold compress placed on the face near the extraction site for 30 minutes every five to ten minutes on the day of your surgery can be helpful. This will help reduce pain and swelling. Do not miss your follow up appointment(s) with your dentist and do not probe the area with your tongue or fingers. Please do not touch your lips to see or feel the area treated. Avoid brushing your teeth near the surgery site but brush and floss the rest of your mouth as instructed by the office. You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by your doctor as needed. A warm salt water rinse, approximately ½ teaspoon in an eight ounce glass of water, three times a day can be helpful.

For the first 24 hours you may experience some cold and heat sensitivity. Do not eat, drink, chew or consume foods and beverages that are extremely hot or spicy until the numbness has worn off following the anesthetic. Avoid vigorous physical exercise for the first 24 hours and do not consume alcoholic beverages or smoke for at least 48 hours. Do not brush, rinse or spit. Do not use a straw for drinking. During the first few days after surgery a diet of liquids and soft foods such as soups, yogurt, juice and smoothies are recommended. If you experience excessive bleeding or discomfort after 48-72 hours, please call our office immediately.

Follow any other instructions provided by the office on your visit. Please take all medications as prescribed including your prescribed antibiotics to help prevent infection.

This occlusal guard will:

  1. Help to protect your teeth from clenching, grinding, and tooth wear.
  2. Reduce the tension in your temporomandibluar joint (TMJ) and muscles of mastication (muscles that close your jaw).

If this is your first occlusal guard, it will take some time for you time adjust to it and get used to it.

You should wear your occlusal guard nightly and especially during times of stress.

Each time you take it out of your mouth, before you put it away, brush all surfaces thoroughly with a denture brush and mild dish soap.

You can also soak the occlusal guard in a commercial denture cleaning (powders or tablets that dissolve in water).

When you are not wearing it, keep it safely in its container. Store it dry.

In the future, if you require any new dental restorations, bring your occlusal guard with you. You may require it to be adjusted to be in harmony with the new treatment.

Inspect the guard for cracks, holes, or breakage.

If you have any further questions please either call or email us.


  • Use your fingers to put your aligners place. First place the aligners over your front teeth, and then use your fingers to push the aligner down gently over your molars. When aligners are correctly inserted, they will fit all the way down on the teeth, with no space between the top of the aligners and the top of the teeth. Aligners will fit tightly at first but should fit well at the end of the two week period.
  • Keep aligners in except when flossing, brushing, eating. It’s also best to remove the aligners when drinking warm beverages such as coffee or tea.
  • Remove the aligner by pulling it off both sides of your back teeth simultaneously then lifting it off of your front teeth.
  • Place your aligners in the case we provided any time they are not being worn.
  • Clean aligners with a toothbrush and toothpaste.
  • Wear each set of aligners for two weeks unless our office directs you to vary from this schedule.
  • Wear aligners in the correct numerical order. (Each aligner is labeled by number and with a U or an L to designate upper or lower.)
  • Keep all of your old aligners and bring them to your orthodontic appointments.


  • Don’t place your aligners in or on a napkin or tissue. Many aligners have accidentally been thrown out this way!
  • Don’t use your teeth to “bite” your aligners into place.
  • If you have pets, don’t place your aligners anywhere that your pets can reach them. Pets are attracted to saliva and would enjoy chewing on your Invisaligntrays!
  • Do not use Denture cleaner, alcohol, or bleach to clean your aligners.
  • Do not use boiling water or warm water on your aligners.
  • Don’t chew gum with your aligners in.
  • It would be best not to smoke while wearing aligners. The smoke can stain the aligners as well as your teeth.

Just in Case

If you lose the tab attached to your tooth that helps the aligner snap on, please call our office right away so that we can determine if you need to come in before your next scheduled appointment.

If you lose one of your aligner trays, please wear the next tray if you have it. If you do not have the next tray, please wear the previous tray. It is extremely important to use a tray to keep teeth from shifting. Call our office to let us know which tray was lost so that we can determine if a replacement tray is needed. There will be a fee if replacement trays are required.