Patient Education

At Monadnock Dental Associates, we strive to keep our patients informed about dental care and the procedures we offer. If you would like more information about a certain type of dental service, take a look through our dental library below.

Helpful Links

American Dental Association
Tests for Oral Cancer
American Academy of Periodontology
American Association of Endonontist
American Association of Oral & Maxillofacial Surgery
American Association of Orthodontist
New Hampshire Dental Society
Bioesthetics
New Hampshire Dental Hygienists Association
American Dental Hygienists Association
Monadnock Orthodontics
Pediatric Dentistry
Monadnock Ledger Transcript
Cracked Tooth Infographic


Postoperative Instructions:

Crown or Bridge

  • The most commonly experienced reaction to a newly placed crown or bridge in sensitivity to cold, sweets, and biting pressure.
  • Sensitivity to cold and sweets is usually transient and will diminish over time.
  • Take Ibuprofen every four to six hours as needed to reduce discomfort.
  • If sensitivity to biting pressure lingers after several minutes, or you experience spontaneous pain without a stimulus, please call our office for an appointment.

Extraction

  • Take Ibuprofen every four to six hours as needed to reduce discomfort.
  • Persistent bleeding is rare, although tissue may bleed for up to several days after treatment. Avoid activities that may interfere with the formation of blood clotting, such as using straws, smoking or vigorous rinsing. If persistent bleeding occurs, contact our office. Rinse gently but frequently with cold water. If the source of the bleeding is known, press firmly on the area for five minutes with a clean wet towel. Biting firmly on a moistened tea bag may help as well.
  • The most commonly experienced reaction is gum sensitivity. This may last a couple of days following your appointment. To reduce sensitivity, rinse with a warm salt water solution (½ tsp Salt in ½ cup of very warm water). Repeat rinsing several times a day. Ibuprofen every 4 to 6 hrs may be used as well.
  • Brushing and flossing may be uncomfortable for the first few days, but don’t stop brushing and flossing. Gentle home cleaning of your teeth and gums is the best treatment you can give your mouth at this time. Bleeding and soreness will gradually diminish over time.
  • If discomfort lingers after a few days, or you experience spontaneous pain without a stimulus, please call our office for an appointment.

MAGO Maintenance

  • Brush your MAGO with the provided splint brush and rinse with cool tap water when removed.
  • You may occasionally freshen your MAGO with Stain Away or Kleenite. The standard size of Stain Away and Kleenite can be found at your local pharmacy.
  • Do not soak your MAGO in hot water or other solutions for an extended period of time. This may cause the MAGO to warp.
  • Keep your MAGO out of the sun and away from high-heat sources.
  • When you’re not wearing your MAGO, keep it in the case as it may be easily lost, accidently thrown away, or chewed by pets.

Please feel free to call us at any time during your treatment with questions.

Preparation for Porcelain Veneers

Until your permanent porcelain veneers are ready, you may experience some of the following symptoms with your prepared teeth:

  • Sensitivity to cold: This is very normal and will subside once your permanent veneers are placed. You may want to avoid drinking very cold liquids.
  • Roughness: The roughness on the teeth actually increases the bond between the porcelain veneer and the teeth. Your permanent veneers will be very smooth.
  • Discoloration: Since we removed the very outer layer of enamel, your teeth may appear slightly darker and may be more susceptible to staining. This will polish off when we place the permanent veneers.
  • Teeth look more crooked: Since we are going to straighten your teeth with the veneers, our preparation may have changed the shape of your teeth to make room for the new veneer. Remember, this is just a temporary stage.

Prophylaxis

  • The most commonly experienced reaction is gum sensitivity. This may last a couple of days following your appointment. To reduce sensitivity, rinse with a warm salt water solution (½ tsp Salt in ½ cup of very warm water). Repeat rinsing several times a day. Ibuprofen every 4 to 6 hrs may be used as well.
  • Brushing and flossing may be uncomfortable for the first few days, but don’t stop brushing and flossing. Gentle home cleaning of your teeth and gums is the best treatment you can give your mouth at this time. Bleeding and soreness will gradually diminish over time.

Scaling and Root Planing – Post-Treatment Care

You have just completed your first appointment of scaling and root planing. This is an important treatment of periodontal (gum) disease. We are proud that you have made the commitment to begin treatment of this maintainable disease process.

The following guidelines are designed to promote healing, prevent complications, and facilitate comfort following your scaling and root planing procedure.

  • You may experience minor soreness of your teeth and gums. This usually lasts anywhere from a few hours to 3 days. The amount of discomfort is related to the amount of inflammation present at the time of your treatment. Most patients find the discomfort can be controlled with Ibuprofen or Acetaminophen (Tylenol).
  • Tooth sensitivity to cold, hot, or sweets may occur. This is a common and unavoidable side effect following scaling and root planing. The sensitivity may be intense at first, but generally resolves within a few days to a few weeks. Occasionally, the sensitivity may continue for several months. If sensitivity becomes a problem, ask our office about suggestions for relief.
  • Effective plaque control at home is essential for effective healing. If the gums are tender, clean gently but thoroughly. You may encounter some bleeding when your brush. Continue the plaque control procedures recommended by your hygienist. As healing progresses, the bleeding will gradually disappear as long as you thoroughly remove the plaque on a daily basis. You may use warm salt water rinses to help ease any discomfort.* Gently swish the solution between and around the teeth while rinsing frequently.
  • If the area(s) treated today has been anesthetized, be careful eating until feeling returns. Depending on the extent of inflammation, deposits present, and depth of periodontal pockets on the teeth treated today, you may experience minor discomfort in chewing hard foods. For the first couple of weeks, it is advisable to avoid foods such as popcorn, peanuts, and foods with small seeds.
  • The amount and duration of post-treatment bleeding after scaling and root planing depend upon the degree of inflammation present before treatment. Persistent bleeding is rare, although deep pockets or severely inflamed tissue may bleed for up to several days after treatment. Avoid activities that may interfere with the formation of blood clotting, such as using straws or vigorous rinsing. If persistent bleeding occurs, contact our office. Rinse gently but frequently with cold water. If the source of the bleeding is known, press firmly on the area for five minutes with a clean wet towel. Biting firmly on a moistened tea bag may help as well.
  • Following treatment, some tissue changes may occur as part of the healing process. As the tissue becomes healthier, some root surfaces may be exposed and spaces may occur between your teeth. This is a result of subsiding inflammation of the gums and is a sign of healing.
  • Warm salt water rinse – one level teaspoon of salt in approximately 8 oz. of warm water

Temporary Crown or Bridge

  • The most commonly experienced reaction to a newly placed temporary crown or bridge is sensitivity to both hot and cold.
  • Take Ibuprofen every four to six hours as needed for sensitivity.
  • If you experience spontaneous pain without a stimulus, or the sensitivity to hot lingers for several minutes after the stimulus is removed, please call our office.
  • During the first twenty-four hours, please avoid chewing hard or sticky foods.
  • In the event that your temporary crown or bridge comes off, it is very important to keep the restoration in place using Vaseline or denture adhesive. In addition, please call our office as soon as possible to recement your restoration.

Veneers and Bonding

  • The most commonly experienced reaction to a newly cemented veneer is sensitivity to both hot and cold.
  • A reaction to cold is within normal limits and will diminish over time.
  • Take Ibuprofen every four to six hours to reduce sensitivity and discomfort.
  • Sensitivity to hot can be very normal, unless the discomfort lingers for several minutes. If this is the case, please contact our office for an appointment.
  • Please remember to avoid trauma to the front teeth, as in using forks, biting into hard foods, etc.
  • On rare occasions, your restoration may become chipped or come off. Please contact our office to have it repaired or replaced. Remember to bring the veneer with you!


What is Rejuvenation Dentistry?

The Biology of Your Smile

Rejuvenation dentistry is a new biology-based approach to treatment. Based on extensive scientific research and observation of the human chewing system, Rejuvenation Dentistry is a comprehensive process where:

  • Jaw joints are stable
  • Muscles are relaxed
  • Teeth are not worn down

Patients who undergo Rejuvenation dentistry enjoy:

  • Excellent esthetics
  • Improved function
  • Comfort
  • Long-lasting dental health

Pain and dysfunction are alleviated, and appearance is enhanced as a result of the process.

There are several factors that distinguish Rejuvenation dentistry from cosmetic dentistry, according to Dr. Broome.

“As a practitioner of Rejuvenation Dentistry, I diagnose the cause of tooth wear and other chewing system problems, rather than just treating the symptoms. Cosmetic Dentistry’s primary purpose is to beautify the teeth or smile and is driven by appearance rather than function. The Rejuvenation Dentistry process restores damaged teeth to their original, youthful shape and optimizes mouth function. As a result, patients feel better, look their best and the need for future restorative dental work is significantly reduced. It’s a comprehensive and proactive approach to dental health.”

Whitening Precautions:

Do not use household bleach to whiten teeth.
Pregnant women should not bleach.
If you have any questions regarding the appropriate use of this product, including how long it will take to whiten your teeth, please call our office as soon as possible.
Do not use tobacco products or eat while whitening.
White spots that appear on the enamel during the whitening process may blend during continued use.
Teeth are naturally darker along the gum line. These areas may require more time to lighten than the rest of the tooth surface and usually remain slightly darker.

General Precautions:

Keep whitening agent out of reach of small children.
Do not swallow gel or rinsed gel. Product contains peroxide and may contain fluoride; swallowing large amounts can be harmful.
A small percentage of patients experience sensitivity with whitening. Should this occur, remove the tray and contact your dentist.
Foods and juices high in citric acid can cause sensitivity to the teeth.
Some patients have noticed temporary discomfort of the gums, lips, throat or tongue. Should any of these symptoms persist more than two days or progressively get worse, call your dentist. These side effects will usually subside within 1-3 days after treatment is discontinued.
Coffee, tobacco and other products can re-stain your teeth over time. Should this occur, the teeth can be re-whitened within a few nights.
Regular dental checkups and cleanings are important before and after whitening to maintain a healthy smile.
Some old amalgam or “silver” fillings may leave a dark purple color in your whitening tray; this is normal.
Crown, bridges, partial dentures, veneers and composite fillings will not whiten.
Store whitening agent out of the sun and heat. Refrigeration is recommended. Do not freeze.
Discard any unused whitening gel after treatment is completed.

At-Home Whitening Instructions:

Follow instructions on how to load gel into your custom whitening tray.

Use no more than ¼ of the syringe, or one bulb per tray.
Brush teeth before inserting tray. Lightly tap tray to adapt sides to teeth. Unless directed otherwise, wear for thirty minutes.
Remove Excess gel with clean finger or soft toothbrush.
Rinse twice; do not swallow rinsed gel.
If significant sensitivity occurs, stop treatment and call our office.
After bleaching, clean tray with soft brush and cool tap water. Store tray in case provided.

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