Post Filing/Crown Directions

Any time a dentist fixes a tooth or a tooth gets a cavity, damage is being done to it. Teeth do not like this. This is why our office stresses prevention. The larger the cavity, the larger and older the filling, the more stress the tooth goes through, the higher chance of inflammation. Old silver-mercury fillings place stresses on teeth that cause sensitivity. The older and larger they are, the more likely it is to have inflammation that will damage the teeth. This is why we replace them.

There are two types of inflammation a tooth can have, reversible and irreversible. Most fillings cause reversible inflammation characterized by short durations of cold sensitivity. The tooth feels a strong cold sensation but it passes quickly and improves in 1 to 2 weeks. This is a normal response to having a filling. Irreversible inflammation is characterized by extreme cold sensitivity which lingers for over 10 seconds, spontaneous aching and/or sensitive to biting. Call the office immediately if you have any symptoms of irreversible inflammation especially biting sensitivity.

Prevention of inflammation:

 Give the tooth a break. It has gone through enough and needs a break. It is like getting a cut on your arm. It takes a while to heal.

 The tooth should feel comfortable to bite when you squeeze your teeth together. We use all our efforts to make the bite perfect but you will be the best judge when the anesthetic wears off. Call the office and we will arrange to fix the discrepancy. It takes 2 minutes at any time during the day.

 If you feel anything abnormal, or even think it is abnormal, email the office clinical@smile-designs.com and express your concern. Early intervention will give the tooth the best chance of reversing the inflammation.

 If this was a large filling, which increases the likelihood of irreversible inflammation, take Ibuprofen 200-800 mg every 6 hours; that is Motrin, Advil, or generic over the counter pills which equal 200mg a piece so 1 to 4 pills every 6 hours for 3 to 5 days whether you need them or not. Do not take more than this.

CROWN PATIENTS: The temporary crown must stay on. Your teeth will shift in as little as 8 hours without the temporary. There will be an additional fee to remake the crown if it comes off for any period of time and is not replaced by you or our office.

Replacing the temporary crown: Clean any loose food debris out of the temporary and the tooth. Try the crown back in. It only fits one way like a puzzle and should be comfortable to your bite. Place a small amount of SUGARLESS gum or flour and water, mixed into a paste, inside the crown. Place back inside mouth and carefully squeeze teeth together. This should be a comfortable process without a lot of pressure on the teeth next to it or opposing it. Call the office number above if you have any questions or cannot fit the temporary to the tooth comfortably.