We have placed
tooth-colored restorations in your teeth. The resin material used
is a plastic with small "filler" particles of glass-like
material-the finest and most to date materials available today.
These restorations will serve you well for several years. However,
you should be aware of the following:
Chewing: As with natural teeth, avoid chewing excessively
hard foods on the restored teeth (hard candy, ice, bones, etc.)
because extreme force can cause the resin material to be broken
from the tooth - just as it can in a natural tooth. However, in
the event that a breakage occurs, replacement of a restoration
is not difficult.
care: Visit us at regular six-month examination periods. Often
problems that are developing around the restoration can be detected
at an early stage and repaired easily. Waiting a longer time may
require redoing the entire restoration.
Procedure: To provide optimum longevity for your restorations
and to prevent future dental decay and supporting tissue breakdown,
please brush and floss after eating and before bedtime. We do
recommend you swish vigorously with a fluoride mouthwash for at
least 30 seconds daily.
us if notice any change in your tooth-colored restorations, or
if you have any questions at all about them.
few weeks: New dentures always feel strange at first. Several
days, or even a few weeks are required for you to feel like they
are a part of you.
dentures: Don't overwork your dentures in the beginning. You
wouldn't try to run a mile with a new wooden leg. Take it easy
and gradually progress to harder and tougher foods.
Your mouth will most likely have some sore spots while you're
getting used to your new dentures. This is normal and expected.
You need to let us know that you have sore spots and we will take
care of them for you. Do, however, wear them long enough so we
can see the sore spot. This helps greatly to know where to relieve
the denture. Of course, there is no charge for this.
The bite will not feel comfortable for a few days. It is very
likely some fine tuning of the bite will be necessary-Usually
after about a week of settling in. There is no charge for this
the dentures and your mouth: Your dentures can be cleaned
easily by using a denture brush or a soft bristled tooth brush
and regular toothpaste. Denture soaks, such as Efferdent, are
also useful. Brush your gums with a soft bristled tooth brush
at least once a day. You may leave the dentures in or out your
mouth at night, as you wish. However, if they are out of your
mouth for an extended period, place them in a solution of 1/2
water and 1/2 mouthwash. If they dry out they will not fit as
comfortably for a while.
Your jaw bones and gums shrink year by year. This is one of the
disadvantages of wearing dentures - they get looser and looser
as time goes by. Because of this should have your dentures and
tissues evaluated by us once a year. Wearing ill fitting dentures
for too long a period before refitting them to your gums and bone
can cause some very serious soft tissue disease. Denture adhesives
may be helpful for a while but should not be relied on for too
long a time.
many reasons for white, brown, gray, or orange spots that appear
on tooth surfaces. In some cases, heredity is the cause. Cigarettes,
coffee and tea also can cause superficial spots. Tetracycline
has shown to cause stains that range in color from yellow to orange
to brown to blue - gray. Regardless of their origin, these spots
are objectionable (unsightly), and may be removed in one or more
of the following ways.
For removal of a small amount of the discolored tooth structure
an abrasive solution is the most conservative method used. This
method, microabrasion, which is painless, is usually very fast,
relatively inexpensive and produces a permanent result. We will
advise you if this procedure is appropriate for the superficial
spots on your teeth.
Spots or discolorations which go deeper may be eliminated through
small tooth colored restorations.
If there are multiple or very deep discolorations, thin custom-
made pieces of plastic or porcelain called veneers can be bonded
to the surfaces of the teeth to cover the spots. veneers provide
an excellent appearance and have a longevity of several years.
beginning with conservative microabrasion if possible. If this
is successful, additional treatment is not necessary. When the
spots are too deep, small restorations may be needed. If the spots
or discolorations are very deep, veneers will then be recommended.
Smoking, coffee, and tea stains are usually superficial and will
be removed by the hygienist at your routine cleaning.
have just had a crown or fixed bridge cemented onto your teeth.
It will replace your missing teeth structure or missing teeth
very well and should give you years of good service - provided
you observe the following conditions:
Chewing: Do not chew hard foods on the restorations for 24
hours from the time they were cemented - to obtain optimum strength
the cement must mature for approximately 24 hours. After that
there are no real restrictions, meaning that you can bite and
chew any foods that you would normally do with your original teeth.
Sensitivity: Don't worry about mild sensitivity to hot or
cold foods. This sensitivity will disappear gradually over next
few weeks. When a tooth has been subjected to decay, fillings,
more decay, more fillings and even breakage, necessitating a crown,
there is a certain chance that it will die. If pain persists or
continues to get worse notify me for an evaluation. The tooth
may be a candidate for root canal therapy.
Preventive Procedures: To provide optimum longevity for your
restorations and to prevent future dental decay and supporting
tissue breakdown (gum disease), please thoroughly brush and floss
after eating and before bedtime.
Recalls: The most significant reason for failure is infrequent
return for continuing care examination and cleaning. Visit us
at regular six month intervals for optimum dental health. If problems
are developing around the restoration they can be found at an
early stage and corrected. Waiting for a longer time may require
the entire restoration.
Call us immediately if one of these conditions occur:
feeling of movement or looseness in the restoration.
to sweet foods.
peculiar taste from the restoration site.
have done our best to provide you with the finest quality restoration.
Only your continuing care and concern can assure long - term dental
have just received a temporary crown. This temporary crown is
meant only to serve your needs while a permanent crown is being
made for you. Temporary crowns are custom made for each patient.
However, the color, shape and size of the temporary crown does
not resemble the final (permanent) crown in any way.
temporary crown will help protect the sensitivity of the prepared
tooth. However, it does not fit your mouth like the permanent
crown will, so you may notice some sensitivity to heat, cold,
or sweets - sensations you won't feel when your specially - made
permanent crown is in place.
are some other things you need to know about your temporary crown:
temporary cement requires about 30 minutes (one half-hour)
to set. Please do not chew during that period of time.
foods will stick to the temporary crown. Please refrain from
chewing gum, candies or foods that stick to the crown
crowns are not very strong and they may occasionally break
or come off. If this should happened to you, please contact
our office immediately, bring your crown with you and we will
replace it. Should you be unable to contract us, simply go
to a pharmacy or grocery store and get some Fixodent or Polygrip
denture adhesive. Replace the temporary crown on your tooth
using the adhesive to hold it in place until you can contact
do not leave the temporary crown out of your mouth. Without
the temporary, your teeth may move and then the permanent
crown may not fit!
not brush or floss too vigorously around your temporary crown.
Remember that it is important to keep the area clean - but
is imperative that you return to our office at the appointed
time for your permanent crown. Failure to do so may result
in a shifting of the tooth resulting in the need to re-prepare
the tooth and re-make the crown.
thirty minutes following the surgical procedure bite on the gauze
that was placed. Any bleeding should stop by this time. If not
then fold another piece of gauze and repeat. Steady firm pressure
is the key to getting the bleeding to stop.
not use a commercial mouthwash during the healing period. If you
must rinse, use warm water and be very gentle. After 36 hours
you may gently rinse with 1/4 teaspoon of salt in a full glass
of warm water. Brush carefully around the area.
will be rather sore for a while. If you have been prescribed medication
take it exactly as directed. If you experience any adverse effects
from the medication let the doctor know right away.
alcohol and tobacco use during the healing period. Do not use
a straw and don't spit excessively. It is important to not disturb
the blood clot so that healing proceeds as rapidly as possible.
not bend over, do any heavy lifting, engage in sports or other
activities that can raise your blood pressure. This could result
in starting bleeding again.
is one common complication you should know about- dry socket.
This occurs when the blood clot comes out the socket allowing
the bone to be exposed to saliva, food and bacteria. You will
know this is likely happening because, after a few days of less
and less discomfort, the pain will start increasing. If this is
the case let us know and we will start dry socket treatment. There
is no charge for this.
in many cases, instead of a shot to numb the tooth and drill to
remove the decay, we can use an air and powder mix that shoots
out of a very small nozzle. This quickly removes the decay and
is painless in most cases. Even if there is some feeling it is
usually tolerable and preferable to getting numb. Just think how
nice it would be to get your fillings done and not have to have
a shot and a numb lip for the next three hours. If preferred,
anesthetic is always an option, of course.
sure, the art and science of dentistry have changed, offering
a no needle, no drill, no fear procedure for removing decay.
air abrasion is achieved by directing a thin stream of air and
abrasive powder at the area of tooth decay, only a minimal amount
of tooth is removed. Air abrasion allows for very small cavity
preparations and is part of what is called microdentistry.
Microdentistry is the philosophy and practice of finding and treating
decay as early as possible, of removing as little tooth structure
as possible, of making the smallest possible fillings, of assuring
that those fillings are the same color as the teeth, and are long
lasting. So air abrasion is the part of the microdentistry procedure
that removes the decay and prepares the tooth for the filling.
people have a fear dental care. But the gentle process of air
abrasion and microdentistry takes the emphasis off pain and fear
and moves it to conservative, healthy, natural appearing dentistry.
Teeth may crack
when subjected to the stress of chewing of chewing hard food or
ice, or by biting on an unexpected hard object. Teeth with or
without restorations may exhibit this problem, but teeth restored
with typical are most susceptible.
and signs of Cracked Teeth:
upon cold air application
pain(usually leakage of sugar into a tooth crack)
of Cracked Tooth:
Crack: The majority of cracked teeth-about
9 out of every 10-can be treated by placement of a simple
crown on the tooth. When the tooth is prepared for the crown,
and a temporary restoration is placed, the pain usually leaves
immmediately. If this is the case with your teeth, we will
palce the final crown on your next appointment, and the condition
should be resolved.
Occasionaly - about 1 in 10 - acrack is pronounced or severe
enough to access the pulp of the tooth.If pain persists after
placement to the temporary crown. You may have such a crack
into the pulp of the affected tooth. To verify, please call
us. The tooth may require endotontics before the crown is
health article is made available by
Dr. M. Naser Sharifi DDS a Dentist. Family Dentistry office at 253-15 80th Ave, Floral Park, NY 11004. Dr. Sharifi is easily accessible from Albertson, Bayside, Bellerose, Cambria Heights, Elmont, Floral Park, Flushing, Franklin Square, Fresh Meadows, Garden City, Glen Oaks, Great Neck, Hollis, Jamaica, Little Neck, Manhasset, Mineola, New Hyde Park, Oakland Gardens, Queens Village, Roslyn, Roslyn Heights, Saint Albans, Valley Stream, West Hempstead, and Williston Park.
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One Patient At a Time
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