As a doctor, I often after patients complete treatment, I verbally tell them something to pay attention to after oral treatment. Today, the daily collection of some matters needing attention to make a summary, I hope to help you peers.
extract a tooth
Dental extraction is the most commonly used treatment technique in the stomatology department. Because tooth extraction can cause local tissue damage, cause bleeding, swelling, pain and other reactions, and can also lead to the fluctuation of blood pressure, body temperature and pulse, so it must be treated carefully.
After the patient after tooth extraction, pay attention to the following matters
(1) half an hour after tooth extraction should bite cotton roll, as little as possible, do not spit, half an hour after the cotton roll, two hours later can be warm soft food, a few days after tooth extraction avoid tobacco, alcohol and spicy food.
(2) On the day of tooth extraction, the affected side should do not chew, do not brush teeth, do not gargle, do not eat too hot and stimulating food, do not suck wounds, do not do strenuous exercise and rest appropriately.
(3) With slight pain or tooth extraction within 24 hours after the anesthetic, a small amount of blood in the saliva is normal. If there is severe pain or more bleeding, please see a doctor in time.
(4) Take anti-inflammatory drugs and painkillers as prescribed after tooth extraction.
(5) Patients who need dental implantation after tooth extraction should be seen in time after three months.
Preparation of porcelain teeth
After the patient completes the porcelain tooth preparation, pay attention to the following matters
(1) Please brush your teeth with warm water, do not eat too cold and hot food;
(2) There may be hot and cold stimulation or slight occlusion discomfort after grinding, temporary teeth should avoid biting hard and sticky food. If there is loose shedding or obvious pain, please contact the dentist!
(3) If you have persistent pain, bite pain or temporary tooth loss, please contact the dentist!
Root canal is open
I generally do not recommend root canal opening except for special cases such as periapical cysts. The voluntary opening of root canals during the root canal treatment will bring in new infections within the root canal treatment, which is not allowed in modern root canal therapy. However, at the grassroots level, due to technical or patient requirements.
After the root canal, note the following:
(1) Do not eat too cold or too hot food after opening, in order to prevent severe pain again after severe temperature stimulation.
(2) Should eat soft food or liquid food, do not use chewing food on the affected side.
(3) It is normal to have a spicy taste in the mouth after opening.
(4) Brush your teeth and avoid the affected teeth.
(5) Visit again after 2 days or follow the medical advice.
Root canal inactivation
After inactivation, pay attention to the following matters
(1) Do not eat within 2 hours, 2 hours later can eat soft food or liquid food. In order to prevent temporary fillings from falling off, try not to chew food with the affected side.
(2) It is normal to have slight pain within 2-3 days of medication, and the pain is usually obvious within 24 hours, so painkillers can be taken appropriately. If you have severe pain, seek medical attention immediately.
(3) According to the different drugs, return within 2-7 days according to the doctor's advice. If you cannot return to the patients in time, you should contact your doctor in time.
(4) Take anti-inflammatory drugs for 2-3 days as prescribed.
Root sealing drug expansion
The so-called root canal sealing refers to a root canal disinfection method that filling the root canal after the root canal treatment, so as to achieve the complete elimination of infected pathogenic microorganisms in the root canal
After expanding the root to seal the medicine, we should pay attention to the following matters
(1) Do not eat within 2 hours, 2 hours later can eat soft food or liquid food. In order to prevent temporary fillings from falling off, try not to chew food with the affected side.
(2) It is normal to have slight pain within 2-3 days of medication, and the pain is usually obvious within 24 hours, so painkillers can be taken appropriately. If you have severe pain, seek medical attention immediately.
(3) According to the different drugs placed, return to the visit within 5-7 days according to the doctor's advice. If you cannot return to the patients in time, you should contact your doctor in time.
(4) Take anti-inflammatory drugs for 2-3 days as prescribed.
root canal filling
Root canal filling is the last important step of root canal therapy, and its purpose is to tightly seal the expanded and disinfected root canal and disinfect the dead cavity to prevent exudates from periapical tissue into the root canal and cause reinfection.
Root canal filling materials are mostly solid materials, such as tooth gum tip, silver tip, etc., supplemented by paste type root canal filling agent. In addition, there are liquid root canal filling agents, such as the phenolic resin currently widely used in clinical practice.
After filling the root canal, pay attention to the following matters
(1) Mild pain or pain is normal within 2-3 days of root filling. Generally, the pain is more obvious within 24 hours, so painkillers can be taken appropriately. If you have severe pain, seek medical attention immediately.
(2) According to the different tooth filling materials, it can be divided into eating immediately or 24 hours before eating, should follow the doctor's advice.
(3) It is normal for treated teeth to have different feelings from normal teeth, or to have slight pain or pain when biting objects. In case of severe pain, contact the doctor in time.
(4) The crown sleeve can be repaired after 1-2 weeks of root canal filling. If it cannot be repaired in time, do not use the hard thing of the affected tooth to prevent the affected tooth from splitting.
Clean treatment (tooth washing)
(1) Dental cleaning should be to the regular professional hospital or clinic, studies have shown that many infectious diseases such as hepatitis B, AIDS can be transmitted through tooth cleaning, the general regular hospital will be strict disinfection of the tooth cleaning machine.
(2) Due to gingivitis and other patients' own physical reasons, symptoms of pain and bleeding may occur in the process of cleaning and treatment.
(3) Please clean your mouth before cleaning your teeth so that doctors can operate them.
(4) If you do not pay attention to brushing teeth after tooth cleaning, dental plaque and dental stones will soon form, so you should continue to prevent and treat teeth after tooth cleaning, pay attention to the use of correct brushing method, and insist on brushing teeth before going to bed every day, which can effectively maintain the effect of tooth cleaning.
(5) According to the summary of clinical experience, it is recommended that healthy people should have clean treatment once every six months to a year, and patients with periodontal diseases should have clean treatment once every three months to six months according to their condition.
(6) There are some gingival bleeding, and tooth loosening may be caused by some systemic diseases, such as blood diseases, diabetes, etc., which must be clearly distinguished before tooth cleaning.
(7) After cleaning teeth, the discomfort of cold and hot pain and rough teeth is generally reduced within a week. If there is obvious pain, gums bleeding, please contact us!
Caries filling treatment
Caries filling treatment refers to the treatment that the carious part of the tooth can be filled with filling material. After the patient completes the following considerations
(1) After using silver mercury filling, it should be noted that the treated teeth should not be chewed within 24 hours. Because silver mercury takes 24 hours to be completely firm. If silver mercury is chewed when it is not completely hardened, it may cause the fillings to break or even fall off.
(2) If a large area of silver mercury filling is performed, the doctor's opinion should be consulted on whether the crown repair is needed to protect the tooth and the filling. At the same time, try to restore the occlusal function.
(3) Patients with large area of resin filling should pay attention to avoid biting hard food with affected teeth to avoid falling off and breaking of the filling body.
(4) After the treatment of zinc oxide clove oil for deep caries, it should be returned according to the doctor. Because zinc oxide is only a temporary sealing material, it will fall off after a period of time and cause the nest pollution again.
(5) After the treatment of caries filling, if local pain, swelling, high occlusion or filling loss occur, it should be returned in time, so as not to delay the treatment opportunity and increase their pain.
removable denture
The professional name of removable dentures is removable dentures, including removable partial dentures and complete dentures. It is a restoration that uses the remaining natural teeth, mucosa and bone tissue under the base as support, relying on the denture prosthesis and the base to fix the artificial teeth to restore the morphology and function of the missing teeth, restore the defective alveolar ridge, jaw bone and the surrounding soft tissue morphology, and patients can pick and wear it by themselves.
After the patient completes the treatment, note the following considerations:
(1) Pay attention to oral hygiene, brush your teeth after meals, and wash the denture.
(2) If the base tooth is loose or the base mucosa is red, the denture should be stopped.
(3) Regular examination after invisible denture repair is critical, and patients should have regular oral examination so that the dentist can understand the denture and denture for early treatment and repair.
(4) For two or three days, you can not wear dentures temporarily when eating, and then practice eating after adaptation. If you have pressure, pain and other symptoms, you should see a doctor in time, and do not repair it by yourself. The denture should be worn in the mouth 2~3 hours before the visit, so that the doctor can find out the exact location and cause of the pain and correct it accurately.
(5) The new denture is sometimes difficult to wear or remove. At this time, do not push or bite with teeth. You should carefully explore the appropriate method to wear.
(6) Remove the denture after meals, brush it with toothpaste and water before wearing it.
(7) Before going to bed, the denture can be soaked in cold boiled water or tap water cup, try not to wear the denture to sleep, otherwise easy to cause the base tooth (the tooth next to the denture) caries.
(8) The denture should not be worn for a long time, otherwise it cannot be used due to deformation. Denwear after a few years, such as loose, rubbing pain, should go to the oral repair department, do not reluctantly use, so as not to damage the adjacent teeth or other oral tissues.
fixed denture
A fixed denture is the restoration of one or a few missing teeth in the restored dentition. By binder or fixdevice with the abutment or implant, so as to restore the anatomical morphology and physiological function of the missing teeth.
After the patient completes the treatment, note the following considerations:
(1) Because the metal porcelain teeth and all porcelain teeth are composed of magnetic powder through sintering, usually can not chew hard food, the front teeth generally can not bite food, so as to avoid the phenomenon of porcelain collapse. Let the denture reasonably assume the chewing function, to prevent excessive stress.
(2) Fixed meaning do not need to wear, daily oral health care is very important, do a good job in the daily cleaning of the mouth and denture. In addition to brushing your teeth once every morning and evening and gargle after meals, the care of the denture should also pay special attention to the hygiene of the denture, the key part of cleaning is the neck of the denture and the surrounding gingival tissue. Brushing should choose bristles moderate soft and hard, end grinding for a round head toothbrush, the use of toothpaste containing soft friction agent and warm water.
(3) Once fixed teeth are loose or porcelain, contact your dentist in time. Any part of the mouth of the fixed denture should not swallow the tongue to your trachea and esophagus to avoid harm.
(4) Some sensitive people may have gingival bleeding, blackening, atrophy and other side effects, please check immediately.
(5) Regular review and medical care. To regularly to the hospital for denture and natural teeth cleaning, generally every six months to the specialized hospital for cleaning, timely removal of conventional brushing can not remove the plaque and stones. At the same time, ask the doctor to regularly check whether the connection part of the denture is loose, and whether the occlusion between the denture and natural teeth. If abnormality is found, the doctor can timely correct the key care methods of the denture.
periodontal treatment
Periodontal treatment is the basic treatment in the stomatology department. After the patient completes the treatment, note the following considerations:
(1) Periodontal curettage is often carried out under local anesthesia. Please eat again after the anesthetic subside to avoid unnecessary damage.
(2) During periodontal treatment, there may be slight discomfort of teeth and a small amount of bleeding gums, which is generally relieved after 3-5 days of observation. If there is persistent severe pain or bleeding, please contact us in time.
(3) After periodontal treatment, there may be sensitive teeth in heat and cold, mild gingival swelling, and occlusal discomfort, and a period of time can automatically return to the state before treatment or improve relief after a period of time. You may feel the gap between the teeth and gingival retreat, which is the real result of tissue destruction and inflammation caused by periodontal diseases, which is a normal phenomenon.
(4) After periodontal treatment, the maintenance period should be carried out at appropriate intervals, otherwise the periodontal disease is easy to relapse.
dental implant
Dental implants have the chewing power almost equal to the natural teeth, which can restore the beauty and function, so that people can enjoy the delicious food and life. Therefore, it is known as the best repair regimen for tooth loss.
After the patient completes the treatment, attention should be paid to the following matters:
(1) Postoperative reaction: slight postoperative pain, if the pain is more obvious, painkillers can be taken. Within 24 hours after the operation, the surgical area can be cold with ice, which to relieve pain and swelling. There may be a slight local swelling at 3 days after surgery, and it gradually subsided after 5 days. The swelling may be obvious in patients with bone powder. Patients who have done maxillary sinus lifting do not blow their nose and should avoid catching a cold.
(2) Maintain oral hygiene: good oral hygiene habits are an important guarantee for the success of artificial dental implant, do not brush teeth on the day of surgery, gargle after meals; after the day to the implant before suture removal, gargle for 7 days, twice a day, half a minute, and the rest of the place as usual.
(3) Anti-inflammatory: oral anti-inflammatory drugs for 3 days after surgery, and in some cases, infusion treatment (please follow the doctor's advice).
(4) Contact your doctor immediately in the following conditions: facial numbness after the anesthetic; spontaneous pain in the surgical area 3 days after the operation, or recurrent pain; metal healing cap shedding, etc.
(5) Line removal: 7-10 days after surgery.
(6) Diet: on the day after surgery, half a current or total liquid food. Within 3 months after the operation, you do not need to chew the strong and too tough food at the implant site to prevent the implant from being too strong.
(7) The operation is usually performed 3-6 months later, and the teeth are worn after 2-3 weeks.
(8) After dental implantation: after inlaid porcelain teeth, it is not suitable to chew hard things, on the one hand, because there is no protective presocreceptor around the artificial root, the root tissue is vulnerable to damage; on the other hand, porcelain teeth are brittle and not easy to repair after damage.
(9) Prevent collision from external forces; control smoking;
(10) Visit the hospital for regular visit and maintenance.
Cold-light whitening of the teeth
The principle of cold light whitening is to penetrate the drug into the tooth tissue through cold light, so as to achieve the whitening effect. belongs to a type of chemical bleaching. Exogenous pigment sticky stain, endogenous pigmentation is more suitable for the use of cold light whitening.
After the patient completes the treatment, attention should be paid to the following matters:
(1) Within 24 hours after the cold light whitening treatment of teeth, teeth are easy to catch colored substances again. You must avoid drinking tea, coffee, coke, red wine, berry drinks, colored toothpaste, mouthwash and eating dark food, and avoid smoking. Pay attention to cleaning and maintenance in the future life, can make teeth whitening more lasting.
(2) After tooth whitening, some teeth have gingival margin bleached, which will disappear about half an hour after the end of treatment. In addition, because the teeth are layered in the process of development, at the end of the treatment, due to the different degree of enamel penetration of each part, there will be stratification, patients with fluorosis are more obvious. But this phenomenon will gradually return to nature within 24 hours, and this is because the whitening agents will still work within 24 hours after the end of the treatment.
(3) There are a few patients with severe tetracycline teeth, there will be a color scale rebound about two days after the first treatment, after they receive the second treatment, the whitening effect will be more stable.
pit and fissure sealing
Nest and groove closure is a method recommended by the World Health Organization to prevent dental caries and protect the new permanent teeth. Most parts of China have been popularized, and there is a free policy. Generally, in primary school, schools will arrange children to do pit and groove closure.
After the patient completes the treatment, attention should be paid to the following matters:
(1) After the closure of the pit, it is recommended to fast within 2 hours and fast hard objects within 24 hours.
(2) Brush your teeth in the morning and evening to improve your bad oral habits.
(3) In the first few days after the closure of the pit, if you feel uncomfortable with occlusion or inconvenient to eat, contact and make an appointment for review.
(4) After pit and fissure closure, regular oral examination should be done every 3-6 months, and any problems should be dealt with in time.
(5) If due to saliva, chewing habits or biting hard food, the pit and fissure closure will fall off, please pay attention to observe whether the pit and fissure sealant falls off, found off, please review in time.
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