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5 Stars Dental | Home Care For Most Common Dental Procedures in Roanoke

5 Stars Dental

Jacob H Pham, DDS

6212 Peters Creek Rd
Roanoke, VA 24019

(540) 563-0519

Home Care For Most Common Dental Procedures



  • Do not bite together hard or eat on fresh amalgam fillings for 2 to 3 hours. Composite fillings set up hard right away.
  • Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks or tongue, which can cause serious damage.
  • Sensitivity, especially cold, is common for a few days following a dental restoration. Usually, the deeper the cavity, the more sensitive the tooth will be.
  • Sensitivity is usually most noticeable the first 12 to 24 hours after the anesthetic wears off.
  • The gum tissue could have been irritated during the procedure and may be sore for a few days together with the anesthetic injection site.
  • The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small different, but you will become accustomed to this in a few days



  • Endodontic treatment can take 1, 2 or 3 appointments depending on each case. It is possible to experience any of the following symptoms: sensitivity to hot and/or cold, sensitivity to pressure, possible swelling.
  • It is difficult to predict which symptoms, if any, you may experience and to what extent. In complicated cases, pain medication may be necessary.
  • If you experience swelling, call our office. It may be necessary to prescribe an antibiotic for you
  • A temporary filling may be used to seal the tooth between visits.
  • Be gentle on the tooth while eating until the final restoration is placed.
  • During endodontic treatment the nerve, blood and nutrient supply to the tooth is removed. This will cause the tooth to become brittle and prone to fracturing, which can result in the need to extract the tooth. In many cases a full coverage crown restoration (cap) may be recommended to prevent this from happening.



  • Following the first appointment for a crown, bridge or veneer procedure, a temporary is usually placed on the tooth or teeth involved. This will protect them while the custom restoration is being made.
  • Temporary is make of a universal size and shade that also serve a cosmetic function for front teeth. Your final restoration will be shaped and shaded better than the temporary to match your other teeth in both color and function.
  • The use of temporary cement is for easy removal on your next appointment. If your temporary comes off between appointment, slip it back in and call us for an appointment.
  • Many restoration fit below the gum-line. Therefore, you may experience some discomfort for a few days due to the irritation of that area during the procedures. Sensitivity to cold or pressure is also possible.
  • After the final cementation of your fixed restoration, it may take a few days to get used to the new crown, bridge and/or veneer. If your feel the bite is not correctly balanced, be sure and call for an appointment for a simple adjustment.
  • Proper brushing and flossing is recommended to help you retain your final restoration. The only area that a crowned tooth can decay is at the edge of the crown at the gum-line.



  • You can take over the counter pain medication for any discomfort you may have.
  • Drink plenty of water today to help remove the bacteria that is present.
  • Avoid eating crunchy, spicy, or hot foods today, i.e.: taco chips, carrots, and crispy fried chicken.
  • Rinse with warm salt water if your gums are sore and tender
  • Brush gently today even if your gums are tender to help remove that plaque that has started to reform. Always use gentle fluoridated tartar control toothpaste.
  • You don’t need to floss or use any home care aides (i.e.: toothpicks) today, if there is too much sensitivity. But starting tomorrow, do so each day.
  • Follow all our home care instructions exactly as directed. Success of treatment depends directly on the improvement of your oral hygiene.



  • Biting pressure on the denture will promote clotting and will decrease the initial flow of blood. Slight bleeding can last up to 2-3 days.
  • Use an ice compress on effected side for 20 minutes on and 20 minutes off for the first 36 hours
  • Limit your diet to soft foods and plenty of fluids for the first week.
  • Don’t take the denture out today, but rinse your mouth with warm salt water before going to bed.
  • Starting tomorrow, carefully remove the denture twice a day and clean with a toothbrush and a low abrasive toothpaste or denture cleaner. Rinse your mouth with warm salt water.
  • Sleep with the denture in your mouth for one week unless otherwise instructed. Then you should take it out when sleeping in order to relax the gum tissues.
  • Due to the gum shrinkage that occurs with in the first 6 months, you may go through periods of a loose fitting denture. A temporary liner will be inserted as needed. Denture adhesive can be used during this period also.
  • Following the gum shrinkage period (approximately 6 months) a more permanent reline will be placed.
  • You may experience sore sports cause by the denture being too long or from uneven pressure being applied to the healing gum tissues. We will adjust the denture as these problems occur.



  • Bleeding after an extraction, a wet gauze pack is placed over the extraction site to prevent excessive bleeding and promote the healing blood clot. Keep pressure on it for 30-45 minutes and replace if bleeding continues. Slight bleeding may occur up to 2 days. Avoid activities that could apply a suction action to the bleed clot such as smoking or sucking through a straw.
  • Rinsing: do not rinse your mouth today. Tomorrow you can rinse your mouth gently with a glass of warm water mixed with a ½ teaspoon of salt. You can do this every 3-4 hours a day especially after meals.
  • Swelling following an extraction: some swelling and skin bruising may occur. A cold moist cloth or an ice bag applied to the cheek will keep it to a minimum. Place on effected area for about 15-20 minutes of every hour for the next 6 hours
  • Medications: if non-aspirin pain medication doesn’t relieve the discomfort you may experience, a stronger medication can be prescribed. Be sure to use all medication as directed.
  • Food: a slight diet with plenty of fluids is recommended the first day. Avoid carbonated or hot beverages. Chewing should be done away from the extraction site.
  • Oral hygiene: continue brushing and flossing being extra gentle near the extraction site.
  • Chips: during healing you may notice small bony fragments working their way through the gums. We can easily remove them if they are too annoying.
  • Call our office if any unusual symptoms occur


Whitening Application Guide

  1. Brush and floss teeth prior to wearing the trays. To dispense whitening material, first remove the cap and put on the tip. Place a small dot on the front of each tooth in the tray. Do not overfill the try. Replace cap to retain syringe for next treatment until empty. Each syringe contains approximately3-5 treatments.
  2. Insert whitening tray in mouth over teeth. Seat the tray firmly against teeth.
  3. Wipe excess material from gum with your finger or toothbrush. Wear the tray with gel throughout the night or as directed by your dentist. (A minimum of 1 ½ - 2 hours.)
  4. Remove tray and rinse off your teeth. Brush any remaining gel away.
  5. Clean whitening tray with a toothbrush and warm water and carefully wipe dry. Store in the tray holder.


*Note: Sore throat or nausea may be experienced if excessive gel is swallowed. If you experience discomfort or sensitivity consult your dentist for the next appropriate steps. DO NOT eat, drink, or smoke while the whitening tray is in place. Caution: Keep out of reach of children. Use only under the supervision of a licensed dentist. Refrigerate whitening gel when not in use for more than two weeks. Keep away from direct sunlight.