Dietary recommendations to prevent cavities
Reduce snacking unless required by medical condition.
If unable to always limit snacks, eat foods low in sugar such as fresh fruit, vegetables, popcorn (without sweet coating) and dairy products.
Cavity causing foods such as crackers, donuts, fizzy drink, juice, cakes, should ideally be consumed with meals.
When unable to brush following a meal or snack, end the meal with a dairy product such as cheese or milk, or rinse thoroughly with water. Chewing a sugar free gum after eating can also help to neutralize the acid attack on your teeth.
Avoid eating snacks before bed, unless followed by thorough brushing and flossing.
Include at least two to four servings of dairy products per day.
Drink water between meals with snacks.
Zoom2 Whitening after Treatment Instructions
Please read and follow.
Do not start using the custom trays for 3 days post-zoom procedure.
Floss and brush your teeth.
Place the mixing tip onto the Nitewhite syringe. Twist to lock into place.
Place a small amount of gel on the front surface of each tooth in the reservoir in the trays, about the size of a pin head. You will get to know how much is enough the more you use it.
Insert the trays into your mouth so they are sitting snug on your teeth.
Leave for the night or length of time recommended as per product used.
After whitening rinse trays with cold water. Use a toothbrush to remove any residual gel. Place trays in storage case and store in a cool dry place.
Rinse and brush teeth to remove excess gel.
Area of tooth closest to gums take longer to lighten than biting edge.
Keep out of reach of children.
Some patients may experience increased tooth sensitivity to cold during the treatment while others may have non-specific sensitivity in their teeth, gums, tongue, lips or throat. Symptoms should subside within 1-3 days.
Use sensitive toothpaste i.e. Sensodyne or Colgate Sensitive for the duration of whitening.
Use the Relief gel supplied in the custom trays for 10-30 mins before and after each treatment or on the inside surface of the trays during wearing them with whitening gel also.
See dentist if sensitivity persists or worsens.
Product: Nitewhite ACP 10% and 22% (CP)
Recommended Wear Time: Overnight
Most patients will achieve optimal results within 1-2 weeks.
Product: Daywhite ACP 9.5% (HP)
Recommended Wear Time: (Day-wear) 30 mins, twice a day.
Most patients will achieve optimal results within 2 weeks.
Avoid staining foods, drinks and tobacco for 30 mins after each treatment.
Continue good oral hygiene and regular 6 month check up appointments with your dentist.
Store any remaining whitening gel in a cool dry place for later use. (Below 20°C for best shelf life)
Do not use for more than 4 weeks concurrently unless recommended by a dentist.
Tray case and your custom whitening trays.
1 relief gel for sensitivity. More can be purchased from our practice
1 syringe of Nightwhite 22% and 6 Syringes of either Nightwhite 10% (CP) or Daywhite 9.5% (HP) *or an alternative regimen if thought more appropriate.
Colgate Sensitive toothpaste
Any concerns please phone and talk to one of our trained staff members.
How to care for your mouth following an extraction
INSTRUCTION TO PATIENT FOLLOWING ORAL SURGERY
Day of surgery: Do not rinse out the mouth, or take hot drinks or hot food
Take normal cold or warm drinks and soft food.
AVOID sucking or interfering with the wound.
PAIN RELIEF: Children may take Pamol or similar preparation every four hours, if necessary. Do Not use ASPRIN.
BLEEDING: a slight ooze of blood can be expected. If there is more bleeding, apply pressure by packing a firm pad of clean gauze or cotton cloth over the bleeding point and close jaw firmly for 15 minutes
FOLLOWING DAY: Begin MOUTH BATHS using ½ tsp salt in a glass of very warm water. Hold in mouth without rinsing. Do this every 4 hours or as often as possible over 24 hours.
Repeat over next few days starting to rinse gently becoming more vigorous. DO NOT use hydrogen peroxide. Teeth can be brushed carefully.
Following a general anaesthetic REST for a few days and take no vigorous exercise.
If there is undue pain, excessive bleeding or other symptoms contact your dentist promptly.
Adjusting to Dentures
Tips for New Denture wearers
How your dentures feel
How your dentures look
Speaking with Confidence
Eating with Confidence
Denture care and Hygiene
How your dentures feel
As a new denture wearer you may feel as though your dentures don’t fit properly. You may feel that they ‘gag’ you or that you are biting your cheeks and tongue. Don’t worry—these problems will lessen as you adjust to wearing dentures. If you wear an upper denture it may take some time for your tongue to get used to the feeling of being pressed against the denture and not the roof of your mouth.
With a new ‘foreign object in your mouth you may find that at first your mouth is full of saliva. This is perfectly natural and will go away once you become more adjusted to wearing your dentures. Try to swallow more often to remove the excess saliva.
Some soreness in your mouth is to be expected and usually occurs within a few hours of putting your dentures in. If soreness becomes a continuing problem for you make an appointment with your dentist to have any necessary adjustments made. Wear your denture for several hours before visiting the dentist to assist in detecting tender spots.Never try to adjust your dentures yourself and risk spoiling their fit.
As a new denture wearer you may get the feeling that your dentures are too big or that your lips are being pushed forward. The ‘full mouth’ feeling is common to new denture wearers and will wear off as you get used to wearing them.
Speaking with Confidence
When you are speaking the sound reaches your ears through vibrations in the bones of the jaw and skull. Wearing dentures changes and increases the sound but it is much more noticeable to you than to anyone else.
If your dentures click when you speak, try to speak more slowly to avoid movements that raise or move your lower denture. Keeping your lower denture in place requires the ability to hold it still with the muscles of your lips, cheeks and tongue. At first these muscles may tend to ‘kick out’ your denture. It often helps spending a little time speaking aloud in front of a mirror and practice and repetition overcomes any real problems.
Eating with Confidence
As a new denture wearer you will find that chewing feels different with dentures. You may also think that chewing has lost its flavour. While you are adjusting to your dentures your mind is receiving strong signals from your mouth about your dentures which overpower the messages from your taste-buds. After you are accustomed to your dentures your mind will pay less attention to your dentures and more to your taste-buds.
During the adjustment period you may have trouble sensing hot foods and drinks which is common to new denture wearers. Be careful, you don’t want to burn your mouth. To eat more easily and enjoyably while wearing dentures:
Begin with smaller quantities of food cut into smaller pieces.
When you put food in your mouth chew half of it on the back left side of your mouth and the other half on the back right side. This will even the pressure of your dentures.
Start with soft foods: eg. eggs, fish, chopped meat, cooked vegetables and puddings. After you are more confidant then try chewier foods like steak or celery.
During the learning period it is recommended to leave dentures in the mouth as much as possible, even at night. Under normal circumstances though research has shown by leaving dentures out at least eight hours per day or night allows gum tissue to rest and allows for normal stimulation by the tongue and saliva. This promotes good long-term health of the gums. (However if you leave them out and you wake up with facial muscle discomfort it could be that you are over-closing your jaws and in that case it may be better to leave them in.)
When dentures are first fitted they should be snug. However as gums shrink people often resort to denture adhesives e.g. ‘Polident’ to keep their dentures in place. These can help to make dentures more stable and secure but there is no substitute for well-fitting dentures.
Denture Care and Hygiene advice
Whatever type of dentures it is a good idea to develop a regular routine to keep them clean. Deposits on dentures can be harmful to gums and/or remaining teeth.
After meals or at least before going to bed take out your dentures and rinse them under water to remove loose food debris. Only cean dentures with soapy warm water and a soft nail brush to remove plaque and some stains. Clean gums or brush remaining teeth before reinserting the dentures into your mouth. To act as a cushion in case the dentures should drop when handling them remove them over a sink half filled with water. Placing a facecloth in the sink will give even more protection.
Do not use abrasive cleaners or you could scratch and damage your dentures. Scratches make the dentures more susceptible to collecting debris, plaque and stains. Commercial denture cleansers should only be used occasionally and when they are needed - if dentures smell or taste unpleasant, always follow the mannufacturers instructions. Be careful not to immerse your dentures in very hot water because it will cause them to warp. When your dentures are not in your mouth store them in water. They need to be kept in a wet environment in order to maintain their proper fit.
Keep your dentures in a safe and handy place to avoid misplacing them
Success with your dentures depends on a few simple tips. Firstly rely on your dentist who has provided you with the finest possible dentures and who can offer you the best advice to help you get the best out of your dentures.
Remember, it takes with skill and practice at least six weeks to learn to wear dentures. This is because everyone’s mouth structure is different affecting the retention and stability of the dentures. Also the level of suction which helps hold the dentures in place, particularly an upper denture, varies according to the amount of saliva produced. Many people find a lower denture more difficult to manage at first.
Be encouraged by the fact that most denture wearers have little difficulty.
How long will dentures last?
A lot of people expect a denture to last forever but this is just not possible. The main issue is that the dentures do not change but the supporting tissues of the mouth do. Ordinarily dentures should be checked after 5 or 6 years use. Younger denture wearers commonly get 8 years or more service without any apparent problems but inevitably will need to change them when their mouth tissue changes.
Dentures fitted immediately after having teeth extracted will need adjustments due to gum shrinkage and remodelling. They will need refitting at an additional cost usually 3 to 12 months after insertion.
Caring for your new Dentures
Your new dentures should give you years of useful service, but they can be damaged if care is not taken.
Cleaning of your dentures should be carried out after meals with soap and a denture brush, or small nail brush over a basin filled with water. Denture cleansers shouldn’t be needed often, and when they are used the manufacturer’s instructions must be followed. NEVER use harsh household cleansers such as Jiff, bleaches etc.
Keep your dentures in overnight until you are used to them, only taking them out to clean them before going to sleep. Once you have adjusted to wearing your denture take them out and keep them in a glass of water or denture bath provided with water covering them to prevent them drying out and shrinking.
Take care not to drop your dentures as accidental breakage may occur. If a repair is ever needed, never try to fix them yourself as many adhesives can melt the denture material making them un-repairable.
Problems with new dentures:
It will probably take some weeks to learn to manage your dentures with complete confidence. Some adjustment of your diet may be needed until you get used to them. Food should be eaten in small amounts and you should try to eat on both sides.
Some discomfort may be felt at first. If you experience pain, the dentist can ease the source of the discomfort. Take denture out but replace it for some hours before your next appointment so that your dentist can see the source of the trouble. NEVER attempt to adjust the denture yourself.
Its all part of the service to ensure your dentures are fitting just right. Any problems should be discussed with your dentist.
Please phone us on (07) 308 7469 to make an appointment.
Management of Tooth Erosion
Erosion - what causes this dental problem?
Have you been identified as having excessive loss of your hard tooth tissue from external acidic attack.
This can occur separately and be unrelated to the acidic process that causes cavities in their traditional way (ineffective cleaning and/or too much sugar in your diet).
We call this tooth loss “erosion” and it can be a result of intrinsic factors such as chronic indigestion (acid reflux disease) or eating disorders like bulimia. It can also be from external (extrinsic) factors like too much acidic food or drink, certain medications or even perceived healthy actions like consuming Vitamin C or some homeopathic remedies.
What we aim to do for you is help identify how and when these acidic episodes may be occurring so that they might be reduced and then help your body to re-mineralise any softened tooth areas. It is important to realize that a good supply of your own saliva is key in both “buffering” acid so it is destructive for less time and also so minerals within it can repair and strengthen your own teeth.
WHAT YOU CAN DO TO HELP
You must ensure you have regular consumption of sufficient water to remain fully hydrated. This will vary depending on degree of exercise, climate, your size etc but a good barometer that you are not dehydrated is that your urine should be clear.
WHAT TO AVOID
It is also important to avoid too many acidic events by avoiding carbonated drinks (especially Cola or Lemon flavored), fizzy lollies, chewing Vitamin C tablets, drinking sports and energy drinks. Even fresh lemon, orange or tomato juices are very acidic. If you are bulimic we encourage you to seek help from your Nurse or GP.
OTHER HEALTH FACTORS
There may be issues with your asthma inhaler and it is important your diabetes is well controlled.
Irrespective of what causes your predisposition to erosion, we suggest following these instructions to ensure reduced acidic attacks on your teeth.
· Drink a hot cup of water first thing in the morning
· Eat fruit for breakfast (encourages saliva production)
· Avoid mid-meal snacks
· Stay hydrated (Two litres of water per day)
· Chew Recaldent/Extra gum two or more times per day
· Apply Tooth Mousse often
· Don’t brush teeth after acidic events for at least one hour
· Minimize the number of erosive events