PATIENT INFORMING

• The best way to maintain your mouth is to brush your teeth twice a day and clean with dental floss
• This allows the plaque to be removed from the teeth and gums. Dental plaque can damage teeth and gums and produce acids and toxins. Using mouthwash can also help fight the dental plaque.
• You can consult your dentist about the selection.Brush your teeth twice a day for at least 2 minutes with fluoride toothpaste. Pay particular attention to the rear teeth, which may have more plaque on the teeth.
• Use a soft bristled toothbrush. Apply gentle bumps to avoid tangling your teeth and gums while brushing your teeth.
• Change your toothbrush every 3 months. Worn out bristles of your toothbrush will clean less plaque from the tooth.
• Do you hold the toothbrush right? Here are some tips:
  Do you hold the toothbrush right? Here are some tips:
• Keep the toothbrush at 45 degrees to the gum line. Brush 2 or 3 teeth at a time.Move the toothbrush through the gums to the tips of the teeth.
• Hold the toothbrush upright to clean the backs of your upper and lower front teeth. Apply gentle up and down strokes with the tip of your toothbrush.
• Use of a dental floss helps to protect the health of the teeth and gums. Using dental floss on a daily basis clears the tooth plaque on the gum line and between the teeth.

To use the dental floss correctly, follow these steps:

• Wrap the thread around your middle fingers.
• Use your thumb and middle fingers to direct the thread between your teeth.
• Spread each tooth alongside the tooth to form a "C" shape. In this way you can place dental floss between your teeth and your gums.
• Check your gums while cleaning with a dental floss. Your teeth should be tight and pink. If you have redness, swelling, or bleeding, visit your dentist.
• If your gums are bleeding, do not give up using dental floss. Using a dental floss ensures your gums are healthier and helps stop the bleeding.

Drugs used in sedation are anesthetic drugs, with low doses. For this reason, when the procedure is completed, the patient is kept under observation until the effect of the drugs is over. Patients who are awake and full of orientation are sent home if there is no problem with their vital functions (heart rate, blood pressure, oxygen saturation). In patients whose mental status is initially impaired (mental retardation, Alzheimer's, etc.), it is expected that the patient will return to the initial stage rather than being completely alert. Your doctor will tell you how long you can eat after the sedative. Usually after a few hours you can start to feed with small amounts of soft-bodied food. When the patient is being sent home, he or she must be accompanied by an adult. Patients with sedation or general anesthesia should be warned not to drink alcohol, use cars and work machines, stay away from drill-cutting appliances, and not sign any documents for 24 hours after the procedure. If you use drugs every day, continue to use the drugs at the same level.

After tooth whitening (Bleaching), each patient usually has more or less tenderness (no tenderness is very rarely seen). These sensitivities are temporary and disappear within 1-3 days. Especially on the first day, the patient needs to use an anti-inflammatory analgesic (pain reliever). Again the first few days should be avoided in extreme cold or hot weather. After bleaching, there is a list of diets that each patient should follow. Any colouring food or drink is prohibited. Especially the first 3 days are very fragile, but ideally 1 week to 10 days should be observed. Products containing dark color such as cigarettes, tea, coffee, chocolate, red wine, sour cherry, caramel, tomato paste should not be used for 1 week after the end of the process. Otherwise, the whiteness obtained will be returned. The use of bleaching toothpaste after bleaching will also extend the whitening effect. The point to be noted here is that absolutely no abrasive toothpicks or tooth powders are used. Abrasive products cause coloration and sensitivity after a certain period of time. The effect of bleaching, which is done in a patient brushing teeth at least 2 times a day, taking 6 months of regular checks, smoking and not consuming excessive tea coffee, is protected for a long time. It can be supplemented with home bleaching at certain intervals (one to two years). Patients who do not meet these rules may be able to return, and bleaching may be done again as a result.

• Do not wear your appliance while you are eating while brushing your teeth, playing football, swimming or other sports.
• Apart from these, put your appliance all day. You can clean your appliance with the help of a toothbrush, cleaning tablets with soap, water and a pharmacy.Never put hot or boiling water to clean your appliance
• After each meal, brush your teeth and your appliance.
• With a new appliance, you may have difficulty in conversation at the beginning, or you can get plastic taste from the appliance. Such complaints will disappear within 1-2 days.
• If you are using it on the rubber together with your appliance, carry a spare rubber on the side and store the rubber in a plastic box.
• If you do not wear your appliance, store it in a plastic box and carry it with you.
• Do not try to remove the appliance with your tongue and avoid sticky foods (gum, caramel, etc.) as your appliance will lose its compatibility with your mouth as the appliance will cause it to loosen.
• . If your appliance is bent, broken, or if your mouth becomes unmatched, call your doctor immediately. If your doctor has opted for a fixed device in this period, read more about it.

Cleaning your prosthesis is very important in terms of long life. In particular, all the gingival edges of the prosthetic support teeth should be brushed very well.

You should brush your teeth twice a day and floss once. This cleaning will remove the plaques formed by the bacteria. The most important point in this regard is the cleaning of the plaque in the area where the tooth and gingiva are connected (sulcus).To avoid breaking or damaging krons, it is necessary to avoid chewing hard foods and objects. Again, as usual, you should visit and check your dentist routinely.

A slight oedema and wound area develops in the area of the root end of the channel-treated tooth where the nerve connections are blocked. For this reason, it is normal for you to have pain on your teeth during the first week.Within 1 week this pain will gradually decrease and pass.

Root canal treatment may last 2-3 sessions in some cases, curing temporary filling is made a 1-hour sessions in the interim.

After root canal therapy these should be taken into consideration:

Do not eat while under anesthesia.

Local anesthesia (narcosis) is usually performed during canal treatment. You should not be eating because of the possibility that soft tissues such as tongue, lips, cheeks may be bitten and damaged without being aware of it until the drowsiness is over. Yet again extremely cold and hot beverages should be avoided because they can damage soft tissues.

Use the other part of your jaw until it heals.

Use the other part of the jaw while eating as much as the pain is after the canal treatment.

If a temporary fill has been made, use the other part of the jaw again until a permanent fill is made. Temporary fillings are easily wearable, crackable and fallable even when they are hardened.When these materials break themselves, if the dental tissue around them is too thin, the teeth can break.

Never use your teeth for very hard food and objects

Never break the unopened crust of hazelnut or pistachio with broken channel teeth, break the unbreakable corn, try to open any bottle lid, and so on. do not apply extraordinary forces. Do not forget that such unusual forces can break your canal-treated tooth more easily than a healthy tooth can break.

Do not interrupt treatment after temporary filling:

If temporary filling is done and your pain is completely gone, you should never interrupt treatment. Because the pain passes, treatment is forced to withdraw after a few months due to the neglect of many dental patients who have been abandoned. Having no pain does not mean that the cure is complete. Remember that even if the canal treatment is complete, a permanent tooth can be a much bigger problem and may be lost after a few months.

Problems that may occur after canal treatment:

Pain and swelling after treatment:

Using a medication with analgesic and antiinflammatory properties in a week period will relieve you and help you get rid of the problem more quickly. A lot of medicines you have already used for headache go into this situation. for example Majezik, Apranax, Aprol, Cataflam, Dolorex, Surgam, Artril and so on. . If you are going to take any medication, you should consult your physician about your use, side effects, compliance and get approval. For example, Parol (paracetamol), Minoset, etc., which are pain-relieving but have no anti-inflammatory effect. the painkiller group is not very effective in these situations.

Pain not going away and swelling:

In some cases, there may be inflammation at the root of your tooth, where the channel is being treated. This inflammatory mass may be chronic there and may not give you any discomfort. However, when the channel treatment is started and various antiseptic substances are applied there, the chronic (sleeping) inflammation mass may be acute or awakened. In such situations, swelling, pain, etc. occur in your face or in the area where your teeth are. You should use the medicines recommended by your doctor, if your pain don’t go away, you should consult your doctor.

Pain and swelling with fever and fatigue occurrence:

If the swelling that we are talking about is spreading over a very large area and at the same time fever, fatigue, etc., you should follow the direction of your physician by calling your clinic or directly your doctor. In such cases, you will have to start antibiotics in the direction of your physician, and at the same time your doctor will call you often to get the inflammation out there.

Feeling of height in filling:

If you are experiencing a height of persistent filling on the temporary side after the onset of numbness, you should definitely consult your doctor.

Significant erosion of the temporary plunge:

If the temporary filling is still a little worn but the tooth is still at the base and can seal the channels, there is no problem. However, if your filling is worn away and if something goes into the channels of your teeth, put a small cotton in that area and apply immediately to your doctor. Keep in mind that teeth remain fully open this kind of situation might be forced to withdraw many of your teeth as a result of elongation.

Canal treated teeth coatings or inlays / onlays filling works:

The teeth treated with ducts may become fragile at certain rates by losing their elasticity.If the remaining dental tissue is too thin and the remaining teeth in the following years are more likely to break, your physician may recommend coating after immediate filling. Sometimes special fillings (called inley-onley) are required, which are made in the laboratory environment and glued there, taking measurements instead of normal fillings. This type of extra treatment allows you to stay in your mouth for many years, even if you have an extra cost.

Treatment failure:

Canal treatment is a form of treatment that requires a great deal of effort and is an indication of your physician's work attitude towards you and your teeth. It is much easier to remove your teeth and replace them with bridges or implants. Root canal treatment of a tooth made is expected to remain successful in the mouth for a lifetime. However, sometimes the treatment is unsuccessful in cases where the root of the teeth is excessively curved, the side channels are impossible to clean, the presence of some bacteria types that do not respond to any antiseptic substance, the massive inflammation masses formed at the tip of the root, or dental filling and coating.

Do not eat while under the influence of anesthesia:

In our clinic, composite (light-white) fillings are generally made. These fillings reach the hardness that the patient can eat from the moment they are made. There is no inconvenience to eat right away in terms of filling. However, local anesthesia (numbness) is generally applied during filling, and you should not be eating because of the possibility that soft tissues such as tongue, lip, cheek may be bitten and damaged. Excessive cold and hot drinks should be avoided at the same time as it can harm soft tissues. If there is no local anesthesia, there is no extra restriction in the composite (white) pads from the moment you go out.

Do not bite your teeth, your mouth and your tongue while under anesthesia:

To check if the numbness passed after checking dental fillings you never bite your lip as if gently with your teeth or tongue. This bite force, which comes to you lightly, may actually be much larger than you think, and the negative result may be understood after the drowsiness has passed. You can test the drowsiness by touching your lips with your finger. In general, anesthesia is effective in 3 hours after upper jaw operations. The lower jaw can last up to 5-6 hours in the posterior group of teeth when this numbness passes. These time periods vary from person to person.

Do not use your tooth for very hard objects:

You can eat everything you can eat with your filled tooth just like your normal tooth. Avoid extraordinary forces such as breaking the unopened crust of hazelnut or pistachio nuts, crushing unbreakable corn, trying to open any bottle lid. These forces, which you can not even apply to your natural teeth, can cause serious damage to your tooth-filled teeth.

Do not eat for 2 hours in amalgam fill and watch out for had foods for 24 hours:

Although the use of amalgam (silver-metal) toothpaste is greatly reduced, it is still a non-alternative and safe type of filling in some special cases. In our clinic, more than 99 percent of the composite fillings can be made and amalgam fillings can be made in rare cases where the composite can not be successful. Amalgam fillings reach food eating hardness in 2 hours and the final hardness in 24 hours. For this reason, if your mouth is filled with amalgam fill, you can not eat anything for 2 hours, you need to eat with the other half of the jaw for 24 hours if you want to eat hard food. You can not eat because you can damage soft tissues like tongue, cheek, lips until the drowsiness is over and you should not drink too cold and hot drinks.

Do not neglect your oral care:

You can brush your teeth regularly immediately after the filling has set. you can use dental floss, mouth wash and interface brush.

PROBLEMS THAT MAY ARISE:

Cold-Hot Sensitivity:

It is normal to have cold and warm sensitivity for up to 3 weeks if the tooth has a very close filling to the nerve. Sensitivity will gradually decrease and pass within 3 weeks. If not, contact your doctor.

Pain in the filling:

Within the first 12 hours after the tooth filling is done, you can use the pain relievers recommended by the physician for both the tooth and the pain caused by the operated tooth. If you still need to use pain relief from the day after the filling, you probably will need root canal treatment.Contact your doctor.

Pain because of a pressure on your teeth:

If you have pain with your mouth closed or pressure on your teeth do not use the affected area and consult your physician immediately. Overhangs / heights in filling that are not noticeable due to drowsiness can cause such pain. The problem may grow if it is not immediately intervened. Such problems can be solved with very little abrasion without the need for the teeth to be numbed.

In close proximity to nerves, this kind of pressure may require a period of 4-6 weeks to pass. If pressure pain is gradually diminishing in this process, possibly root canal treatment will be required.

If the filling is stuck or uncomfortable with your tongue:

After dental filling, the filling is polished so that the filling is long-lasting and you can adapt to your filling more easily. Even if it is polished, it may feel a bit weird for a week or two weeks. If you still feel weird after 2 weeks of treatment, or if you are unfamiliar with the feeling, contact your doctor. The problem can be solved with a little sanding and extra polishing without any need for numbing.

After periodontal surgery, there are certain rules that the patient should pay attention to:

• Nothing should be eaten and drunk until after the drowsiness after the surgical procedure.
• Within the first 24 hours after the operation, the hot food and beverages should be avoided and the chewing should be done with the area not involved in the operation
• Smoking is not allowed on the day of surgery and following surgery.
• For 2 weeks following surgery, prostheses should be used as little as possible.
• Pat placed in the surgical area is intended to make you comfortable and to protect the wound area from irritation. Pain relief facilitates wound healing and allows you to continue your activities with ease.
• The lip and the sidewall should not be removed to look at the stitches in the operated region.
• The ice should be applied from the outside on the first day to prevent swelling in the operation area.
• For post-operative healing, the prescription written by your doctor should be followed. If you have pain after surgery you can get painkillers. In this case, aspirin or similar salicylic acid derivative drugs should not be taken.
• Normal scrubbing operations may be applied to areas that are not operated.
• After dinner, the mouth should be shaken.

There are a few things to keep in mind in order for the patient to avoid infection after the tooth extraction and to avoid the pain and discomfort of the patient:

Following tooth extraction:

• The sterile gauze pad placed for clot formation should be kept in the mouth for half an hour. This tampon is pressed against the wound. The bumper should not be chewed, must be firmly bitten and then discarded.
• The wound should not be dirty or tampered with foreign bodies. Otherwise, pain or bleeding may develop.
• The patient should avoid talking as much as possible 2-3 hours after tooth extraction.
• The mouth should not be shaken on the day of tooth extraction and should not be spitted as much as possible. Or bleeding can increase and the clot can move.
• Immediately after the operation, a cold buffer (ice) is applied from outside to the region where the shot is taken and the swelling of the face is prevented. The application follows these steps: 10 minutes cold buffer - 5 minutes interval - again 10 minutes cold buffer period. The longer this treatment is continued, the less likely it is to swell and choke. Bleeding may continue as a leak.
• However, if it continues more intensively, a bag of tea kept in warm water for some time can be put into the wound and bite for 1 hour. In prolonged bleeding, the patient should go to the clinic without any time in the case of light red colored bleeds, blood in the form of large clots from the mouth.
• If hemorrhage occurs, putting cotton in the area will disrupt wound healing and increase the bleeding when the cotton is taken back, so cotton should not be put in place of the wound.
• During the first 24 hours, chewing should not be done with the side of the tooth being pulled.
• You should not drink anything using the pipette for the first 24 hours. This suction action disrupts the clot at the wound site.
• Smoking for the first 24 hours and alcohol for the first 72 hours should be avoided.
• After the first 24 hours, you should gargle with warm salty water every 2 hours or gargle that your doctor will prescribe
• The salt water mixture is prepared by boiling 1 cup and putting 1 teaspoon of salt in hot water which can be taken from the mouth.
• The next day after the tooth extraction, you should start brushing your teeth with a soft toothbrush and keep your mouth clean and hygienic at the highest level.
• During the first 5 days, spicy, bitter, sour, sweet, very hot and very cold food should be avoided.
• If the swelling in the face becomes excessive, if there are difficulties in opening and closing the mouth, a hot pad can be applied to the face in consultation with the doctor.
• If the physician wrote the drug after taking the shot, they should be observed for their use hours and care should be taken for proper use until the box is finished. Drug use after each tooth extraction is not necessary. Doctors should not be insistent if they do not prescribe medicine.

IMPLANT TEDAVİSİ SONRASI DİKKAT EDİLMESİ GEREKENLER:

 Implant Tedavisi Sonrası Ağzınızı Çalkalamayın ve Tükürmeyin:

Blood clots should be formed in the wound area in order for the hemostasis and wound healing to be healthy. Do not rinse your mouth for the first 2 hours and do not spit. After the surgical procedure, bite the buffer placed in the region for 30-45 minutes. There is no problem in swallowing your blood, if you have swallowed too much, you will normally see your large toilet in dark color, do not worry. If the PRF is closed, do not bite the bumper and you will not have a bleeding problem.

Do not smoke:

Along with other known damages, smoking affects wound healing negatively and causes serious problems. Do not smoke at least the first 2 days.Although we don’t recommend it and you smoke a cigarette, after the cigarette, absolutely rinse your mouth and brush your teeth.

Nutrition:

2 days after implant treatment eat mashed potato, yoghurt, banana, ice cream, non-grain soup, etc. nourish, soft, and warm foods. Especially the first two days do not eat hot food. Do not take a hot bath, do not go to a traditional Turkish bath place (hamam) and saunas. Do not use your teeth that are close to the operating area to chew. Drink plenty of water. Especially use a glass of water, shaking it up to cleanse your mouth after you have eaten something. Avoid drinking gaseous, acidic drinks such as alcohol and cola. Stay away from very hot drinks for 4-5 days, these drinks can burn up your wound area and prolong the healing period. Be careful to eat well. If your doctor suggests a dietary program, consider the schedule in the appropriate department or the program that we have specified specifically for you.

Oral Care:

Brush your teeth except the surgery area as usual and use dental floss for faster healing of the wound. Brush your teeth in the surgery area more gently with gentle strokes. From the day after the surgery, apply the gargle prescription given to you after the meal. If temporary coating is done, try not to clean the teeth with toothpicks because it will cause the coating to come out of place. Instead you can use dental floss. Do not push too hard when it is hard to get your dental floss into space. One of the best ways to clear the teeth is to use one of the devices known as 'oral shower' (eg Oralb-Oxyjet). These devices pressurize the water and air and mix them in between the teeth.

Stitches:

Stitches may have been placed during your surgery. Your stitches will be taken after 1 week. On these surfaces, cleansing the areas with a soft glow with your tongue for bacteria accumulation and using your gargle will positively affect the healing process and reduce the risk of infection.

Drug Use:

It is extremely important that you regularly use prescription medicines written by your doctor, as mentioned. You should not use more painkillers from the prescribed dose. If your doctor does not say anything else, you do not have to use painkillers if you do not have pain from the second day. Do not interrupt treatment after temporary prosthesis: If a temporary prosthesis is made, you can begin to meet your daily needs easily by adjusting the temporary prosthesis. However, it should not be forgotten that this prosthesis is not very intact, it can be easily broken and your teeth may be damaged. It is extremely important for your mouth and dental health to make permanent prosthesis within the time stated by your physician.

Problems that may occur after implant treatment:

Bleeding after implant treatment:

Do not use blood thinners for the first 48 hours. There may be little bleeding (leak) during the first 48 hours after surgery and this is normal. Using a high pillow will reduce the risk of bleeding. Especially in the first days, do not bend your head downward too much (for example, while tying shoes). Warm bathing and excessive effort can increase bleeding. If bleeding is excessive, apply pressure for 30 minutes with sterile gas buffer for the second time. If bleeding continues, contact our clinic. There is no bleeding problem in PRF applications to our clinic.

Pain after implant treatment:

Your first week may be painful. For this purpose, use your prescribed medication in accordance with your doctor’s recommendations. Your pain will decrease in a week. If you are using medications and your aches after 3 rd day, call us by phone.

Bump after implant treatment:

Swelling (edema) may occur within the operating area, cheek, lip and neck region within 3 days after surgery. After this time, the swelling should gradually decrease and disappear. Applying the ice bucket in the face for 6 hours after surgery may prevent swelling in some measure. For this, place ice in a bag that does not contain water, wrap the towel for 15 minutes, then take it off for 5 minutes. On the second day after the operation, do not perform any application. From the third day you can apply hot pad.

Bruise after implant treatment:

Bleeding can occur in the subcutaneous tissues adjacent to the surgical area, resulting in a bruise on your skin. This is not dangerous. It does not increase pain and is not an indication of an infection. It will disappear in 7-10 days. Otherwise, contact us.

Restriction in mouth openness:

You will have difficulty in opening your mouth in the 2nd and 3rd days after surgery. This is directly related to the size of the resulting oedema. The restriction on opening the mouth will be lifted in 7-10 days. After the second day, putting a hot water bag on your face and applying opening-closing exercises of the mouth will be effective in reducing your oedema.