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Dr Bari Dental Clinic, Sinhagad road, Pune

Dr Bari Dental Clinic - Top Dentist in Sinhagad Road Pune | Anand Nagar | Dhayari | Dental Implant | Microscope Enhanced Root Canal | Invisible Braces | Cosmetic Crowns, Veneers, Laminates | Invisalign | LASER - MDS Multispeciality | Dr Pranjal Bari

  • Kindly register yourself at the reception desk providing your contact information, medical history and history of allergies to specific  medications, if any. 
  • Wear masks at all times until asked to remove by your dentist. 
  • Sometimes your appointment may be delayed due to complexity of procedure in previous patients. We are doing our best to finish up at the earliest. Kindly bare with us in such situations. 
  • Pregnant ladies are requested to notify about their status to their dentist before beginning with their check up and procedural work. 
  • Senior citizens and patients with medical history like chronic heart disease, Diabetes, thyroid, high/ low Blood Pressure, tuberculosis, asthma, history of any major surgeries in the past, patients on anti coagulant medications and blood thinners are requested to declare their medical conditions before beginning with their check up.
  • Eat a full meal before coming to the clinic.
  • Make sure to take pre treatment medicines, if prescribed by the dentist.
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  •  LOCAL ANESTHESIA: 

  • When local anesthesia has been administered, the patient may feel numb on lips, tongue and the area around teeth for a few hours.
  • Avoid biting the tongue when numb.
  • Avoid eating until the anesthesia effect wears off.
  • Avoid chewing on the tooth undergoing RCT, until the treatment is complete.
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     POST OPERATIVE DISCOMFORT: 

  • As the effect of local anesthesia wears off, the patient may feel some tenderness in the area for a few days. This should subside within a few days.
  • In some cases, mild soreness may be felt from keeping the mouth open for long during the procedure.
  • Take medications as prescribed.
  • Never consume alcohol to alleviate pain.
  • It is important to understand that even if there was no pain in the tooth before the root canal treatment, some amount of post operative pain could arise which is taken care of by way of painkillers.

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      TEMPORARY FILLING: 

  • A temporary filling is placed in the tooth to protect it  in between appointments.
  • Do not drink any fluids for 30-45 mins, or eat anything for 1 hour,  when the temporary filling is placed.
  • Contact the clinic if the filling falls off.
  • However some portion of the filling getting worn away or breaking off is common.
  • Avoid eating anything from the side where Root canal treatment is eing done to protect the tooth and maintain the temporary filling in its place. 
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      MEDICATIONS

  • Take medications as prescribed.
  • If antibiotics are prescribed, continue to take them for the indicated duration of time, even if all symptoms and signs of infection are gone. Do not miss a single dose.
  • Should you experience discomfort and swelling that cannot be controlled with medications, please call our clinic.
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  • PERMANENT FILLING/ CORE BUILD UP:

  • A permanent filling/ cement is placed in the placed in the top portion of the tooth after excavating the decay. 
  • The type of permanent filling used depends upon the size of the cavity and remaining natural tooth structure.
  • Patients are advised not to chew from the Root canal treated tooth until a crown is placed.
  • If a crown lengthening procedure or Post and Core is required due to less tooth height , the patient will we advised for it at this step.
 

        CROWN/ CAP:

       Also read: The Best Ceramic crowns available at Dr Bari Dental Clinic in Pune  
  • The last step of the root canal involves placement of permanent filling and crown over the tooth. The crown/ cap covers the tooth from all sides and protects it from any physical trauma that could cause tooth fracture. 
  • An appointment for the crown will be fixed soon after the Root canal treatment is complete and when pain, if any, is relieved.
 
  • The procedure will be performed under local anesthesia.
  • A physician’s consent is required for surgical procedures in patients with systemic conditions like diabetes, High/ Low Blood Pressure, asthma, cardiac ailments, history of major surgeries in the past, etc.
  • Eat a complete meal before coming to the clinic
  • Take antibiotic medications if prescribed our clinic.
  • Continue any ongoing medications prescribed by your physician (medications for Blood Pressure, Diabetes, Thyroid, etc.). Blood thinning medications are usually stopped before surgery with the consent of your physician/ cardiologist.
  • There is usually no restriction for driving or going to work after the procedure. However, if you intend to do so, please discuss with your operating surgeon before leaving.
  • A physician is available at all times in the clinic. Should you need any consultation after procedure, our front desk staff shall refer you to them
  • After tooth removal, a hollow socket is created in the bone at the extraction site and filled with blood immediately resulting into a ‘Blood Clot’. This socket will eventually get healed forming new bone at the extraction site. 
  • The first few days, especially the first 24 hours are very important for the preservation of clot.
  • To control bleeding, hold the piece of gauze at the surgical site under light pressure for 45 – 60 minutes after your procedure. 
  • The numbness may last for a few hours following the procedure. Avoid chewing or biting until the anesthesia wears off.
  • The appearance of blood is normal for a few hours following your procedure. However, if it does not stop after a few hours, report to the clinic.
  • Prevent any hard or crunchy foods from making contact with the treated area.
  • Chew on the opposite side of your mouth for 24 hours.
  • Keep your tongue away from the tooth socket/ surgical area.
  • Drink plenty of fluids and stay hydrated.
  • Apply an ice-bag externally to the facial area of your procedure intermittently for the first day following your procedure 
  • Eat soft foods for the first 2 to 4 days, maintain a balanced diet, and drink plenty of water
  • Take medications as prescribed.
  • Slight swelling may be seen if the surgery was invasive. Swelling is body’s natural response to healing. It may appear the next day after surgery and minimize after third day. However, it may persist for 7-10 days in some cases.
  • Avoid smoking, sucking/blowing or rinsing too hard.
  • Avoid alcohol for 48 hours.
  • Avoid alcohol if taking any prescribed pain medication.
  • Avoid strenuous activity or exercise for 3-4 days after surgery.
  • Avoid smoking after your procedure for at least one week. The suction can dislodge the clot and you may also be susceptible to “dry socket.”
  • Dry Socket results when there is a loss of blood clot from the socket. The pain is typically intense and may radiate to ear and head. Symptoms of dry socket do not occur until 5-7 days after the extraction. If there is no pain relief in the first few days, please contact our clinic.  A medicated dressing may be placed or irrigation with a medication my be carried out with a syringe to relieve the symptoms. To best avoid a dry socket, avoid vigorous rinsing of mouthwash or water, smoking, sucking through straw, spitting, blowing through the mouth, eating hard foods and exercising vigorously for 2-3 days. 

  • Pre Operative instructions for Implant Surgery:

    • The procedure will be performed under local anesthesia.
    • A physician’s consent is required for surgical procedures in patients with systemic conditions like diabetes, High/ Low Blood Pressure, asthma, cardiac ailments, history of major surgeries in the past, etc.
    • Eat a complete meal before coming to the clinic
    • Take antibiotic medications if prescribed by our clinic.
    • Continue any ongoing medications prescribed by your physician (medications for Blood Pressure, Diabetes, Thyroid, etc.). Blood thinning medications are usually stopped before surgery with the consent of your physician/ cardiologist.
    • For single tooth implant surgery, there is usually no restriction for driving or going to work after the procedure. However, if you intend to do so, please discuss with your implant surgeon before leaving. 
    • A physician is available at all times in the clinic. Should you need any consultation after procedure, our front desk staff shall refer you to them.

  • Post Operative instructions for Implant Surgery:

    • The numbness may last for a few hours following the procedure. Avoid chewing or biting until the anesthesia wears off.
    • To control bleeding, hold the piece of gauze at the surgical site under light pressure for 45 – 60 minutes after your procedure. 
    • Prevent any hard or crunchy foods from making contact with the treated area.
    • Chew on the opposite side of your mouth for 24 hours.
    • Keep your tongue away from the surgical area.
    • Drink plenty of fluids and stay hydrated.
    • Apply an ice-bag externally to the facial area of your procedure intermittently for the first day following your procedure.
    • For the first 2 to 4 days eat soft foods that can be easily swallowed, maintain a balanced diet, and drink plenty of water.
    • Take medications as prescribed.
    • Slight swelling may be seen in some cases. Swelling is the body’s natural response to healing. It may appear the next day after surgery and minimize after the third day. However, it may persist for 7-10 days in some cases.
    • Avoid smoking, sucking/blowing or rinsing too hard.
    • Avoid alcohol when taking any prescribed pain medication and antibiotics.
    • Avoid strenuous activity or exercise for 3-4 days after surgery.
  • Scaling and root planing commonly called ‘teeth and gum cleaning’ is a non-surgical treatment for gum disease. This procedure involves removal of tartar from around your teeth and beneath your gums.
  • It is commonly done in Patients who complain of bleeding and swollen gums, sensitivity, bad breath and food lodgement. It promotes healing from inflammation and infection associated with gum disease. 
  • In cases where a local anesthesia has been administered, avoid eating and chewing on the treated area until your anesthesia wears off.
  • Avoid hot, spicy and hard foodstuff for 24 hours.
  • Rinse your mouth two to three times per day with a warm salt water mix (¼ teaspoon in a glass of warm water).
  • Resume your routine oral hygiene procedures. Brush and floss gently in the area of your treatment until soreness is gone.
  • Do not smoke or consume alcohol for 3 days after your procedure.
  • Take medications as directed.
  • Respect the adjustment period for your new dentures.
  • Ease into your daily routines with your new dentures. Eat softer foods first and practice speaking.
  • Be patient with the adjustment period for fit and adapting to your gums.
  • Return to your dentist within a recommended period of days for an adjustment and progress observation. Inform your dentist about any soreness, loose fit, difficulty chewing or speaking.
  • Brush your dentures daily inside and out. Use a soft tooth brush or recommended denture
  • brush along with tooth paste or denture paste.
  • Soak your denture occasionally in a cleansing solution.
  • Avoid dropping your dentures while cleaning. Clean them over a sink of water or a soft wash cloth.
  • Schedule annual check-ups with your dentist to check fit, make adjustments, and assure proper gum and bone tissue health.
  • Sleep without your dentures if possible. This helps your gum tissue rest and avoid unnecessary irritation.
  • Post Anesthesia Caution: When a local anesthetic has been administered, your lips and tongue may be numb for few hours after the procedure. Avoid chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb. 
  • Post Op discomfort: It is normal to experience some hot, cold, or pressure sensitivity after your appointment. You may also experience tender gums. Ibuprofen works well to alleviate the tenderness. If pressure sensitivity persists beyond a few days or if the sensitivity to hot or cold increases, contact our office.
  • You may chew with your composite fillings as soon as the local anesthetic effect completely wears off, since they are fully set when you leave the office.
  • If your bite feels uneven, if you have persistent pain, or if you have any other concerns, please call our clinic.
  • When a temporary crown/ bridge is cemented in your mouth, avoid eating hard and sticky foods from that side as it is cemented with a temporary cement that is designed to come off easily. 
  • You are advised to eat from the other side till you get the final crown/ bridge.
  • Once your final prosthesis is cemented in the mouth, do not eat or drink for at least 30 minutes. 
  • Bridges require additional maintenance under the pontic (the replaced teeth) as food if trapped beneath it may infect the gums. Also, cleaning the junction between the crown and natural tooth is of utmost importance as plaque retention in this area may cause decay of the supporting tooth. This is one of the commonest causes for replacing the crown/ bridge
  • A number of commercial floss threaders specially made for cleaning dental bridge are available in the market. Water flossers that clean plaque using a rapid jet of water could also be used for cleaning the plaque trapped under the bridge and in between the teeth. Both the options are easily available in pharmacies and online shops. 
  • If the bite feels uneven or if you feel discomfort while chewing, call our clinic for the necessary adjustments without any delay.