IV Sedation

Pain Management Protocol

Start with:

• Ibuprofen 600mg or 800mg (Advil, Motrin) unless otherwise directed by your doctor or dentist
• Take every 8 hours
  
  *Over-the-counter Ibuprofen typically comes in 200mg tablets, so you can take 3-4 tablets to reach the recommended 600-800mg dosage. Do not exceed 3200mg daily.

If necessary add:

• Acetaminophen 500mg (Tylenol)
• Take every 6 hours
• Recommended to be taken 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
  
  *Over-the-counter Acetaminophen typically comes in 375mg or 500mg tablets, so you can take the 1-2 tablets to reach the recommended 500mg dosage. Do not exceed 2000mg daily.

If discomfort persists, discontinue Acetaminophen 500mg and replace with:

• Norco 5/325mg OR Tylenol #3 (depending on what was prescribed to you)
• >Both listed medications contain Tylenol so please be aware of your total daily consumption (do not exceed 2000mg Tylenol a day).
• >Take 1 tablet every 6 hours as needed for additional pain control
• >Recommended to take 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
• >Do not drive or operate heavy machinery while taking these medications as they can cause drowsiness
• >If pain is more prominent at night, save these medications for use closer to bedtime as tolerance can build quickly

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Post-Operative Dental Surgery Instructions

1. Things to expect following surgery:
2. >Bleeding: Bleeding or oozing for the first 12-24 hours is common. Mild to moderate bruising/discoloration can also be present.
3. >Swelling: Swelling may begin within the first 24 hours but should reach its maximum by 48-72hours. Swelling should diminish by the 5th day.
4. >Discomfort: Discomfort may begin as early as when the anesthetic wears off. Typically discomfort will increase as swelling increases, with peak levels occurring within the first 48hours and gradually tapering thereafter.
5. Things to do following surgery:
6. >Refrain from: Smoking, vaping, vigorous swishing, and drinking through a straw for a minimum of the first 72 hours. Ideally to prevent infections and delays in the healing process, this should be avoided until the tissue completely heals up or your dentist advises you otherwise. Please also refrain from disturbing any stitches that were placed.
7. >Bleeding:
8. >>Bite on gauze for 30 min - 1 hour with constant, firm pressure over the surgical site. If bleeding continues, replace gauze and continue to apply pressure until bleeding stops.Some oozing and discoloration of saliva is normal, so place an old towel on your pillow before going to sleep the first night. Keep head elevated.
9. >Swelling:
10. >>Apply an ice pack to the outside of the face over the surgical area--20 minutes on, 20minutes off. Repeat for the first 24 hours following surgery as needed.
11. >>After first day use warm, moist heat on face for swelling.
12. >Discomfort:
13. >>Take medications as directed for pain. See provided Pain Management sheet.
14. >Diet:
15. >>Avoid crunchy, crumbly, hot, or spicy foods for at least the first 72 hours following surgery or as directed by your dentist. Soup (room temperature or cold), oatmeal, milkshakes (without seeds), and mashed potatoes are all examples of acceptable soft foods. Do not skip meals as adequate nutrition is important for the healing process.
16. >>Diet can be supplemented with high protein or meal replacement shakes such asEnsure or Boost. Protein is an essential nutrient in the recovery process.
17. >Physical Activity:
18. >>Avoid heavy lifting, sports, or strenuous exercises for the first 5-7 days or as directed by your dentist. Walking is a great way to maintain physical activity while healing.
19. >Hygiene:
20. >>Do not brush teeth in area of surgery for the first 48 hours. Other areas of the mouth may be brushed paying special attention to avoid area of surgery.
21. >>Use warm salt water rinses (¼ teaspoon of salt to 1 cup of water) 3-5 times daily after meals for the first 2 days following surgery (very gentle swishing).
22. >>If periodontal surgery was completed, including crown lengthening, do not brush the site for the first week. Use Peridex mouth rinse twice daily, swishing for 30 seconds and spitting.
23. >Medication:
24. >>Take all medications as instructed. If antibiotics were prescribed, be sure to take ALLas directed.
25. Contact the office at (512) 717-5315 or seek emergency care if:
26. >Bleeding is excessive, swelling continues to enlarge after 72 hours, difficulty swallowing or breathing, temperature rises over 100°F.

Stroll through any drug store, and you’ll find numerous over-the-counter (OTC) teeth whitening products. How do these differ from what’s used at the dentist’s office—and which is better? Isn’t it just easier to whiten your teeth at home?

The Main Difference Between OTC and Professional Teeth Whitening

There are many types of OTC teeth whitening products available, including strips, gels, toothpaste, and bleach kits. While some of these products are pretty good, they all have a much lower concentration of the whitening agent than what’s used at the dentist’s office. You’ll also be applying it to your teeth over a shorter period of time. Essentially, you’ll see less of a change in the appearance of your smile, and it will take much longer.

At Enamel Dentistry, we use a higher-concentrated bleaching gel, which allows us to whiten your teeth by 5-10 shades in a single office visit. It’s much more effective than OTC whiteners! OTC bleaching gels can cause sensitivity and discomfort; we use custom trays and monitor you the entire time to make sure you have a comfortable experience throughout the entire process.

In addition, some OTC whitening products contain charcoal or other substances that can damage your enamel!

What About Convenience?

OTC whiteners are certainly convenient—you just need to grab one off the shelf and use it at home. Believe it or not, professional teeth cleaning can be just as convenient! At Enamel Dentistry, you don’t have to sit in the dentist’s chair to get a whiter, brighter smile. Although that’s certainly an option, we also offer custom take-home whitening kits. While still more effective than OTC products, they’re designed to give you gentler, more gradual treatment than what you’d get with our in-office whitening. This is perfect for patients who’d like a more natural whitening process or don’t have the time for in-office appointments.

Want to learn more about our professional teeth whitening or schedule an appointment? Contact your closest Enamel Dentistry location today!