Permanent Crowns, Bridges, Onlays & Veneers

Your treatment today consisted of the permanent placement of one or more crowns, bridges or veneers.  It might take a while to get used to how it feels, especially if there has been a change in the shape and size of your teeth.  Wherever it refers to “crown” in these instructions, the same also applies to bridges, onlays and veneers.

 
Anesthetic

  • If an anesthetic was administered for your treatment, your lips, teeth, and tongue may be numb for several hours after the appointment.  Avoid any chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb.
  • It is recommended that you take some Ibuprofen (Motrin or Advil) before the anesthetic completely wears off.  This will help with any swelling or pain at the injection sites where your anesthetic was administered. 

 
Pain & Discomfort
  • Your teeth may be sensitive to temperature, pressure and even certain types of food or sweets. Although this does not happen in every case, it is not uncommon. The sensitivity may last from a few days to a few weeks. 


  • If it seems that the crown contacts before your other teeth when you chew or close, or contacts heavier than your other teeth, it can make the tooth sensitive.  Please call our office for a bite adjustment as soon as possible.
  • After the procedure you may feel some pain and experience some swelling. To reduce swelling, apply an ice pack or an unopened bag of frozen peas to the area for 20 minutes on, 20 minutes off for 4 hours.
  • Take pain medications as prescribed for pain relief. Do not take medications that you are allergic to. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone.
  • If you have severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately. 
 
Diet
  • Your lips, teeth and tongue may be numb for several hours after the appointment because of the anesthetic.  Avoid chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb.
  • Avoid all crunchy, tough or hard foods, such as: ice, popcorn kernels, hard candy, mints, lozenges, nuts, peanut brittle, hard edges of pizza, tortilla chips, etc., which could break the crown. Avoid putting strain of any kind on the crown.
  • Limit substances that stain teeth, such as tea, coffee and red wine, since they will also stain the cement used to attach the crown to the tooth over time. Foods that may cause staining include berries, tomato sauce and beets. Smoking also produces stains, especially on the edge of the crown where the bonding cement was applied.
 
Oral Hygiene
  • Crowns are still susceptible to decay near the gum line the same as a natural tooth. Consistent and thorough daily oral hygiene is essential to the proper maintenance of your crowns.  Brushing, flossing and rinsing with recommended products are critical. Use any recommended or prescribed products as directed by your Dentist.
  • Your gum tissue may be tender for a short time after treatment. Rinse with warm salt water (1 teaspoon salt in 1 cup of warm water) 2-3 times a day to get relief from any soreness and to help keep the treated area clean and free of any debris.
  • If you have a bridge, follow special cleaning instructions as explained by your Dentist.
 
Activities
  • It is important to remember that while crowns are strong restorations they are not indestructible. Crowns should be protected from hard impacts. Biting on ice, grinding your teeth, or using your teeth as tools to separate something or tear off something not edible will put a greater strain and impact on the crowns and could damage them permanently.
  • Factors that increase the biting force and stresses on crowns and bridges (as well as all the other structures of the mouth) include night grinding, sports and other activities that cause heavy clenching (like weight lifting) and high stress occupations which may cause a frequent clenching and grinding during work.  If any of these factors apply to you, you should have a mouth guard made to protect not only the crowns, but also the rest of the intact teeth  
 
Follow Up Treatment
  • It is important to return for regular check ups and cleanings to maintain your crowns and your general oral health. The success of your treatment depends on keeping all of your scheduled appointments and maintaining your home care as explained by your Dentist. 

 
Following most dental procedures there may or may not be pain, depending on the patient’s threshold of pain.  You will be provided with a prescription for appropriate medication for discomfort.  In most cases, a non-narcotic pain regimen will be given consisting of acetaminophen (Tylenol) and ibuprofen (Motrin).  If a narcotic has been prescribed, follow the directions carefully.  If you have any questions about these medications interacting with other medications you are presently taking, please call our office, your physician and/or your pharmacist

IF FOR ANY REASON YOU ARE CONCERNED ABOUT YOUR CONDITION, NOTIFY DR MORRIS OR A MEMBER OF OUR OFFICE STAFF BY CALLING OUR OFFICE AT (780) 790-0088.  For emergencies after hours, please call Northern Lights Regional Health Centre at  (780) 791-6161