Patient Resources

Post Treatment Care

To ensure your comfort and the success of your treatment, we strongly suggest the
following instructions be carried out:
1. Ice
a) Hold ice on face for 10 minutes, then take it off for 10 minutes. Do this until you go to bed. Ice is used to prevent swelling.
b) This ice pack is disposable, throw it away when you get home and use an ice pack or bag of ice for the rest of the night.
c) Starting tomorrow DO NOT USE ICE, use moist heat as needed for swelling.

2. Rinsing and Spitting
a) No rinsing or spitting today. Starting tomorrow you will rinse with a prescription antibacterial mouth rinse.
b) It is o.k. to eat and drink.
c) The more you rinse, the more you will bleed.
d) A small amount of blood in your saliva is normal.
e) If it starts to bleed heavily, rinse a tea bag in cold water and place it on the area and apply pressure for 30 – 60 minutes.
f) If it doesn’t stop, call the doctor.

3. Food
a) Eat a nourishing soft diet this week.
b) Avoid hard crunchy foods (carrots, pretzels, popcorn, peanuts, chips or anything with seeds…)
c) Foods that are o.k. to eat include: eggs, yogurt, ice cream, milk shakes. Soup is good food.

4. Brushing
a) Do not brush the side of your mouth that was treated this week.
b) Brush and floss the rest of your mouth as normal.
c) When the sutures are removed, you can start cleaning the area again.
d) We will give you special tools to help.

5. Exertion
a) Avoid excessive exertion of any type for the first 24 hours following surgery.
b) Avoid staying in the sun for extended periods of time.

7. Smoking
a) If you are a smoker, we recommend that you avoid smoking for the first 2 weeks following surgery. This will aid in healing and prevent some undesirable complications after surgery.

8. Medications
a. Lodine – Etodolac. This is a nonsteroidal, anti-inflammatory similar to but stronger than ibuprofen. There are no side effects and it is safe to drive and go to work when taking this medication. This can be taken every 8 hours (3 times a day maximum).
b. Percocet – Oxycodone. This is a strong narcotic medication. When taking, do not drive or go to work. This will make you drowsy. Do not drink alcohol when taking this medication. This should be taken with food so it will not upset your stomach. Take this every 4 – 6 hours as needed for pain. DO NOT TAKE BOTH MEDICATIONS TOGETHER. You can alternate them.
c. Peridex Rinse. This is a strong antibacterial mouth rinse which will keep your mouth clean while you are unable to brush the area. Rinse with this, starting tomorrow, twice a day – full strength for 30 seconds after brushing and flossing the rest of your mouth. Once in the morning, once at night. No eating or drinking for 1 hour after rinsing.
d. Antibiotics. If necessary we will give you a prescription. Please continue taking the antibiotic until finished. Note: Antibiotic use while taking birth control pills decreases its efficiency, therefore, additional birth control measures should be used during antibiotic usage.

Feel free to call Dr. Hamelburg if you have any questions or problems (781)- 710-4708.

If a tooth needs a restoration that is larger than what a filling can treat, it may be possible to have a porcelain inlay or onlay placed on the tooth. Porcelain inlays and onlays are similar to a crown, but they only cover a portion of the tooth instead of all of it. By treating the damaged area of the tooth, inlays or onlays help to sustain the stability of a tooth so that it can function normally. The porcelain is made to match the rest of the tooth enamel so that it appears natural and blends right in with the teeth around it.

Porcelain inlays and onlays are traditionally fabricated in an off-site dental laboratory, but because Paradise Dental uses an in-office CEREC machine, we are able to make them during your appointment. CEREC uses 3-dimensional imaging to scan the prepared tooth and create a porcelain restoration that fits perfectly. This means Paradise Dental patients only need one visit, instead of 2 or more.

Sometimes tooth decay is too large for a filling to correct. Maybe a tooth is broken or cracked. Placing a crown on a tooth allows us to cover it entirely with a restoration that can hold up to normal activities like chewing and biting. It distributes the weight evenly across the tooth so that fractured areas do not cause the tooth to break off. A crown helps cover the entire tooth to stop decay or fracturing and enables it to sustain pressure.

Our in-office CEREC machine allows dental patients to have their crowns generated and placed in one dental appointment. CEREC technology is like having a private dental lab right in our office. High-resolution digital imaging scans the surface of the prepared tooth during the treatment appointment. In the past the patient would have returned home with a temporary crown, waited 2 weeks, and then returned to have the permanent crown fitted. Our CEREC machine lets patients skip having a temporary crown or a 2nd appointment, because the permanent crown is made while they’re still in the treatment chair.

Patients can receive several types of simple oral surgery, depending on their oral health needs. Some of the surgeries that the doctors at Paradise Dental offer are:

  • Simple extraction of deciduous (baby) teeth
  • Simple extraction of permanent teeth
  • Simple extraction of teeth prior to braces
  • Extraction of fully erupted wisdom teeth
  • Extraction of partially soft tissue impacted permanent teeth
  • Sinus elevation surgery prior to dental implants

Complex extractions, such as with fully impacted wisdom teeth are referred to an oral surgeon.

For patients with missing teeth, Paradise Dental offers several types of tooth replacement. If there are only a few areas, dental implants or a fixed permanent bridge can help to fill the empty space and give you a tooth to chew with again. Bridges work well when there is one or two missing teeth but healthy teeth just adjacent to them. Implants can be placed anywhere, regardless of adjacent teeth as long as there is healthy bone to support it.

If a patient has several missing teeth, they might prefer a removable complete or partial denture. Dentures allow us to replace several or all teeth with one appliance. They are removed overnight for oral hygiene purposes and are easy to keep clean. Some dentures even use implants to stay seated more firmly in the mouth.

Do you wake up each morning with a headache, sore neck or jaw? Do you find yourself getting tense in the teeth or jawline throughout the day? Are your teeth wearing down flat? These are several signs and symptoms of clenching or grinding. When left alone, grinding and clenching can cause severe trauma to teeth. Wearing an occlusal guard during times when you are especially prone to grinding can help correct this. Paradise Dental offers a range of guards, depending on whether you tend to grind in the night or daytime. The guards help create a space between the upper and lower jaws to reduce pressure in the TMJ and on the teeth.

playsafe-mouthguards-imageIf you participate in sports, there’s a good chance of oral trauma occurring. Statistics show that it’s not only contact sports, but activities like biking and swimming also often result in trauma to the teeth. Most of the time it’s the upper front teeth that get traumatized. If you or one of your children is active in sports, then a Sport Guard can easily help protect you from major dental trauma during activities. Over the counter guards are prone to slip and fall out, so they may not be secure enough to properly protect your teeth. The benefits of a custom made guard include: a tight fit, the ability to talk with the guard in place, superior protection against dental trauma and concussions and the ability to customize colors to match your team. Some athletes find them so comfortable that they never take them out during the entire game.

OraVerse is a new product available that allows dentists to actually reverse the effects of anesthetic after a dental appointment. Using OraVerse allows our patients to return to school or work even sooner after their appointment. In the past when patients had dental work, their mouth might be numb for 4, or even 5 hours afterward. OraVerse can reduce this recovery time by up to 50%, returning sensation in just one or two hours. Also administered by injection, it is delivered to the same areas where the local anesthetic is placed. It is thought to work by dilating the vessels in the area, allowing the body to cleanse the anesthetic from the soft tissues. OraVerse is the first and only medication regulated by the FDA to reverse the effects of anesthetics and is for patients ages 6 and older.

Phone: (781) 598-3700
Fax: (781) 598-3730
142A Canal St.
Salem, MA 01970