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                                                        DR. DAN PETERSON

                                                                      1415 SAGE STREET ~ GERING, NEBRASKA 69341 
                                                             
      Call: 308-436-3491       www.dentalgentlecare.com           

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VENEERS HOME CARE

Care tips of your cosmetic restorations:

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For about two weeks you will go through an adjustment period as you "get use to" your "new" teeth that have been changed in size and shape. It will take your brain some time to recognize the new position of your teeth or their new thickness as normal. If you detect any high spots or problems with your bite call us.

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Veneers have great crushing strength but not "tensile strength".  Avoid anything that will twist the veneer.  Please avoid the following things would break even natural teeth such as chew on pistachio nuts, hard candy, chicken or rib bones, jelly apples or open things with your teeth.

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As with your natural teeth, veneers require good oral hygiene. Brush with a ultra-soft toothbrush. Try a electric toothbrush for better cleaning.  Do not use a sonic type toothbrush as the vibrations may loose the restoration. 

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Use non-abrasive toothpaste or toothpaste with baking soda.  Use Gel-Kam to help with sensitive or cavity prone teeth. Rembrandt Whitening Toothpaste has received the ADA seal as a gentle cleaner for veneers. Avoid "extra whitening" toothpaste because they are often very abrasive and can scratch your restoration.+

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Floss between all teeth at least once a day to remove plaque. Flossing before bedtime is the best time. 

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Clean around your gum line carefully.

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Some sensitivity will occur. This relates to the amount of enamel left on your tooth after preparation, the proximity of the nerve as well as several other factors and should stop in 4-6 weeks.

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Your gums may be sore, try rinsing them with water salt water (1 tsp. salt in 8 of warm water, rinse-swish-spit 3xd) for several days to reduce swelling and discomfort.

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A mild pain medication should ease your discomfort during this adjustment period.

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Eat a normal diet yet be careful when eating hard foods, they can damage veneers.

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Your speech will seem affected for the first few days.  You will adapt and speak normally soon.

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Do not rinse routinely with mouthwashes, as they are high in alcohol.  Alcohol softens bonding and weakens the bond of porcelain.  If mouthwash is desired, a solution of hydrogen peroxide and water could be used or select a non-alcohol containing mouthwash like Breath Rx.

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You may notice increase salivary flow.  This will discontinue to normal within a few weeks.

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If you grind your teeth or clench your jaws you need a nightguard to minimize these stressors that you place on your teeth and to lengthen the life of your veneers. 

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Your speech may be affected slightly the first few days, this is normal .  You will quickly adapt to the new "feel" in your mouth and be speaking normally.

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Fine scratches can be polished with Novus Plastic polish or toothpaste, toothpaste is slower.   

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See your dentist for professional maintenance, cleaning and polishing of your restorations every six months. ALWAYS tell the staff you have porcelain veneers when you have your teeth cleaned and make sure they use a neutral sodium fluoride like Prevident.  Stannous fluoride or acidulated phosphate fluoride are not recommended for composite resin bonding or porcelain.  

bulletPREVENTIVE PROCEDURES: To Provide optimum longevity for your restorations and prevent future dental decay and supporting tissue breakdown, please use the following preventive procedures that are checked:
bullet Brush with a fluoride containing toothpaste. 
bullet Floss after eating and before bedtime.
bullet Swish for at least 30 seconds daily with fluoride containing rinses: 
bulletColgate FLUORIGARD
bulletJohnson & Johnson ACT
bulletThe best time is immediately before bedtime.
bullet Swish vigorously with .2% neutral sodium fluoride daily before bedtime. 
bullet Use a 1.1% neutral sodium fluoride in a special tray 
bullet Use a Water Pik.

Veneers can give you a beautifull smile

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DO NOT:
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Brush with a medium or hard toothbrush with an abrasive paste...it can scratch your restorations.

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Don't brush your teeth hard.

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Do NOT use abrasive tooth pastes such as ones with baking soda or "smoker's" toothpaste. They will scratch and damage your new veneers as they can also damage your natural teeth.  

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Do not use stannous fluoride or Acidulated Phosphate Fluoride products with your veneers.  They can etch the porcelain veneers and decrease the surface smoothness of your veneer.

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Smoke, it will stain your restoration.  Not smoking will increase the life span of you and your restorations.

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Avoid chewing tobacco, it will stain the veneers.

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Like natural teeth, the bonded material can pick up stains: try to avoid or keep to a minimum tobacco, coffee, tea, soy sauce, curry, colas, grape juice, blueberries or red wine or indulge in foods or drinks that have dark pigments because they can stain your veneers.  

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Bite things like hard candy, ice, fingernails, pipe smoking, paperclips or pencil and opening packages with your teeth.  These habits will cause fractures and chipping. Avoid direct biting  into ribs, bones, and hard nuts and foods.  This puts stress on the material and could result in a fracture.  Be aware that certain foods such as spare ribs, corn on the cob, carrots and apples can also put added stress on bonded teeth and possibly increase the need for repairs.  Most kinds of sandwiches are not a problem.

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Grind or clinch your teeth. 

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If you feel a rough edge do NOT pick at it, make an appointment with use to have it smoothed.  

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Allow anyone to clean your restorations with ultrasonic tools, air polishers or abrasive polishing pastes.  Only composite or diamond polishing paste is to be used for your professional cleanings.

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How long the bonding lasts depends on your habits and how much stress is placed on your front teeth.

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Like any restoration, it is possible for the veneer to come off or for small decay to develop.  In that situation a new veneer may be required. Also replacement of the restorations may be required in several years.

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Once placed, call us if your veneers become uncomfortable, discolored, chipped or loose. 

+Contemporary Esthetics and Restorative Practice, Cosmetic Dentistry and Your Patients Home Care; Dr. Radz; Feb. 2002 pg 86-89.

 

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          If you have any questions please e-mail me at: drdpeterson@scottsbluff.net
                                                                                 308-436-3491 Office number

PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
Confidentiality of data including your identity, is respected  by this Web site. We undertake to honor or exceed the legal requirements of medical/health information privacy that apply in Nebraska.

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