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Care tips of your cosmetic restorations:
 | 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. |
 | 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.
|
 | 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. |
 | 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.+ |
 | Floss between all teeth at least once a day
to remove plaque. Flossing before bedtime is the best time. |
 | Clean around your gum line carefully.
|
 |
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.
|
 | 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.
|
 | A mild pain medication should ease
your discomfort during this adjustment period.
|
 | Eat a normal
diet yet be careful when eating hard foods, they can damage veneers.
|
 | Your speech will seem affected for
the first few days. You will adapt and speak normally soon.
|
 | 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. |
 | You may notice increase salivary
flow. This will discontinue to normal within a few weeks.
|
 |
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.
|
 |
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. |
 |
Fine scratches can be
polished with
Novus Plastic polish or
toothpaste, toothpaste is slower.
|
 | 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. |
 | PREVENTIVE 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:
 | Brush
with a fluoride containing toothpaste. |
 | Floss
after eating and before bedtime. |
 | Swish for at least 30 seconds
daily with fluoride containing rinses:
 | Colgate FLUORIGARD |
 | Johnson & Johnson ACT |
 | The best time is immediately
before bedtime. |
|
 | Swish vigorously with .2%
neutral sodium fluoride daily before bedtime. |
 | Use a 1.1% neutral sodium fluoride
in a special tray |
 | Use a Water Pik. |
|

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DO NOT:
 |
Brush with a medium or hard toothbrush with
an abrasive paste...it can scratch your restorations.
|
 |
Don't brush your teeth hard.
|
 |
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.
|
 | 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.
|
 | Smoke,
it will stain your restoration. Not smoking will increase the life
span of you and your restorations.
|
 | Avoid chewing tobacco, it will stain the
veneers.
|
 | 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. |
 | 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. |
 |
Grind or clinch your
teeth.
|
 |
If you feel a rough edge do NOT pick at it, make
an appointment with use to have it smoothed.
|
 | 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.
|
 | How long the bonding
lasts depends on your habits and how much stress is placed
on your front teeth. |
 | 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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