Your East Windsor Family Dentist

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Instructions after Deep Cleaning – Scaling and Root Planing

Post-op Instructions – Scaling and Root Planing

(“Deep Cleaning”)

After Deep Cleaning or scaling, it is encouraged to maintain proper Oral Hygiene for healing and follow these instructions:

  • After the procedure, take aspirin, acetaminophen (Tylenol®), or ibuprofen (Advil®) before the anesthetic wears off. Continue to take one tablet every four hours for the next two days.
  • A saltwater solution (1/2 teaspoon salt + 1/2 teaspoon soda + 8 ounces warm water) swished in your mouth for 2 to 3 minutes every hour may make your mouth more comfortable.
  • Use a soft toothbrush at least two times a day. Be gentle and clean thoroughly. Slight bleeding may occur while brushing as the tissues begin to heal.
  • Avoid strong spicy seasonings, and hard crunchy for the next few days.
  • Smoking should be stopped. Success of the treatment will be substantially reduced by the cigarette smoke chemicals in your body.
  • As the tissues heal, some temporary sensitivity to cold may occur. Use a desensitizing toothpaste (such as Sensodyne®), or fluoride gel (such as Prevident® or Gel-Kam®) frequently (at least 4 times/day) for 1 to 2 weeks. Also, the cleaner the teeth are kept, the less sensitive they will be.
  • Faithfully use any other oral hygiene aids that have been recommended (floss, Perio-Aid®, rubber tip, Sonicare®, Proxabrush®, Gel-Kam® fluoride, Peridex® mouthrinse, etc).
  • If you have any questions or concerns, please call Essel Dental at 860-254-6955.

It is important that you maintain Excellent Oral Hygiene after Deep Cleaning and follow Periodontal Maintenance schedule suggested by Dr. Kumar or other Staff Members. Following videos are helpful to understand brushing and Flossing techniques we recommend all our patients.



Instructions after Implant Placement

Post-op Instructions – Implant Placement

BLEEDING: Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and may be noticed the rest of the day after the procedure.

SMOKING: Smoking should be stopped following surgery for about 48 – 72 hours at least. Healing and success of the implant will be substantially reduced by the cigarette smoke chemicals in your body.

PAIN: Some discomfort is normal after surgery. To minimize pain, Take two Tylenol, Nuprin, Advil, or similar non-aspirin pain reliever every 3 to 4 hours until bedtime to maintain comfort. Take it before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Don’t exceed the dose on the label. Taking with food or milk will help reduce upset stomach. Avoid driving or operating heavy machinery when taking pain prescriptions. Do not drink alcohol while taking prescription pain medications.

NAUSEA: This is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food, and taking the pill with a large glass of water.

SWELLING: Applying an ice bag to the face over the operated area will minimize swelling. Apply for 15 minutes, then remove for 15 minutes. Continue this for the first day.

NUMBNESS: The local anesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch, or scratch the numb area. Sometimes the implant procedure causes residual numbness or tingling for six weeks or longer.

BRUSHING: Do not brush your teeth for the first 8 hours after surgery. After this, you may brush your teeth gently, but avoid the area of surgery for 3 days.

RINSING: Avoid all rinsing or swishing for 24 hours after your procedure. After 24 hours you may begin gentle rinsing with a saltwater solution (1/2 teaspoon salt + 1/2 teaspoon soda + 8 ounces warm water). Avoid commercial mouthrinses. You may be instructed to use a prescription antimicrobial mouthrinse.

DIET: Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.

ACTIVITY: After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing.

ANTIBIOTICS: If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.

SINUS: If your sinus was involved in the procedure, you should avoid blowing your nose or playing a wind musical instrument for one week. Use of decongestant medications might be recommended.

REMOVABLE APPLIANCES, DENTURES: Your dentist will give you specific instructions about your prosthesis. To avoid putting any pressure on the new implants before they have healed, your denture might be adjusted or significantly modified. In certain cases you will need to go without your dentures for a period (days or weeks) after the implants are placed. Sometimes a temporary removable appliance is made for cosmetic purposes, until a new non-removable one can be made.

FOLLOW-UP APPOINTMENTS: You may need to return to the office within the first 14 days to have sutures removed, or just for a brief follow-up healing check. You may need to return after the implant has integrated for a small second procedure to expose it in preparation for the final restoration.

Please call to our office, Essel Dental, at 860-254-6955 if you have:
• uncontrollable pain
• excessive or severe bleeding
• marked fever
• excessive warm swelling occurring a few days after the procedure
•reactions to medications, especially rash, itching, or breathing problems

Following these instructions very closely will greatly help your comfort, and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the success of the procedure may be affected.


Courtesy: Dr. Kumar and Associates at Essel Dental, East Windsor.

Teeth Whitening

Whitening. Dental care. healthy woman white teeth.


Teeth Whitening

Teeth whitening is used to remove extrinsic / intrinsic stains from teeth and provided a quick esthetic improvement of color of teeth. There are two common methods of teeth whitening:

  1. In-Office Teeth Whitening.
  2. At home Teeth Whitening using customized trays made at your dental office (Home Whitening).

In Office Teeth Whitening

There are many in office teeth whitening products available. Laser teeth whitening products are also available which use Ultraviolet light to activate Whitening gel after application of gel on teeth. Zoom whitening is one of the products available which is popular. In office teeth whitening takes about 1 hour in office and it whitens a few shades. You can use multiple appointments for teeth whitening as long as your teeth are not sensitive to whitening. It is important stay away from dark foods and beverages for about 48-72 hrs after in office whitening.


Home Teeth Whitening

Home teeth whitening requires fabrication of a custom tray. First, a measurement of teeth is taken and then a custom tray is made. Tray is used along with home whitening gel (can be purchased from our office). You can wear tray with gel at home during day or night time. There are few precautions to be taken during and you must consult your dentist prior to using home bleaching trays and gel.




For best whitening results, it is recommended that you should get both In-office teeth whitening (first) and then maintain with home whitening system. Dr. Kumar can evaluate if your a good candidate for in-office and/or home whitening.




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44 S Main St., East Windsor, CT 06088
Phone: (860) 254-6955
Fax: (860) 254-6956

Essel Dental

Essel Dental is a DBA for My Enfield Dentist, LLC. Any information (Educational or Otherwise) shall be used with proper guidance with your Dental Provider. All posts and blogs are copyright of My Enfield Dentist, LLC.