Post-Operative Instructions Following Oral Prophylaxis

**Scaling and Root Planning Procedure**

Scaling and root planning involves removing tartar or calculus from the gum line and surrounding areas. This procedure is essential for promoting a healing response, allowing the gum tissue to firmly reattach to clean and smooth roots.

**Post-Operative Care Instructions:**

1. **Wait for Numbness to Subside:** Refrain from eating or chewing until the numbness has completely worn off to prevent accidental biting.

2. **Avoid Extreme Temperatures:** Refrain from consuming extremely hot or cold foods for the next 24-48 hours. Additionally, avoid acidic foods (as they may cause sensitivity) and hard foods such as popcorn, chips, and seeds for several days. Sharp particles from these foods can become lodged in the spaces between teeth and gums, further irritating the tissues and potentially hindering healing.

3. **Quit Smoking:** Cease smoking for at least 24 hours after the procedure to ensure optimal gum tissue healing. Smoking has been proven to contribute to plaque buildup, which can lead to periodontal disease. Furthermore, smoking can reverse the positive effects of scaling and root planning.

4. **Saliva Swallowing and Mouth Rinsing:** Swallow your saliva to prevent excessive bleeding. Refrain from rinsing your
mouth.

5. **Flossing:** Do not floss the treated area tonight. Begin flossing the following evening after 24 hours.

6. **Brushing:** Brush your mouth gently as it may be tender or bleeding for a day or two. Use a toothbrush with soft bristles.

7. **Medication Use:** Follow the prescribed medication as directed.

8. **Oral Hygiene:** Brush twice daily, using a toothbrush with soft bristles.

**Post-Deep Cleaning Results:**

Several days after the deep cleaning procedure, your gums should appear more pink, less swollen, and bleed less. These signs indicate healing and improved periodontal health. Regular periodontal maintenance, performed every three months, is necessary to monitor and maintain your progress.

**Expectations After Anesthesia:**

If anesthesia was administered to numb the area, avoid chewing until the numbness has completely subsided to prevent accidental biting of the cheek, lip, or tongue. White fillings set immediately after placement, so you can resume chewing as usual after the numbness wears off.

Generally, there is minimal bleeding associated with periodontal care, particularly immediately after treatment. This will gradually decrease over the next few days and cease within a few weeks. Pain, Swelling, and Discomfort 

Moderate gum discomfort may occur after treatment. This can typically be managed with over-the-counter analgesics such as Tylenol or ibuprofen as needed. If you experience swelling or bruising, intermittent icing of the affected area every 20 minutes can provide relief.

Medication

Use the prescribed medication as directed.

Sensitivity

Tooth sensitivity is common after periodontal care and usually
resolves over time. Tartar buildup on teeth insulates them from
heat or cold. After plaque removal, the teeth become more
sensitive due to this insulation.

* Please note that regular follow-ups are mandatory every six months for preventive care. 

* Kindly request a mandatory check-up within 72 hours of treatment completion. 

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