Dental Care Information

Need a reminder of what the doctor told you?

This section contains a variety of information about procedures and post care instructions that we perform in our office.

These instructions have been added as a general guideline. Please consider what Dr. Bryson and Dr. Kugler have told you about your circumstance and refer to these documents as a reminder. If you still can't find what you are looking for, please don't hesitate to contact us.

Find your instructions below

  • Temporary Crown Instructions
  • Post Extraction Instructions
  • Scaling and Root Planing Instructions
  • Whitening Instructions
  • Sedation Instructions
  • Mago Instructions
Now you are wearing a temporary crown cemented on with temporary cement while we are waiting for the permanent crown to be processed by the lab. This crown is safe to chew on and obtain your normal daily routines. In general, the temporaries can feel rough. Biting and Chewing will feel different. Be sure to brush this area regularly to keep the area clean and gum tissue healthy. This will ensure a better result when it is time to seat your permanent crown.

Here are a few things to avoid during this time period:

  • •Avoid flossing in between the temporary crown. This motion can cause the crown to come off.
  • •Do not eat any sticky foods/candies. Examples: gum, taffy, caramels, tootsie rolls, etc. This may cause the crown to come off.
  • •Be aware not to crunch on anything too hard or tough. Example: hard candy, crunchy granola bars, and tough bagel.

Speaking certain sounds clearly may take an adjustment period of a few days. Do not despair, this is a temporary situation.

When it is that time to seat your new permanent crown, Please be very picky about how your teeth fit together. The material your crown is made of will not wear in and it is important to make appropriate adjustments so your bite is not off.

After we have seated the permanent crown on with permanent cement, you may return to your normal daily routines and do not have to avoid these things anymore. It is important to keep this new crown clean just as you do the rest of your teeth.

Bleeding and Clotting

  • •Please leave the gauze pack in place for 30-45 minutes after leaving our office. This will limit the bleeding and confine the blood while clotting takes place.
  • •After an extraction, a blood clot forms in the tooth socket. This is a very important part of the healing process.
  • •Do not smoke, or rinse your mouth vigorously, or drink through a straw for 24 hours.
  • •Avoid alcoholic beverages or mouthwash containing alcohol for 24 hours.
  • •Do not clean the teeth next to the healing socket for the rest of the day. However, brush and floss your other teeth thoroughly. Gently rinse your mouth afterwards. Also brush your tongue because this will help eliminate bad breath and unpleasant taste that are common after an extraction.
  • •Limit strenuous activity for 24 hours after the extraction.
  • •If the blood clot does not form in the first or second day after the extraction or it forms, but breaks down for some reason. The result is called a dry socket or osteitis. This can be very painful and should be reported to your doctor.

Cleaning your Mouth

  • •The day after the extraction, gently rinse your mouth with warm salt water after meals to keep food particles out of the extraction site.

Medication and Pain

  • •The day after the extraction, gently rinse your mouth with warm salt water after meals to keep food particles out of the extraction site.

Cleaning your Mouth

  • •If the pain medicine prescribed does not seem to work for you please call doctor.
  • •You may have some discomfort and notice some swelling. To help reduce swelling and pain by applying cold compresses to your face as directed by your dentist.
  • •An ice bag or cold, moist cloth can be used periodically.
  • •If you have prolonged or severe pain, swelling, bleeding, fever, nausea or vomiting, call your doctor immediately.


  • •After the extraction, drink lots of liquids and eat soft, nutritious food.
  • •Avoid hot liquids and alcoholic beverages.
  • •Do not use a straw.
  • •Begin eating solid foods the next day or as soon as you can chew comfortably.

Congratulations! You have taken the first step in controlling your gum disease. You have entered a partnership between yourself and my staff to dramatically improve your health. The goal of your therapy today was to remove the infected root surfaces of your teeth and the bacterial deposits under your gum line. At this point, you may feel sensitivity and soreness of the gum tissues and teeth. Many of our patients have had the same experience. They found that it maybe necessary to take a mild pain reliever such as aspirin, Tylenol, or Ibuprofen. Also, comfort can be increased by placing a warm towel on the jaw muscles for 20 minutes. I would recommend rinsing twice a day with warm salt water for 3 days to promote healing of the tissues.

However, the most important factor in achieving the best results of your therapy is what you do on a daily basis. The first 30 days is crucial in the healing process. Bacteria will try immediately to re-invade the root surface. Therefore, carefully follow our recommendations of thorough brushing, flossing, and using other aids we have prescribed for you. Without your participation your results will be compromised. I cannot stress this point enough. Improvement of your gum health will enhance the appearance of your smile, prevent tooth loss, remove unpleasant taste, and reduce discomfort. Gum disease has also been associated with higher risks of heart disease, mothers with low birth weight babies, and compromises the health of diabetics. We look forward to your continued care and if you have any questions please contact me or my staff at 1-308-234-3668. We are here to help you. Your health matters to us.

Instructions and Tips for Whitening

  • •Brush and floss teeth prior to placement of bleach. The bleach will only bleach what it is touching and will not penetrate the plaque left on your teeth. This is why it is so important to brush before!
  • •When using a new bleaching syringe, remove the cap and place on the mixing tip. If using a syringe that is in use, extrude the material that is in the mixing tip before loading your tray.
  • •Load trays as we have shown you. (Place a bulb on the front side of each tooth.
  • •Insert trays over teeth.
  • •Press on the front of the tray with finger, distributing the bleach evenly and smashing any air bubbles out.
  • •If there is a lot of excess, wipe the extra away with a q-tip and use less material next time.
  • •If there appears to be a lot of voids under the tray, take out the tray and add more.
  • •While trays are in place DO NOT: eat, drink, chew gum or suck on trays.
  • •Remove trays after 30 minutes.
  • •Wash trays with water and lock them up in the retainer case keeping trays away from pets.
  • •Once trays are removed you can brush, eat, and drink as normal.

What to Expect While Whitening

  • •Gum and tissue tenderness as well as tooth sensitivity can be present while bleaching. If things are still very sore the next day, you may wish to skip a day in between each bleaching application.
  • •Sensitivity gained while bleaching goes away when bleaching completed.
  • •You may notice a color change immediately after the first treatment. Others respond more gradually.
  • •Some teeth in your mouth may not respond to the bleach at equal rates.
  • •You can expect to do anywhere from 10 to 20 bleachings, depending on your progress.

  • •Take the prescribed pill, Diazapam, about hour prior to bedtime.
  • •No eating, drinking, or smoking after midnight, nor should you take any medication that is not approved by Dr. Bryson the morning of your appointment.
  • •Make sure you have someone drive you to and from your appointment. You should arrive at our office at 7:00 a.m.
  • •Wear comfortable clothing; you may want to dress in layers.
  • •No fingernail polish or acrylic nails.
  • •No grapefruit juice or extracts 7 days prior to your appointment.
  • •No drinking alcohol or caffeinated beverages within 24 hours of your appointment.
  • •You should wait to drive for 24 hours after your appointment.
  • •No walking up and down stairs by yourself for 24 hours after your appointment.

  • •The purpose of wearing a mago is to correct the jaw to make the muscles relax.
  • •People who are a good candidate for a mago are those who experience jaw pain, jaw fatigue, headaches, or someone who has a lot of wear on the biting surfaces of their teeth.
  • •In most cases, people who wear the mago notice a difference in the first week of wearing it.
  • •When wearing a mago the patient may notice an increase in saliva. This will usually last a two week period.
  • •Sometime patients may also notice a decrease in their tasting ability. This may last two months.
  • •Usually when wearing a mago the patient will notice difficulty in speaking at first. It will take sometime to adjust.
  • •We recommend reading a newspaper out loud daily until you notice a difference.
  • •We recommend wearing this appliance 24 hours a day except when cleaning your teeth and the appliance.
  • •When drinking soda or juice with a mago in we recommend brushing your teeth and mago afterward.
  • •To take care of the mago you will need to brush it daily with a toothbrush and toothpaste.
  • •You can also soak it in diluted Listerine during the time you do not wear it.
  • •You should notice over time your jaw muscles feel better and relaxed.
  • •If you notice increased jaw pain when wearing the appliance you need to contact us.

We believe in doing quality work and supporting our patients throughout the healing process.

Please contact us today to see if you have any questions!

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