Ellis General Dentistry

Dennis W. Ellis, DDS, PA

What is the aftercare following a crown cementation?

What To Expect

1.   Cementing a crown or onlay can make the tooth ache and be hypersensitive to temperature and chewing for up to 48 to 72 hours after the procedure.  This heightened sensitivity is more pronounced if the tooth had been sensitive before the preparation or sensitive  after the temporary was placed.

2.   The gum tissue around the tooth may be tender and slightly swollen for several days after cementing the restoration.  It is also not unusual for the gum tissue to bleed easily, especially while flossing for the first few days.

3.   Occasionally, the bite or occlusion of the new restoration with the opposing teeth may feel different.  This new and different feeling will usually subside within several days, but may persist for several weeks   before settling into a normal occlusion.

4.   During those occasions when we anesthetize the area to cement the restoration, it is not unusual for the numbness to persist for several hours. The area around the tooth may be unusually sensitive when the numbness leaves initially, but will usually subside in a short period of time.


What To Do

1.   When we have anesthetized the area before cementing the restoration, it is important that you avoid eating solid food until the effects of the anesthesia are completely gone.  Drinking fluids immediately after the procedure is allowed. 

2.   The cement we use is set hard enough to allow you to chew on it after approximately six hours, so we recommend a soft diet until then.  Also, avoid flossing, sticky foods and chewing gum for the first six hours.

3.   We recommend ibuprofen (Nuprin, Advil, Motrin)  600 to 800 mg (four tablets) to be taken every four to six hours as needed.  If you have a medical condition or gastrointestinal disorder which precludes the use of ibuprofen, acetaminophen (Tylenol, Excedrin) is a substitute, although it does not contain anti-inflammatory properties..

4.  You may brush the area around the tooth carefully for the first two days, and then on the third day you may resume normal brushing an flossing.

 Please Call Us If …

1. You are experiencing symptoms more intense or of longer duration than those described above.

2. If any questions 

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