After Your Treatment

Caring for Your Night Guard

  • Before wearing your night guard, run it under warm water for one minute to soften it and prevent cracking. Be sure the water is not hot, or it may distort the night guard.
  • To keep your night guard clean, brush it daily with a toothbrush and a mild liquid soap. Then, dry and store it. Soak your night guard with an enzymatic denture cleaning tablet, such as Efferdent, once a week. You may also bring your night guard with you to your hygiene appointments at our office so we may clean it in our ultrasonic bath.
  • Keep your night guard away from pets.
  • Please discontinue use of your night guard and call us if you notice increased soreness in your muscles or teeth. Your night guard may need an adjustment.


  • If the tube has two sections, you may need to place a mixing tip to the end of the syringe.
  • Apply a thin line of bleaching gel to the portion of the tray that will sit on the front surfaces of your teeth. 
  • Place the trays over your teeth. Wipe any extra gel that has been pushed out of the tray with your finger. You should not have any gel sitting on your gums. If a great deal of gel was pushed out of the tray, you are applying too much and should use less gel during future applications.
  • Wear the trays for one to two hours as advised. Wearing the tray overnight will not significantly increase the brightness of your teeth but can increase the sensitivity you may experience after bleaching.
  • Remove trays and rinse the gel off of your teeth. Clean trays with cotton swab and rinse.
  • If you experience sensitivity, you can treat it with MI Paste (available at our office). You should alternate your use of the MI paste and the bleaching gel nightly.
  • Once you have completed a full two-week session of bleaching, touch-ups should be done for one or two days every six months.


  • During your first visit, the crown will be prepared. You will be fitted with a temporary crown that will be worn until your next appointment, which will be approximately two weeks later. At this appointment, your permanent crown will be cemented.
  • If anesthetic was used, be careful not to bite your tongue, cheek, or lip. Anesthetic usually lasts for about three hours.
  • Avoid eating sticky or hard foods on the side of your temporary crown.
  • When flossing around your temporary crown, pull the floss out from the side rather than lifting it out from the top so as to not pull out the temporary.
  • It is normal to have mild sensitivity to temperature after the crown is prepared. If it is moderate to severe sensitivity, please contact our office and let us know.
  • If your bite feels off or if your temporary dislodges, please contact our office ASAP so that we may adjust it for you. 
  • Please retain the temporary and bring it with you to our office.
  • After the permanent crown is cemented, it is possible to have some temperature sensitivity due to the cementation process. If this sensitivity persists for over six weeks or seems to be worsening, please contact our office.
  • If your bite with your permanent crown feels off, please contact the office ASAP. We can still adjust that bite for you.


  • Anesthetic usually lasts for approximately three hours, so please be careful not to bite your tongue, cheek, or lip.
  • Once the anesthetic has worn off, the filling will be hard and you may eat normally.
  • It is normal to have a little sensitivity to hot or cold. It should subside within six weeks. If this sensitivity persists or worsens, please call our office.
  • Your bite should feel normal after the filling is done. If your bite feels off, please contact our office ASAP so that we may adjust it for you. If the bite is high, you may notice some sensitivity when chewing or biting.



  • Expect some discomfort, swelling, and oozing of blood over the next 24 hours. This is normal.
  • Bite on gauze for about 30 minutes. Discard and place a fresh piece of gauze over the wound for another 15 minutes. If excessive bleeding occurs, continue biting on gauze for a total of one and half to two hours, replacing the gauze every half hour.
    * DO NOT smokethe suction may dislodge the blood clot, which can cause intense pain.
    * DO NOT rinse mouth or disturb the blood clot in the socket in any way.
    * AVOID sucking and excessive spitting.
    * AVOID excessively hot drinks (such as coffee or tea), alcoholic beverages, and carbonated beverages.
    * If you notice swelling, place an ice pack (or a cold, moist towel) over your face near the surgical areaon for 15 minutes, off for 15, on again, etc.
    * Rinse gently with warm salt water (one tsp. of salt to one glass of water) five to six times each day for three to four days.
    * Now, use a warm pack for any residual swellingon for 15 minutes, off for 30 minutes, on again, etc.
    * In the case of extreme pain, excessive bleeding, or swelling, call our office IMMEDIATELY.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

We encourage you to contact us with any questions or comments you may have.

(415) 388-6100

10 Willow Street, Suite 6
     Mill Valley, CA 94941