Gabriela Garcia-Rojas, D.D.S.
Call (415) 388-6100

After Your Treatment

Caring for Your Nightguard

  • Before wearing your nightguard, 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 nightguard.
  • To keep your nightguard clean, brush it daily with a toothbrush and a mild liquid soap and then dry and store it.  Soak your nightguard with an enzymatic denture cleaning tablet, such as Efferdent, once a week.  You may also bring your nightguard with you to the office on your hygiene appointment to be cleaned in our ultrasonic bath.
  • Keep your nightguard away from pets.
  • Please discontinue use of your nightguard and call us if you notice increased soreness in your muscles or teeth.  Your nightguard may need an adjustment.


  • You may need to place a mixing tip to the end of the syringe if  the tube has two sections.
  • Apply a thin line of bleaching gel to the part of the tray that will sit on the front surfaces of your teeth. 
  • Place the trays over your teeth.  Wipe any extra gel that is pushed out from the tray with your finger.  You should not have any gel sitting on your gums.  If there was a great deal of gel that was pushed out of the tray, you are applying too much and should put less gel in for future applications.
  • Wear the trays for 1-2 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 gel off of teeth.  Clean trays with q-tip and rinse.
  • If you experience sensitivity, you can treat it with MI Paste  (available in our office).  You should alternate 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 6 months.


  • During your first visit, the crown will be prepared.  You will be fitted with a temporary crown which will be worn until your next appointment 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 very 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 the office and let us know.
  • If your bite feels off or if your temporary dislodges, please contact the office ASAP so that we may adjust it for you. 
  • Please retain the temporary and bring it with you to the office.
  • After the permanent crown is cemented, it is possible to have some temperature sensitivity due to the cementation process.  If the sensitivity persists over 6 weeks or seems to be worsening, please contact the office.
  • If your bite feels off with your permanent crown, please contact the office ASAP because we can still adjust it for you.


  • Anesthetic usually lasts for approximately three hours, so please be careful not to bite your tongue, cheek, or lip.
  • The filling is hard and you may eat normally once the anesthetic has worn off.
  • It is normal to have a little sensitivity to hot or cold.  It should subside within six weeks.  If the sensitivity persists or worsens, please call the office.
  • Your bite should feel normal after the filling is done.  If your bite feels off, please contact the 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 during the next 24 hours.  This is normal.
  • Bite on the 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 1-1/2 to 2 hours, replacing the gauze every half hour.
    * DO NOT smoke...the 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 (coffee,tea), alcoholic beverages, and carbonated beverages.
    * If you notice swelling, place ice pack (or cold, moist towel) over face near the surgical area - on for 15 minutes, off for 15, on again, etc.
    * Rinse gently with warm salt water (1 tsp. of salt to one glass of water) 5-6 times each day for 3-4 days.
    * Use warm pack now for any residual swelling - on 15 minutes, off 30 minutes, on again, etc.
    * In case of extreme pain, excessive bleeding or swelling, call the office IMMEDIATELY


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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.