Patient Journey During COVID-19

Patient Information

Visiting Putney Dentists promises to be a pleasant experience.

YOUR FIRST DENTAL VISIT

Making sound decisions about your dental care and oral health is an easy thing to do with the right preparation beforehand:

Make a list of questions to ask our office, so you don't forget anything on the day of your appointment. This includes any concerns you have, or oral problems you've been experiencing.

If you have dental insurance, remember to bring your insurance card with you.

DENTAL EMERGENCIES

A knocked out tooth or bitten tongue can cause panic in any parent, but quick thinking and staying calm are the best ways to approach such common dental emergencies and prevent additional unnecessary damage and costly dental restoration. This includes taking measures such as application of cold compresses to reduce swelling, and of course, contacting our office as soon as possible.

POST OPERATIVE INSTRUCTIONS

Wisdom Tooth Extractions

Do not rinse or spit for 24 hours after surgery.

Keep fingers and tongue away from socket or surgical area.

Use ice packs on surgical area (side of face) for first 24 hours, apply ice 20 minutes on - 10 minutes off. Bags of frozen peas work well.

For mild discomfort take Tylenol or Ibuprofen every three to four hours.

For severe pain use the prescription given to you.

Drink plenty of fluids. (Do not use a straw)

If the muscles of the jaw become stiff, chewing gum at intervals will help relax the muscles, as well as the use of warm, moist heat to the outside of your face over these muscles.

After the first post-operative day, use a warm salt-water rinse following meals for the first week to flush out particles of food and debris, which may lodge in the surgical area. (1/2 teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)

Diet may consist of soft foods, which can be easily chewed and swallowed. No seeds, nuts, rice, popcorn, chips, etc.

A certain amount of bleeding is to be expected following surgery. Bleeding is controlled by applying pressure to the surgical area using small rolled gauze for 90 minutes. After that time remove the gauze and then you may eat or drink.

We suggest that you do not smoke for at least 5 days after surgery. Nicotine may break down the blood clot and cause a "dry-socket,” which is an undesirable side effect.

After 24 hours, some mild bleeding may persists. Continue to take your medication if pain persists.

You may expect swelling for ten days to two weeks and a fever of 99 degrees F to 100 degrees F.

24 hours after surgery, rinse mouth gently with a solution of one-half teaspoonful of salt dissolved in a glass of water. Repeat after every meal or snack for seven days. Rinsing is important because it removes food particles and debris from the socket area and thus helps prevent infection and promotes healing.

After 24 hours, brush tongue with a dry toothbrush to keep bacteria growth down, but be careful not to touch the extraction site. Resume your regular tooth brushing, but avoid disturbing the surgical site so as not to loosen or remove the blood clot.

If you have heavy bleeding, severe pain, continued swelling two or three days, or a reaction to the medication, call our office immediately.

Root Canal Treatment

Though 90% of the root canals we perform are completed in one appointment, root canal therapy may take more than one appointment to complete. Since anesthetic has been used, your lips, tongue and the roof of your mouth may be numb for several hours after your appointment. Avoid chewing and hot beverages until the numbness has worn off.

Between appointments until the tooth is fully restored, it is common (and not a problem) for a small portion of your temporary filling to wear away or break off. If the entire filling fall out or if a temporary crown comes off, call our office to arrange a time so it can be replaced.

It is normal to experience some discomfort for several days after a root canal appointment. To control discomfort, take the pain medication prescribed by the doctor as recommended.

If antibiotics are prescribed, continue to take them as directed, even if all signs and symptoms of infection are gone. To protect the tooth and keep the temporary in place, avoid eating hard and sticky foods (gum) and if possible, chew on the opposite side of your mouth. Continue to brush and floss normally.

Usually, the last step in root canal treatment is the placement of a crown on the tooth. A crown will protect the tooth from breaking in the future. If your bite feels uneven, if you have any signs of swelling or increasing pain, or if you have any other questions or concerns, please call our office.

Veneers

Plastic temporary restorations will serve you for a short period of time while your permanent veneer is being made. They are attached only slightly to the underlying tooth so they can be removed easily.

If a veneer comes off, call us and we will replace it immediately. If you are in a situation that will not allow you to come in, place the temporary back in place with some Fixodent™ (denture adhesive). You must still see us as soon as possible.

The size, shape, and color of the temporary does not resemble the final veneer.

Temporary veneers may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. You may also see stains under the temporaries. These will be removed prior to final cementation.

Avoid heavy brushing of the temporaries and do not floss between them because you may pull them off.

Your final porcelain veneers will be as close to the natural beauty and function of teeth as possible. They look and feel normal in every way. Permanent Veneers We place our veneers with the finest materials and techniques available today. However, you should be aware of the following information about your restorations:

As with natural teeth, avoid chewing excessively hard foods on the veneered teeth (hard candy, ice, raw carrots, etc.) because the porcelain material can break under extreme forces.

Proper brushing, flossing, and regular 6-month (minimal) cleanings are essential to the long-term stability and appearance of your veneers. Often, problems that may develop with the veneers can be found at an early stage and repaired easily, while waiting for a longer time may require redoing entire restorations.

The gums may recede from the veneers, displaying discoloured tooth structure underneath. This situation usually takes place after many years and may require veneer replacement.

Crowns

Temporaries are not strong. They may break or come off occasionally. If so, slip it back on the tooth with some Fixodent™ (Denture Adhesive) and call us for an appointment. Please do not leave the temporary out of your mouth because the teeth will move and the final restoration will not fit. Please do not floss around your temporary crown.

The size, shape, and color of the temporary does not resemble the final restoration.

Temporary restorations may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

Permanent Crowns

Temporary restorations may leak saliva or food onto the tooth. Sensitivity to hot, cold, pressure, or sweets is not uncommon. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

After the final cementation of your restoration, it may take a few days to get used to the new crown or bridge. Hot and cold sensitivity is possible for a few weeks and occasionally lasts for several months. As with the temporary, if the bite doesn’t feel balanced please call us.

Do not chew hard or sticky foods on the restoration for 24 hours from the time they were cemented. The cement must set up during this time to have optimum strength.

Proper brushing, flossing, and regular 6-month (minimal) cleanings are required to help you retain your final restoration. The only area that a crowned tooth can decay is at the edge of the crown at the gum line. Often, small problems that develop around the restorations can be found at an early stage and corrected easily, but waiting for a longer time may require redoing the entire restoration.

Approximately 1 out of every 100 porcelain crowns chip and may need replacement

Composite or Tooth Coloured Fillings

Once we have restored your teeth with tooth-colored materials, these restorations will serve you well for several years. The resin (plastic) material used contains small “filler” particles of glass-like material for strength and wear resistance. They contain the finest and most up-to-date materials available today. However, you should be aware of the following information about your new restorations:

As with natural teeth, avoid chewing excessively hard foods on the filled teeth (hard candy, ice, raw carrots, etc.) because the resin material can break under extreme forces.

Composite fillings set up hard right away. There is no waiting time to eat. Children should be observed until the anesthetic wears off. Due to the strange feeling of the anesthetic, many children will chew the inside of their lips, cheeks, or tongue which can cause serious damage.

Sensitivity to hot and cold is common for a few weeks following a dental restoration. Usually, the deeper the cavity, the more sensitive the tooth will be. If you feel the bite is not correctly balanced, please call for an appointment for a simple adjustment.

The gum tissue could have been irritated during the procedure and may be sore for a few days together with the anesthetic injection site.

The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small difference, but you will become accustomed to this in a few days.

When a tooth has a cavity the Dentist removes the decay and fills the hole with a filling material, the tooth supports the filling. The ideal filling is no more than 50% of the tooth. This leaves half the tooth to support the filling. When you get a cavity that takes up 60%or more of the tooth, a crown is indicated. A crown covers the entire tooth and holds the tooth together.

Dentures / Partials

Sore Spots: Usually, your mouth will have a few “sore spots” after wearing the denture/partial for 24 hours. These areas can be relieved with very little effort during your next appointment.

Chewing: The new bite may not feel completely comfortable for several weeks. We can adjust the contacting surfaces of your teeth after the dentures/ partials have settled into place.

Cleaning the Dentures/Partials and your Mouth: Your denture/partials can be cleaned easily by using a denture brush and a mild toothpaste. Periodic denture soaks are also very useful (ex: Polident). We recommend leaving your partials out of your mouth at night and soaking in water.

Dentures only: Brush your gums with a regular toothbrush once per day to toughen and clean them. Partials only: Use special care to clean parts of the partial that contact any natural teeth. Both the partial and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay starting.

We have done our best to provide you with well-fitted, functional, and aesthetic dentures/partials. We feel confident that after a few weeks of becoming adjusted to the new dentures/partials, you will have years of satisfaction from them. Over time, your jawbone and gums shrink when there are teeth missing. When this occurs, your dentures/partials will feel loose and may require relining. Wearing ill-fitting dentures/partials for too long without refitting can cause severe bone loss and very serious oral disease. Please call our office if these symptoms occur.

GENTLE APPROACH

Putney Dentists brings together a top team of dentists, hygienists, and dental nursing and care staff. We have a very caring and gentle approach, with particular emphasis on making nervous patients feel at ease.

Using advanced dental techniques, we ensure patients enjoy the best possible oral health, a great smile and teeth to be proud of. Our services and specialities include dental implants, cosmetic dentistry, veneers, crowns and tooth whitening.

MEDICATION

To enable you to visit the surgery we can provide you with a tablet to take, to help relax you. For very nervous patients, we ask you to come an hour before your appointment to take a sedative tablet, before having your full sedation.

IV SEDATION

DENTAL SEDATION

At Advance Dental Care, we have always given intravenous sedation with a consultant anaesthetist providing the sedation. We feel that no matter what courses a dentist goes on, a short diploma, does not compare with a doctor's degree and lifetime of experience in providing anaesthesia and sedation. The art of finding a vein to provide the sedation, can in itself be a challenge to a not so experienced dental surgeon.

FEAR OF NEEDLES

For people with a fear of needles, a surface anaesthetic can be provided to the back of the hand. You will be required to come half an hour before your appointment for this to be applied, as it takes time to work.

For the extreme needle phobic, inhalational sedation can be provided and then when in a dream-like state, a needle can be applied to the back of the hand, and drugs given intravenously.

TESTIMONIALS

I cannot praise Sam highly enough for the work he has undertaken with my teeth.

I have known Sam for quite a few years and he has undertaken all dental treatment for my children and myself. It became apparent that I was grinding my teeth to such an extent that they were wearing away. Sam explained very clearly about all the treatment needed to rectify this by having veneers fitted to cover my front teeth both top and bottom.
I now have a very confident smile! Nothing has been too much trouble for him. His work is second to none and he always has such a friendly and pleasant demeanour. I have recommended him to many friends and neighbours who now all continue to only go to him.

Sally Elder


 

Prior to treatment with Dr Afshar I had numerous shocking experiences with dentists that charged extraordinate rates and delivered substandard work that resulted in undue horrific pain and permanent loss of teeth. Neadless to say when I initially started treatment with Mr Afshar I was incredibly nervous to get back in a dentists chair.
Not only was his consultation and treatment plan, clear, concise & a fair & accommodating rate & individually tailored to my precise needs. His demeanor was utterly proffesional yet personable, friendly, caring and charming.

If you are treated by Dr Sam you will be made to feel important and like a friend not just a patient. All the while maintaining the utmost accomplished & impeccably elite attention to detail. His work is nothing short of world class & the outcome looks very natural yet striking. When I began treatment I was sure nothing shot of a tranquiliser would put me at ease subsequent to my past experiences with other cowboy dentists, yet as my treatments continued to be gentle & impressive, I have actually fallen asleep while Dr Sam has been working on me. I highly recommend Dr Sam Afshar & will continue to visit him for any further treatment I require.

Miss Damani


 

I have been a patient of Sam Asfhar since he took over Putney Dentists. I decided to have implants on the upper jaw as all teeth v loose. He spent some time preparing my jaw for the implants, but before I could have them fitted I fell and broke my neck! He was kind enough to keep in touch via my daughter whilst I was in hospital and he volunteered to come to Stoke Mandeville to carry on the work, but the hospital thought it better to wait, which I did. Once home he finished the work and I am very pleased with the result. I think he is a caring and excellent dentist.

Over the years I have had many different dentists, some good and some not-so-good. I feel therefore that I have the experience to be able to judge Sam Afshar as an outstanding dentist.

Whilst on holiday in Italy 2 years ago, I had an accident resulting in extensive damage to my teeth. My treatment on returning to the UK involved many courses of anti-biotic and painkilling medication for infections and excruciating pain whilst attempts were made to save the teeth. In the event, the trauma was so severe, implants were required and the bone strengthened to ensure a result that was to feel as close to my natural teeth as possible.

During the time of the treatment, I found the pain and fear of losing my teeth so emotionally stressful that I was extremely nervous and feared every appointment. Sam proved to be my saviour, he was supportive and compassionate on a level I would not expect from a dentist. No matter how upset I got, or how often I needed his reassurance his patience and expertise got me through a very difficult time. He never minded if I called him even at weekends when he was off duty.

Sam is highly skilled and can carry out extensive dental procedures which allowed me to undergo all of my treatment in house which was invaluable. I cannot praise Sam enough, and the results are better than I could ever imagine.