Patient Advice & Aftercare

Clear guidance for every stage of your treatment

Whatever you’ve had done today — from a scale and polish to a same-day implant — here’s what to expect, how to look after it at home, and when to call us. Find your treatment below.

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Hygiene & Gums

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Hygiene & gum health

Professional cleaning and periodontal care remove what a toothbrush can’t reach. Here’s what to expect during and after, at every stage.

Professional cleaning to remove plaque, tartar and surface staining

A professional hygiene appointment helps remove plaque, tartar (calculus) and surface staining that cannot be fully removed with brushing alone. Your appointment may include scaling, polishing, Airflow® and/or Oxyjet®, depending on your individual needs.

What is a scale and polish?

Scaling removes hardened tartar from the teeth using specialist instruments. Polishing removes surface staining and leaves the teeth feeling smooth and clean. Common causes of staining include tea and coffee, red wine, smoking, and certain foods and drinks. A scale and polish does not whiten the natural colour of your teeth — it removes external staining only.

Airflow®

Airflow uses a controlled combination of air, water and fine powder to remove plaque and surface staining. It can be particularly useful around the gumline, orthodontic appliances, dental implants, crowns/bridges/veneers, and areas with heavy staining. Your hygienist will select the most appropriate powder and settings for your individual needs.

Oxyjet®

Oxyjet uses air and water to help clean around the teeth and gums and may be used alongside other hygiene treatments, depending on your individual needs and the equipment available at your practice.

During your appointment

Water spray, vibration and pressure
Mild sensitivity and a scraping sensation while scaling
Air and water spray during Airflow or Oxyjet
Tell your hygienist if you’re uncomfortable at any time

After your treatment

Teeth may feel smoother and cleaner
Temporary sensitivity, gum tenderness or minor bleeding is common
If you have gum disease or significant tartar build-up, some bleeding may occur as inflamed gums are cleaned
Continue brushing and cleaning between your teeth as normal

Gum recession and spaces between teeth

After tartar and inflammation have been removed, you may notice your teeth look slightly longer, spaces between teeth appear larger, or previously covered areas of the teeth become visible. This can be particularly noticeable in patients with gum disease. These changes may reflect healthier, less swollen gums rather than damage caused by the cleaning.

Looking after your teeth at home

Professional hygiene treatment is only part of maintaining healthy teeth and gums. We recommend: brushing twice a day for two minutes with fluoride toothpaste; cleaning between your teeth every day using interdental brushes or floss as advised; limiting sugary and acidic foods and drinks; drinking plenty of water; avoiding smoking; and attending regular dental examinations and hygiene appointments. Your hygienist can demonstrate the most effective cleaning techniques for you.

Smoking and vaping

Smoking increases the risk of gum disease, staining, tartar build-up and tooth loss and can affect healing. Stopping smoking is one of the best things you can do for your oral health. Vaping is not harmless and may contribute to dry mouth and oral irritation. If you would like help stopping smoking or vaping, speak to your dentist, pharmacist or GP.

Dental implants, veneers, crowns and braces

Tell your hygienist if you have dental implants, crowns or bridges, veneers, composite bonding, or braces or other orthodontic appliances. Your hygienist can use appropriate techniques and products to safely clean around your restorations and appliances.

How often should I have a hygiene appointment?

This varies from person to person. Your hygienist will recommend an appropriate interval based on your gum health, plaque and tartar levels, oral hygiene, smoking status, dental restorations or implants, and risk of gum disease and tooth decay. Patients with periodontitis may require more frequent maintenance appointments.

REMEMBER

A scale and polish removes tartar and surface staining
Airflow helps remove plaque and staining using air, water and powder
Oxyjet uses air and water to complement professional cleaning
Professional cleaning does not replace daily brushing and interdental cleaning

CONTACT YOUR PRACTICE IF

You experience severe or persistent pain, heavy bleeding or significant swelling.

IMPORTANT

This information is general guidance and does not replace personalised advice from your dentist or hygienist. Your treatment will be tailored to your individual oral health needs.

Managing gum disease (periodontitis) for the long term

Periodontitis is an advanced form of gum disease that affects the tissues and bone supporting your teeth. It usually develops when plaque and bacteria build up around the teeth and gums; if inflammation is not controlled, infection can progress below the gumline and damage the supporting tissues and bone. Periodontitis can usually be managed successfully, but it is a long-term condition and requires ongoing care. Treatment aims to control the bacterial infection, reduce inflammation, prevent further loss of supporting bone and gum tissue, help keep your natural teeth, improve gum health, and reduce the risk of future problems.

What is periodontitis?

Healthy gums normally fit closely around the teeth. With periodontitis, inflammation and infection can cause the gums to pull away from the teeth, creating spaces called periodontal pockets, where bacteria can collect and become difficult to remove with normal brushing. Over time, periodontitis can cause gum recession, loss of supporting bone, loose teeth, changes in tooth position, changes in your bite, and tooth loss. It can sometimes progress without significant pain, which is why regular dental examinations are important.

Signs of gum disease

Bleeding when brushing or cleaning between your teeth
Red or swollen gums; tender gums
Persistent bad breath or a bad taste in your mouth
Gum recession; teeth appearing longer; loose or moving teeth
Pus around the gums; changes in the way your teeth meet

Bleeding gums should not be considered normal. If you experience these symptoms, speak to your dentist or dental hygienist.

What causes periodontitis?

The main cause is the accumulation of bacterial plaque around the teeth. Several factors can increase your risk or affect how your gums respond to plaque, including smoking, poor plaque control, diabetes, certain medications, genetics and family history, stress, certain medical conditions, and a previous history of gum disease. Your dental team will assess your individual risk factors.

Periodontal assessment

Before treatment, your dentist or periodontal professional may assess the health of your gums, the depth of gum pockets, bleeding from the gums, gum recession, tooth mobility, your bite, plaque levels, and bone levels using dental X-rays where appropriate. This allows your dental team to determine the severity of your periodontal disease and develop an appropriate treatment plan.

Periodontal treatment

Treatment usually focuses on controlling the bacterial infection and improving your ability to keep your teeth and gums clean. It may include personalised oral hygiene instruction, professional removal of plaque and calculus, cleaning below the gumline, periodontal debridement or root surface instrumentation, smoking cessation support, advice about diet and lifestyle, management of relevant medical conditions, regular periodontal maintenance appointments, and referral to a periodontist or specialist where appropriate. Your treatment will be tailored to your individual needs.

Your role in treatment

Your daily home care is one of the most important parts of periodontal treatment. Professional treatment can remove plaque and calculus that you cannot remove yourself, but bacteria will begin to accumulate again — so good plaque control every day is essential for success. Your dental team will show you the most appropriate techniques and cleaning aids.

Brushing your teeth

Brush twice a day for approximately two minutes with fluoride toothpaste. Pay particular attention to the gumline and use gentle pressure rather than aggressive brushing. An electric toothbrush may be recommended if appropriate. Your dental hygienist can assess your brushing technique and help you improve it.

Cleaning between your teeth

Interdental cleaning is particularly important if you have periodontitis, since a toothbrush cannot effectively clean the spaces between your teeth. Depending on the size of the spaces, your dental professional may recommend interdental brushes, dental floss, dental tape or specialist cleaning aids. Interdental brushes are often particularly useful where periodontal disease has caused larger spaces between teeth.

Using interdental brushes

Your dental professional will recommend the appropriate sizes for your mouth — you may need several different sizes. The brush should fit snugly through the space without being forced. Do not force an interdental brush into a space that is too small. If you are unsure which size to use, ask your dental hygienist.

Bleeding during cleaning

When you first begin improving your oral hygiene, your gums may bleed — often a sign that the gums are inflamed. Do not stop cleaning because your gums bleed; continue brushing and cleaning between your teeth carefully. As plaque and inflammation reduce, bleeding should generally improve. If bleeding remains persistent or becomes heavy, speak to your dental team.

Professional periodontal cleaning

Your dentist or hygienist may need to clean the teeth both above and below the gumline, removing plaque, calculus, bacterial deposits and deposits attached to the root surfaces. This may be carried out over one or several appointments depending on severity and extent. Local anaesthetic may be offered or recommended where deeper cleaning is required.

What to expect after treatment

Temporary gum tenderness, bleeding and tooth sensitivity
Gum shrinkage; increased spaces between teeth; teeth appearing slightly longer
Recession or spaces are not necessarily caused by treatment — they can become more apparent as swollen tissue reduces

Tooth sensitivity

Can happen because plaque/calculus that previously covered the tooth has been removed, exposing recession
Triggered by cold drinks, hot foods, sweet foods or cold air
Your dental team may recommend a sensitivity toothpaste or product
If sensitivity is severe or persistent, contact your dental practice

Gum recession

As gums become healthier following treatment, recession may become more noticeable — teeth appearing longer, larger spaces between teeth, and more visible tooth roots. Good periodontal treatment aims to stop or slow further disease progression and protect the remaining supporting tissues. Your dentist can discuss additional treatment options if recession is causing sensitivity or other problems.

Smoking

Smoking is one of the most important modifiable risk factors for periodontitis. It can increase the risk and severity of gum disease, reduce your response to periodontal treatment, affect healing, increase the risk of tooth loss, and mask bleeding, making gum disease more difficult to detect. Stopping smoking is one of the most beneficial things you can do for your gums; even reducing smoking can help, but stopping completely provides the greatest benefit. Speak to your dentist, pharmacist or GP about stop-smoking support.

Vaping

Vaping should not be considered harmless to your oral health — it may contribute to dry mouth, oral irritation, and changes to the oral environment that potentially increase the risk of oral health problems. If you vape, discuss this with your dental team.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, poor oral hygiene, increased risk of tooth decay and gum problems. Some alcoholic drinks are also acidic or contain significant sugar. If you drink: keep consumption within recommended limits, drink water alongside alcoholic drinks, avoid frequent sugary or acidic drinks, and maintain your oral hygiene routine.

Diabetes and gum disease

Diabetes and periodontitis can be associated with each other — poorly controlled diabetes can increase the risk and severity of gum disease, while significant periodontal inflammation can make blood sugar control more difficult. If you have diabetes, maintaining good blood glucose control and attending regular dental appointments are important. Your dentist may work with your doctor or diabetes team where appropriate.

Diet and periodontitis

A balanced diet supports general and oral health. Try to eat a varied, balanced diet, limit sugary snacks and drinks, avoid frequent snacking on sugary foods, drink plenty of water, and limit frequent acidic drinks. Good nutrition does not replace periodontal treatment, but it forms part of a healthy lifestyle.

Mouthwash

Mouthwash may be recommended in some circumstances, but it does not replace brushing and interdental cleaning. Follow the instructions provided, don’t use it as a replacement for mechanical plaque removal, and avoid using it immediately after brushing if it would wash away the fluoride from your toothpaste. If you’ve been prescribed a specific mouthwash, follow your dentist’s instructions on how and for how long to use it.

Antibiotics

Antibiotics are not routinely required for all patients with periodontitis. In certain cases, your dental professional may recommend antibiotics as part of a wider treatment plan. If prescribed: take them exactly as directed, do not share them with anyone else, do not use leftover antibiotics, and complete the course unless a healthcare professional advises otherwise. Antibiotics do not replace effective plaque control and periodontal treatment.

Periodontal maintenance

Periodontitis is a long-term condition. Even after successful treatment, bacteria can build up again and the disease can return or become active, so you may be advised to attend regular periodontal maintenance appointments. These allow your dental team to check your gum health, monitor pocket depths, check for bleeding, remove plaque and calculus, reinforce oral hygiene techniques, monitor your risk factors, and identify signs of disease recurrence early. Your recall interval will be personalised to your needs.

Can periodontitis be cured?

Periodontitis is generally considered a chronic condition that can be controlled rather than permanently cured. With effective treatment and excellent ongoing oral hygiene, it is possible to stabilise the disease and maintain your teeth for many years. The long-term outcome depends heavily on your daily plaque control, attendance at maintenance appointments, smoking status, general health, diabetes control where relevant, the severity of your original periodontal disease, and your individual response to treatment.

Loose teeth

Advanced periodontitis can cause loss of the bone supporting the teeth, which may make teeth mobile. Treatment aims to control the disease and prevent further deterioration. A loose tooth may sometimes become more stable following successful periodontal treatment, but this depends on how much supporting tissue remains. Your dentist will discuss the prognosis of individual teeth with you.

Tooth loss

If periodontitis has caused severe damage to the supporting tissues, some teeth may have a poor prognosis and may eventually need to be removed. Your dentist will discuss all appropriate options with you. Replacement options may include dentures, bridges, or dental implants where suitable. Active or poorly controlled periodontal disease should be addressed before implant treatment, as gum health is an important factor in implant success.

Oral hygiene around dental implants

If you have dental implants and a history of periodontitis, excellent oral hygiene is particularly important. Plaque accumulation around implants can cause peri-implant disease, which can affect the tissues and bone supporting an implant. Your dental team will show you how to clean around your implants using appropriate brushes and other cleaning aids.

Morning

Brush 2 min with fluoride toothpaste
Clean between teeth with the aids recommended by your team

During the Day

Drink plenty of water
Limit sugary and acidic foods and drinks; avoid smoking

Evening

Clean between teeth carefully
Brush thoroughly, focusing on the gumline

REMEMBER

Periodontitis is a long-term condition that can usually be controlled with appropriate treatment and maintenance
Good daily plaque control is essential — brush twice a day and clean between your teeth every day
Do not stop cleaning if your gums bleed
Smoking significantly increases the risk and severity of periodontal disease — stopping is one of the most important things you can do
Attend your periodontal maintenance appointments and tell your team about any changes in your gums or tooth mobility
Control relevant medical conditions, such as diabetes, with your healthcare team
Look after dental implants particularly carefully if you have a history of periodontitis

WHEN SHOULD I CONTACT MY DENTIST?

Contact your dental practice if you notice increasing gum bleeding; swollen or painful gums; persistent bad breath; pus around the gums; increasing tooth mobility; changes in the position of your teeth; pain when biting; a change in your bite; new or worsening gum recession; facial swelling; or a dental abscess.

SEEK URGENT ADVICE IF YOU DEVELOP

Significant facial swelling, severe dental pain, rapidly increasing swelling, difficulty swallowing, difficulty breathing, or a rapidly developing infection. If swelling affects your breathing or swallowing, seek emergency medical attention.

IMPORTANT

Periodontal treatment aims to control the disease, reduce inflammation and prevent or slow further loss of supporting tissues. It cannot always restore bone or gum tissue that has already been lost. Your treatment and maintenance plan will be based on your individual periodontal condition and risk factors. This information is general patient guidance and does not replace personalised advice from your dentist, dental hygienist or periodontist. If your dental professional has given you instructions that differ from this information, follow their advice.

Restorative treatments

Root canal treatment, fillings, crowns and bridges repair damaged teeth and restore function. Some care in the first few days makes a real difference to how they settle.

Saving a tooth with an infected or inflamed nerve

Root canal treatment, also known as endodontic treatment, is used to treat infection or inflammation inside a tooth. Inside every tooth is a soft tissue called the dental pulp, which contains nerves and blood vessels; if it becomes inflamed or infected it can cause pain and may eventually lead to an abscess. Treatment involves removing the damaged or infected pulp, cleaning and disinfecting the root canal system, and sealing the tooth to help prevent further infection — the aim is to save your natural tooth and allow it to continue functioning.

Why might I need root canal treatment?

Treatment may be recommended when the pulp has become inflamed or infected due to deep tooth decay, a large or leaking filling, cracks or fractures, trauma or injury, repeated dental treatment, wear or damage to the tooth, or an infection or dental abscess. Symptoms can include toothache, prolonged sensitivity to hot or cold, pain when biting, spontaneous pain, swelling around the tooth, a gum boil or abscess, or discolouration of the tooth. Sometimes a tooth requiring treatment causes no symptoms at all and is identified during examination or on an X-ray.

Before your treatment

Tell your dentist about any medical conditions, medications, allergies, previous problems with dental treatment or local anaesthetic, and any concerns or anxiety you have about treatment. Your dentist may take X-rays to assess the tooth and plan your treatment.

What happens during root canal treatment?

Root canal treatment is usually carried out under local anaesthetic. Your dentist will numb the tooth and surrounding area, protect the tooth from saliva and bacteria, create a small opening in the tooth, remove the infected or inflamed pulp, clean and disinfect the root canal system, shape the canals so they can be properly sealed, fill and seal the canals, and restore the tooth. Depending on complexity and the level of infection, treatment may require more than one appointment.

Is root canal treatment painful?

Modern root canal treatment is normally carried out using local anaesthetic to keep you comfortable. You may feel pressure, vibration, movement or some sensation from the instruments — you should not expect significant pain during treatment. Tell your dentist immediately if you experience pain during the procedure; additional local anaesthetic can usually be provided. The tooth and surrounding tissues may be tender for a few days afterwards.

After your appointment

The tooth may feel tender, sensitive when biting, or slightly different — this is common, especially where there has been infection or inflammation
Symptoms should generally improve; your dentist may recommend appropriate pain relief

Eating after treatment

Wait until numbness has worn off before chewing, to avoid biting your lip, cheek or tongue
If only temporarily restored, avoid chewing hard or sticky foods on that side
Your dentist will tell you when the tooth can be used normally

Temporary filling

Sometimes the tooth is sealed with a temporary filling between appointments, designed to protect the tooth until treatment and the final restoration are complete. If it becomes loose or falls out, contact your dental practice as soon as possible — do not attempt to replace it yourself with household materials.

The final restoration

A root-treated tooth can become more brittle because significant tooth structure may have been lost through decay, previous restorations or the treatment itself. Your dentist will assess the remaining structure and recommend the most appropriate final restoration — a filling, an inlay or onlay, a crown, or another suitable restoration. A crown may be recommended to help protect a heavily weakened tooth from fracture. Completing the final restoration is important — do not delay it unnecessarily.

Pain after root canal treatment

Some tenderness after treatment is normal, and you may experience discomfort when biting for a few days. If recommended, use appropriate over-the-counter pain relief according to the instructions on the packaging and any advice provided to you.

Swelling after treatment

Some patients may experience swelling or tenderness, particularly where there was already an infection. If you develop significant or increasing swelling, contact your dental practice promptly. If swelling affects your breathing or swallowing, seek emergency medical attention.

Antibiotics

Root canal treatment removes the source of infection from inside the tooth, so antibiotics are not routinely required for every case. Your dentist will decide whether they’re appropriate for you. If prescribed: take them exactly as directed, complete the course unless told otherwise, and never share or reuse leftover antibiotics.

Smoking and vaping

Smoking can negatively affect your oral health and may impair healing following treatment, and increases the risk of gum disease and tooth loss. We strongly recommend stopping smoking. Vaping is not harmless and may contribute to dry mouth and oral irritation. Speak to your dentist, pharmacist or GP for support if you’d like help stopping.

Alcohol

Avoid alcohol if your dentist has advised you to do so following treatment, or if you’re taking medication that interacts with alcohol. Frequent alcohol consumption can contribute to dry mouth, tooth decay, gum disease and enamel erosion — drink water regularly and maintain good oral hygiene.

Brushing after root canal treatment

Continue brushing twice a day with fluoride toothpaste and clean between your teeth every day. Be gentle around the treated tooth if it feels tender, but do not stop cleaning the area.

Can a root-treated tooth get infected again?

Yes. Although root canal treatment has a high success rate, a treated tooth can occasionally become reinfected — if bacteria remain within the canal system, the tooth develops a new leak, the restoration is damaged, new decay develops, or the tooth cracks or fractures. If the tooth becomes painful or swollen after treatment, contact your dentist; retreatment or, in some cases, surgical treatment may be possible.

Root-treated teeth can still decay

A root-treated tooth is surrounded by natural tooth structure and can still develop decay. Continue to brush twice daily with fluoride toothpaste, clean between your teeth every day, limit sugary foods and drinks, and attend regular dental examinations.

Protecting the tooth from fracture

A root-treated tooth may be structurally weaker. To reduce fracture risk: avoid chewing ice, avoid biting very hard foods until confirmed safe, don’t bite pens or pencils, avoid nail biting, never use your teeth to open packaging, and wear a protective night guard if recommended. If a crown or other protective restoration has been recommended, arrange this as advised.

Teeth grinding and clenching

Grinding and clenching can place significant stress on a root-treated tooth. Tell your dentist if you grind your teeth, clench your jaw, wake with headaches or jaw pain, have worn or chipped teeth, or have previously fractured restorations — your dentist may recommend a night guard.

If your tooth breaks

A root-treated tooth can fracture, sometimes without much warning. Do not chew on it; contact your dental practice promptly; keep the area clean; do not attempt to repair it yourself. Treatment depends on the extent of the fracture — unfortunately, some severely fractured teeth cannot be saved and may require extraction.

Dental examinations and X-rays

Regular dental examinations remain important after root canal treatment. Your dentist may use X-rays to monitor healing around the root, the condition of the tooth, the quality of the root canal treatment, the surrounding bone, and the final restoration.

How long will a root-treated tooth last?

A successfully treated and properly restored tooth can remain functional for many years. Its longevity depends on the amount of healthy tooth remaining, the quality of treatment and the final restoration, your bite, grinding or clenching, oral hygiene, diet, smoking, and accidental trauma. No dental treatment can guarantee a tooth will last indefinitely — looking after the tooth and completing the recommended final restoration matters for its long-term prognosis.

Morning

Brush for approx. 2 minutes with fluoride toothpaste
Clean between your teeth

During the day

Drink plenty of water; limit sugary/acidic foods
Avoid chewing very hard foods on the treated tooth

Evening

Brush thoroughly with fluoride toothpaste
Clean carefully around the treated tooth

REMEMBER

Root canal treatment is designed to save your natural tooth; some tenderness afterwards is normal
Wait for local anaesthetic to wear off before chewing
Look after any temporary filling and complete your final restoration promptly
Brush twice a day and clean between your teeth every day
Avoid smoking, biting hard objects, or chewing ice; wear a night guard if recommended
Attend your follow-up appointments

WHEN SHOULD I CONTACT MY DENTIST?

Contact your dental practice if pain is severe, worsening or does not settle; you develop swelling, a gum boil, a bad taste or discharge; the temporary filling falls out; your tooth feels loose; your bite feels uncomfortable; or the tooth breaks or cracks.

SEEK URGENT ADVICE IF YOU DEVELOP

Significant facial swelling, severe or rapidly worsening pain, a rapidly developing dental infection, or difficulty swallowing or breathing. If swelling is affecting your breathing or swallowing, seek emergency medical attention.

IMPORTANT

Root canal treatment is intended to save a natural tooth, but like all dental treatment it cannot guarantee the tooth will remain problem-free indefinitely. This information is general patient guidance and does not replace the personalised advice provided by your dentist.

Repairing teeth damaged by decay, wear or cracks

Dental fillings and inlays repair teeth damaged by decay, wear, cracks or trauma. A filling is placed directly into the tooth and shaped by your dentist; an inlay is custom-made to fit precisely within the tooth and then bonded or cemented into place. Both restore shape and function and help protect the remaining healthy tooth structure.

Immediately after your treatment

If you’ve had local anaesthetic: don’t chew until the numbness has completely worn off, take care not to bite your lip, cheek or tongue, avoid very hot food and drinks while numb, and be careful when eating until normal sensation has returned. Your tooth may feel slightly different — this is normal while you become accustomed to the restoration.

Eating after a filling or inlay

Your dentist will advise when you can eat normally. Once numbness has worn off you can generally return to your usual diet. Initially you may wish to start with softer foods if the tooth feels tender, chew on the opposite side, or avoid very hard or sticky foods if advised. Follow specific instructions if you’ve had a temporary filling.

Sensitivity

Some sensitivity to cold drinks, hot food or drinks, sweet foods, or pressure/biting can occur and may settle as the tooth recovers. Contact your dentist if sensitivity is severe, persists or gets worse, you develop spontaneous toothache, prolonged pain after hot or cold foods, significant pain when biting, or swelling around the tooth.

Your bite

Your dentist will check your bite following treatment. It’s normal for the tooth to feel slightly different initially, but contact your dental practice if the filling or inlay feels too high, one tooth hits before the others, you cannot bite comfortably, you develop pain when biting, or your jaw feels uncomfortable. Do not attempt to adjust or file the filling or inlay yourself.

Looking after your filling or inlay

Brush at least twice a day with fluoride toothpaste
Clean between your teeth every day with floss, interdental brushes or dental tape
Pay particular attention to where the filling or inlay meets your natural tooth

Can a filled tooth still get decay?

Yes — a filling or inlay does not make the tooth immune to further decay
Decay can develop around the edge of a restoration, on another part of the tooth, or between the teeth
Good oral hygiene and regular examinations are essential

Gum health

Plaque can accumulate around restorations, particularly if edges are difficult to clean. Poor plaque control can contribute to gum inflammation, bleeding, gum disease, bad breath and further decay. If your gums around a filling or inlay become persistently swollen, sore or bleed regularly, contact your dental team.

Eating hard or sticky foods

Most permanent fillings and inlays are designed to withstand normal chewing, but excessive force can damage both the restoration and the natural tooth. Avoid chewing ice, biting hard sweets, biting pens or pencils, biting fingernails, opening packets or bottles, or breaking hard objects. Your dentist may recommend additional precautions for large fillings or inlays.

Smoking and vaping

Smoking can negatively affect your oral health, increase the risk of gum disease and tooth loss, and contribute to staining, plaque and tartar accumulation, and delayed healing. We strongly recommend stopping smoking. Vaping is not harmless and may contribute to dry mouth and oral irritation.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, tooth decay, gum disease, enamel erosion, and increased plaque accumulation. If you drink: keep within recommended limits, drink water alongside alcoholic drinks, limit sugary and acidic drinks, and maintain your normal oral hygiene routine.

Composite fillings and staining

Tooth-coloured composite fillings can stain over time, more noticeably with frequent coffee, tea, red wine, cola, curry, soy sauce, or other strongly coloured foods and drinks. Smoking can also contribute to staining. Good oral hygiene and limiting frequent exposure to staining substances can help maintain their appearance.

Tooth whitening and fillings

Teeth whitening does not whiten existing fillings or inlays — it affects natural tooth structure but not most restorations. If you’re considering whitening and have visible tooth-coloured fillings, speak to your dentist first, as whitening your natural teeth may create a colour difference and your dentist can advise whether the restoration should be replaced to match.

Inlays

An inlay is a custom-made restoration that fits within the tooth, made from materials such as ceramic, porcelain, composite, or gold/other dental alloys. Your dentist will explain the material used and any specific care required. Clean inlays the same as your natural teeth, paying particular attention to the edges where the restoration meets the tooth.

If your filling or inlay feels rough

If a restoration feels rough and this sensation does not settle, contact your dental practice. Do not attempt to polish, file or alter the restoration yourself — your dentist can assess the area and make any necessary adjustment.

If your filling or inlay comes out

If a filling or inlay becomes loose or comes out: contact your dental practice, keep the restoration if it has come out, avoid chewing on the affected side, keep the area clean, and do not use household glue or attempt to permanently fix it yourself. The tooth may become sensitive after a restoration is lost. Your dentist will assess whether it can be replaced or whether further treatment is required.

If your filling breaks

Fillings can occasionally chip or fracture. If this happens: avoid chewing hard foods with the affected tooth, contact your dental practice, and do not attempt to repair the filling yourself. If you experience significant pain or swelling, contact the practice promptly.

Teeth grinding and clenching

Grinding and clenching can place additional stress on fillings, inlays and the natural tooth. Tell your dentist if you grind or clench your teeth, wake with jaw pain or headaches, have worn or chipped teeth, or frequently break fillings or other restorations. Your dentist may recommend a protective night guard.

Large fillings and weakened teeth

If a tooth has lost a significant amount of natural structure, a filling may not provide enough protection against fracture. Your dentist may discuss alternative treatments such as an inlay, an onlay, a crown, or other restorative options depending on the amount and condition of the remaining tooth structure.

Root-treated teeth

If your filling or inlay has been placed on a root-treated tooth, additional care may be required — a root-treated tooth can still fracture or develop problems around the root. Contact your dentist if you experience pain, swelling, tenderness, pain when biting, a gum boil or abscess, or a change in how the tooth feels.

Regular dental examinations & hygiene appointments

Continue attending regular dental examinations so your dentist can monitor the condition of your filling or inlay, its edges, the health of the tooth and gums, your bite, and signs of decay, fracture or wear. Regular hygiene appointments can help maintain healthy gums and reduce plaque and tartar around your restorations; your hygienist can assess your oral hygiene, demonstrate interdental cleaning, and advise on suitable cleaning aids.

How long will a filling or inlay last?

Lifespan varies depending on the size of the restoration, the material used, the condition of the remaining tooth, your bite, grinding or clenching, oral hygiene, diet, smoking, normal wear and tear, and accidental damage. Restorations can eventually require repair or replacement — no dental restoration is guaranteed to last indefinitely.

Morning

Brush for approx. 2 minutes with fluoride toothpaste
Clean between your teeth as recommended

During the day

Drink plenty of water; limit sugary/acidic foods
Avoid using your teeth to bite hard objects

Evening

Brush thoroughly with fluoride toothpaste
Clean carefully between your teeth and around fillings

REMEMBER

Brush twice a day with fluoride toothpaste; clean between your teeth every day
A filling or inlay does not make your tooth immune to decay
Avoid biting hard objects, chewing ice, or opening packets with your teeth
Avoid smoking; attend regular examinations and hygiene appointments
Wear a night guard if recommended; never repair or adjust a restoration yourself

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if your filling or inlay becomes loose, comes out, chips or breaks; you develop persistent sensitivity or toothache; you experience pain when biting; your bite feels too high or uncomfortable; your gums around the restoration become swollen or painful; or you notice a gap or new decay around the edge.

SEEK URGENT DENTAL ADVICE IF YOU DEVELOP

Significant facial swelling, severe dental pain, a dental abscess, or a rapidly developing infection or swelling. If severe swelling affects your breathing or swallowing, seek emergency medical attention.

IMPORTANT

This information is general patient guidance and does not replace the personalised advice provided by your dentist. If your dentist has given you instructions that differ from this information, follow their instructions.

Custom restorations that protect and rebuild a weakened tooth

A dental crown is a custom-made restoration that fits over a tooth to restore its shape, strength, appearance and function. Crowns may be recommended for teeth that are heavily restored or weakened, cracked or fractured, severely worn, damaged by decay, root-filled and needing extra protection, supporting a bridge, or requiring cosmetic improvement. Crowns can be made from ceramic, porcelain, zirconia, composite or metal alloys — your dentist will discuss the most appropriate option. A crown does not make the tooth immune to decay, gum disease or fracture.

Immediately after your crown appointment

If you’ve had local anaesthetic: don’t chew until numbness has fully worn off, take care not to bite your lip, cheek or tongue, and avoid very hot food and drinks while numb. If you’ve had a temporary crown, follow your dentist’s specific care instructions. Your tooth may feel slightly different at first — this is usually normal.

Temporary crowns

A temporary crown protects your prepared tooth while your permanent crown is being made, and is not designed to be as strong or durable as the final restoration. While wearing it: avoid very sticky foods (toffees, chewing gum) and very hard foods, be careful eating on that side, and brush carefully around it. When flossing, your dentist or hygienist may advise sliding the floss out sideways rather than pulling upwards, to avoid dislodging it.

If your temporary crown comes off

Don’t panic. Keep the temporary crown safe, do not use household glue or superglue, contact the dental practice as soon as possible, and avoid chewing on the affected tooth until you’ve received advice. Your dentist will advise whether it can be re-cemented or whether a new temporary restoration is needed.

Eating with your permanent crown

Once confirmed correctly fitted, eat and drink as usual
Avoid chewing ice, biting hard sweets, biting pens/pencils, nail biting, or opening packets/bottles
Take particular care with very hard foods on a front-tooth crown

Your bite

Your dentist checks your bite carefully when the crown is fitted
Contact us if it feels too high, teeth meet differently, you can’t bite comfortably, or you develop jaw discomfort
Do not attempt to adjust the crown yourself

Sensitivity after a crown

Some sensitivity to cold drinks, hot food or drinks, sweet foods, or pressure/biting can occur following preparation and placement, and may settle as the tooth recovers. Contact your dentist if sensitivity is severe, persists or worsens, you develop spontaneous toothache, prolonged pain after hot or cold, significant pain when biting, or swelling around the tooth — a crowned tooth can still develop problems with the nerve or surrounding tissues.

Cleaning your crown & between your teeth

A crowned tooth requires the same care as your natural teeth — brush at least twice a day with fluoride toothpaste, paying particular attention to the gumline, the edge where crown meets tooth, and surrounding teeth. A crown does not prevent decay, which can develop at the edge if plaque accumulates. Clean between your teeth every day using floss, interdental brushes or another recommended method; if you have a crown supporting a bridge you may need specialist cleaning underneath. If floss catches, shreds or becomes difficult to use, contact your dental team for advice rather than stopping.

Gum health

Healthy gums are essential for the long-term success of a crown. Plaque accumulating around it can lead to gum inflammation, bleeding, gum disease, recession, bad breath and decay around the edge. If your gums around the crown regularly bleed, swell or feel sore, arrange an appointment with your dentist or hygienist.

Smoking and vaping

Smoking can negatively affect your oral health and the long-term health of the tooth supporting your crown, increasing the risk of gum disease and contributing to staining and plaque accumulation. We strongly recommend stopping smoking. Vaping may also contribute to oral health problems and should not be considered harmless.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, plaque accumulation, tooth decay, gum disease and enamel erosion (particularly with acidic drinks and mixers). If you drink: keep within recommended limits, drink water alongside alcohol, avoid frequent sugary or acidic drinks, and maintain your normal cleaning routine. Follow any specific instructions you’ve been given after recent treatment.

Can a crown chip or break?

Although designed to be strong, crowns can occasionally chip, fracture, loosen or become damaged — from excessive biting forces, grinding, clenching, biting hard objects, trauma, or normal wear. If damaged: don’t attempt to repair it yourself, avoid chewing on the affected side, keep any pieces that have come away, and contact your dental practice. It may be repairable or may need replacement.

If your crown feels loose

A permanent crown should feel secure. Contact your dental practice if it moves, rocks when you bite, feels different, makes a clicking sensation, or feels as though it’s coming away. Do not attempt to glue it back yourself — a loose crown should be assessed promptly, since bacteria and food can enter underneath and potentially damage the supporting tooth.

Teeth grinding and clenching

Grinding and clenching can place considerable stress on crowns and their supporting teeth. Tell your dentist if you grind or clench, wake with jaw discomfort or headaches, have worn or chipped teeth, or have previously broken restorations. Your dentist may recommend a protective night guard — wear it as instructed if provided.

If your crown comes off

Keep the crown safe, do not use household glue or superglue, contact the dental practice as soon as possible, and avoid chewing on the affected tooth. The underlying tooth may be sensitive once exposed. Contact the practice promptly if the crown came off following trauma or you’re in significant pain.

Dental hygiene appointments & regular examinations

Regular hygiene appointments help maintain the health of your gums and teeth around the crown — your hygienist can check gum health, remove plaque and calculus, demonstrate interdental cleaning, and monitor areas that are difficult to clean. A crown does not mean you no longer need regular dental examinations: your dentist monitors the condition of the crown, the supporting tooth, your gums, the margins, your bite, and any signs of decay, wear or fracture.

Root-treated teeth and crowns

If your crown has been placed on a root-treated tooth, the tooth may need particular care — it can still develop problems around the root or fracture. Contact your dentist if you develop pain, swelling, tenderness, a gum boil or abscess, pain when biting, or a change in how the tooth feels. Do not ignore symptoms simply because the tooth has previously had root canal treatment.

How long will my crown last?

Lifespan varies depending on oral hygiene, gum health, the condition of the supporting tooth, your bite, grinding or clenching, diet and lifestyle, smoking, the type and material of the crown, and accidental damage or trauma. Crowns may eventually require repair or replacement — no dental restoration is guaranteed to last indefinitely. Looking after your natural teeth and gums is one of the most important things you can do to protect your crown.

Morning

Brush for approx. 2 minutes with fluoride toothpaste
Clean between your teeth

During the day

Drink plenty of water; limit sugary/acidic foods
Avoid using your teeth to bite hard objects

Evening

Brush thoroughly with fluoride toothpaste
Clean carefully around the crown and gumline

REMEMBER

A crown is not maintenance-free — brush twice a day and clean between your teeth every day
Look after the tooth and gums supporting your crown; avoid smoking
Avoid biting hard objects and excessive forces; wear a night guard if recommended
Attend regular dental examinations and hygiene appointments
Never attempt to repair or glue a crown yourself

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if your crown becomes loose, chips, cracks or breaks; you develop persistent sensitivity or toothache; you experience pain when biting; your gums around the crown become swollen or painful; you notice bleeding that doesn’t improve; you develop swelling or an abscess; your bite feels uncomfortable; your temporary crown comes off; or you notice a gap around the edge.

SEEK URGENT ADVICE IF YOU DEVELOP

Significant facial swelling, severe dental pain that cannot be controlled with appropriate pain relief, a rapidly developing infection or swelling, or difficulty swallowing or breathing. If severe swelling affects your breathing or swallowing, seek emergency medical attention.

IMPORTANT

Fixed replacement for one or more missing teeth

A dental bridge is used to replace one or more missing teeth. It’s fixed in place and supported by natural teeth, implants, or a combination, depending on the type of bridge. A bridge helps restore your ability to chew and speak, improves the appearance of your smile, and helps prevent neighbouring teeth from moving into the gap. With good oral hygiene and regular dental care, a bridge can provide many years of service.

Getting used to your new bridge

It’s normal for a new bridge to feel different at first — a feeling of fullness or pressure, slight sensitivity in the supporting teeth, your bite feeling different, increased awareness when speaking, or your tongue feeling the new shape. These sensations usually settle as you adjust. If your bite feels significantly uncomfortable, the bridge feels too high, or pain or sensitivity continues, contact your dental practice.

Eating with your bridge

You can normally eat once your dentist advises it’s safe. Initially: start with softer foods if the area feels tender, cut food into smaller pieces, chew carefully and evenly, and avoid very hard or sticky foods until comfortable. Avoid biting directly onto hard objects, chewing ice, biting pens or fingernails, opening packets or bottles with your teeth, or eating very hard or sticky foods excessively.

Looking after your bridge

A bridge needs the same level of care as your natural teeth — and extra cleaning in some areas. Food and plaque collecting underneath and around it can increase the risk of decay in the supporting teeth, gum disease, bad breath, gum inflammation and loss of support. Brush at least twice a day with fluoride toothpaste, paying particular attention to the supporting teeth and the gumline.

Cleaning underneath the bridge

One of the most important parts of bridge care is cleaning underneath the replacement tooth or teeth. Your dental team will show you the most appropriate method — you may be advised to use superfloss or specialist dental floss, a floss threader, interdental brushes or other specialist aids. Do not stop cleaning underneath the bridge simply because the area is difficult to reach.

Using floss under a bridge

Gently guide the floss underneath the bridge, avoid forcing it against the gums, clean from side to side underneath the replacement tooth, gently clean around the supporting teeth and gumline, and remove the floss carefully. Ask your dentist or hygienist to demonstrate if you’re unsure.

Interdental brushes

An interdental brush can be very useful for cleaning around and underneath some bridges. The correct size is important — one that’s too large may damage or traumatise the gums. Your hygienist can recommend the right size; do not force a brush into a space that’s too small.

Gum health

Signs of healthy gums: little or no bleeding, firm and comfortable gums, no persistent swelling, bad taste or bad breath
If gums regularly bleed, swell or become sore, arrange an appointment

Sensitivity after a bridge

Sensitivity to cold, hot, sweet or biting pressure can occur and often improves with time
Contact us if it’s severe, worsening, or you can’t comfortably bite on the bridge

Smoking and vaping

Smoking can have a significant effect on your oral health, increases the risk of gum disease and tooth loss, and can contribute to staining around your bridge and supporting teeth. We strongly recommend stopping smoking. Vaping is not recommended as a substitute for good oral health — discuss stopping with your dental team, pharmacist or GP; support is available.

Alcohol

Alcohol can contribute to dry mouth and increase the risk of dental problems when consumed frequently, particularly combined with sugary or acidic drinks. If you drink: keep within recommended limits, avoid frequent sugary or acidic alcoholic drinks, drink water alongside alcohol, and maintain your usual routine. Follow any specific instructions given after recent treatment.

If your bridge feels loose

A bridge should feel secure. If it moves, rocks when you bite, clicks, or feels different from when fitted, contact your dental practice as soon as possible. Do not attempt to glue it back yourself — a loose bridge can allow bacteria and food underneath and may damage the supporting teeth. If it becomes completely detached, keep it safe and contact the practice.

If your bridge breaks or becomes damaged

Keep any pieces if possible, do not attempt to repair it yourself, avoid chewing on the affected side, and contact your dental practice. If sharp edges are irritating your tongue or cheek, contact the practice for advice.

If a supporting tooth becomes painful

The teeth supporting a bridge can still develop decay, gum disease or other problems. Contact your dentist if you experience toothache, worsening sensitivity, pain when biting, swelling, a gum abscess, a bad taste or discharge, or increasing mobility of a supporting tooth — early assessment may help prevent more extensive treatment.

Regular examinations & dental hygiene appointments

A bridge does not mean you no longer need regular dental appointments — your dentist assesses the condition of the bridge, supporting teeth, gums, bite, oral hygiene and hard-to-clean areas underneath. Your hygienist can check your oral hygiene, demonstrate cleaning underneath the bridge, recommend suitable aids, and remove plaque and calculus you can’t reach at home.

How long will my bridge last?

Lifespan varies depending on oral hygiene, gum health, tooth decay, the strength of supporting teeth, your bite, grinding or clenching, diet and lifestyle, smoking, the type and material of the bridge, and how well it’s maintained. A bridge may eventually require repair or replacement.

If you grind or clench your teeth

Grinding and clenching can place significant forces on a bridge and its supporting teeth. Tell your dentist if you grind at night, clench your jaw, wake with jaw discomfort, notice worn or chipped teeth, or have previously damaged restorations through grinding — a protective night guard may be recommended.

If you have a temporary bridge

Follow your dentist’s instructions carefully, avoid very sticky or hard foods if advised, clean around it carefully, and contact the practice if it becomes loose or comes out. Do not use household glue or dental adhesive to fix a bridge yourself. If a temporary bridge comes out, keep it safe and contact the practice.

Morning

Brush for approx. 2 minutes with fluoride toothpaste
Clean between your teeth and underneath your bridge

During the day

Drink plenty of water; avoid excessive sugary snacks
Avoid chewing very hard objects or foods

Evening

Brush thoroughly with fluoride toothpaste
Clean underneath the bridge — don’t skip this area

REMEMBER

A bridge is not maintenance-free — brush twice a day and clean underneath it every day
Look after the supporting teeth and gums; avoid smoking
Attend regular dental examinations and hygiene appointments
Never attempt to repair or glue a bridge yourself

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if your bridge feels loose; it breaks, chips or cracks; you develop persistent pain or significant sensitivity; your gums around the bridge become swollen or painful; you notice bleeding that doesn’t improve; you develop swelling or an abscess; you cannot bite comfortably; you have difficulty cleaning underneath it; or you notice a persistent bad taste or smell.

SEEK URGENT DENTAL ADVICE IF YOU DEVELOP

Significant facial swelling, severe dental pain that cannot be controlled with appropriate pain relief, a rapidly developing infection or swelling, or difficulty swallowing or breathing. If you have severe swelling affecting your breathing or swallowing, seek emergency medical attention.

IMPORTANT

Cosmetic treatments

Whitening, veneers and bonding refine your smile. They reward good daily care — and none of them change the colour of any restoration placed before or after.

Lightening natural tooth colour with your custom trays

Teeth whitening is a cosmetic treatment used to lighten the colour of natural teeth and reduce certain types of staining. It can improve the appearance of your smile, but it does not whiten existing fillings, crowns, veneers, bridges, composite bonding or other restorations. Your dentist will assess your teeth and gums before whitening to make sure it’s suitable for you.

Before whitening

Your dentist may check for tooth decay, gum disease, cracked or damaged teeth, leaking or defective fillings, existing restorations, tooth sensitivity, and areas of significant staining. Any active dental problems may need treating first. Whitening results vary depending on your natural tooth colour, the cause of staining, and the type of treatment used.

How whitening works

Dental whitening products contain a bleaching agent that lightens the natural tooth colour. Follow the instructions specific to the whitening system being used, and don’t use additional whitening products at the same time unless advised.

Using your whitening trays

Brush and clean between your teeth before whitening; place the recommended amount of gel into the tray; follow the wearing time given by your dentist; remove after the recommended time; rinse the trays thoroughly and your mouth with water; clean and store the trays as instructed. Do not use more gel than recommended — extra gel won’t necessarily whiten faster and may increase the risk of sensitivity or gum irritation.

Avoid getting whitening gel on your gums

Place gel carefully inside the tray, and remove any excess that contacts your gums. Temporary gum irritation or whitening of the tissue can occur if gel touches the gums — this usually settles once the gel is removed. Stop whitening and contact your dental practice if irritation is significant or persistent.

Tooth sensitivity

Sensitivity to cold, hot, sweet foods or cold air is common and usually temporary
Reduce frequency, take a break, avoid very hot/cold foods, or use a sensitivity toothpaste
Contact your practice if sensitivity is severe, persistent or worsening — don’t just continue through significant pain

Gum irritation

Can occur if gel contacts the gums or too much is used
Remove the trays, rinse your mouth, clean the trays, and let the irritation settle before whitening again
Speak to your dentist if symptoms persist

Eating and drinking during whitening

Your teeth may be more susceptible to staining. Limit strongly coloured foods and drinks such as coffee, tea, red wine, dark fizzy drinks, curry, tomato-based sauces, soy sauce and balsamic vinegar — particularly during and immediately after whitening. It’s also sensible to limit acidic foods and drinks, especially if experiencing sensitivity. Water is an excellent choice between meals.

Smoking and vaping

Smoking can stain your teeth and work against your whitening results, and increases the risk of gum disease, tooth loss and other oral health problems. We strongly recommend stopping. Vaping is not considered harmless and may contribute to oral irritation and other problems.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, tooth decay and gum disease. During whitening it’s sensible to limit alcohol, particularly strongly coloured or acidic drinks, as these may contribute to staining or sensitivity. Drink water alongside alcoholic drinks and maintain your normal oral hygiene routine.

Continue brushing and flossing

Whitening is not a substitute for good oral hygiene. Continue brushing twice a day with fluoride toothpaste, cleaning between your teeth every day, and attending regular dental examinations and hygiene appointments — this helps maintain your whitening results.

Whitening and dental restorations

Whitening only changes the colour of natural tooth structure — it does not whiten composite bonding, composite or porcelain/ceramic veneers, crowns, bridges, implants, fillings or dentures. If you have visible restorations, whitening your natural teeth may cause a colour difference — discuss this with your dentist before starting.

Whitening before cosmetic treatment

If you’re planning composite bonding, composite or porcelain veneers, or crowns, your dentist may recommend whitening your natural teeth first so the restoration’s final shade can be matched to your desired tooth shade. Once a restoration is placed, whitening later can cause a colour mismatch.

How long will the results last?

Longevity varies between patients and can be affected by smoking, coffee and tea consumption, red wine, diet, oral hygiene, natural ageing, and your original tooth colour. Teeth naturally darken again over time — your dentist may recommend occasional maintenance whitening. Do not carry out repeated or prolonged whitening without professional advice.

Can I whiten if I have sensitive teeth, gum disease, or am pregnant/breastfeeding?

You may still be able to whiten with a history of sensitivity, but your dentist should assess you first — they may recommend a lower concentration, shorter wearing times, less frequent whitening, a desensitising product, or a period of preparation. Active gum disease should generally be assessed and managed before cosmetic whitening. If you’re pregnant or breastfeeding, discuss whitening with your dentist before using any products — they’ll advise whether treatment should be postponed.

Looking after your whitening trays & gel

After use, rinse trays with cool or lukewarm water, gently clean as instructed, allow them to dry, and store safely away from children, pets and heat. Never use hot or boiling water, and never put trays in a dishwasher. Store gel exactly as instructed, away from children and pets, in its original packaging where possible, at the recommended temperature — never use expired gel.

If you swallow whitening gel

A small amount swallowed accidentally during normal use is unlikely to cause serious problems, but avoid swallowing gel wherever possible. If you swallow a larger amount or feel unwell, contact an appropriate medical service or seek urgent medical advice. Contact your dental practice if you’re concerned.

If whitening doesn’t appear to work

Whitening results vary, and some types of discolouration (including certain internal tooth stains) respond less predictably. Do not simply increase the gel amount or wear time — contact your dentist, who can assess the result and advise whether further whitening or another cosmetic treatment would be appropriate.

REMEMBER

Only use whitening products supplied or recommended by your dental professional
Follow the recommended wearing time; don’t use excessive gel; don’t whiten through significant pain
Whitening does not change the colour of existing restorations
Limit strongly coloured foods and drinks during treatment; avoid smoking
Continue brushing twice daily and cleaning between your teeth every day
Never use hot water on trays or use expired gel

WHEN SHOULD I CONTACT MY DENTIST?

Contact your dental practice if you experience severe or persistent sensitivity, significant gum irritation, toothache, pain when biting, a cracked or damaged tooth, ill-fitting trays or persistent tray irritation, or if you have concerns about the colour or result.

IMPORTANT

Teeth whitening is a cosmetic treatment and results vary from person to person. Whitening does not permanently change the colour of teeth and maintenance may be required. This information is general patient guidance and does not replace the personalised instructions provided by your dentist.

Porcelain or ceramic coverings that reshape the front of a tooth

Dental veneers are thin, tooth-coloured coverings placed over the front surface of teeth to improve the colour, shape, proportions, size, symmetry or overall appearance of your smile. Veneers can be porcelain/ceramic or composite. Although designed to be strong and durable, they are not indestructible and require ongoing care.

Immediately after your veneer treatment

If you’ve had local anaesthetic: avoid chewing until numbness has completely worn off, take care not to bite your lips, cheeks or tongue, and avoid very hot food and drinks while numb. Your teeth may initially feel different — this is normal while you become accustomed to the new shape. Your dentist will check your bite before you leave; contact the practice if it feels uncomfortable once numbness wears off.

Eating with veneers

Once your dentist confirms you can eat normally, continue your usual diet — but veneers can be damaged by excessive force. Avoid biting directly onto very hard foods with your front teeth; cut hard or crusty foods into smaller pieces; use your back teeth to chew harder foods; avoid chewing ice, biting hard sweets, or biting pens, pencils or fingernails; and never use your teeth to open packaging or bottles. Sticky foods may also place additional stress on composite veneers.

Looking after your veneers & cleaning between your teeth

Veneers need the same level of care as your natural teeth — brush at least twice a day with fluoride toothpaste and clean between your teeth every day, paying attention to the gumline, the areas between your teeth, and veneer edges/margins. Veneers do not make the underlying tooth immune to decay. Clean between your teeth using floss, interdental brushes or another recommended method — if veneers have changed the spaces between your teeth, you may need a different size of cleaning aid. If floss catches or shreds, don’t stop cleaning the area — contact your dental team for advice.

Gum health

Healthy gums are particularly important around veneers. Plaque accumulating at the margins can cause red or swollen gums, bleeding, bad breath, gum disease and recession — recession can expose the edge of a veneer or the natural tooth underneath and affect the appearance of your smile. If your gums regularly bleed or swell, arrange an appointment with your dentist or hygienist.

Sensitivity after veneers

Some patients experience temporary sensitivity to cold, hot, sweet foods or pressure/biting, which should generally settle. Contact your dentist if sensitivity is severe, persists or worsens, you develop spontaneous toothache, prolonged pain after hot or cold foods, or significant pain when biting.

Smoking and vaping

Smoking is strongly discouraged with dental veneers — it can stain natural teeth, cause staining around veneer edges, increase plaque accumulation and the risk of gum disease, and affect the appearance of your smile. Composite veneers may be particularly susceptible to staining. Vaping may also contribute to oral health problems. The best way to protect your veneers and oral health is not to smoke or vape.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, plaque accumulation, tooth decay and gum disease. Some alcoholic drinks and mixers are also acidic or contain significant sugar. If you drink: keep within recommended limits, drink water alongside alcohol, avoid frequent sugary or acidic drinks, and maintain your normal cleaning routine.

Foods and drinks that may stain

Porcelain and ceramic veneers are generally highly resistant to staining, while composite veneers can be more susceptible over time. Strongly coloured foods and drinks include coffee, tea, red wine, dark fizzy drinks, curry, soy sauce, balsamic vinegar and strongly coloured sauces. You don’t necessarily need to avoid these completely — limiting frequent exposure and good oral hygiene helps protect the appearance of your smile.

Tooth whitening and veneers

Tooth whitening does not whiten existing veneers. Whitening your natural teeth after veneers are placed may create a colour difference. If considering both veneers and whitening, your dentist may recommend whitening first so the veneer shade can be selected to match. Do not use whitening products without discussing them with your dental professional.

Can veneers chip or break?

Veneers are strong but can still chip, fracture or become detached — from biting hard foods, chewing ice, nail biting, pen chewing, grinding, clenching, an accident or excessive biting forces. If damaged: don’t attempt to repair it yourself, avoid biting with the affected tooth, keep any pieces that have come away, and contact your dental practice. Depending on the damage, it may be repairable or need replacing.

Teeth grinding and clenching

Grinding and clenching can significantly increase the risk of damage to veneers. Tell your dentist if you grind or clench, wake with jaw pain or headaches, have worn or chipped teeth, or have previously broken restorations — a protective night guard may be recommended and should be worn as instructed.

If a veneer comes off or feels rough or sharp

If detached: keep it safe, do not attempt to glue it back or use household adhesives, avoid biting with the affected tooth, and contact your dental practice as soon as possible — your dentist will advise whether it can be rebonded or needs replacing. If a veneer feels rough, sharp or uncomfortable, do not file, cut or polish it yourself — contact the practice so it can be assessed and professionally adjusted.

Your bite

Your dentist checks your bite when veneers are fitted. If it continues to feel uncomfortable once you’ve become accustomed to them, or one tooth feels too high, teeth hit differently, you experience pain when biting, or your jaw becomes uncomfortable, contact the practice — a small adjustment may sometimes be required.

Dental hygiene appointments & regular examinations

Continue attending regular hygiene appointments — your hygienist can help maintain healthy gums, clean around veneer margins, remove plaque and calculus, and maintain good interdental cleaning. Tell your hygienist you have veneers so they use appropriate techniques and products. Regular dental examinations let your dentist monitor the condition of your veneers, the underlying teeth, gums, margins, bite and any signs of wear or damage.

How long do veneers last?

Lifespan varies considerably depending on material, your bite, oral hygiene, lifestyle and maintenance. Veneers may eventually require polishing, repair or replacement. Porcelain/ceramic and composite veneers have different properties and expected lifespans — your dentist can discuss the expected longevity of yours.

Accidents and trauma

If you receive a blow to a veneered tooth, contact your dentist for advice — don’t assume the tooth is unharmed simply because the veneer appears intact. Avoid biting with the affected tooth until assessed if you’re experiencing pain or sensitivity, as trauma can sometimes affect the natural tooth beneath a veneer.

REMEMBER

Brush twice a day with fluoride toothpaste; clean between your teeth every day
Avoid biting hard objects with veneered teeth; never use your teeth to open packets or bottles
Avoid smoking; composite veneers may stain over time
Tooth whitening does not whiten existing veneers
Wear a night guard if recommended; attend regular examinations and hygiene appointments
Never attempt to repair or adjust veneers yourself

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if a veneer chips, cracks or comes off; your bite feels uncomfortable; you develop persistent sensitivity or toothache; your gums become swollen, painful or bleed regularly; a veneer feels rough or sharp; you notice a gap developing around the edge; you experience pain when biting; you have an accident involving a veneered tooth; or you notice an unexpected colour change in the underlying tooth.

IMPORTANT

Dental veneers are a cosmetic dental treatment and require ongoing care and maintenance. They are not indestructible and may require repair or replacement in the future. This information is general patient guidance and does not replace the personalised advice provided by your dentist.

Sculpted composite restorations, shaped chairside to your smile

3D dental composite veneers are tooth-coloured restorations made from dental composite and carefully shaped to improve the shape, proportions, colour, symmetry and overall appearance of your front teeth. Your veneers have been individually shaped to complement your smile and bite. Composite is designed to be strong and functional but is not indestructible.

Immediately after your treatment

Your dentist will tell you when you can eat and drink normally. If you’ve had local anaesthetic: don’t chew until numbness has completely worn off, take care not to bite your lips, cheeks or tongue, and avoid very hot food and drinks while numb. Your teeth may initially feel different because their shape and contours have changed — it can take a short period to get used to your new smile.

Your bite

Your dentist carefully checks your bite when your veneers are fitted. Contact the practice if one tooth feels noticeably higher, you cannot comfortably close your teeth, you experience pain when biting, you develop jaw discomfort, or you feel your teeth repeatedly hitting the veneers. Do not attempt to adjust the veneers yourself.

Eating with 3D composite veneers

Once advised you can eat normally, continue your usual diet — but composite veneers can chip or fracture under excessive force. Avoid biting directly into very hard foods with your front teeth, cut hard foods into smaller pieces, use your back teeth for harder foods, avoid chewing ice or biting hard sweets, and never bite pens, fingernails or use your teeth to open packaging.

Foods that may stain composite veneers

Composite resin can stain more readily than natural tooth enamel. Frequent coffee, tea, red wine, dark fizzy drinks, curry, soy sauce, balsamic vinegar and other strongly coloured foods can gradually affect the appearance. To reduce staining: limit how often you consume these, drink water regularly, rinse your mouth after staining foods, maintain excellent oral hygiene, and avoid smoking.

Smoking and vaping

Smoking is strongly discouraged — it can stain composite veneers, darken the margins around them, increase plaque accumulation and the risk of gum disease, and affect the long-term appearance of your smile. Vaping may also contribute to oral health problems. The best way to protect your veneers and oral health is not to smoke or vape.

Alcohol

Frequent alcohol consumption can contribute to dry mouth, plaque accumulation and an increased risk of decay and gum disease. If you drink: keep within recommended limits, drink water alongside alcohol, avoid frequent sugary or acidic drinks, and maintain your normal cleaning routine. Follow any specific instructions given after additional dental treatment.

Cleaning your veneers & between your teeth

Brush at least twice a day with fluoride toothpaste, paying attention to the gumline, areas between your teeth, veneer edges and margins. Plaque can accumulate around margins and poor hygiene can lead to gum inflammation and decay — veneers do not protect the underlying teeth from decay. Clean between your teeth daily with floss, interdental brushes or other recommended aids; if veneers have closed gaps, the spaces may now be narrower and need a different brush size. If floss catches or shreds, don’t stop cleaning — contact your dental practice for advice.

Dental hygiene appointments

Regular hygiene appointments help maintain gum health and the appearance of your veneers. Your hygienist can assess gum health, help maintain excellent oral hygiene, demonstrate interdental cleaning, remove plaque and calculus, and advise on maintenance. Tell your hygienist you have composite veneers so appropriate techniques and equipment can be used.

Whitening your teeth

Tooth whitening does not whiten existing composite veneers. Whitening natural teeth after veneers are placed may cause a colour difference. If considering both, your dentist may recommend whitening first so the composite shade can be matched. Do not use whitening products expecting them to whiten your composite veneers.

Can composite veneers chip or break?

Yes — more likely with biting hard foods, chewing ice, nail biting, pen chewing, grinding, clenching, trauma, or biting directly onto hard objects. If a veneer chips or breaks: don’t attempt to repair it yourself, avoid biting with the affected tooth, keep any pieces, and contact your dental practice — composite veneers can often be repaired depending on the extent of damage.

Teeth grinding and clenching & habits to avoid

Grinding and clenching can significantly increase the risk of chipping. Tell your dentist if you grind, clench, wake with jaw pain or headaches, or have worn/chipped teeth or previously broken restorations — a night guard may be recommended and should be worn as instructed. To help protect your veneers, avoid biting fingernails, chewing pens or pencils, chewing ice, opening packets with your teeth, biting bottle tops or hard sweets, and using your front teeth to break or tear hard objects.

Sensitivity & gum health

Some patients experience temporary sensitivity to cold, hot or sweet foods and drinks, which should generally improve. Contact your dentist if it’s severe, persistent, worsening, or you develop spontaneous toothache or significant pain when biting. Watch for gum bleeding, redness, swelling, tenderness, persistent bad breath, a bad taste, or recession around the edges of your veneers — improve your oral hygiene and contact your dental team if these persist.

If a veneer feels rough or sharp, or comes off

You may occasionally notice a rough or sharp area, especially if a small piece has chipped — do not file, cut or polish it yourself; contact the practice for a safe assessment and adjustment. If a veneer becomes detached, keep it safe if possible, do not attempt to glue it back yourself, avoid biting with the affected tooth, and contact your dental practice. Household glue or other adhesives must never be used in the mouth.

How long do 3D composite veneers last?

Composite veneers are not considered a permanent restoration. Lifespan depends on your bite, the amount and type of composite used, oral hygiene, diet, smoking and lifestyle, grinding or clenching, how well you look after them, and accidental damage or trauma. Over time they may need polishing, stain removal, minor repairs, reshaping or replacement — good daily care can help maximise their longevity.

Colour and appearance over time

Composite can gradually stain or lose some of its original surface shine, influenced by coffee, tea, red wine, strongly coloured foods, smoking, oral hygiene, and ageing/normal wear. Professional polishing can sometimes improve the appearance. If the colour or shape changes significantly, your dentist can advise whether polishing, repair or replacement is appropriate.

Regular dental examinations

Having composite veneers does not replace the need for regular dental examinations — your dentist continues to monitor the health of the underlying teeth, your gums, the condition of the composite, its margins, your bite, and any signs of wear or damage, helping identify small problems before they become more significant.

REMEMBER

Brush twice a day with fluoride toothpaste; clean between your teeth every day
Avoid biting hard objects with your front teeth; never open packets or bottles with your teeth
Avoid smoking; be aware composite can stain over time
Never attempt to repair or adjust your veneers yourself
Wear a night guard if recommended; attend regular examinations and hygiene appointments

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if a veneer chips, cracks or comes off; your bite feels uncomfortable; you develop persistent tooth sensitivity or toothache; your gums become swollen, painful or bleed regularly; a veneer feels rough or sharp; you notice a gap developing around the edge; you have an accident involving a veneered tooth; you notice a colour change in an underlying tooth; or have any concerns about the appearance or function of your veneers.

IMPORTANT

3D composite veneers are a cosmetic dental treatment and require ongoing care and maintenance. They are not indestructible and may require repair, polishing or replacement over time. This information is general patient guidance and does not replace the personalised advice provided by your dentist.

Minimally-invasive reshaping and repair with tooth-coloured composite

Composite bonding is a cosmetic treatment where tooth-coloured composite material is carefully applied to a tooth’s surface and shaped to repair small chips or worn areas, improve shape or size, close or reduce small gaps, improve discoloured or uneven teeth, or create a more balanced smile. It’s usually minimally invasive and often requires little or no removal of natural tooth. Composite is strong but not as hard-wearing as natural enamel.

Immediately after your treatment

Your dentist will tell you when you can eat and drink normally. If you’ve had local anaesthetic: take care not to bite your lip, cheek or tongue while numb, avoid very hot food and drinks until sensation returns, and be particularly careful when chewing until numbness has fully worn off. Your teeth may feel slightly different at first — this is normal while you get used to the new shape.

Sensitivity

Some patients experience temporary sensitivity to cold drinks, hot food or drinks, sweet foods, or pressure/biting, which should normally settle. Contact your dentist if sensitivity is severe, persistent, getting worse, or you develop significant pain.

Eating after composite bonding

Once confirmed you can eat normally, return to your usual diet — but bonding can chip or fracture under excessive force. Avoid biting your fingernails, chewing pens or pencils, opening packets or bottles, biting hard objects, cracking nuts or other hard foods, or chewing ice. Take particular care with front-tooth bonding; cutting harder foods into smaller pieces and chewing with your back teeth helps reduce stress on bonded areas.

Sticky and hard foods

Very sticky or hard foods can place additional stress on bonding — use caution with toffees, hard or chewy sweets, very hard nuts, ice, popcorn kernels and hard crusts. You don’t necessarily need to avoid all of these, but excessive or repeated exposure increases the risk of chipping or debonding.

Looking after your bonded teeth & flossing

Composite bonding requires the same daily care as your natural teeth — brush at least twice a day with fluoride toothpaste, clean between your teeth every day, pay attention to the gumline around bonded teeth, and continue regular examinations and hygiene appointments. Decay can still develop around or underneath bonding. If bonding has closed a gap, the space between teeth may now be narrower — ask your dentist or hygienist about the right interdental brush size. If floss repeatedly catches or shreds around a bonded area, contact your dental practice rather than stopping interdental cleaning.

Staining and keeping your bonding looking its best

Composite resin can stain more easily than natural enamel. To help: brush regularly with fluoride toothpaste, maintain good oral hygiene, avoid frequent strongly coloured foods and drinks, drink water regularly, and avoid smoking. Staining foods and drinks include coffee, tea, red wine, dark fizzy drinks, curry, soy sauce, balsamic vinegar and other strongly coloured items — you don’t need to avoid them completely, but limiting frequency and maintaining hygiene helps reduce staining.

Smoking and vaping

Smoking can stain composite bonding and negatively affect your oral health, and can increase your risk of gum disease, which may affect the appearance of your smile and the teeth around your bonding. We strongly recommend stopping smoking. Vaping may also contribute to staining and oral health problems.

Alcohol

Alcohol itself doesn’t normally damage fully-set composite bonding directly, but frequent consumption can contribute to dry mouth, increased plaque accumulation, tooth decay, gum disease, and enamel erosion (particularly with acidic drinks). Where possible, drink water alongside alcohol and maintain your normal routine — follow any specific instructions given after dental treatment.

Whitening and composite bonding

Tooth whitening does not whiten existing composite bonding. Whitening your natural teeth after bonding may result in a colour difference — if considering both, your dentist may recommend completing whitening first and matching the bonding to the new shade. Do not use whitening products without discussing them with your dental professional.

Can composite bonding chip or break?

Yes — more likely if you bite hard objects, have a strong bite, grind or clench your teeth, regularly chew hard foods, or have an accident or trauma. If it chips or breaks: don’t attempt to repair it yourself, avoid biting hard foods with the affected tooth, keep any pieces, and contact your dental practice. In many cases composite bonding can be repaired or replaced.

Teeth grinding and clenching

Grinding or clenching can significantly increase the forces placed on composite bonding. Tell your dentist if you grind at night, clench your jaw, frequently wake with jaw discomfort, notice worn/chipped/flattened teeth, or have previously broken restorations — your dentist may recommend a night guard or other protective measures.

Composite bonding and dental hygiene appointments

Continue attending regular examinations and hygiene appointments so your dental team can check the condition of your bonding, your teeth and gums, the margins of the composite, any signs of staining or wear, and whether repairs or maintenance are needed. Professional cleaning removes plaque and calculus that can’t be removed effectively at home.

How long does composite bonding last?

Lifespan varies considerably depending on the location and size of the bonding, your bite, eating habits, grinding or clenching, oral hygiene, smoking and lifestyle, how well it’s maintained, and exposure to trauma. Composite bonding may require maintenance, polishing, repair or replacement over time — it is not considered a permanent restoration.

Colour changes over time

Composite bonding can gradually change colour or become stained, more noticeably with frequent strongly coloured foods, drinks or smoking. Unlike natural teeth, composite cannot be whitened the same way as tooth enamel. If you’re unhappy with a colour change, speak to your dentist — polishing, repair or replacement may be possible depending on the condition of the bonding.

If your bonding feels rough or your bite feels different

Do not attempt to file or polish rough bonding yourself — contact your dental practice for professional assessment and, if appropriate, polishing or adjustment. Your bite may feel slightly different immediately after treatment because the tooth’s shape has changed — contact your dentist if one tooth hits before the others, your bite feels uncomfortable, you cannot close your teeth comfortably, you experience pain when biting, or you notice significant jaw discomfort.

If you have an accident or trauma

If a bonded tooth is hit or injured, contact your dentist for advice — don’t assume the tooth is fine simply because the composite hasn’t visibly broken. Keep any piece that has come off if possible, and avoid biting with the affected tooth until it’s been assessed, as trauma can sometimes affect the underlying tooth even when the bonding appears intact.

REMEMBER

Brush twice a day with fluoride toothpaste; clean between your teeth every day
Avoid biting hard objects with bonded teeth; never use your teeth to open packets or bottles
Avoid smoking; be aware composite can stain and may need maintenance over time
Attend regular dental examinations and hygiene appointments

WHEN SHOULD I CONTACT MY DENTIST?

Please contact your dental practice if your bonding chips, cracks or comes off; you develop persistent sensitivity or pain; your bite feels uncomfortable; the bonding feels sharp or rough; your gums around it become swollen or painful; you notice decay or a dark area around the edge; your tooth changes colour unexpectedly; or you have an accident involving a bonded tooth.

IMPORTANT

Composite bonding is a cosmetic dental treatment and, like all dental restorations, it requires care and maintenance. This information is general patient guidance and does not replace the personalised advice provided by your dentist.

Invisalign clear aligners

Straightening your smile discreetly depends on wearing your aligners consistently and keeping your teeth spotless underneath them.

Removable, near-invisible teeth straightening

Invisalign clear aligners are a discreet, removable way of gradually moving your teeth into their planned positions. The success of your treatment depends on wearing your aligners as instructed, maintaining excellent oral hygiene, and attending your recommended appointments.

Wearing your aligners

For treatment to work effectively, aligners should generally be worn 20–22 hours per day, unless your dentist has given different instructions. Remove them for eating, drinking anything other than plain water, brushing and flossing, and cleaning your aligners. Try to put them back in as soon as possible afterwards — the more consistently you wear them, the more likely your treatment will progress to plan.

Eating and drinking

One benefit of Invisalign is that aligners are removable, so you can continue your normal diet — always remove them before eating or drinking anything other than plain water. Eating or drinking with aligners in can stain or damage them, trap food and sugars against your teeth, and increase the risk of decay, gum problems and bad breath. After eating: rinse your mouth with water, ideally brush before reinserting, rinse your aligners with lukewarm water, then put them back in. If you can’t brush immediately, rinse thoroughly and brush as soon as reasonably possible.

What can I drink?

Plain, cool or lukewarm water is the only drink you should have while wearing your aligners. Remove them before tea, coffee, fizzy drinks, squash, fruit juice, energy or sports drinks, milk, alcohol, or any other drink containing sugar, colourings or acids — even clear drinks can contain sugar or acids that increase risk when trapped underneath. Avoid hot drinks while wearing aligners, as heat may distort the plastic.

Staining foods and drinks

Although you should remove your aligners before eating and drinking, foods such as coffee, tea, red wine, dark fizzy drinks, curry, soy sauce, balsamic vinegar and other strongly coloured items can stain your teeth and may leave residue on your aligners if teeth aren’t cleaned properly. You don’t need to avoid these completely — remove your aligners first and maintain good oral hygiene afterwards.

Cleaning your aligners

Clean them daily: remove, rinse with lukewarm water, gently clean using a soft toothbrush, and rinse thoroughly before reinserting. Avoid hot or boiling water, and don’t use abrasive or harsh household cleaning products. Your dental team may recommend a specific Invisalign^® cleaning product — follow the manufacturer’s instructions if you use one.

Looking after your teeth and gums

Excellent oral hygiene is particularly important since aligners fit closely over your teeth and food/bacteria can become trapped if not cleaned properly. Brush at least twice a day with fluoride toothpaste, clean between your teeth every day, brush before putting aligners back in whenever possible, and continue your routine examinations and hygiene appointments. Never put aligners back over dirty teeth after eating.

Your aligner case

Always keep your aligners in their case when not wearing them — this prevents them being lost, protects them from damage, keeps them clean, and reduces the risk of them being accidentally thrown away. Do not wrap aligners in tissue or a napkin, and keep them away from pets, particularly dogs, who may chew and damage them. If you lose an aligner, contact your dental practice for advice rather than simply stopping treatment.

Changing to your next aligner

Your dentist will tell you when to change — don’t change more frequently than instructed. It’s normal to feel some pressure or tightness for a short period when you move to a new aligner, as it’s designed to move your teeth. If a new aligner doesn’t fit properly, don’t force it into place — contact your dental practice for advice.

Attachments, buttons and elastics

Some treatments require small tooth-coloured attachments to help the aligners grip your teeth. If an attachment comes off, don’t try to glue or replace it yourself — continue wearing your aligner unless told otherwise, and contact the practice for advice. If several attachments come off, or your aligners no longer fit correctly, contact your dental team. If you’ve been prescribed elastics, wear and change them exactly as instructed, don’t use stronger or additional elastics unless told to, keep spares with you where possible, and contact the practice if you run out.

Discomfort

Some pressure or mild discomfort with a new aligner is normal and usually settles
Temporary tenderness when biting can also occur
Contact your practice if pain is severe, persistent, or you notice significant irritation or swelling

Gum irritation or rubbing

Check the aligner is fully seated if it rubs against lips, cheeks or gums
Do not attempt to cut or file the aligner yourself
Contact your practice if irritation persists

If you lose or damage an aligner, or it no longer fits

Contact the practice as soon as possible — don’t automatically move on to the next aligner. Depending on your treatment stage, your dentist may advise wearing your previous aligner, moving to the next one, having a replacement made, or another specific instruction. If an aligner suddenly becomes very loose, very tight, or doesn’t fully seat, contact your dental practice rather than forcing it into position — this can happen if an aligner wasn’t worn for the recommended time, was lost or damaged, teeth haven’t tracked as planned, an attachment has come off, or there’s been a change to your treatment plan.

Invisalign and smoking/vaping

Smoking and vaping are not recommended while wearing aligners — smoking can stain both the aligners and your teeth and negatively affect your oral health. If you smoke, remove your aligners first and clean your teeth before putting them back in — but the best option for your oral and general health is to stop smoking completely. Vaping should also be avoided where possible; your dental team can provide advice and direct you to stop-smoking support.

Alcohol

Remove your aligners before drinking alcohol, as alcoholic drinks can contain sugar and acids that may contribute to decay and enamel erosion. Afterwards: remove your aligners, rinse your mouth with water, clean your teeth as soon as reasonably possible, and clean your aligners before reinserting. Never drink alcohol while wearing your aligners unless your dental team has specifically advised otherwise.

Whitening during Invisalign treatment

Do not use whitening products with your aligners unless specifically recommended or supplied by your dental professional. Whitening may not be suitable if you have tooth decay, gum disease, sensitive teeth, cracked teeth, or existing restorations — ask your dentist before starting.

Dental appointments during Invisalign treatment

Continue attending routine examinations and hygiene appointments throughout treatment. Your dentist monitors the health of your teeth and gums, your oral hygiene, your Invisalign progress, the fit of your aligners and attachments, your bite, and any areas requiring extra attention. Don’t wait until your next Invisalign appointment if you develop a dental problem — decay, gum problems or dental pain should be assessed promptly.

Keeping your treatment on track

Treatment can take longer than planned if teeth don’t move as expected. To give yourself the best chance of finishing on time: wear your aligners 20–22 hours a day, remove them before eating or drinking anything but water, keep your teeth, gums and aligners clean, keep aligners safely in their case, follow instructions about changing aligners and wearing elastics, and attend your scheduled appointments — contacting the practice promptly if an aligner is lost, damaged or no longer fits.

Your Invisalign treatment is a partnership

Successful orthodontic treatment requires cooperation between you and your dental team. Your dentist will plan and monitor your treatment, but wearing your aligners as instructed and maintaining excellent oral hygiene are essential parts of achieving the best possible result. If you have any concerns during treatment, please contact the practice.

WHEN SHOULD I CONTACT THE PRACTICE?

Please contact us if you lose an aligner; it’s damaged or cracked; it no longer fits properly; an attachment comes off; you have persistent or severe pain; your gums are bleeding, swollen or painful; an aligner is causing significant irritation; you’ve run out of elastics; you have a dental problem during treatment; or you’re unsure what to do with your next aligner.

IMPORTANT

This information is general patient guidance and does not replace the personalised instructions provided by your Invisalign^® dentist or orthodontic team. Always follow the instructions given to you by your dental professional if they differ from this advice.

Implants, sedation & surgery

Surgical treatments need a little more care in the first 24–48 hours. Smoking is the single biggest risk factor across every procedure here.

Surgical placement and healing, stage by stage

Dental implant treatment is usually carried out in stages. This advice applies to all dental implant treatments, including single implants, multiple implants and full arch implants.

Some patients require a bone graft before or at the same time as implant placement because there isn’t enough bone available to support the implant. Your treatment may involve implant placement alone, bone grafting, sinus augmentation, full arch implant treatment, or a combination — your dental team will provide specific instructions for your individual treatment.

The advice below is general guidance to help you recover safely and give your implant and/or graft the best possible chance of healing successfully.

Immediately after your treatment

It’s normal to experience some soreness, swelling, bruising and minor bleeding following surgery. Rest for the remainder of the day, avoid strenuous exercise and heavy lifting for the period advised, and follow separate sedation instructions if you’ve had sedation. Your mouth may remain numb for several hours — take care not to bite your lip, cheek or tongue, and avoid hot food and drinks while numb. Do not touch the surgical area with your fingers or tongue, pull on any stitches, or attempt to remove, move or clean around any dressing unless instructed.

Bleeding

A small amount of blood-stained saliva is normal. If bleeding occurs: sit upright and remain calm, place clean gauze or a clean folded cloth over the area, bite firmly and continuously for at least 30 minutes, and don’t repeatedly remove the gauze to check. If bleeding continues, repeat the pressure. If it’s heavy or doesn’t stop despite firm pressure, contact your dental practice or seek urgent medical attention. If you take blood-thinning medication, do not stop taking it unless specifically instructed by your doctor or dental professional.

Swelling and bruising

Swelling is common and may be most noticeable in the first few days; bruising can also occur. To help: use a cold pack wrapped in a clean cloth against the outside of your face for about 10 minutes at a time, then remove for a similar period — never place ice directly onto your skin. Sleeping with your head slightly elevated may help. Swelling should gradually improve; contact your dental practice if it becomes significantly worse after the initial healing period.

Pain and medication

Take pain relief as recommended by your dentist or pharmacist, following the instructions on the medication packaging or prescription and not exceeding the recommended dose. If antibiotics have been prescribed, take them exactly as directed and complete the course unless told otherwise. Tell your dental team about any reaction to medication, and never take medicines that have previously caused you an allergic reaction. Contact your dental practice if pain becomes severe, worsens, or isn’t controlled by the recommended medication.

Oral hygiene

Keeping your mouth clean is very important for successful healing, but do not brush directly over the surgical site unless specifically told it’s safe. Your dentist may advise continuing to brush teeth away from the surgical area, carefully cleaning the rest of your mouth, and using a prescribed mouthwash such as chlorhexidine if recommended. For some bone-grafting procedures, patients are advised not to brush directly over the grafted area for approximately one week. Do not vigorously rinse or spit during the early healing period unless instructed.

SMOKING AND VAPING — EXTREMELY IMPORTANT

Smoking can significantly increase the risk of implant and bone-graft complications. Smoking reduces the blood supply and oxygen available to healing tissues and is associated with an increased risk of delayed healing and implant or graft failure. NHS implant guidance strongly recommends stopping smoking before treatment and remaining a non-smoker in the long term.

We strongly recommend that you stop smoking before implant or bone-grafting treatment and remain smoke-free throughout treatment and long-term. You should also avoid vaping following surgery — do not assume vaping is a safe alternative during healing.

If you smoke: tell your dental team before treatment, ask for help to stop as early as possible, do not smoke after your procedure, and avoid returning to smoking while your implant or graft is healing. If you’re finding it difficult to stop, speak to your GP, pharmacist or local stop-smoking service. If your implant surgeon has given you a specific smoking-cessation period, follow their instructions.

Alcohol

Avoid alcohol following your surgery for the period advised by your dental team. As a minimum, NHS guidance for implant and bone-grafting procedures advises avoiding alcohol for 24 hours after treatment — you may need to avoid it for longer depending on the extent of surgery, whether you’ve had bone grafting, whether you’re taking antibiotics or other medication, your individual healing, and any instructions from your surgeon. Do not drink alcohol if it’s contraindicated with any prescribed medication — ask your dentist or pharmacist if unsure.

Eating and drinking

Your dental team may recommend a soft diet following dental implant treatment, particularly after bone grafting.

For the first few days: choose soft, easy-to-chew foods, avoid very hot foods and drinks, avoid hard, sharp or crunchy foods and small hard particles that could become trapped around the surgical area, chew on the opposite side where possible, drink plenty of water, and avoid straws unless specifically confirmed safe.

If you have had a full arch implant bridge fitted, you must follow a soft diet for the first 3 months. This is important while your implants heal and integrate with the bone. Eating hard or unsuitable foods during this period can place excessive pressure on the bridge and may cause it to break.

If you have not had a full arch implant bridge, gradually return to your normal diet as your comfort allows and as advised by your dental team.

If you’ve had extensive bone grafting, your dental team may give you more specific dietary instructions.

Protecting the implant or bone graft

The implant and/or graft needs time to heal and integrate with your jawbone. During healing: do not press or push the implant with your tongue or fingers, do not chew directly on the surgical area unless specifically advised, avoid biting hard foods directly over the implant, avoid chewing pens, fingernails or other hard objects, and follow any instructions about temporary teeth, dentures or provisional restorations. If provided with a temporary denture, do not wear it unless confirmed safe — in some cases dentures need to be left out for a period following surgery.

If you have had bone grafting

A bone graft increases the amount of bone available to support a future or existing implant. Depending on the type and size of graft, healing can take several months before implant treatment can continue — NHS guidance notes that bone grafts commonly require several months of healing before implant placement. You may experience swelling, bruising, tenderness, temporary difficulty eating, minor bleeding, or gum discomfort around the grafted area. Do not disturb the graft. If you notice graft material becoming exposed or coming away, contact your dental practice for advice rather than attempting to remove it yourself.

If you have had a sinus graft or sinus lift

You may have been given additional instructions, including avoiding blowing your nose forcefully, sneezing with your mouth closed, strenuous exercise, flying for the period specified by your surgeon, and activities that create significant pressure changes. If you need to sneeze, keep your mouth open and don’t suppress it. Your surgeon will give specific instructions, as precautions vary depending on the type of sinus procedure performed.

Stitches

You may have dissolvable or non-dissolvable stitches. Do not pull or cut them, or play with them using your tongue — keep the area clean as instructed and attend your planned review appointment. Some implant and bone-grafting stitches are removed approximately one week after surgery, although timing varies between procedures.

Exercise and physical activity

Avoid strenuous exercise immediately following surgery, as it can increase blood pressure and contribute to bleeding or increased swelling. Your dental team will tell you when you can safely return to gym exercise, running, swimming, contact sports and heavy lifting. More extensive bone-grafting procedures may require a longer period away from strenuous activity.

Your temporary tooth, bridge or denture

If given a temporary restoration, follow your dentist’s instructions. Do not force it into position, modify it yourself, use excessive denture adhesive, or bite hard foods with it unless instructed. Contact the practice if it becomes loose, uncomfortable or damaged.

Long-term care of your dental implant

Once healed with your final crown, bridge or denture fitted, implants require regular professional care and excellent daily oral hygiene.

Brush your teeth twice a day with fluoride toothpaste, clean carefully around your implant restoration, clean between your teeth and around the implant using the recommended method, attend regular dental examinations and recommended implant maintenance appointments, follow your hygienist’s advice on interdental brushes or other aids, and avoid smoking.

If you have been provided with a night guard, ensure you wear it every night as instructed by your dental team. This helps protect your implant restoration from excessive forces caused by grinding or clenching.

Your dental team will show you how to clean around your particular implant restoration.

Your follow-up appointments

Follow-up appointments are an important part of implant and bone-graft treatment. Your dental team monitors healing of the gum, the condition of the implant or graft, your oral hygiene, your bite and temporary restoration where applicable, the integration of the implant with the surrounding bone, and the timing of the next stage of treatment. Do not miss your scheduled appointments.

WARNING SIGNS — CONTACT US IF YOU NOTICE

Increasing rather than improving pain, significant or worsening swelling, persistent or heavy bleeding, pus or discharge, a persistent unpleasant taste or smell, fever or feeling generally unwell, increasing redness around the surgical area, the implant feeling loose or moving, a loose temporary restoration, graft material appearing to come away from the site, numbness that doesn’t improve as expected, or any other symptom that concerns you. A loose implant should be assessed promptly — do not attempt to tighten, move or remove anything yourself.

SEEK URGENT MEDICAL ATTENTION IF

You develop severe facial or neck swelling, difficulty breathing or swallowing, uncontrolled heavy bleeding, severe allergic symptoms (particularly swelling of the lips, tongue or throat), or a severe deterioration in your general condition. If you believe you have a dental emergency outside normal practice hours, contact your local urgent dental service or NHS 111 where appropriate.

IMPORTANT — IMPLANT SUCCESS DEPENDS ON YOUR AFTERCARE

The success of implant and bone-grafting treatment depends on several factors, including the health of your gums, the quality and quantity of bone, oral hygiene, general health and smoking status. Smoking is associated with a higher risk of implant and graft failure. For the best possible outcome: don’t smoke, avoid vaping during healing, avoid alcohol as instructed, keep the surgical area clean without disturbing it, follow your medication instructions carefully, avoid putting pressure on the implant or graft, attend all follow-up appointments, maintain excellent long-term oral hygiene, and tell your dental team promptly if you have any concerns.

This information provides general guidance and does not replace the personalised instructions given by your implant dentist or surgeon. The exact aftercare required depends on the procedure you’ve had, particularly if you’ve had bone grafting, sinus augmentation, multiple implants or sedation.

Aftercare for the first 24–48 hours and beyond

Having a tooth removed is a common dental procedure. It’s normal to experience some discomfort, swelling and minor bleeding afterwards. Following the advice below will help your mouth heal and reduce the risk of complications.

Immediately after your extraction

Keep the gauze or dressing over the extraction site in position for as long as advised. Do not rinse your mouth, spit forcefully or disturb the socket for the first 24 hours — this can dislodge the blood clot essential for healing. Avoid touching the site with your tongue, fingers or toothbrush. If you’ve had local anaesthetic, take care not to bite your lip, cheek or tongue, and avoid hot food and drinks while numb. Rest for the remainder of the day and avoid strenuous exercise or heavy lifting.

Eating and drinking

For the first 24–48 hours: choose soft foods such as pasta, mashed potato, scrambled egg, yoghurt, porridge or soup that isn’t hot; chew on the opposite side where possible; avoid hard, crunchy or sharp foods; avoid nuts, seeds and other small foods that could become trapped in the socket; drink plenty of water; and avoid using straws, as suction may disturb the blood clot. Once comfortable, gradually return to your normal diet.

Oral hygiene

On the day of extraction: do not rinse your mouth, though you may carefully brush your other teeth, taking care not to disturb the extraction site. From the following day: brush as normal but be gentle around the site, and rinse gently with warm salt water after meals and several times a day — dissolve approximately ½ teaspoon of salt in a cup (around 250ml) of warm water, and let the solution gently fall from your mouth rather than rinsing vigorously or spitting forcefully. Continue gentle salt-water rinses for several days, or as long as advised.

SMOKING AND VAPING — IMPORTANT

Do not smoke or vape after your extraction. Smoking and vaping can interfere with normal healing, increase the risk of infection, and significantly increase the risk of dry socket, which can cause severe pain several days afterwards.

Avoid smoking and vaping for at least 48 hours — ideally for as long as possible while the socket is healing; the longer you avoid it, the better your healing is likely to be. Avoid replacing cigarettes with vaping during this period, as vaping can also interfere with healing. Your pharmacist or GP can advise on nicotine replacement to help with cravings, and your dental team, pharmacist or GP can help with support to stop smoking permanently.

Alcohol

Avoid alcohol for at least 24–48 hours after your extraction, and preferably until the initial healing period has passed. Alcohol can increase the risk of bleeding and may interfere with healing, and you should also avoid it while taking certain medicines including some painkillers and antibiotics — follow the instructions provided by your dentist or pharmacist.

Bleeding

A small amount of bleeding or blood-stained saliva is normal during the first day or so. If the site starts bleeding: sit upright and remain calm, place a clean, damp gauze pad or clean cloth over the site, bite down firmly and continuously for 20 minutes, and don’t keep removing the gauze to check. Repeat the pressure once if necessary. If you’re on blood-thinning medication, don’t stop taking it unless a healthcare professional tells you to. If bleeding remains heavy or doesn’t stop after firm pressure, contact your dental practice or seek urgent dental advice.

Pain and swelling

Some pain and swelling are normal — pain is often most noticeable in the first few days and should gradually improve, while swelling can increase during the first 48 hours before settling. Take pain relief as recommended by your dentist, pharmacist or the medicine’s instructions, without exceeding the recommended dose. Avoid aspirin unless specifically prescribed for you, as it can increase bleeding — don’t stop prescribed aspirin without medical advice. A cold pack wrapped in a cloth can be applied to the outside of your face for short periods during the first day to help with swelling.

Dry socket

A dry socket occurs when the blood clot is lost or doesn’t develop properly, leaving the underlying bone exposed. It usually develops a few days after an extraction and can cause increasing or severe throbbing pain (sometimes spreading towards the ear, temple or jaw), an unpleasant taste or bad breath, and pain that seemed to be improving but then becomes significantly worse. Smoking is an important risk factor. If you develop these symptoms, contact your dentist — dry socket can be treated, and your dental team can provide appropriate pain relief and treatment of the socket.

Infection

Contact your dentist if you develop increasing pain or swelling (particularly after the first few days), a high temperature or feeling generally unwell, a bad taste or discharge from the site, or increasing facial swelling — these may indicate infection and should be assessed by a dental professional.

Stitches

If you’ve been given stitches, they may be dissolvable and can take several days or a few weeks to disappear. Do not pull, cut or play with your stitches — if one comes loose or you’re concerned about the area, contact your dental practice.

WHEN SHOULD I SEEK URGENT HELP?

Contact your dentist or seek urgent dental advice if you have bleeding that doesn’t stop despite firm pressure; severe or worsening pain not controlled with recommended pain relief; swelling that’s becoming significantly worse; a high temperature or feeling unwell; or a bad taste, discharge or other signs of infection. You can contact NHS 111 for urgent dental advice when your dental practice is unavailable. Call 999 or attend A&E immediately if you develop severe swelling of the mouth, lips, throat or neck affecting your breathing, or heavy bleeding that will not stop.

REMEMBER — FOR THE BEST POSSIBLE HEALING

Do not smoke or vape for at least 48 hours — preferably longer
Avoid alcohol for at least 24–48 hours
Do not rinse or spit for the first 24 hours; do not disturb the blood clot
Keep your mouth clean and follow the aftercare instructions provided by your dental team

IMPORTANT

If you have been given specific instructions by your dentist or oral surgery team, follow those instructions in preference to this general advice, as your individual treatment may require additional precautions.

Feeling relaxed and comfortable for your treatment

Intravenous (IV) sedation helps you feel relaxed and comfortable during dental treatment. Sedative medication is administered through a small cannula, usually placed into a vein in your hand or arm. IV sedation does not replace local anaesthetic — your dentist will normally still numb the area being treated. You’ll remain conscious and able to communicate with the dental team, but are likely to feel very relaxed and may remember little or nothing about the procedure afterwards. Your dentist or sedationist will discuss the planned treatment, your medical history and the sedation process before treatment.

Before your appointment

Provide your dental team with accurate information about your medical history, any medications, allergies or previous reactions, any previous problems with sedation or anaesthesia, any medical conditions, whether you are or think you may be pregnant, and any alcohol or recreational drug use that may affect sedation. Do not keep medical information from your dental team — certain conditions and medications may affect whether IV sedation is appropriate for you.

Eating and drinking before IV sedation

You’ll be given specific fasting instructions — follow them exactly. Do not assume you can eat or drink normally simply because the procedure is under sedation. If you accidentally eat or drink outside the instructions, tell the dental team before treatment begins — your appointment may need to be postponed if fasting requirements haven’t been followed.

Medication before your appointment

Continue or stop your usual medication only as instructed by your dentist, sedationist, doctor or other healthcare professional. Do not take additional medication to make yourself sleepy unless specifically instructed. Tell your dental team about prescription and over-the-counter medicines, sleeping tablets or sedatives, strong painkillers, antidepressants or other psychiatric medication, recreational drugs, and herbal medicines or supplements.

Alcohol and recreational drugs

Do not drink alcohol before your appointment — it can increase the effects of sedative medication and make sedation less predictable or less safe. Also avoid recreational drugs, and tell your dental team if you’ve used any substances that could affect sedation. If unsure whether something you’ve taken could affect your appointment, contact the practice beforehand.

Smoking and vaping

Avoid smoking before your appointment — it can affect your breathing and may increase the risk of complications during and after sedation. Vaping should also be avoided beforehand. If you’re trying to stop smoking, your dental team can advise on appropriate support.

What happens during IV sedation?

A small cannula is usually placed into a vein in your hand or arm, and sedative medication is administered through it. Your dental team monitors you throughout, including your level of consciousness, breathing, oxygen levels, pulse, blood pressure and other clinically appropriate observations. The dose can be adjusted according to your response — you’ll normally remain awake enough to respond to instructions, but should feel significantly more relaxed.

Local anaesthetic

IV sedation is not the same as dental anaesthetic. Your dentist will normally use local anaesthetic to numb the teeth and gums being treated, so you may experience numbness around your mouth afterwards. Take care not to bite your lip, cheek or tongue, and avoid eating until the numbness has worn off unless told otherwise.

What will I remember?

One effect of IV sedation is that your memory of the procedure may be reduced — some people remember very little, others remember more. The level of memory loss varies between individuals and cannot be guaranteed.

After IV sedation

Although you may feel awake and alert shortly after treatment, the effects of sedation can continue for several hours. You must follow the discharge instructions provided. You’ll need a responsible adult to accompany you home, stay with you for the specified period, and make sure you’re safe. You must not drive yourself home, and should not travel alone using public transport unless your team has specifically confirmed it’s appropriate.

Driving and operating machinery

Do not drive, cycle or operate machinery after IV sedation. Your dental team will tell you how long to avoid driving — this may be for the remainder of the day and potentially longer, depending on the medication used and your individual circumstances. Do not drive simply because you feel alert, as your judgement and coordination may still be affected after you leave the practice.

Important activities to avoid

For the period specified by your dental team after sedation, do not drive, cycle, operate machinery, cook using hot surfaces or sharp equipment, drink alcohol, take recreational drugs, make important decisions, sign important documents, or care for children or vulnerable adults without another responsible adult present. Follow the specific written instructions given to you.

Alcohol after IV sedation

Do not drink alcohol until your dental team confirms it’s safe to do so — alcohol can increase the sedative effects and further impair your judgement and coordination.

Smoking and vaping after sedation

Avoid smoking and vaping while recovering from sedation, and follow any additional instructions relating to your dental treatment. If you’ve had an extraction, implant placement or another surgical procedure at the same appointment, also follow the specific smoking instructions for that treatment.

Eating and drinking after treatment

Your dental team will tell you when it’s safe to eat and drink. If you’ve had local anaesthetic, wait until sufficient sensation has returned before chewing, to avoid biting your lip, cheek or tongue. Start with light foods if you feel nauseous, and drink water unless given different instructions.

Feeling sleepy or tired

It’s normal to feel sleepy, tired, relaxed, slightly unsteady or less alert than usual
Rest at home and follow your discharge instructions
Have a responsible adult with you for the specified period

Nausea or dizziness

Sit or lie down somewhere safe and avoid sudden movements
Take small sips of water if told you can drink
Contact your dental practice if symptoms are severe or don’t improve

The injection site

You may experience minor soreness, bruising or tenderness where the cannula was placed — this should normally settle. Contact your medical or dental team if you develop significant swelling, increasing pain, redness or other concerning symptoms around the injection site.

Possible side effects and risks

IV sedation is generally well tolerated, but as with any medication, side effects and complications can occur, including drowsiness, reduced concentration, temporary memory loss, dizziness, nausea or vomiting, headache, temporary changes in blood pressure or heart rate, bruising or soreness at the injection site, unexpected or inadequate sedation, and — rarely — breathing or cardiovascular complications. Your dental team will assess your suitability for sedation and monitor you throughout treatment.

If you feel anxious during treatment

Tell your dental team if you’re uncomfortable or anxious. Sedation is designed to help you feel relaxed, but it does not guarantee that you’ll remember nothing or feel no sensations during treatment. You’ll be able to communicate with the dental team during the procedure.

If your treatment involves surgery

If your IV sedation is being used for an extraction, implant, bone graft, oral surgery or another procedure, you’ll also receive specific aftercare instructions for that treatment — these are equally important and must be followed. For example, after an extraction you’ll need to follow the specific instructions relating to bleeding, smoking, alcohol, eating and oral hygiene.

Your responsible adult

Your responsible adult should understand that you may remain drowsy or less coordinated after leaving the practice. They should take you directly home, stay with you for the period advised, follow any post-operative instructions provided, and seek medical advice if concerned about your condition. Do not arrange for someone to accompany you home if they’re unable to provide appropriate supervision.

Before you leave the practice

Your dental team will make sure you’re sufficiently recovered before discharge, and you should receive instructions covering what you can eat and drink, any medications to take, your dental treatment aftercare, how long you need supervision, when you can drive again, when you can return to normal activities, and who to contact with concerns. Make sure you understand these instructions before leaving.

REMEMBER

Follow your fasting instructions exactly
Tell your dentist about all medications, medical conditions and allergies
Do not drink alcohol or use recreational drugs before or after sedation as instructed
Do not drive after IV sedation, operate machinery, or make important decisions while effects remain
Arrange for a responsible adult to take you home and stay with you as instructed
Do not smoke or vape around the time of your appointment
Take care around hot food, drinks and chewing while local anaesthetic is still active
Follow all specific aftercare instructions for your dental treatment

WHEN SHOULD I CONTACT THE DENTAL PRACTICE?

Contact your dental practice if you have concerns following your sedation or treatment.

SEEK URGENT MEDICAL ATTENTION IF YOU EXPERIENCE

Difficulty breathing, severe or worsening swelling, loss of consciousness, severe chest pain, a serious allergic reaction, persistent or severe vomiting, or any other symptoms that feel serious or unexpected. If you have difficulty breathing or believe you’re experiencing a medical emergency, seek emergency medical help immediately.

IMPORTANT

IV sedation is a medical procedure and individual instructions can vary depending on the medication used, your medical history and the dental treatment being carried out. This information is general patient guidance and does not replace the specific instructions provided by your dentist or sedationist.

Denture care

New dentures take a little practice with eating and speaking — and a daily cleaning routine keeps both your dentures and your mouth healthy.

Getting comfortable and keeping them clean

Dentures can take some time to get used to. It’s normal for new dentures to feel strange at first, and you may experience increased saliva, mild soreness, or difficulty speaking and eating. Most people gradually become more comfortable as they get used to wearing them. Your dental team will advise you about your individual dentures and any adjustment appointments you need.

Getting used to your new dentures

Wear them as advised by your dentist. Start with small amounts of food and chew slowly, beginning with soft foods and gradually introducing firmer foods as you become more comfortable. Cut food into small pieces and try to chew evenly on both sides of your mouth, avoiding very sticky or hard foods initially. It’s common to feel your dentures moving slightly while eating or speaking — this usually improves as you get used to them. Reading aloud or practising speaking can help, as your tongue, cheeks and muscles need time to learn how to control the dentures.

Sore areas

New dentures can sometimes cause sore spots while your mouth adjusts. If they’re causing significant pain: remove them for a short period to let the tissues rest, unless your dentist has specifically asked you to keep them in. Do not attempt to adjust, file or repair your dentures yourself. Contact your dental practice if a sore area persists or is painful — your dentist may need to make a small adjustment. If you’ve been asked to wear your dentures continuously before an adjustment appointment, follow those specific instructions.

Removing and inserting your dentures

Handle your dentures carefully, using both hands to insert or remove them where possible. Never force a denture into position, and do not bite them into place, as this can damage them or put unnecessary pressure on your gums. If they suddenly become difficult to insert, contact your dentist rather than forcing them.

Cleaning your dentures

Remove, rinse under cool or lukewarm running water, and brush gently with a denture brush or soft toothbrush every day
Use a recommended denture-cleaning product; rinse thoroughly before putting them back in
Never use hot or boiling water, ordinary household bleach or abrasive products unless specifically advised
Clean over a sink of water or a folded towel to reduce breakage risk if dropped

Cleaning your mouth

Even with no natural teeth, clean your mouth every day
Brush any remaining natural teeth twice a day with fluoride toothpaste
Gently clean your gums, tongue and the roof of your mouth with a soft toothbrush
If you have partial dentures, pay particular attention around the supporting natural teeth

Should I sleep with my dentures in?

Unless your dentist has specifically advised otherwise, remove your dentures at night — this allows your gums and other tissues to rest and helps reduce the risk of irritation and denture-related infections. After removing them: clean them thoroughly, store them safely in a suitable container, and keep them covered with water or use the storage method recommended by your denture manufacturer or dental team, out of reach of children and pets. Follow your dentist’s specific instructions if you’ve been told to wear them overnight.

Denture adhesive

Some patients find denture adhesive helpful, particularly with certain types of dentures. However, it should not be used to compensate for dentures that are loose or poorly fitting — if you need increasing amounts to keep your dentures in place, arrange an appointment with your dentist. Follow the manufacturer’s instructions carefully, and clean your mouth and dentures thoroughly each day, removing adhesive residue. A well-fitting denture should not require excessive amounts of adhesive.

Eating and speaking with dentures

It can take time to become confident eating with dentures — start with softer foods, cut food into small pieces, chew slowly using both sides of your mouth, and avoid biting directly into very hard foods or being careless with very sticky foods. As you become more comfortable, gradually return to your normal diet; if dentures repeatedly move, cause pain or make eating difficult, contact your dentist for a possible adjustment. It’s also normal for speech to feel different at first, particularly with certain sounds — this usually improves with practice such as reading aloud. If speech doesn’t improve or dentures continually move when you speak, contact your dental practice.

Denture adhesive and cleaning products

Always follow the instructions supplied with your particular denture-cleaning products. Do not use household cleaning products, abrasive substances or very hot water on your dentures. If unsure which cleaning products are suitable, ask your dentist, dental hygienist or pharmacist.

Smoking and vaping

Avoid smoking and vaping, particularly while your mouth is healing or if you’ve recently had teeth extracted and received immediate dentures. Smoking can irritate the mouth and gums, affect healing following dental treatment, and increase the risk of oral disease. If you’ve recently had teeth removed, follow the separate post-extraction advice provided by your dental team, and in particular avoid smoking and vaping for the recommended period. Speak to your GP, pharmacist or dental team about stop-smoking support if you’d like help.

Alcohol

If you’ve recently had teeth extracted or undergone other dental surgery, follow the alcohol restrictions given by your dental team. Alcohol can irritate healing tissues and may interact with some medicines — check with your dentist or pharmacist whether alcohol should be avoided if you’re taking medication.

Immediate dentures

If you’ve been given immediate dentures, they’re placed soon after teeth have been removed. Your mouth will change shape as extraction sites heal, so immediate dentures may become looser during healing — you may need adjustments, relining, adhesive, or a replacement/new denture once healing is complete. Follow the specific instructions given about when to remove and clean your immediate dentures, and do not make adjustments yourself. Also follow your extraction aftercare instructions carefully if you’ve recently had extractions.

Dentures and oral health

Wearing dentures does not mean you no longer need regular dental examinations. If you still have natural teeth, these need regular examination and preventive care. Your dentist should also check the health of your gums and the soft tissues of your mouth and assess the fit and condition of your dentures.

Mouth ulcers and persistent changes

Most minor areas of irritation caused by dentures should improve once the denture is adjusted and the tissue has healed. However, any mouth ulcer, lump, red or white patch, unexplained bleeding or other unusual change that does not heal or persists for more than three weeks should be assessed by a dentist or doctor. Your dental team can examine the area and arrange further assessment if necessary.

Looking after your dentures

With good care, dentures can last for several years, but they do not last forever. Your mouth naturally changes over time and dentures can become worn or poorly fitting. Do not wait until your dentures break before having them checked — regular dental appointments let your dentist assess the condition and fit of your dentures, your gums and oral tissues, any remaining natural teeth, and whether your dentures need adjustment, repair, relining or replacement.

REMEMBER

Clean your dentures every day, and clean your mouth every day, even if you have no natural teeth
Remove your dentures at night unless your dentist has advised otherwise
Do not use hot water or household cleaning products on your dentures
Do not attempt to repair or adjust your dentures yourself
Attend regular dental examinations to protect your oral health

WHEN SHOULD I CONTACT MY DENTIST?

Contact your dental practice if your dentures are causing persistent or significant soreness; are loose or repeatedly move when eating or speaking; you develop an ulcer or sore area that doesn’t heal; your dentures have cracked, broken or become damaged; you’re struggling to eat or speak with them; your dentures suddenly stop fitting properly; or you notice persistent changes to the tissues in your mouth.

IMPORTANT

If you have been given specific instructions by your dentist or dental laboratory, follow those instructions in preference to this general advice, as your individual circumstances may require additional care.