Patient Care Talking Points for New Crowns, Veneers and Implants

A restoration that leaves our lab in good shape still depends on how the patient cares for it. Most patients have the same handful of questions after a new crown, veneer or implant crown. These are talking points your team can adapt and relay. Your own clinical judgment and post-operative instructions always come first.

What patients may notice at first

Patients often worry about small changes that are expected. It can help to tell them in advance what may be normal for them, based on the procedure you performed.

• The bite may feel different. A new restoration can take a short time to feel familiar. If the bite feels high or uneven, they should call rather than wait it out.
• Some sensitivity can occur. Mild sensitivity to temperature can happen after treatment. Ask patients to let the office know if it is strong, lasting or getting worse.
• The gums may be tender. Tissue around the restoration may be a little sore after the appointment.
• The tongue will notice. A new contour can feel large at first, even when it matches the original tooth.

Let patients know which of these you expect for their case, and which should prompt a call.

Daily hygiene

Restorations do not decay, but the tooth and gums around them can still develop problems. The margin where the restoration meets the tooth deserves attention.

Talking points to share:

• Brush twice a day with a soft-bristled brush.
• Clean between teeth daily, using floss or the interdental aids you recommend.
• For bridges, show them how to clean under the pontic.
• For implant crowns, explain any specific tools or techniques you prefer around the implant.
• Ask about toothpaste and products, since some abrasive options may not suit certain restorations. Recommend what you prefer for their case.

Habits to discuss

A few everyday habits can affect how long a restoration lasts.

• Hard objects. Chewing ice, pens or fingernails can damage both natural teeth and restorations.
• Using teeth as tools. Opening packages or biting thread puts unusual stress on front teeth and veneers.
• Very hard or sticky foods. Patients may want extra care, especially early on.
• Staining. Ceramic restorations resist staining well, but the natural teeth beside them may darken over time, which can change how the smile looks as a whole.

Night guards for grinders

Patients who clench or grind at night put heavy forces on their teeth and restorations. If you see signs of bruxism, it is worth explaining how a night guard can help protect their investment.

We make custom night guards from your scan or impression, and it can be efficient to plan one alongside the final restoration. This is especially worth raising for patients with new veneers or multiple crowns.

Regular checkups

Encourage patients to keep their recall schedule. Checkups and cleanings let your team monitor the margins, the surrounding gums and the bite over time. For implant crowns, routine visits also let you check the tissue and the implant components according to your protocol.

When to call the office

Give patients a clear list of reasons to call rather than wait. For example:

• The bite still feels high or uneven after the first few days
• Sensitivity or pain that is strong, lasting or getting worse
• A crown or veneer that feels loose, moves or comes off
• A chip, crack or rough edge
• Swelling, bleeding or tenderness around an implant crown

Asking patients to save the restoration if it comes off, and to bring it with them, can make the next step easier.

How we can help

If a patient reports a problem with a restoration we made, we want to hear about it. You can read more about our implant restorations, or call us at 781.853.0777 or submit a case online.