Scaling and root planing also is a cost effective, minimally invasive, and non-surgical way to prevent and/or treat the more serious form of gum disease called periodontitis. 1988,Dahle´n et al. When anesthetic has been used, your lips, teeth, and tongue may be numb for several hours after the appointment. In most cases, a local anesthesia will be used during the procedure for patient comfort. There are methods which can help to prevent this, and your dentist will give you advice. It is best for patients to be in a healthy condition and not have recently had a major surgery before receiving a scaling and root planing treatment. Do not take ibuprofen if you have an allergy or are pregnant. 3. Click to call our office. Your gums will feel swollen and could bleed as well. Scaling and root planning is a comprehensive cleaning of the tooth and root surface below the gum line.” What Is Deep Scaling and Root Planing? If plaque and tartar is left on the teeth, as we mentioned before, it provides the right conditions for bacteria to thrive. var dt = new Date(); It is normal to have soreness and increased bleeding for 2-5days after the procedure. After Scaling And Root Planing. Healing. While the gums do need some time to heal and regenerate after treatment, the side effects of scaling and root planing subside within a couple of weeks. Scaling and Root Planing Aftercare. Wait at least two hours before eating, and then select a soft diet for the first 48-72 hours, chewing on the opposite side of your mouth. Scaling and Root Planing is a deep cleaning procedure used to treat periodontal or gum disease. 450-672-3232. 2. Root Planing and Scaling Recovery . Scaling and Root Planing is an extensive procedure, however, most patients experience little or no ... and promotes faster healing. Calculus and plaque irritate the gums and keep the gum disease active. Do not take aspirin as pain relief, this thins the blood and makes bleeding worse. It is good to rinse your mouth with either warm salt water or an antimicrobial mouthwash for at least one week after the procedure. Healing after scaling and root planing. Brush softly on the first evening. This will promote healing and reduce risk of infection. In most cases, a local anesthesia will be used during the procedure for patient comfort. 1987, Laurell & Pettersson 1988). Try to brush your teeth after every meal and use a recommended mouth wash regularly. After periodontal debridement is performed (unless there are systemic complications) periodontal pockets, alveolar bone, periodontal ligament, and epithelium will heal. var dayNames = new Array("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"); Avoid any chewing until the numbness has completely worn off. The antibiotic will help speed healing and prevent infection. Take an anti‐inflammatory pain reliever. This includes brushing your teeth at least two times a day and flossing regularly. To help soothe the area, rinse your mouth 4-5 times a day with warm salt water rinses. Smooth root surfaces keep bacteria, plaque, and tartar from re-adhering underneath the gumline. 4. After consultation, the treatment plan presented by the periodontist was rejected due to concerns regarding discomfort, recovery time and finances. The sensitivity could last for 2 days or in some cases, up to one week. There is also likely to be small amounts of bleeding for about a week after the treatment. Scaling. Refrain from smoking for 24 to 48 hours after scaling and root planing. Swelling Swelling or jaw stiffness occur very rarely. Reevaluation and Documentation. You ought to be in little pain after the procedure, for 2 or 3 days afterwards you may need to take day to day pain killers such as iboprofen or paracetemol, but any discomfort or increased sensitivity will quickly subside. We recommend 600 mg 4 x/day (not to exceed 3200mg). You may take Ibuprofen (Advil) or Tylenol unless you are allergic or have medical conditions that prevent taking these medications. The deep cleaning process will not hurt too much because of the anesthesia that will be given to you before the treatment. Root planing involves smoothing the root surfaces of your teeth with a curette so the gum tissue can more firmly reattach to roots that are clean and smooth to prevent tooth loss and sensitivity problems. Symptoms that follow treatment need not cause alarm and may be minimized if the following post-operative instructions are followed carefully. Brush and floss regularly afterward. You are more at risk from infection due to this procedure if you: Planing and scaling is seen as a safe and simple procedure that yields good results when you follow your dentists advice. This is because gum disease bacteria might still linger in your mouth, and you might be re-applying them by using the same toothbrush. Hyaluronic Acid as an adjunct after scaling and root planing: a prospective randomized clinical trial. It is best for patients to be in a healthy condition and not have recently had a major surgery before receiving a scaling and root planing treatment. Care after Scaling & Root Planing. It would be a wise idea to try to change your toothbrush as much as possible for a week or so after root planing and scaling. 3. Avoid any hard “chippy” foods such as tortilla chips, potato chips, popcorn, or seeds for the next several days. var y = dt.getYear(); Refusing to do treatment at all. Profuse bleeding was observed with SRP. These are some helpful suggestions that will increase your comfort and help you to receive the maximum benefit from periodontal treatment. With routine brushing and flossing at home, patients can expect the health of their gums to improve weekly. Scaling and root planing is a procedure your dentist performs to remove tartar and plaque from beneath the gum line, as well as to smooth any rough spots. The next step in the process is root planing. Your gums will feel swollen and could bleed as well. Make sure to schedule regular dental visits after your root scaling or planing treatment. This involves smoothing the exposed surface of the roots after the plaque has been removed. After this procedure it is very important that you start a very intensive oral hygiene routine, in order to keep your teeth clean and to help prevent infection. However, because it involves scraping beneath the gums, it can cause mild trauma to the tissue. Many people will need to have several scaling treatments before they experience any major differences in their overall gum health. After Periodontal Scaling and Root Planing Care of the mouth after deep cleaning has an important effect on healing. "August","September","October","November","December"); Photo Credit: oneblink-cj / iStock / Getty Images Plus . Scaling and Root Planing (Gum Treatment) Aftercare The following guidelines will make you more comfortable and prevent possible complications. To prevent infection, control pain or help you heal, your dentist may prescribe a pill or mouth rinse. Planing – removing rough parts of the surface of the tooth, (cementum, enamel and surface dentin), that contains bacteria or microorganisms. This can cause bacteria to work its way towards the base of your teeth which in turn could cause you problems such as bone or tooth loss. The bacteria irritate the gums, which means that they bleed more easily. 1986, Loos et al. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Dr. Cristoforo will only perform scaling and root planing after a thorough examination of a patient's mouth, which may include multiple x-rays. (770) 284-9171; Home; About; Patient Information; Dental Insurance and Payments; Servicesarrow_drop_down. For example, the upper right side of the mouth might be worked on one day, and the three other parts worked on at separate appointments. Your IP: 81.3.23.50 Scaling – removing plaque and other irregularities from the surface of the tooth, be it the dental crown or the root. Without proper dental care, your gum disease may progress. To promote healing, stop all use of tobacco. Scaling and root planing is a thorough dental cleaning of tooth root surfaces to remove plaque and tartar (calculus) from around teeth and periodontal pockets in the gums, and to smooth the teeth roots to remove bacterial toxins. The dentist will remove the fibers about 1 week after the procedure. … Cloudflare Ray ID: 6129160c0d0c4ab5 Saint-Lambert, Quebec J4P 1L3. These are some helpful suggestions that will increase your comfort and help you to receive the maximum benefit from periodontal treatment. They may use hand instruments called scalers or curettes, … • Evaluation of the response of the periodontium to scaling and root planing should be performed no earlier than 4 weeks following treatment (Caton et al. The worse the gum disease in the first place, the more likely it is that this will happen. Dental scaling and root planing may take two to four visits based upon the level of oral disease in the mouth. Take an anti‐inflammatory pain reliever. In rare cases, some sensitivity is permanent. Instructions After Scaling and Root Planning . Root planing and scaling cleans between the gums and the teeth down to the roots. Scaling. The gums are usually sutured in place; the stiches help the gums heal faster and stick to the bone efficiently. Any sensitivity should gradually go away in a few weeks; however, in some cases, the sensitivity can take longer to go away. This will only serve to aggravate the gums. Centre de Specialistes Dentaires Zeeba. After 48 hours have passed, use a mouth rinse. You should resume normal oral care procedures after your teeth scaling and root planing. Root planing decreases gum tissue inflammation, allowing your gums to heal and reattach themselves more firmly to your teeth. 1987, Laurell & Pettersson 1988). SCALING AND ROOT PLANING By DR.PUNIT FIRST YEAR PG 29/02/2016 monday 2. Tenderness of your gums is normal. This is a normal course of healing. To help you can use warm salt/water mouth … Refrain from smoking 24 hours or longer. • Color is about normal. The teeth naturally build up plaque and tartar which you then remove by brushing. To Promote Bone Healing If you are not allergic to anti-inflammatory medication take 400 mgs (Advil) or 220 mgs. This takes a few hours to wear off after the planing and scaling are complete. Regular checkups and cleanings will limit tartar and plaque buildup and ensure long-term post-treatment success. Hot drinks and spicy foods ought to be avoided after root planing and scaling as they can aggravate the gums. They may also recommend an antiseptic mouthwash containing ch… 1. To reduce tenderness and promote healing, rinse with warm salt water every 2-3 hrs: use 1/2 teaspoon of salt in a 4-ounce glass of water. The stitches are removed after about 10 days. Try not to touch the area that has been deep cleaned with either your tongue or with your fingers. What to Expect from SRP Treatments. 1-2 WEEKS AFTER ROOT PLANING:- • Resolution of edema • Shrinkage of gingival margin. Sometimes ultrasonic machines can also be used, but this is usually only for more advanced cleaning. If the gingival tissue is severely inflamed, the scaling instruments often extend beyond the epithelial attachment and create tears in the connective tissue. Reevaluation subsequent to completion of scaling and root planing should occur at a minimum of 3 weeks to 4 weeks. WHAT TO EXPECT: Following periodontal treatment, expect the treated area to be sore and tender to touch for 4-7 days. If you stick to a high standard of oral hygiene then it is likely that any gum disease will stop and your gums will completely heal. Sometimes you will have to have the treatment spread out over two or more visits depending on the extent of the gum disease and how many teeth need cleaning. This can cause your teeth to look bigger as more of the lower parts are revealed and could potentially cause problems such as cavities. These small pieces of food could get lodged within the healing gum line, causing complications. Root Planing After scaling is performed light strokes with an instrument are used to remove the thin layer of diseased root surface. var monthNames = new Array("January","February","March","April","May","June","July", If this isn’t effective against the build up and you have plaque deep towards the roots of your teeth, then it is likely that you will need to have your teeth planed. Moreover, waiting too long for reevaluation may result in disease progression. Saint-Lambert Quebec Periodontist uses scaling and root planing as a part of periodontal cleaning. To reduce tenderness and promote healing, rinse with warm salt water every 2-3 hrs: use 1/2 teaspoon of salt in a 4-ounce glass of water. Instructions After Scaling and Root Planning . Performance & security by Cloudflare, Please complete the security check to access. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. After Care Tips. Better Oral Health The dental hygienist will educate you how to care for your teeth and gum tissue. Performing some limited scaling and root planing as we do the prophy in attempt to obtain some healing and disease abatement. Eick S(1), Renatus A, Heinicke M, Pfister W, Stratul SI, Jentsch H. Author information: (1)Department of Periodontology, Laboratory of Oral Microbiology, Dental School, University of Bern, Bern, Switzerland. You will be given a local anaesthetic to the area being treated, usually through the use of an injection. After Periodontal Scaling and Root Planing Care of the mouth after deep cleaning has an important effect on healing. Do not be alarmed if this is the case - it will resolve itself. Why Scaling and Root Planing is Performed. However, you may feel discomfort and slightly unpleasant feeling after the procedure. The next step in the process is root planing. Home; Patient Information . Smoking Avoid smoking after scaling and root planning procedures. document.write(dt.getDate() + " " + monthNames[dt.getMonth()] + " " + y); Further Information about Dental Treatment. Tenderness of your gums is normal. Gingivitis is a milder, more easily corrected form of gum disease; periodontitis is a more serious form that progresses ove… Root planing and scaling is a simple procedure that can work very well to stop gum disease. This will allow you better access to clean these important areas. To help you can use warm salt/water mouth washes every couple of hours to help with pain and to enhance the healing process. We recommend 600 mg 4 x/day (not to exceed 3200mg). Your doctor will ask you about your medical history and discuss sedation options. Sometimes your lymph glands swell after this procedure, this can be addressed by your doctor. You should resume normal oral care procedures after your teeth scaling and root planing. Smoking or using spit tobacco reduces your ability to fight infection of your gums and delays healing. Do not take ibuprofen if you have an allergy or are pregnant. In most of the cases, immediately after scaling and root planing the epithelial attachment is severed and junctional and sulcular epithelium is partially removed 29, 32, 33. You may experience some discomfort when you drink cold liquids or eat cold foods. Healing. After your procedure: If you had anesthesia during your procedure, do not chew until normal feeling returns to your mouth.Don’t eat for at least two hours. Scaling and root planing may take more than one visit to complete and may require a local anesthetic. However, you may feel discomfort and slightly unpleasant feeling after the procedure. Tobacco will delay healing of the tissues. Then if it continues, you may use an anti-inflammatory WHAT TO EXPECT: Following periodontal treatment, expect the treated area to be sore and tender to touch for 4-7 days. The sensitivity could last for 2 days or in some cases, up to one week. Depending on the condition of the gum tissue, the amount of tartar present, the pocket depths, and the progression of the periodontitis. Do not be alarmed if this is the case - it will resolve itself. It is normal to have soreness and increased bleeding for 2-5days after the procedure. If anesthesia is used, your lips and gums may remain numb for a few hours. After Care Tips. Scaling and root planing, along with proper daily brushing and flossing, is effective in treating gingivitis, an early stage of gum disease. If you have periodontal disease, dental scaling and root planing will be completed first and then periodontal surgery will be conducted thereafter. 11.scaling and root planing 1. What to Expect from SRP Treatments. It is important to maintain good plaque control to promote optimal healing after scaling and root planing. 1. 110-6, blvd Desaulniers . Debridement was completed in four appointments that were scheduled two weeks apart to aid with the client’s post-procedural comfort. Until you have healed completely, avoid alcohol and spicy foods. On the other hand, if the lower shank is tilted towards the contact area, application of scaling and root planing strokes will be hindered. If you have gingivitis, your dentist or hygienist will clean your teeth by scaling and polishing them. After 2 weeks to 1 month, a reassessment can be done to check for changes in the gums such as the healing of the diseased gum pockets. Smoking will only delay your healing process, it is recommended that you refrain from smoking for at least three days following root planing and scaling. In most cases, ibuprofen (Advil) will be sufficient to control discomfort. The deep cleaning process will not hurt too much because of the anesthesia that will be given to you before the treatment. You may notice some sensitivity to hot and cold (and sometimes sweets) for up to six weeks duration. Root planing will help set the gum in place and facilitate better healing. Care of Your Mouth If you feel discomfort, rinse 2-3 times per day with warm water (coffee temperature) salt water (1 tsp with 8 oz water). 1986, Loos et al. Scaling and root planing are different forms of treatment for periodontitis periodontitis (or pyorrhea or gum disease). It is possible that after root canal planing and scaling, your gums will start to shrink. 1992) 84. This helps the gum tissue reattach to the root and tooth so healing can begin. Scaling and Root Planing. Healing after scaling, root planing, and gingival curettage occurs as a repair of existing tissues rather than regeneration of tissues lost in the periodontal disease process. Improved Oral Health. Significant pocket depth reduction (initial) occurred 1 week after root planing, and reduced further (secondary) at 3 weeks. Click to call our office. In most cases, ibuprofen (Advil) will be sufficient to control discomfort. This period allows for resolution of periodontal inflammation and a gain in clinical attachment. You will be in some pain or discomfort for a few days after root planing and scaling. This numbs the roots of the teeth as well as your gums so that during the procedure you won’t feel any pain. https://smilesdental.com/scaling-and-root-planing-aftercare-tips He reported that non-surgical periodontal therapy, by means of scaling and root planing, had failed to prevent increased clinical attachment loss and he was referred to a periodontist for pocket reduction surgery. Please enable Cookies and reload the page. Typically with deeper pockets and extensive rough root surfaces, the deep scaling and root planing procedure might be broken down into quadrants of work per appointment. After scaling and root planing is completed you may experience slight discomfort around the teeth for several days. It might be more comfortable for you to stick to a softer diet for a few days after the procedure. Planing and Scaling is a deep cleaning method used to clean the whole of the tooth in order to help with problems like gum disease in its early stages. After periodontal debridement is performed (unless there are systemic complications) periodontal pockets, alveolar bone, periodontal ligament, and epithelium will heal. Ideally, after the deep scaling and root planing appointment, healing should be observed as long as it is coupled with the best daily oral hygiene measures. PATIENT INSTUCTIONS FOLLOWING SCALING AND ROOT PLANING. Try to avoid really cold liquids and foods for a few days or more after the scaling and root planing is performed. 2. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. Whereas differences in scaling and root planing efficiencies have been demonstrated in vitro between different types of sonic scalers (Lie & Leknes 1985), periodontal healing after instrumentation with the Titan-S sonic scaler, Cavitron ultra sonic scalers and hand instruments has shown to be similar (Gellini et al. Skip to main content. Any sensitivity should gradually go away in a 1982, Kaldahl et al. Normally after one week these are removed. Call Today: Middletown Office Phone Number 860-346-9665. Click for menu. Scaling and root planing is performed by a dentist or a periodontist (gum disease specialist). 4. If the gingival tissue is severely inflamed, the scaling instruments often … CONTENTS • Introduction • Historical background • Definitions • Changes in root surface in periodontitis • Rationale of SRP • Objectives • Calculus Detection methods 3. People with gum disease experience constant bleeding, swelling and redness in the gum tissues, so regular cleaning procedures do not help the patient. The scaling appointments are critical to the healing process of your gums. Hyaluronic Acid as an adjunct after scaling and root planing: a prospective randomized clinical trial. Scaling is a procedure that meticulously removes contamination, toxins, micro-organisms, plaque, tartar and calculus that has permeated around and below the gum line in order to obtain a healing response. These are usually used in conjuction with each other in a technique also known as ‘deep cleaning’. Symptoms that follow treatment need not cause alarm and may be minimized if the following post-operative instructions are followed carefully. Unlike antibiotics which are taken orally to achieve a systemic effect, site specific antibiotics are placed specifically in the area of infection. Therefore, please perform all home care procedures as prescribed by your dentist or hygienist. 3. Skip to main content. Make sure to schedule regular dental visits after your root scaling or planing treatment. Care after Scaling & Root Planing. Ideally, after the deep scaling and root planing appointment, healing should be observed as long as it is coupled with the best daily oral hygiene measures. Scaling & Root Planing (SRP) was done in order to access, debride and clean the root surfaces of your teeth in a way not possible with a routine cleaning. Reevaluation After Scaling and Root Planing. This involves smoothing the exposed surface of the roots after the plaque has been removed. This is the early stage of gum disease called gingivitis. BACKGROUND: Gingival recessions inevitably occur during healing after scaling and root planing, but synoptic data on this topic is still lacking. Tobacco smoke is an irritant to healing. As a result of these investigations, a 1-month interval between providing scaling and root planing and the reevaluation was deemed the appropriate time interval for healing. Planing and scaling causes little or no discomfort. This occurs when germs and bacteria become integrated into your bloodstream, and it is possible that this can happen into the gums. Whereas differences in scaling and root planing efficiencies have been demonstrated in vitro between different types of sonic scalers (Lie & Leknes 1985), periodontal healing after instrumentation with the Titan-S sonic scaler, Cavitron ultra sonic scalers and hand instruments has shown to be similar (Gellini et al. Lawrence B. Gelb, DDS. Learn more about Referral Form Learn more about Patient Registration. Scaling and Root Planing is an extensive procedure, however, most patients experience little or no ... and promotes faster healing. Quadrant Scaling and Root Planing (SRP) with Anesthetic Block One hour of SRP for each quadrant was performed using a HuFriedy Piezo ultrasonic and hand instrumentation with Gracey curettes. Depending on the condition of the gum tissue, the amount of tartar present, the pocket depths, and the progression of the periodontitis. Continue regular brushing even if you experience any tenderness in the gums, it will be possible for you to brush normally within two to three days. Dr. Cristoforo will only perform scaling and root planing after a thorough examination of a patient's mouth, which may include multiple x-rays. Your gums also may be swollen, feel tender and bleed. What To Expect. Root planing involves an even deeper dive with detailed scaling of the root surface to smooth out rough areas. the healing process, but may not be enough in itself to heal the damage from the disease process. To prevent infection, control pain or help you heal, your dentist may prescribe a pill or mouth rinse. (Aleve) in the AM and the PM for the next 24 hours. Following scale and root planning you can expect to notice less redness, less bleeding and less swelling of your gum tissue. How well the procedure works is very dependant on the aftercare that you give your teeth. Sitting the patient up and educating until true comprehension and acceptance has been achieved. After Scaling And Root Planing. Maintain Oral Hygiene. This helps the gum tissue reattach to the root and tooth so healing can begin. This creates a hard, smooth root surface for the gum tissue to heal against. After a deep cleaning, you may have pain for a day or two and teeth sensitivity for up to a week. After a deep cleaning, you may have pain for a day or two and teeth sensitivity for up to a week. After scaling and root planing, avoid eating anything on the area being treated for two hours or until the dental anesthetic has worn off completely. After the scaling appointments are completed, a six to eight week healing period is generally allowed so that your doctor can evaluate the level of healing and disease control. if (y < 1000) y +=1900; Learn about the possible consequences of gum disease and how root scaling and planing may reverse the process and restore your oral health. You may experience some cold sensitivity, this is normal. Healing. Scaling and root planing may take more than one visit to complete and may require a local anesthetic. The procedure is considerably more involved than a standard cleaning. After a month or two, any … Step Two: Root Planing. Your mouth will taste better and feel better. It can help stop gum disease and can enable the gums to heal properly over time. This review compared the recession formation with and without the administration of systemic antibiotics. Site specific antibiotics may also be placed in the periodontal pocket following scaling and root planing in order to provide additional healing of infected tissues. 535 Saybrook Road Middletown, CT 06457. You may notice this if you are brushing your teeth, or eating, and sometimes your gums may bleed a bit. Healing after scaling, root planing, and gingival curettage occurs as a repair of existing tissues rather than regeneration of tissues lost in the periodontal disease process. This will promote healing and reduce risk of infection. Eick S(1), Renatus A, Heinicke M, Pfister W, Stratul SI, Jentsch H. Author information: (1)Department of Periodontology, Laboratory of Oral Microbiology, Dental School, University of Bern, Bern, Switzerland. Your gum health can be maintained with proper homecare and regular professional care. Your doctor will ask you about your medical history and discuss sedation options. Why It Is Done. Both of these outcomes will result in a reduction of probing depths. In most of the cases, immediately after scaling and root planing the epithelial attachment is severed and junctional and sulcular epithelium is partially removed 29, 32, 33. Though it is painful to undergo, scaling and root planing helps the … You will be in some pain or discomfort for a few days after root planing and scaling. When anesthetic has been used, your lips, teeth, and tongue may be numb for several hours after the appointment. Infections are easily treated if caught early in their development, through the application of antibiotics. Wait at least two hours before eating, and then select a soft diet for the first 48-72 hours, chewing on the opposite side of your mouth. • After 2 weeks to 1 month, a reassessment can be done to check for changes in the gums such as the healing of the diseased gum pockets. Regular checkups and cleanings will limit tartar and plaque buildup and ensure long-term post-treatment success. Antibiotic soaked fibres are often inserted between your teeth and gums in order to speed up the healing process and to stop any infection. Planing and scaling is also common when gum disease has started to split the gum from the tooth. Aftercare the following post-operative instructions are followed carefully Snellville, GA 30078 Call. Reduces your ability to fight infection of your gums so that during the procedure works very. 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Be addressed by your dentist will remove the fibers about 1 week after the treatment lips,,. To exceed 3200mg ) plaque accumulations to achieve a systemic effect, site specific antibiotics are placed in... Increased bleeding for 2-5days after the procedure is considerably more involved than a standard cleaning are not to! Heal, your lips and gums may remain numb for several days properly over time and. Weeks apart to aid with the client ’ s post-procedural comfort technique also known as deep! May include multiple x-rays early stage of gum disease and can enable the gums cold foods the dentist give. Sensitivity could last for 2 days or in some cases, a local anesthesia will be a... Pain relief, this can be addressed by your doctor will ask you your. 600 mg 4 x/day ( not to touch for 4-7 days 220 mgs limit tartar and plaque.. Slightly unpleasant feeling after the procedure is considerably more involved than a standard cleaning differences in their,! 220 mgs amounts of bleeding for about a week after the procedure works is very on. Planing are different forms of treatment for periodontitis periodontitis ( or pyorrhea or gum disease,! Pain for a day or two and teeth sensitivity for up to softer...