Pre and Post Treatment Information


Occasionally, our patients need our help encouraging some teeth to come out. In those situations, we recommend that families not spend a lot of time talking to their children about the details involving an extraction. We find that simply saying that they are visiting us to help wiggle a tooth is sufficient. Following an extraction, there are a few simple things to keep in mind following an extraction. As you are leaving our office, we will provide you with a written handout reviewing these instructions, but for your convenience, please find that information below:

Post Extraction Instructions

Your child has received local anesthesia today as part of their dental treatment and is numb in the area of the extraction. Please watch your child carefully to prevent them from chewing, scratching or vigorously rubbing the numb area since they will feel no pain. The anesthesia will typically last 2-3 hours, although this time may vary Have your child bite on the gauze for 20-30 minutes, keeping firm pressure, which will help stop the bleeding. If the extraction site is still bleeding when you remove the gauze, place another piece over the area and have your child bite for an additional 15 minutes. You may repeat this as necessary.

Your child may drink as soon as the bleeding has stopped, although we recommend avoiding the use of straws for 24 hours.

As soon as the numbness has worn off, your child may eat. A soft diet is recommended (i.e. soup, yogurt, spaghetti, etc.) for the remainder of the day.

Beginning tomorrow, warm salt water rinses after meals will help to keep the extraction site clean, which will promote healing. Resume normal oral hygiene as soon as possible.

If there is any post treatment discomfort, you may give your child a normal dose of acetaminophen (Tylenol) or ibuprofen (Advil).

Our entire focus is ensuring that you have the best experience possible at SSCD! By working together, we can offer you the best results possible in the most comfortable manner possible. If you anticipate having any of the following procedures, we encourage you to learn more as to what you can do to prepare and care for yourself following treatment - and we offer you a few exciting before and after photos to give you an idea of what to look forward to! As you read this information, should you have any questions, please don't hesitate to contact us at (781) 383 0003.

Zoom Teeth Whitening

To ensure the best results for your Teeth Whitening procedure, we suggest that you have a thorough cleaning and exam in our office. We want to ensure that you receive the optimum benefit from this procedure - and we want to make sure that you are in the healthiest state possible before we perform the treatment. When you call to schedule your treatment appointment, we will initially book you for a consultation appointment. At this consultation, we will ensure that you have had a recent cleaning and exam - and determine the best course of action from there. You are on your way to a beautiful smile! Check out a few before and after photos so you can see some of the results our patients have enjoyed

Xeomin/Botox Injections

Before we proceed with your Xeomin/Botox injections, there are a few items for you to consider. When you call in to schedule your first appointment with us, we will book you for a consultation appointment. At this appointment, Dr. Henry Grazioso will review your history, offer you treatment recommendations, and move forward with the injections with your agreement. Below, please find links that we would like to offer you for review before and after your injections:

Pre-Treatment Information:

In an ideal situation, it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result and a great result, by reducing some possible side effects associated with the injections. We realize this is not always possible; however, minimizing these risks is always desirable.

  • Patient must be in good health with no active skin infections in the areas to be treated

  • Patient should not be needle phobic

  • Avoid alcoholic beverages at least 24 hours prior to treatment Alcohol may thin the blood which will increase the risk of bruising.

  • Avoid anti-inflammatory/blood thinning medications ideally, for a period of two (2) weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Ginkgo Biloba, St. John’s Wort, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections.

  • Schedule your Xeomin / Botox appointment at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, etc. etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.

 Post Treatment Information

The guidelines to follow post treatment have been followed for years, and are still employed today to prevent the possible side effect of ptosis (drooping of the eyelids). These measures should minimize the possibility of ptosis.

  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It is now known that it takes the toxin approximately 2 hours to bind itself to the nerve to start its work and because we do not want to increase circulation to that area to wash away the Xeomin or Botox from where it was injected.

  • Avoid manipulation of the area for 3-4 hours following treatment. (For the same reasons listed above.) This includes not doing a facial, peel, or microdermabrasion after treatment with Xeomin or Botox.

  • It can take 2 -10 days to take full effect. A complimentary follow-up visit will be booked for two weeks post treatment to review results in person with the Doctor.

  • Makeup may be applied before leaving the office.

Please contact us if you have any questions or concerns regarding the above recommendations.

Check out these before and after photos!