Dr. Jeffrey Rozinka & Dr. Steven Weith
375 Jackson St. Ste. 200
Saint Paul, MN 55101
Call for an appointment at (651) 222-0983

Composite (tooth colored) fillings

When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite yourself or burn your tongue or lip while numb.

It is normal to experience some hot, cold & pressure sensitivity after your appointment. The sensitivity can last up to several months. Injection sites may be sore. Ibuprofen (motrin), Tylenol or aspirin work well to alleviate the tenderness.

You may chew on your composite fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.

If your bite feels uneven, or if you have persistent pain, or if you have other questions or concerns please call us at (651) 222-0983

Crown or Bridge

Crown or bridges usually take two or three appointments to complete. In the first visit the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the permanent restoration is being made. Because the tooth being worked on will be anesthetized, the tongue, lips and/or roof of the mouth will be numb. Please refrain from eating until the numbness is completely worn off. It is also not advisable to drink hot beverages while ones mouth is numb; it is very easy to burn moth and not know it.

Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.

To keep your temporary in place, avoid eating sticky foods (candy & gum), hard foods, if possible chew on opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up with the floss which may dislodge the temporary. Pull floss out from the side of temporary crown.

It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after placement of the final restoration. Mild pain medications may also be used as directed by our office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns please call us at (651) 222-0983

Root Canal

If your tooth hurts when you chew on it, it is still healing and you need to chew on the other side of your mouth until the pain is gone. Some teeth swell in the socket and feel “higher” than the other teeth, disrupting the healing process. If this happens, call us to schedule an appointment so they can adjust your bite to prevent this tooth from hurting so hard when you bite.

You may be put on an antibiotic for a short period of time following root canal therapy. It is very important that you continue to take the prescription until it is gone. If necessary you may take 800 mg of ibuprofen to help control some of the discomfort that occurs for a short period of time after root canal therapy is completed.

If you experience any swelling and were not initially prescribed an antibiotic or have pain that continues longer then 2 days, please call our office. If you are experiencing moderate or severe swelling, particularly near your eye or down your neck contact us or urgent care immediately.

Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on the gauze pad for 10-20 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 20 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, brush near extraction site, drink alcohol or carbonated beverages for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding form extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack applied to the area will help to keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated time, even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious soft food on the day of extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing at least once a day. This will speed healing and keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding and severe pain, continued swelling for 2-3 days, or have a reaction to the medication, call us at (651) 222-0983


We will furnish you with necessary prescriptions. Please take these as directed on the instruction sheet. Call us if you have any questions or if you experience any discomfort taking a medication.

Some swelling is normal after surgery. The use of a cold pack is very helpful during the first 24 hours to control swelling. Hold a cold pack on for 20 minutes at a time. Warm (not hot!) packs may be used after the second day to speed the healing process if the pack feels comfortable to use.

If upper implants have been placed, please do not blow your nose hard or block a sneeze for the first two weeks. This will help prevent an irritation of the sinus floor near the implants.

If implants have been placed in the lower jaw, there is a possibility you will experience some tingling or numbness in the lower lip for a short time. This can occur from the swelling putting pressure on the nerve canal. This feeling is normally very temporary. The anesthetic is long acting and may last the entire first day.

Keep the mouth as clean as possible with normal brushing and flossing, but avoid the surgery area. DO NOT RINSE vigorously for the first 24 hours. The second day you may start rinsing gently with warm salt water. For the first two weeks, use the soft red brush we have given you around any teeth with sutures near them. You may apply Peridex with this brush if it was prescribed for you. It is common and normal to see the silver colored healing cover either right away or during the bone growth healing period. You can brush this like you would your natural teeth.

Dentures and partials can usually be worn after surgery. However, leaving them out as much as possible the first week will reduce the irritation of the surgical site. Always eat a soft but nutritious diet for the first week.

Do not put pressure on or play with the sutures with your tongue. If you detect any symptoms that you are unsure of, please contact us right away.

Office phone: 651-222-0983


  1. Try to exercise your treated muscles for 1-2 hours after treatment (e.g., practice frowning, raising your eyebrows or squinting). This helps to work the BOTOX® into your muscles, and may improve the treatment result.
  2. For the first four hours after your treatment, DO NOT rub or massage the treated areas or participate in strenuous exercise, and avoid facials or saunas. These activities may increase your blood pressure, leading to a greater likelihood of temporary bruising. Feel free to shower and go about most other regular daily activities. DO NOT lie down for 4 hours after treatment to avoid pressure on the treated areas (from your pillow) and the risk of having the areas rubbed accidentally.
  3. Be assured that any tiny bumps or marks will go away within a few hours. If you need to apply make-up within 4 hours after treatment, use a GENTLE touch to avoid rubbing the treated areas.
  4. BOTOX® treatment may require up to 14 days to take full effect. Please wait until the 14 days have passed before assessing whether you are pleased with the results.
  5. Dr. Rozinka may need to see you in 2 weeks for a follow-up assessment. This will enable him to make an initial evaluation of how your facial muscles reacted to the treatment. If you require more BOTOX® to adjust the results, it can be administered during this appointment at an additional cost. For medical reasons, your treatment results will be photographed and documented in your confidential profile.
  6. The effects of BOTOX® are temporary. The results from your first treatment will often last up to 3-4 months, and it is important that you return for the next treatment before the effects have completely worn off. This allows Dr. Rozinka to see how your individual facial muscles responded to the previous treatment, enabling him to fine-tune the quantity and placement of the BOTOX® for optimal results. If you continue to receive treatments at the frequency recommended by Dr. Rozinka, you may find that you are able to gradually lengthen the intervals between treatments.