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Post OP Instructions




 Extractions
  • For an hour after surgery, you should place pressure on the gauze pad covering the extraction site. If bleeding continues, apply new gauze and pressure for and additional 45 minutes.
  • After surgery, place a cold compress on your face near the extraction site for 20 minutes. Remove for 10 minutes. Repeat.
  • Do not eat or drink hot foods and beverages after surgery.
  • Do not rinse your mouth.
  • Do not use a straw.
  • Do not spit.
  • Do not drink carbonated beverages.
  • Do not brush your teeth on the day of the surgery. Then resume normal home care, gently brushing and flossing.
  • Some bruising, swelling, and pain are normal – particularly if you have had a wisdom tooth extraction. Take your prescribed medication and use a cold compress on your face.
  • Plan to eat soft foods, such as soups, milkshakes, fruit juice, and yogurt, for 2-3 days.
  • Do not bite your lips, cheeks, or scrape your gums. Children should be watched carefully to make sure they don’t do this. It will damage soft tissues and result in pain.
  • For minor bleeding after 1 hour from surgery place a black tea bag in warm water and seep for 2 mins. Place tea bag over extraction site and firmily bite down for 20 minutes. If still bleeding call the office.

Bone Graft

The following information applies when grafting material has been placed into extraction sites to help preserve your jaw bone in preparation for possible implant replacement of the extracted tooth.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed: it’s normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:

  • Do not disturb or touch the wound.
  • Avoid rinsing or spitting for 2 days (48 hours) to allow blood clot and graft material stabilization.
  • Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
  • Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
  • Do not smoke.
  • For mild discomfort, take Tylenol® or ibuprofen every 3–4 hours.
  • For severe pain, use the medication prescribed to you.

Following the second day, gentle rinsing is allowed but not too vigorously, as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you may have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.

Implant Placement

  • Do not rinse or spit for 24 hours after surgery.
  • Keep your fingers and tongue away from the socket or surgical area.
  • Use ice packs on the surgical area (side of face) for the first 48 hours; apply ice 20 minutes on and 10 minutes off. (Note: Bags of frozen peas work well.)
  • For mild discomfort, take Tylenol® or ibuprofen every 3–4 hours.
  • For severe pain, use the medication prescribed to you.
  • Drink plenty of fluids. (Do not use a straw—this creates suction in the mouth that could cause complications.)
  • We suggest that you do not smoke for at least 5 days after surgery.
  • Avoid strenuous activity and do not exercise for at least 3–4 days after surgery. After that, be careful: your regular caloric and fluid intake have been reduced, so you may get light-headed, dizzy, or weak.
  • If the muscles of the jaw become stiff, the use of warm moist heat to the outside of your face over the spots that are stiff will relax these muscles.
  • After the first post-operative day, use a warm salt water rinse following meals for the first week to flush out particles of food and debris that may lodge in the surgical area. (Mix ½ teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)
  • Your diet should consist mainly of soft, easily swallowed foods and cool drinks. Avoid anything that might get stuck in your teeth, so no seeds, nuts, rice, popcorn, or similar foods.
 Sinus Lift

The following information applies when upper jaw bone height or width have been lost. The graft is placed to help restore your jaw bone in preparation for possible implant replacement of the missing tooth or teeth.

This procedure regains lost bone height in the back portion of your upper jaw. It is an important procedure, as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.

The bone that has been grafted is most commonly a combination of freeze-dried bone, artificial synthetic bone, and your own bone. Because of this, you may have two post-surgical wounds: the donor site and the recipient site.

Do not under any circumstances blow your nose or sneeze holding your nose for the next 4 weeks. This may be longer if indicated. You may sniff all you like butno blowing.

Anything that causes pressure in your nasal cavity must be avoided.

  • Do not blow your nose or sneeze holding your nose.
  • Sneeze with your mouth open.
  • Do not drink with straws and do not spit.
  • Scuba diving and flying in pressurized aircraft may also increase sinus pressure and should be avoided.
  • Avoid bearing down, such as when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action, or any other activity that increases nasal or oral pressure.
  • Smoking must be stopped. If necessary, nicotine patches can be prescribed.

Decongestants such as Drixoral®, Dimetapp®, or Sudafed® will help reduce pressure in the sinuses. You will also be given a prescription for antibiotics. Please take these as directed.

 
 Root Canal
  • Sensitivity should subside after a few days.
  • Take your prescribed medication as directed.
  • Because a temporary filling is in the tooth, do not bite hard for one hour after your appointment. Once the permanent filling is in place, chew carefully on the opposite side of your mouth.
  • Do not bite your lips, cheeks, or scrape your gums. Children should be watched carefully to make sure they don’t do this. It will damage soft tissues and result in pain.
  • Sensitivity to cold and heat, as well as any soreness, should go away in a few days.
  • Brush and floss gently.

 

Root Planing and Scaling/Deep Cleaning

Scaling and Root Planing therapy involves removing bacterial plaque and tartar from the root surface below the gum line. This reduces inflammation/infection and allows re-attachment of the gums to the root surface. The depth of the periodontal pockets is reduced thus allowing more efficient flossing and brushing.

For the First 24 Hours:

  • Do not eat or drink hot foods until the effect of anesthetic wears off.
  • No vigorous physical exercise.
  • Do not use a straw or sucking motions.
  • Do not smoke or consume alcoholic beverages for at least 48 hours.
  • Do not eat food that is extreme in temperature or spicy.

Things to Do:

  • For any discomfort, you can take ibuprofen (Advil) or acetaminophen (Tylenol).
  • Consume a soft diet for a day or two and chew on of opposite side of the treated area.
  • Rinse with a warm salt water rinse, one teaspoon in an 8 oz. glass of water, three times a day.
  • Gently brush and floss the treated area for a few days. Then resume normal brushing in a week or until the soreness is gone. 
  • Rinse with chlorhexidine gluconate (Peridex) if prescribed, for at least 30 seconds twice daily.

As the gums heal they will appear to be pink, less swollen, and will bleed less when you floss.