PLEASE READ INSTRUCTIONS CAREFULLY.
Sometimes the after effects of treatment are quite minimal, so not all of these instructions may apply, common sense will often dictate what you should do. It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office where you had treatment. Please try to call during office hours, however, if an emergency exists contact the doctors at home. Calling during office hours will afford a faster response.
DAY OF SURGERY
Bite down gently but firmly on the denture that has been placed over the surgical area, making sure it remains in place. This will promote clotting and will decrease the initial flow of blood.
Do not disturb the surgical area today. DO NOT rinse vigorously or probe the area with any objects or your fingers. You may brush your teeth gently. DO NOT SMOKE for at least 48 hours, since it is very detrimental to healing.
Intermittent bleeding or oozing is normal. This bleeding can last for up to 2-3 days.
Bleeding should never be severe. If bleeding persists or becomes heavy, you may substitute a tea bag for your denture (soaked in hot water, squeezed damp-dry and wrapped in a moist gauze) for 20 or 30 minutes. If bleeding remains uncontrolled, please call our office.
Often there is some swelling associated with oral surgery. You can minimize this by using a cold pack or ice bag wrapped in a towel and applied firmly to face or cheek adjacent to the surgical area. This should be applied 20 minutes on and 20 minutes off during the first 12-24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed. After 24 hours, it is usually best to switch from ice to moist heat to the same areas.
Unfortunately most oral surgery is accompanied by some degree of discomfort. You may have a prescription for pain medication, and if you take the first dose before the anesthetic has worn off, you will be able to manage any discomfort better. Effects of pain medicines vary widely among individuals. If you do not achieve adequate relief, you may supplement each dose with an analgesic such as aspirin, ibuprofen, naproxen sodium (Aleve) or acetaminophen. Analgesics with anti-inflammatory effects such as ibuprofen, Aleve and aspirin often give better relief than acetaminophen. Remember that the most severe discomfort is usually within the first six hours after the anesthetic wears off: after that your need for medicine should lessen.
Nausea is not an uncommon event after surgery, and it is sometimes caused by stronger pain medicines. Preceding each pill with a small amount of soft food, then taking a pill with a large volume of water may reduce nausea. Try to keep taking clear liquids and minimize the pain medication, but call us if you do not feel better or if repeated vomiting is a problem. Cola drinks that have less carbonation may help with nausea.
Keep the denture or partial in until you go to sleep tonight. The denture should be taken out and rinsed and rinsed immediately put back in to prevent swelling.
Eat any nourishing food that can be taken with comfort. Temperature of the food doesn't matter, but avoid extremely hot foods. It is sometimes advisable, but not required, to confine the first day's intake to bland liquids or pureed foods (creamed soups, puddings, yogurt, milk shakes, etc.). Avoid foods like nuts, sunflower seeds, popcorn, etc., that may get lodged in the socket areas. Over the next several days you can progress to solid foods at your own pace. It is important not to skip meals! If you take nourishment regularly, you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits as much as possible and follow instructions from us or from your physician regarding your insulin schedule.
If you feel sharp edges in the surgical areas with your tongue, it is probably the bony walls, which originally supported the teeth. Occasionally, small slivers of bone may work themselves out during the first week or two after surgery. They are not pieces of tooth and, if necessary, we will remove them. Please call the office if you are concerned.