POST-OPERATIVE INSTRUCTIONS
When you arrive for your post-op appointment, stay in your car and call the office to let us know that you have arrived and we will let you know when to come up to the office.
*** PLEASE READ THESE INSTRUCTIONS CAREFULLY***
Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, when in doubt follow these guidelines or call our office for clarification. Our number is: (702)253-9090. If you have a severe medication reaction (swelling or difficulty breathing), go to the nearest emergency room immediately and have them contact us.
DAY OF SURGERY
Patient should be supervised in the immediate post discharge period by a responsible adult for at least 12-24 hours.
BLEEDING: Do not use gauze unless you can see bleeding coming from the surgical site. If active bleeding starts, place enough new gauze to obtain pressure over the surgical site for another 20 minutes. The gauze may then be changed as necessary (typically every 20 minutes). If you cannot control the bleeding after 20 minute tries, please call our office immediately or go to the nearest emergency room and have the doctor contact us. It is best to moisten the gauze with tap water and loosely fluff for more comfortable positioning.
EXERCISE CARE: Do not disturb the surgical area today. Do NOT rinse vigorously or probe the area with any objects. You may brush your teeth gently. PLEASE DO NOT SMOKE for at least 48 hours, since this is very detrimental to healing and may cause a dry socket.
OOZING: Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the areas and biting on the gauze for 20 minutes at a time.
PERSISTENT BLEEDING: Bleeding should never be severe. If, so it usually means that the packs are being clenched between teeth only and are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy you may substitute a tea bag (soaked in very hot water, squeezed damp- dry and wrapped in a moist gauze) for 20 minutes. If bleeding remains uncontrolled, please call our office immediately or go to the nearest emergency room and have the doctor contact us.
SWELLING: Swelling is often associated with oral surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied 20 minutes on and 20 minutes off during the first 24hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.
PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off and set your alarm clock to take the medication at regular intervals during the night, you should be able to manage any discomfort better. Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced. Also, it is helpful if you lie down for 30 minutes after you take medication for pain. The effects of pain medication vary widely among individuals. If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as aspirin or ibuprofen. Some patients may even require two of the pain pills at one time. Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medicine should lessen. If you find you are taking large amounts of pain medicine at frequent intervals, please call our office. If you anticipate needing more prescription medication for the weekend, you must call for a refill during weekday business hours.
NAUSEA: Nausea is not uncommon after surgery. Sometimes pain medications are the cause. Nausea can be reduced by preceding each pain pill with a small amount of soft food, and taking the pill with a large volume of water. Lie down for 30 minutes after you take a pain pill. This is a very effective way to prevent nausea. Try to keep taking clear fluids and minimize dosing of pain medication, but call us if you do not feel better. Taking sips of Classic Coca Cola may help with nausea.
DIET: Eat any nourishing food that can be taken with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is sometimes advisable, but not absolutely required, to confine the first day's intake to liquids or pureed foods (soups, pudding, yogurt, milk shakes, etc..). It is best to avoid foods like nuts, sunflower seeds, popcorn, etc.., which may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. it is very 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 or follow instructions given by your doctor.
SHARP EDGES: If you feel something hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following week or so. If they cause concern or discomfort, please call our office.
INSTRUCTIONS FOR THE SECOND AND THIRD DAYS
MOUTH RINSES: Keeping your mouth clean after surgery is essential. Use 1/4 teaspoon of salt dissolved in 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least two or three times daily.
BRUSHING: Begin your normal oral hygiene routine as soon as possible after surgery. Soreness and swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort.
HOT APPLICATIONS: After 72 hours, you may apply warm compresses to the skin over the areas of swelling (hot water bottle or hot moist towels ) for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness.
HEALING: Normal healing after tooth extraction should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the post- operative course should be gradual, steady improvement. If you don't see continued improvement, please call our office. If you are given a plastic irrigating syringe, DO NOT use it for the first five days. Then use it daily according to the instructions until you are certain the tooth socket has closed completely and that there is no chance of any food particles lodging in the socket.
It is our desire that recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call our office. A 24-hour answering service is available to contact the doctor. Calling during office hours will afford a faster response to your question or concern. If you are still experiencing pain after I week please contact our office immediately.
PLEASE NOTE: Telephone calls for narcotic (pain killer) prescription refill are ONLY accepted during office hours and before Friday.