To help you be more comfortable and to promote healing we ask that you rest for the first four hours after surgery. You should avoid eating and drinking for that period to allow the clot to stabilize and local anesthetic to wear off.
Keep fingers and tongue away from surgical area.
DO NOT smoke for at least 5 days after surgery.
ICE: Use ice packs on surgical area (side of face) for first 4 hours, apply ice 20 minutes on and then 10 minutes off. Bags of frozen peas work well.
PAIN CONTROL: For mild discomfort, take Tylenol or ibuprofen every six hours. For severe pain, CALL THE OFFICE. If the muscles of the jaw become stiff, chewing gum at intervals will help relax the muscles. (DO NOT DO THIS UNTIL DAY 4)
ACTIVITY: A certain amount of bleeding, pain, and swelling is normal. Reduce your activity as much as possible for several hours. Avoid eating, drinking, and unnecessary talking. These activities may hinder proper healing in the first few hours. Immediately following the procedure, begin taking medication as directed by your doctor to minimize the discomfort when the anesthesia wears off and feeling is back to normal. On the night of surgery, it is best to sleep elevated with pillows to reduce swelling.
BONE GRAFTING: If applicable, a prepared bone graft has been placed into the extraction site to Help preserve your jaw bone and upper maxillary bone to prepare for implant Placement of the extracted tooth area. Your bone graft is made up of many particles that form scaffolding for your own bone to attach to. Some of the small granules may come apart and you will find then in your mouth several days after surgery. Do not be alarmed by these, it is normal to have this happen.
TO CONTROL BLEEDING: A certain amount of bleeding is to be expected after surgery. Immediately following procedure, keep steady pressure over the surgical site. Pressure helps reduce bleeding and permits formation of a clot. Gently remove the compress after one hour. If bleeding persists, place another compress and again keep steady pressure on the area for one hour. If bleeding persists, a moist teabag should be held firmly in the area of the bleeding for 30 minutes. Up to 24 hours after surgery, some oozing of blood may persist. After bleeding has stopped, cautiously resume oral hygiene.
ORAL HYGIENE IS IMPORTANT DO NOT RINSE OR SPIT FOR THE FIRST 24 HOURS Starting on the day after surgery, use a warm salt water rinse (1/2) teaspoon of salt in a glass of warm water at least 4 or 5 times a day. If Peridex (Chlorhexidine) oral rinse was prescribed, use it full strength beginning on the day after surgery. Gently rinse one capful in your mouth by moving your tongue back and forth, DO NOT puff out your cheeks. Let the liquid gently fall out of your mouth over the sink. NO SPITTING for the first 24 hours. Use twice a day after tooth brushing. Brush with a soft bristle tooth brush and tooth paste along with flossing starting on the day after surgery and continued at least twice a day. Please be very careful not to disturb the graft area. Remember, your mouth will heal faster and better if you maintain excellent oral hygiene.
MAINTAIN A PROPER DIET: After the first 4 hours and the numbness has worn off, have your meals at the usual time. Eat soft, nutritious foods and drink plenty of liquids with meals and in between. Diet may consist of soft foods which can be easily chewed and swallowed. No seed, nuts, rice, popcorn, etc. Nothing with small seeds like strawberries or cucumbers. Cut up food in small pieces. No biting down hard. Eat foods with the consistency of pasta and fish. Add solid foods to your diet as soon as they are comfortable to chew. ***** For wisdom teeth extractions only: Add solid foods to your diet as soon as they are comfortable to chew.
IN CASE OF A PROBLEM If you should have any problems, such as excessive bleeding, pain, or difficulty opening your mouth, call our office immediately at 941-625-4421 during office hours or 941-809-5415 after hours for further instructions or additional treatment.
REMEMBER YOUR FOLLOW UP VISIT
You are scheduled to return for a postoperative visit to make certain healing is progressing satisfactorily. In the meantime, maintain a healthful diet, observe rules for proper oral hygiene, and call our office if you have any questions or concerns.