Post Operative Instructions

Do not rush to arrive for your appointment.
Give yourself plenty of time so that you can reach the office without feeling hurried.

Be calm and try to relax.
Fear often originates from the unknown. Please feel free to ask us any questions you might have. You may wish to consult Dr. Sandhu about a pre-medication which could help you with anxiety management. If you opt for pre-medication for anxiety control, you will need to bring a driver with you.

Be sure to eat a light meal before your appointment.
To maintain an adequate blood sugar level.

Please be confident that we will take good care of you.
All of our staff is available and willing to help you with any of your questions or concerns.

Following your surgery, you will be given complete post-operative instructions.
So that you will not have to shop immediately following the surgery, it may be helpful for you to have some of the following items in your home:

Ice cream, yogurt, milkshake, cottage cheese, sherbet, applesauce, jello,
or anything else that fits the description of cold/cool and soft foods.

Please take 600-800mg of ibuprofen (Advil) 1 hour before arriving for your dental appointment. If you have an allergy to ibuprofen or are unable to take this medication, please speak with Dr. Sandhu regarding an appropriate alternative.

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Periodontal Surgery - Post-operative Instructions

Periodontal Dressing:

The procedure you have undergone is a surgical one. A periodontal dressing is now in your mouth to protect the treated area and promote healing. This dressing will take approximately ½ hour to harden, during which time you should not eat or drink.

The dressing may not remain in place until your post-operative appointment, do not be alarmed if the dressing becomes loose or pieces break off during the course of the healing period.

 

First 24 Hours:

Do not rinse or take hot foods or fluids for 24 hours

During the first 24 hours drink and eat only cold/soft or cool/soft food and beverages

Avoid alcohol

After 24 hours you may rinse with warm salt water or an alcohol-free mouthwash

After 24 hours you may begin brushing and flossing your teeth as usual, BUT DO NOT BRUSH OR FLOSS THE OPERATED AREA OF THE MOUTH

After 24 hours have passed eat a semi-soft diet of fruit juice, yogurt, eggs, fish, ground meat, stew, cooked vegetables, pasta, soup, etc.

As a general rule avoid foods which are hard, sharp, spicy or contain small seeds


Bleeding:

Occasional bloodstains in the saliva for the first four or five hours are not unusual. If there is considerable bleeding beyond this point, fold a piece of gauze and apply it to the outside of the dressing, in the area of bleeding. Hold the gauze firmly in place for 15 minutes; do not remover the gauze during this period.

Repeat if necessary. If bleeding persists, contact the office.

Do not exercise or exert yourself. Take it easy. Activities that increase cardiovascular activity can increase the chances of bleeding. Do not engage in contact sports until you have returned to this office to have the packing and sutures removed.


Pain:

Continue to take 600mg to 800mg of ibuprofen or Advil every 6 to 8 hours. It is wise to eat before taking this medication.

Acetaminophen or Tylenol can be used in between in combination with the ibuprofen/Advil. Please speak with our office regarding the proper dosage.

Pain management is more effective if you take the medications before you are feeling discomfort.

Fill the prescription for an antimicrobial mouth rinse and use it as directed.


Swelling:

Swelling and bruising are not uncommon following a surgical procedure and need not cause alarm

To reduce or relieve swelling apply an ice bag or towel saturated in ice water against the cheek, 10 minutes on and 10minutes off. This can be repeated every ½ hour

Only apply ice for the first 24 hours, following this period of time ice will not help with swelling or bruising

Do not leave the ice on the cheek for a long period of time because it could actually bring swelling to the area.

If there is excessive bleeding, swelling, severe pain or any other problems,
Please do not hesitate to contact the office.

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Oral Surgery - Post-operative Care

1. Keep tongue and fingers away from the surgical area.

2. Do not rinse the mouth the same day as treatment. The following day, salt water rinse (1/2 teaspoon salt per glass of lukewarm water) may be used approximately 10 to 20 times daily and after eating. Gentle brushing of teeth may be resumed the day after surgery. Do not rinse if bleeding occurs.

3. Bleeding-Avoid spitting and rinsing if bleeding occurs. It is normal for saliva to be blood-streaked for a day or so. It is not normal for the mouth to fill with bright red blood at any time. Rarely, bleeding may start up many days after surgery. To stop bleeding – First, wipe away excess clot on gums before applying pressure. Continuous pressure is then applied by biting down on the gauze for at least 2 hours. An ordinary Tea Bag, wet or dry, may be used as a pack. Continuous hard pressure is needed to control the bleeding. Repeat if necessary.

4. Pain – Normally, pain becomes less severe with each passing post-operative day, and some discomfort is to be expected. The prescription for pain pills is provided for this. If severe pain persists or increases, call the office.

5. Swelling – This is a perfectly normal occurrence which can last up to 10 days. An ice pack may be used. Maximum swelling occurs 72 hours after surgery. On occasion, delayed swelling may occur from lower wisdom teeth sockets several weeks or months following surgery. The cause may be food debris accumulation. Antibiotics and cleaning of the socket may be indicated. CALL THE OFFICE.

6. Trismus – or inability to open mouth, is very common and can last from one to three weeks.

7. Diet – Patients can eat anything they are able to tolerate comfortably as soon as desired. Avoid hot or spicy foods for at least 24 hours post-operative. DO NOT DRINK THRU A STRAW for 24 hours. Maintain a soft diet for 48 hours.

8. Consulting your Physician – Please do not consult your physician for advice or treatment regarding post-operative oral surgery problems. Please call the office.

9. Bad Taste or odour in mouth – May be due to stitches and can be relieved by using a mouth wash.

10. Stitches – Will Dissolve spontaneously in anywhere from 3 – 10 days

11. Dentures – Do not remove the denture for at least 2 days. It is best to check with the dentist or therapist who has made your denture before removing.

12. Sharp Edges and pieces of socket bone – occur frequently. These usually disappear within 8-10 weeks. On occasion, it may be necessary to return to the office to have them removed. Call the office for advice.

13. Bruising of the skin-

(a) on arm: Also may be tender at site of injection along the arm. This is a mild inflammation of the blood vessel. It is not serious and could last 10-12 weeks.

(b) On facial area, especially in older patients and more likely if sutures are used. May last 1-2 weeks. Use cosmetic cover-up. May occur with relatively minor surgery. No specific treatment required.

14. Numbness, burning and tingling of lip, tongue, chin, teeth and gums – May occur in difficult lower extractions or removal of lower wisdom teeth. May last 6 months to one year. Very rarely permanent.

15. Sores or abrasions – May occasionally appear on the lips and corner of the mouth following the surgery. This is due to stretching during surgery. They may, on occasion, require a suture. Use Vaseline freely to keep moist.

16. Canker Sores- occasionally appear following surgery. Symptoms disappear in one week. No treatment.

17. Vehicle Operation and Alcohol – Patients are reminded not to operate vehicles or to drink alcohol when pain medication is taken. Patients are not to operate vehicles for 48 hours after a general anesthetic, and not to consume alcohol for 48 hours.

18. Smoking: Do not smoke for 72 hours following your oral surgery procedure.

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