Oral Surgery - Post Operative Care

1. Keep tongue and fingers away from 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 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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