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Post Op Instructions (For Surgical Procedures)


When should you notify the doctor?


1.  If Bleeding continues after 3-4 hours of applied pressure
2.  If you are unable to maintain a nutritious diet after 48 hours
3.  If the pain and or/swelling increases after the third day
4.  If an oral bandage or suture (stitches) become dislodged prior to the third day
5.  If you have an allergic reaction to medication such as:
•  Skin Rash
•  Hives
•  Elevated temperature
•  Increased and/ or erratic heart rate
•  Nausea/Vomiting/Diarrhea
•  Blurred Vision

General Instructions


1.  DO NOT Smoke for 72 hours
2.  DO NOT exercise or do heavy lifting for 3 to 5 days after the surgery
3.  DO NOT close your nose and mouth if have to sneeze or cough, it increases the chance of complications.
4.  DO NOT use a straw when consuming liquids: the sucking action will cause a vacuum in the mouth, and may dislodge the clot that is forming.

What to expect following any surgery


Bleeding:

A gauze compress has been placed over the surgical wound and should be kept in place with light pressure for two hours. Following removal of this gauze, some oozing is normal and to be expected for 24 hours, as is a day two of blood tinged saliva following surgery. If the bleeding is more than an ooze, gently wipe away excess blood. Place a new wet gauze roll directly over the surgical site for not less than one hour. SPITTING AND RINSING ON THE DAY OF SURGERY CAUSES BLEEDING! DO NOT SPIT OR RINSE ON THE DAY OF SURGERY! Additionally, any exercise, including excessive talk or walking, may prolong bleeding.Rest quietly and keep your head elevated (2 Pillows) following surgery. Call if unusual bleeding persists.

Swelling:

Swelling is part of the healing process and can be expected after oral surgery. The degree of swelling is extremely variable and generally takes a day or so to reach its maximum, and then a number of days to return to normal. An ice pack should be applied to the face, 20 minutes off and on, for the first 36 hours. Use warm moist heat after 72 hours.

Discomfort:

The maximum discomfort usually occurs during the first 12 hours following surgery then generally will begin to subside. If discomfort continues after 3 or 4 days, if slow improvement is not noticed, or if the pain is increasing, return to the dental office.

Rinsing and bruising:

DO NOT rinse on the day of the surgery (after the surgery), Begin brushing teeth with a soft brush the day after surgery. You can rinse with salt water after 24 hours (1tsp salt per 8oz of warm water.

Antibiotics:

Make sure you take all the pills as prescribed.

Diet:

Cold/cool soft diet (egg, jello, yogurt, ice cream, etc.) for the first day, then slowly work to solid foods. Avoid acidic foods such as tomatoes, oranges, soda and citrus fruits, Drink plenty of fluids (for patents who have an All-on-4 Procedure, remain on a soft food diet for at least three months, click here to download the PDF for soft food guidelines).

Boney Edges:

Small bone fragments may work through the gums during the healing process: these are NOT roots. If troublesome, return to the dental office for simple removal. Generally, these will work through on their own.
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