Postoperative instructions following wisdom tooth extraction
TO CONTROL BLEEDING:
Place gauze over the operative site and bite firmly for the first hour to hour and a half, changing gauze every 10-15 minutes. Please note gauze should not be used for any longer than an hour and a half. Some slight oozing may persist for the first 24-48 hours. This is normal and does not require gauze. If heavy bleeding should resume, moisten then squeeze excess liquid from a tea bag. Bite on the tea bag for approximately 20 minutes and remove. If heavy bleeding should continue please call the office.
Do not rinse, spit, use a straw or smoke today. Starting in 24 hours you may gently rinse the mouth with warm salt water (1/4 tsp salt, 1/2 glass of warm water) 3-4 times daily. Rinsing is important. It keeps the surgical area clean, and promotes healing. You may resume brushing and flossing the day of the procedure, being careful of the surgical area for the first few days.
In the event that you have pain, take 2 ibuprofen or 2 Tylenol every 4 hours. If a prescription for pain medication has been given to you, take it as directed with something in your stomach as pain medications may cause nausea.
Patients taking medication to relieve pain or other drugs that may impair reflexes should not operate machinery, cars etc. while taking these drugs. If antibiotics are prescribed they should be taken as directed until the prescription runs out.
Eat soft nutritious foods and drink plenty of liquids. Fruit juices, frappes, milk shakes, tonic, ice cream, Jell-O, custards, hot cereals, eggs, soups, pastas and fish are all easily tolerated. You may resume a normal diet as soon as it is comfortable to chew.
This is usually a natural reaction of the body to surgery in the oral cavity. Swelling will normally increase over the first 3-4 days. An ice bag applied to the area will help minimize the amount of swelling. Apply the ice 15 minutes on and 15 minutes off during the day of surgery. After 24 hours it should not be necessary to continue cold application. Bruising or some slight discoloration may accompany swelling, this should also be considered normal.
Continued proper oral hygiene is imperative. Normal care should be maintained, but the surgical area should be excluded from care involved in brushing, flossing, dental irrigation appliances etc. until the surgical site begins to feel better.
Sleep with two pillows. By elevating your head while resting or at bedtime you can minimize both discomfort and swelling.
The use of Vaseline, chap stick or face cream to the lips and corners of the mouth will help keep them from becoming sore.
Some difficulty opening the mouth can accompany some difficult oral surgical procedures. This, like swelling, is part of the normal postoperative course.
Numbness of the lip or tongue may also occur. This is usually temporary and will disappear with time.
A low grade fever may occur following surgery and should be no cause for alarm.
Postoperative instructions for patients receiving osseointegrated implants
1. Keep gauze pads over the surgical site for at least one hour postoperatively, changing the gauze every 15 minutes. If any bleeding persists, re-apply the gauze using gentle pressure for an additional hour. A small amount of oozing is normal for the first 24-48 hours.
2. Do not rinse your mouth vigorously during the first 24 hours after surgery. If prescribed, you should use the Peridex(chlorohexadine) mouth rinse as directed.
3. Use an elevated headrest or an extra pillow for the first 2 nights after your surgery to help reduce swelling and aching.
4. Ice packs on the outside of your face may help to reduce swelling, bruising, and discomfort. Use the ice pack 30 minutes on and 30 minutes off as much as possible for the first 2 days following surgery.
5. If your implant is placed near your sinus you may experience some very slight bleeding postoperatively. This is generally normal and should resolve.
6. Try to avoid chewing on the surgical site for at least one week.
7. Try to maintain a soft diet after the surgery.
8. Avoid smoking, this has an adverse effect on implant success rates.
9. Follow directions carefully for prescribed medications. Patients taking medication to relieve pain or other drugs that may impair reflexes should not operate machinery, cars etc. while taking these drugs.
10. Do not use use your prosthesis (denture or flipper) until it has been relined or you have been instructed to do otherwise.
11. Continued proper oral hygiene is imperative. Normal brushing of the rest of your mouth can be resumed immediately with care being taken around the implant site.
12. A low grade fever may occur following surgery and should be no cause for alarm.
It is important to follow these instructions during the first 2 weeks after your surgery to ensure good healing. If you have any questions or problems please contact the office.
Postoperative Instructions for Biopsy
1. Place moistened gauze over the surgical site. Keep moistened gauze over the area for approximately 30 minutes, changing the gauze 1-2 times in the 30 minute period. After 30 minutes you should no longer require gauze. A small amount of oozing is normal for the first 24-48 hours.
2. Do not rinse the mouth the first day. Starting 24 hours after your surgery, you may begin warm salt water rinses (1/4 tsp of salt and 1/2 glass warm water) 2-3 times a day for several days.
3. In the event that you have some discomfort, you may try over the counter medication (Tylenol, Advil, Aleve etc.) for pain relief. Prescription pain medication may be prescribed by the doctor if necessary.
4. There are no dietary restrictions, however, spicy, salty or acidic foods may irritate the biopsy site.
5. Patients taking medication to relieve pain or other drugs that may impair reflexes should not operate machinery, cars etc. while taking these drugs. If antibiotics are prescribed they should be taken as directed until the prescription runs out.
If you have any questions or concerns please contact the office.