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of these instructions.
of the mouth after surgery has an important effect on healing. Swelling,
discomfort, bleeding and restricted jaw opening may occur, depending
on the extent and location of the surgery. These problems need not
cause alarm and may be minimized if the following instructions are
is to be expected. A folded gauze sponge has been placed in
the areas of surgery prior to your leaving the office. Keep
gauze pack in place for two hours with constant, firm biting
pressure. After 2 hours, or as directed, remove the gauze. Usually,
the gauze sponges will be moist and red. This does not mean
that there is active bleeding, but only that there was bleeding
at the time of surgery. To determine whether there is active
bleeding, look in a mirror. If you see no blood in your mouth
except for a small amount immediately around the surgical site(s),
or streaked in the saliva, then the bleeding has stopped and
the gauze sponges may be left out. If there is any active bleeding,
place another folded sponge (or a moistened tea bag) over the
surgical area(s) and bite firmly for several more hours, with
constant pressure. Repeat as needed until bleeding stops. Avoid
spitting, excessive use of your jaws, sipping through straws
and rinsing your mouth. If in bed, assume a semi-upright position
to help stop the bleeding. Place a towel on your pillow to prevent
staining the linen with blood, which may be in your saliva for
several days after surgery. Firm, continuous biting pressure
on gauze placed in the surgical area(s) is the most effective
means of stopping bleeding. If excessive bleeding persists,
please call our office.
pain medication has been prescribed, take as directed. Otherwise,
take Advil, Extra Strength Tylenol or other pain medication with
which you are familiar. If you develop a rash or if you become nauseated,
discontinue the medication and contact this office. Do not drive
or operate machinery while taking medications.
it has been suggested, apply ice to the face in the area(s) of surgery,
as soon as you arrive home. Place ice bag or cold towels to face,
10 minutes on and 5 minutes off. The ice may be placed in a plastic
bag and covered with a thin towel or a dish towel before applying
to the face. Use the ice as much as possible for the remainder of
the day and the next day as well. Facial swelling normally reaches
its peak two to four days after surgery and then gradually disappears
over a period of several days.
If you experience nausea or vomiting, sips of cola or other carbonated
soda may be helpful. The prescribed pain medication may cause nausea
and may have to be discontinued. Contact this office if the nausea
Pain medication may cause dizziness. You must be careful, especially
when getting up or going to the bathroom. There have been instances
of patients falling because of dizziness.
you natural inclination as to diet, but avoid foods that are
hard in consistency. If eating causes pain or bleeding, limit
yourself to liquids and soft foods. The more extensive the surgery,
e.g. impacted teeth, the more you should modify your diet. Patients
who have had impacted teeth removed should begin to take liquids
only, after the bleeding has stopped. The liquid diet (soups,
juices, soft ice cream, blenderized foods, etc.) should be continued
until more solid food can be taken gradually with comfort and
without disturbing the area(s) of surgery. Adequate nutrition
and fluids are important to insure rapid healing.
Do not rinse your mouth on the day of surgery. The day after surgery,
if bleeding has stopped, rinse with warm salt water (1/2 teaspoon
salt/glass of warm water) 5 to 6 times daily after eating and for
the next few days between meals. The teeth may be given their usual
care, except for the operated area(s) which should be treated more
gently. Do not blow your nose or spit forcibly until the following
Avoid smoking after surgery. Smoke is an irritant and may delay
not drink alcoholic beverages. Alcohol may react adversely with
the drugs you have taken or have been prescribed.
and the corners of the mouth become irritated by stretching of the
mouth during surgery. Keep them lubricated with Vaseline to avoid
dryness, cracking and soreness.
Do not be alarmed if a yellow blue-black discoloration appears on
your face and/or neck after surgery. It will take a week or more
to fade away.
you are given a prescription for an antibiotic, have it filled and
take all of the medication according to the instructions on the
sutures (stitches) are placed. Although you may feel them with your
tongue, it is best to leave them alone. Gut sutures will dissolve
or fall out in 2-5 days. If silk or synthetic suture materials are
used, they will be removed by your doctor on your next visit.
Following any oral surgical procedure (particularly the removal
of impacted lower wisdom teeth) several undesirable effects may
- You may
have pain that becomes worse after a few days and does not respond
to the medication you are taking. This may indicate an inflammation
of the bone socket. It is necessary for you to call the office
and arrange to come in for a sedative dressing.
- Other teeth
on the same side may ache temporarily.
- You may
have a sore throat or earache for a few days.
- If the
medication you are taking does not make you comfortable, call
- If you
develop a fever, call the office.
of the lower lip may persist on the same side as the surgery.
Mention this at your post-operative visit.
- There may
be a "hole" in your gum after surgery. This is the tooth socket.
It will fill in with time. Rinse your mouth after meals to keep
- After teeth
are removed you may feel hard, sharp projections in your mouth.
These are usually portions of the bone that surround the roots.
They will usually disappear gradually, but if they are annoying,
return to our office for further examination.
can occur weeks following tooth removal. If you notice renewed
pain, swelling, or drainage, please contact our office.
- Jaw joint
pain and noises may occur following oral surgery. Please advise
us if these symptoms persist.
- Jaw stiffness
or limited opening of the mouth are expected consequences of tooth
removal and should resolve gradually.
it rarely occurs, removal of teeth can weaken the jaw, making
it more susceptible to fracture. Please advise us if you notice
a change in your bite or in the way your teeth come together.
- If you
are in doubt about your post-operative course, phone the office.
To make certain healing is progressing satisfactorily, you should
return to the office for your post-operative visits at the suggested
times. However, feel free to call if you are having any problems
before your next visit.
CASE OF PROBLEMS, OR IF YOU HAVE ANY QUESTIONS, PLEASE CALL
OUR OFFICE AT (415) 587-1200 OR E-MAIL US AT SMILE@RAGADIO.COM.
Appointments? email@example.com or (415) 587-1200
© Copyright 2004 Ragadio Dental Group, Inc. All rights reserved.