Important Guidelines

It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth.

The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.

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Dental Implant & Periodontal Surgery

After your procedure, please read over these instructions carefully and follow each instruction listed below:

  • No smoking for 3 days.
  • Use ice packs on the outer part of your face for the first TWO days. Apply the ice pack for 15-20 minutes then remove it for 15-20 minutes, keep repeating this for a few hours for TWO days. This will help decrease swelling.
  • If there is still some swelling after two days, switch to a heating pad instead of ice packs. Apply the heating pad in microwave. similar manner. If you do not have a heating pad, you can use a wet wash cloth that has been heated in the microwave.
  • Do NOT brush or floss the surgical site until told to do so. Instead use Peridex as a mouthrinse GENTLY after you brush other areas of your mouth to keep the surgical site clean.
    1) If checked, you may start dabbing the surgical site with a Peridex saturated cotton swab (front and back) AFTER 2 weeks.
    2)  Once the sutures dissolve from your palate, you can start brushing that area normally.
  • You may also GENTLY rinse with warm salt water as much as needed. This will speed up healing and soothe the gums.
  • No drinking through a straw or spitting. That means after you are done rinsing, GENTLY let the mouthwash or saltwater out of your mouth rather than forcefully spitting it out.
  • You can expect some bleeding for the first 3 days. This is usually a little bit of blood mixed with a lot of spit so do not worry. If there is an area that does not stop bleeding, use some clean gauze or a tea bag to apply firm pressure to that site for 5 MINUTES.
  • Stick to a soft food diet for 1 week after your procedure and eat on the opposite side of your mouth. You may eat hard like chips, pretzels, or hard candy. things like yogurt, well cooked noodles, mashed potatoes, omelets, soup, steamed vegetables. DO NOT eat anything hard like chips, pretzels, or hard candy.
  • Avoid any food/drink that is too hot, too cold, or spicy for THREE days. This is for your own comfort.
  • Take all your prescriptions as directed. Always eat some food before taking any medications that were prescribed. As a summary:
    1) Take ibuprofen 600mg every 6 hours for the first THREE days regardless if you are having pain or not. Use as needed afterwards. It is always easier to control pain by taking medicine BEFORE you start feeling a lot of pain. Do NOT exceed 3000mg of ibuprofen (5 tablets) per day.
    2) Take 650mg of acetaminophen (Tylenol) on an as needed basis every 6 hours if you need additional pain per day. relief. DO NOT stop taking your ibuprofen if you take Tylenol. Do NOT exceed 4000mg of acetominophen
    3) Use Peridex as directed above
  • Use an extra pillow at night to keep your head slightly elevated the night of the procedure.
  • Avoid any strenuous physical activity for the next 2-3 days to prevent severe bleeding.
  •  Do not play with the sutures with your tongue. Do not lift your lip up to try to see where the surgery was done. Let the surgical site stay as still possible to ensure the best healing.
    1) You have sutures on your palate that will dissolve on their own
    2) You have sutures that will be removed after a few weeks of healing. If they become loose before you are scheduled to have them removed, please call the office.

Please do not hesitate to call me or the dental office if you have any questions about these instructions!

Extractions

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

  • Gelatin
  • Pudding
  • Yogurt
  • Mashed Potatoes
  • Ice Cream
  • Thin Soups
  • Other food you can eat without chewing.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.

Crowns and Bridges

Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.

White Fillings (Bonding)

After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.

Scaling and Root Planing

After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.

Veneers

Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.

Reach out to our friendly office at 925-634-6111

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