Pre/Post Procedure Instructions
Instructions Following Oral Surgery
Remember that you have just had MINOR SURGERY.
Be kind to yourself!
A few days after the extraction of a tooth, the wound usually heals to the point where you can function normally. In the meantime, you should follow a few simple rules to help promote healing, prevent complications, and make yourself more comfortable.
- Medication - Do not take any medication containing aspirin.
Bleeding - Your dentist will place a gauze pack on the extraction site to limit bleeding and confine the blood while clotting takes place. This gauze pack should be left in place for 30 to 45 minutes after you leave the office. Do not chew on this pack. If bleeding or oozing continues after the pack is removed, follow this procedure:
- Fold a piece of clean gauze into a pad thick enough to bite on. Dampen the pad and place it directly on the extraction site.
- Apply moderate pressure by closing the teeth firmly over this pad. Maintain this pressure for about 30 minutes. Repeat if necessary.
- Do not suck on the extraction site. (Remember that a lot of saliva and a little blood may look like a lot of bleeding.)
- You may spit saliva once in a while.
- If heavy bleeding continues, call our office.
Blood Clotting - After an extraction, a blood clot forms in the tooth socket. This clot is part of the normal healing process. It is important to avoid activities that might disturb the clot. Here's what you should do to protect it:
- Do not smoke, rinse your mouth vigorously, or drink through a straw for 24 hours. These activities create suction in the mouth which could dislodge the clot and delay healing.
- Do not clean the teeth next to the healing tooth socket for the rest of the day. You should, however, brush and floss.
- Limit strenuous activity for 24 hours after the extraction. This will reduce bleeding and help the blood clot to form.
- Swelling - An ice bag should be applied to the face directly over the site of the wound for the first 24 hours, at 20 minute intervals.
- Diet - Avoid alcoholic beverages and hot liquids. Begin eating solid foods the next day or as soon as you can chew comfortably. For about 2 days, try to chew food on the side opposite to the extraction site.
- Rinsing - The day after the extraction, gently rinse your mouth with warm salt water (1/2 tsp. of salt in one glass of warm water). Rinsing after meals is important to keep food particles out of the extraction site, but remember not to rinse your mouth vigorously.
Post-Operative Instructions for Periodontal Procedures
The following information will explain how you should care for yourself after your periodontal procedure.
- Medications - Take all medication that the doctor has prescribed and in the manner directed. Do not take any medication containing aspirin. If the doctor has prescribed some pain medication, you may need to take that the first 3 days. After that, take only as needed.
- Diet It will be most comfortable to eat on the side where there is no dressing. Initially soft foods will be easiest to chew. In addition, for the first few hours after the procedure do not have very hot liquids.
- Swelling - To minimize swelling, ice packs should be utilized as soon after your visit as possible. The ice should be placed for 20 minutes on and 10 minutes off continuously until bedtime or for 5 hours. Swelling may occur either immediately or several days after and may last for several days. When swelling is present 24 hours after the procedure, apply heat (preferably moist) to the area.
- Bleeding - Some blood may be noticed in your saliva for a few hours, this is normal. If excessive bleeding begins, take several mouthfuls of ice cold water and hold in the area. DO NOT FLUSH VIGOROUSLY. Also, sit quietly in an upright position. If this is not sufficient, moisten a tea bag and place on the area and bite down on it.
- Dressing - The dressing around your teeth acts as a bandage and is to remain in place until your next appointment. DO NOT BRUSH THIS AREA. Small pieces may be dislodged without harm. However, if a large portion comes off or is loose and there is sensitivity, please call the office.
- Fever - A slight fever or chills may occur. If the fever persists for more than 24 hours report this to the doctor.
- Oral Hygiene Keep all areas clean using the materials given to you.
- Extractions - If an extraction was performed during surgery, place a wet folded piece of gauze on the extraction site for 45 minutes. Check the area. If bleeding still occurs, place another piece of gauze and remain biting down until bleeding stops. A moistened tea bag may also be used if you run out of gauze.
NO SMOKING FOR 24 HOURS. Start rinsing with peridex/listerine the same day of surgery 2 times a day.
EXPECT AND DON'T BE CONCERNED BY:
- Slight oozing of blood for 24 hours
- Swelling which occurs in the first 24 hours after surgery
- Increase in swelling between 24 and 48 hours
- Pain or discomfort which may be controlled but not eliminated by these instructions and/or pain pills
- Discoloration of the skin around the surgical site.
CONTACT THE DOCTOR IN CASE OF THE FOLLOWING:
- Profuse uncontrolled bleeding
- Severe uncontrollable pain, especially if it begins after 24 hours
- Swelling which has its onset 48 hours after surgery
- Elevated temperature (over 101 o F)
ANY QUESTIONS OR CONCERNS CALL THE OFFICE (954-204-3639). A Doctor is always on Call.
Pre-Operative Instructions for General Anesthesia & Sedation
The anesthesia/sedation will be administered by a combination of breathing mask and intravenous medications. You will also receive a local anesthetic (numbing) after you are sedated to keep you comfortable immediately after your procedure.
No food or drink should be taken within six hours of the appointment time. This includes water.
- REASON: Your stomach should be empty of food and liquid to minimize the possibility of vomiting.
- EXCEPTION: Persons taking medications may do so, as directed, with a small sip of water. Please discuss medications with us to avoid any confusion.
Loose clothing should be worn with short sleeves. Contact lenses and jewelry must not be worn during the procedure. Also, makeup and false eyelashes should be removed.
- REASON: A blood pressure cuff will be placed on your arm, and we must also listen to your heart and lung sounds. We also wish to avoid the inconvenience of misplaced or lost personal items.
- Morning procedure - Nothing to eat or drink after midnight. You may brush your teeth and rinse. Afternoon procedure (1:00 p.m. or later) - nothing to eat or drink after 7:00 a.m., however you may have a clear liquid breakfast before 7:00 a.m.
- Consume no alcoholic beverages the night before or the day of the procedure.
After the Procedure any patient accepting anesthesia/sedation, must agree:
- Not to drive a vehicle or operate any machinery within the same day;
- Not to undertake any responsible business matters within the same day; and
- Not to take any medications without approval.
- THE PATIENT MUST BE DRIVEN HOME BY A RESPONSIBLE ADULT!!
**AT THE TIME YOUR APPOINTMENT IS MADE, YOU WILL BE ASKED TO PAY A DEPOSIT TO RESERVE YOUR APPOINTMENT TIME. THE BALANCE OF THE TREATMENT FEE IS TO BE PAID ON THE DAY OF THE ANESTHESIA APPOINTMENT, UNLESS OTHER ARRANGEMENTS HAVE BEEN AGREED TO.
72 HOURS NOTICE IS REQUIRED TO CHANGE OR CANCEL YOUR APPOINTMENT. IF THIS NOTICE IS NOT GIVEN, YOUR DEPOSIT WILL BE FORFEITED.