General Guidelines for all procedures:
Do not chew on hard, sticky or chewy foods for a least 24 hours. Never chew on ice. Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration. Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene. Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions. In the event of an emergency, please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.
Instructions Following Implant/Bone Graft/Sinus Lift Surgery:
- Avoid blowing your nose.
- Try to sneeze with your mouth open.
- Do not spit or cough forcefully.
- Do not drink through a straw.
- Scuba diving and flying in pressurized aircraft should be avoided.
- Avoid bearing down during exertion, lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure.
- The doctor may also recommend a nasal decongestant to help drain and reduce pressure in the sinuses (e.g. Mucinex, Sudafed or Coricidin).
Instructions Following Dental and Wisdom Teeth Extractions:
STARTING 48 Hours after surgery, carefully but thoroughly flush all lower surgical sites after every meal and at bedtime using a 50/50 mixture of water and Peridex/Periogard (when prescribed). Place the tip of the syringe into the mixture, and pull back on the syringe to load. Position the plastic tip of the syringe slightly into the opening or incision above the extraction site. Slowly flush each lower socket with one or two full syringes of the liquid. This is best accomplished initially by looking in a mirror with your mouth well lighted (a flashlight helps!). Be sure to continue the irrigation of each site until the areas look clean, and further attempts yield no more food particles or other debris.
You can expect bruising to appear 2-3 days after surgery, the amount of bruising depends on the extent of the surgical procedure. Areas of probable bruising would include the face, chin, neck and chest. Use ice packs on the day of surgery and the day following surgery. After 48 hours use warm, moist heat every day until the bruising dissipates (may take up to a week). This process will help reduce the amount and duration of bruising.
Avoid blowing your nose, try to sneeze with your mouth open, do not spit or cough forcefully, do not drink through a straw, scuba diving and flying in pressurized aircraft may also increase sinus pressure and should be avoided, avoid bearing down during exertion, lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. The doctor may also recommend a nasal decongestant to help drain and reduce pressure in the sinuses (e.g. Mucinex, Sudafed or Coricidin).
Additional Post-Op Instructions:
- The swollen area may become quite large and increase in size for 2-3 days.
- Stiffness of the muscles may cause difficulty in opening the mouth.
- You may have a slight earache.
- A sore throat may develop.
- Numbness about the corners of the mouth, on the tongue, lip or chin on the side from which the surgery was done may develop. This is most often a temporary condition, which will usually correct itself. It may remain anywhere from a few days to a few weeks.
- Your other teeth may ache temporarily. This is called sympathetic pain and is a temporary condition.
- If the corners of the mouth are stretched, they may dry and crack. Your lips should be kept moist with a cream or ointment such as Vaseline or cold cream.
- There will be an opening where the tooth was removed. This area should be rinsed following meals with warm salt water or diluted mouthwash. This space will gradually fill in with new tissue.
- Bruising may occur on the outside of the face near the area of surgery. This occurrence is not unusual and will resolve itself within several days.
- There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify this office.
- Sutures (stitches) may be used to close the surgical wound. They will be removed at a subsequent office visit, if they are not the type which dissolve.
- Do not blow your nose for 3 weeks.
- Sneeze with your mouth open for 3 weeks.
- Do not smoke for 3 weeks.
- Sniffing in occasionally is okay, if you feel your nose is runny.
- Take antibiotics as directed.
- Take over-the-counter or prescribed decongestant as directed 2-4 times a day for 2 weeks.
- It is not uncommon to experience a nosebleed after your procedure and you should not be concerned. It usually will resolve on its own within a day or two.