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the procedure you had to see a summary of post-op instructions. Call
us if you have any questions:
1- Pressure should be placed on the gauze pad that has been
placed on the extraction site for one hour. If the bleeding
continues new gauze should be placed and pressed on for another 45
minutes.
2- If you are supervising children who have had extraction done,
make sure they don t bite on their numb lips or tongue (it can cause
serious injury to their soft tissue).
3- Avoid eating or drinking anything hot on the day of your
extraction. Also, do not rinse your mouth, do not use a straw for
drinking. Do not spit and do not drink carbonated beverages. Do not
brush on the day of the surgery; you can resume your brushing and
flossing the day after, gently.
4-You may experience some pain, bruising around your lips and/or
some swelling, especially after extraction of impacted wisdom teeth.
Ice bag application and medication prescribed for you will help to
minimize your discomfort.
5- Please take all the medication you have received based on the
instructions given to you.
6- During the first 2-3 days after the surgery a diet of soft
food and liquids is recommended (soup, yogurt, milk shake and
juice).
7- For more complex Surgical Procedures including Impacted Wisdom
Tooth Extraction, Implant Surgical Procedures, etc; you will receive
an ice wrap which should be worn for the rest of the day and until
you go to bed on the day of surgery only (10 minutes on and 5
minutes off). Individual instructions for various surgical
treatments will have some unique directions which will be supplied
to you at the time of your treatment.
8- Call our office if you experience excessive bleeding, severe
pain or swelling or if you have any questions or concerns. In case
of serious emergencies call 911.
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1- You may experience some cold and heat sensitivity (especially
after deep cleaning).
2- If you have received anesthesia do not eat anything until the
numbness has worn off.
3- Continue your regular brushing and flossing.
4- Some bleeding for a day or two after cleaning is normal, but
if you experience any excessive bleeding call our office.
5- Call our office if you are in pain or if you have any
questions.
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1- You may experience some pain, swelling and bleeding after the
surgery.
2- Take all the prescribed medications based on given
instruction.
3- Apply an ice bag on your face over the surgical site on the
day of surgery for 10 minutes on and 5 minutes off.
4- Keep your next appointment on time for removal of sutures and
follow up checks.
5- DO NOT raise your lips with your fingers to inspect the
treated area.
6- DO NOT brush teeth near the surgical site. Brush teeth in the
rest of your mouth.
7- There is often a temporary loss of feeling in the operated
area and the tooth may feel loose.
8- Do not smoke, spit or use a straw on the day of the surgery
(avoid smoking for a few days after the surgery).
9- Should any difficulties occur, do not hesitate to
call our office anytime. In case of an
extreme urgency call 911.
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1- You may experience some discomfort and bleeding the day of the
surgery.
2- Take all the prescribed medications based on given
instructions.
3- Apply an ice bag on your face over the surgical site on the
day of surgery for 10 minutes on and 5 minutes off.
4- Keep your next appointment on time for removal of sutures and
follow up checks.
5- DO NOT raise your lips with your fingers to inspect the
treated area.
6- DO NOT brush teeth near the surgical site. Brush teeth in the
rest of your mouth.
7- There is often a temporary loss of feeling in the operated
area and the tooth may feel loose.
8- Do not smoke, spit or use a straw on the day of the surgery
(avoid smoking for a few days after the surgery).
9- Should any difficulties occur, do not hesitate to
call our office anytime. In case of an
extreme urgency call 911.
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You have just had surgery completed for the reduction of
periodontal pocketing and/or for replacement of bone in an area
where pathology existed; or in conjunction with endosseous dental
implant surgical placement with or without platelet addition to the
bone graft. You will be advised of the particular procedure and
pertinent directions relative to your treatment modality. Whether
you were put to sleep for this procedure or were only given local
anesthesia, the post operative directions remain the same.
You will have several sutures (stitches) placed at the surgical
site. These sutures may or may not be resorbable. If you have been
told that you have received external silk sutures they have to be
removed by us. The sutures will cause a pulling of your tissue over
the bone grafting site. Since the bone graft site will have
approximately 15 % more bone fill than what was naturally there, it
is imperative that you do not pull up your lips or cheeks to show or
examine the area. The undue pressure will cause the sutures to widen
away from the surgical site, expose bone, create more pain, and
delay healing dramatically. This delay can lead to the need for the
area to be sutured again when you are seen for your 1 week post
surgical evaluation. The sutures will remain in place for between 14
and 21 days depending on the size of the graft, the severity of the
pathology, and the condition of the tissue being sutured.
Your doctor will tell you what time period to expect. Remember
though that this is not etched in stone, and that the doctor may
extend the time before your sutures are removed to assure adequate
healing and to avoid surgical regression.
You also may have a periodontal pack placed over the surgical
site. The pack is pink in color, impregnated with antibiotic, and
will protect the surgical site form infection and any wash out of
the particulate bone utilized to restore your jaw. The pack should
be left in place for as long as possible. If a pack is placed the
doctor will remove the packing on your 1 week followup and decide if
the packing should be replaced or kept off. Usually the packing is
kept on for 7 to 10 days minimally. You must return to the office if
your pack falls off before you are seen for your 1 week follow up.
Your maintenance during healing has to be completed carefully. You
can brush in every area where the periodontal pack is not placed. It
is imperative that you use NOTHING ASTRINGENT such as mouth wash or
antiseptic solutions during the healing period of your bone
graft. Listerine, Viadent, and any other potentially caustic agent
can RUIN your bone grafting procedure, if contaminated, and require
a replacement bone graft. Doctor and our staff will reiterate this
with you at, during, and after your bone graft surgical procedure.
After the first stages of healing is satisfactory, we will deliver
and instruct you on how to use normal saline (with or without the
addition of salt), and irrigation syringes for cleaning of the
surgical site.
Since bone grows and heals slowly, and requires conditions conducive
to a proper environment and blood supply, it is imperative that
immediately after your bone graft that you alter your diet, as you
would for any Oral Surgical procedure. This means that you should
not eat anything that is too large, too hot, or too sticky. Your
food should be tepid or on the cool side. Any food too hot will have
a deleterious affect on your surgical procedure. Common sense must
be used in determining what should be done or not done. If for some
reason you have a question about anything post surgically, please
call the office and we will inform you of the proper action to take.
Smoking after any Oral Surgical procedure will ALWAYS delay or badly
disrupt normal healing due to a decrease in oxygenation of the
tissue that is healing. Smoking should therefore be stopped for the
first 7 to 10 days to allow for adequate initial tissue
closure. Complete epithilization (closure) and wound healing
normally takes a minimal of 21 days from the day the surgery was
completed under ideal healing conditions and no other underlying
systemic causes such as Diabetes Melitus, etc.
Bone grafting is a very predictable surgical procedure when done
correctly and when patient cooperation is adhered to. Please try to
be reasonable in understanding that this procedure has inherent
risks associated with it as stated in your informed consents. Some
of these risks are also pertinent to your post operative care.
We want nothing more than a perfect outcome with the surgical
procedures that you are having done to rehabilitate your bone. This
can only be attainable with proper cooperation from you. Please
always feel free to communicate with us, at any time, to make sure
that the procedures that you are having completed are properly
maintained. No question is ever perceived by our office as being
silly or unreasonable. We would rather have questions answered
immediately than to have a chance that the procedure will not go as
planned, especially from omissions that are preventable.
Please also remember, as stated above, and as outlined on your
informed consents, that there are some occasions that no matter what
is done that the outcome is not perfect. There are even infrequent
instances when a surgery may have to be redone that are neither the
doctors or the patients fault.
Thank you
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