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Please select 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.
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1- Do not eat on your new filling for one
hour and until your numbness is gone.
2- If you are supervising children who had
fillings done, make sure they don t bite on their numb lips or tongue (it can
cause serious injury to their soft tissue).
3- Do not bite hard or chew on silver Amalgam
fillings for 24 hours.
4- You may experience cold and heat
sensitivity and some soreness on your gum, this usually subsides in few days.
5- Call our office if you experience pain or
discomfort for more than a few days after the fillings, or if you have any
questions.
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1- Crown and bridges usually take 2 or 3
appointments to complete. On the first appointment the tooth/teeth are prepared
and impressions are taken and a temporary crown is placed on your tooth/teeth.
2- You may experience sensitivity, gum
soreness and slight discomfort on the tooth / teeth, it should subside after the
placement of permanent crown.
3- Whenever anesthesia is used, avoid chewing
on your teeth until the numbness has worn off.
4- Temporary crown is usually made of plastic
based material or soft metal. It could break if too much pressure is placed on
it. The crown also may come off; if it does, save the crown and call our office.
The temporary crown is placed to protect the tooth and prevent other teeth to
move. If it comes off it should be replaced. To avoid losing your temporary,
avoid chewing on sticky and hard food (chewing gum, ice). Try to chew on the
opposite side of the treatment as much as possible.
5- After the permanent restoration is placed
you may feel slight pressure for a few days. Also, the bite may feel different
for a day or two. But if the bite feels uneven or you feel discomfort on chewing
on the tooth after 2-3 days call our office. Delaying the necessary adjustments
may damage the tooth permanently.
6- Continue your normal brushing but be
careful while flossing around the temporaries (remove the floss gently from the
side).
7- Call our office if you are in pain or if
you have any questions.
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1- You may experience moderate pain and
sensitivity to pressure on your tooth. Also, you may feel gum soreness for few
days after your treatment. The healing process may take several days but the
pain and discomfort should subside gradually.
2- Take any medication that was prescribed
for you according to instructions.
3- Usually a temporary filling has been
placed on your tooth, do not bite on the tooth for one hour and while you are
numb. Also, until the permanent restoration is placed, be very gentle with the
tooth. Try to chew with the opposite side.
4- Continue your brushing and flossing.
5- Follow up with the placement of your
permanent restoration as you have been advised. Any unnecessary delay on
placement of final restoration may damage the tooth permanently.
6- Call our office if you are in severe pain
or experience swelling or if you have any questions.
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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 pressure and
discomfort on your teeth.
2- Be gentle with braces and avoid chewing
hard and/or sticky food.
3- Brushing and flossing around braces are
sometimes challenging but very important.
4- Call our office 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.
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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.
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1- You will experience some discomfort with
any new denture for a few days. All new dentures need several adjustments to
completely and comfortably fit your mouth.
2- You should take the dentures out every
night and keep them in a clean container containing water or denture cleaning
solution. Your gum needs rest and to be without the dentures every day for a
period of time.
3- Clean dentures thoroughly with brush and
water before putting them back in your mouth.
4- It may be difficult to talk normally with
the new denture for a few days. A way to practice is to read a book or newspaper
out loud for a period of time everyday. Your tongue and muscles will get used to
the new denture and you will talk normally very soon.
5- Call our office if you are experiencing
pain, discomfort or if you have any questions.
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1. Swelling, minor pain and / or skin
discoloration may be experienced following the surgical procedure. This will be
temporary.
2. In order to keep the swelling to a minimum,
use an ice pack for the first few hours (on for 10 minutes and off for 5
minutes).
3. The dayafter
the surgery use lukewarm water rinses for the treated area following each
meal. This should continue for the first 3 days following the surgical
procedure.
4. Eat only soft foods. Avoid hard and chewy
foods.
5. Get plenty of rest and insure normal intake
of food, especially liquids such as fruit juices, soup, and milk. Use a vitamin
supplement if desired. Try not to sleep on the operated area for 2-3 days.
6. DO NOT raise your lips with your fingers to
inspect the treated area.
7. DO NOT brush teeth near the surgical
site. Brush teeth in the rest of your mouth.
8. There is often a temporary loss of
feeling in the operated area and the tooth may feel loose.
9. Take medications according to the
instructions.
10. Should any difficulties occur, do not
hesitate to
call our office anytime.
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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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