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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. In case of serious
emergencies call 911.
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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. 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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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. 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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