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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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