Post-Operative Instructions
A certain amount of bleeding, pain, and swelling is normal. Reduce your activity as much as possible for several hours. Avoid eating, drinking, and unnecessary talking. Do not rinse your mouth or brush your teeth for 12 hours. These activities may hinder formation of a blood clot which is necessary for proper healing.
Do not be alarmed if your vision is blurred for a time following anesthesia or if a "black and blue" bruise should appear at the site of an injection. The arm also may be "black and blue", swollen and tender to the touch due to the IV.
Follow the simple instructions below to minimize complications and help ensure prompt recovery.
To Control Bleeding
Immediately following the procedure
. . .keep a steady pressure on the bleeding area by biting firmly on the gauze placed there by your doctor. Pressure helps reduce bleeding and permits formation of a clot in the tooth socket. Gently remove the compress after the local anesthesia has worn off and normal feeling has returned.
After 24 hours... some oozing of blood may persist. If necessary, resume use of moist tea bags. After bleeding has stopped, cautiously resume oral hygiene.
Patients who have had sinus elevation surgery should expect a nose bleed after surgery. Please sleep with two pillows to keep the head upright.
To Relieve Pain
Immediately following the procedure... begin taking medication as directed by your doctor to minimize discomfort when the anesthesia wears off and feeling is back to normal. Application of an ice bag can also help relieve discomfort.
After 24 hours, continue to take your medication if pain persists, and use an ice bag if needed.
To Minimize Swelling
Immediately following the procedure
. . .apply an ice bag over the affected area. Use 20 minutes on and 20 minutes off for 24 hours to help prevent excessive swelling and discomfort. If an ice bag is unavailable, simply fill a heavy plastic bag with crushed ice. Tie end securely and cover with a soft cloth to avoid skin irritation.
After 24 hours. . . it should not be necessary to continue with cold applications 12 hours after surgery. Rinse mouth gently with a solution of one-half teaspoonful of salt dissolved in a glass of water. Repeat after every meal or snack for seven days. Rinsing is important because it removes food particles and debris from the surgical area and thus helps prevent infection and promote healing. Brush tongue with a dry toothbrush to keep bacteria growth down, but be careful not to touch the surgical site.
Resume your regular tooth brushing, but avoid disturbing the surgical site so as not to loosen or remove the blood clot.
Maintain a Proper Diet
Have your meals at the usual time. Eat soft, nutritious foods and drink plenty of liquids - with meals and in between. Have what you wish, but be careful not to disturb the blood clot. Add solid foods to your diet as soon as they are comfortable to chew.
In case of problems
You should experience no problems if you follow the instructions and suggestions as outlined. But if you should have any problems such as excessive bleeding, pain, or difficulty in opening your mouth, call our office immediately for further instructions or additional treatment.
Remember Your Follow-up Visit
It is often advisable to return for a postoperative visit to make certain healing is progressing satisfactorily. A follow-up visit will be scheduled. In the meantime, maintain a healthful diet, observe rules for proper oral hygiene, and visit your dentist for regular checkups.
At the Advanced Implant and Perio Center we always have your comfort and healing in mind. Dr. Parrish and Dr. Schroering will always use resorbable sutures to avoid the discomfort of removing these during your post-op visit. Expect these sutures to come out on their own within 7 to 14 days.
After Tooth Extractions
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.
After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for the next 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as it will increase blood pressure and increase bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
Perioguard
Please do not rinse with Perioguard immediately after surgery. Wait 3 days until resuming this treatment.
After the first post-operative day use the Perioguard as prescribed and/or use a warm salt-water rinse following meals for the first week to flush out particles of food and debris which may lodge in the surgical area. (1/2 teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)
Temporary crowns:
If your temporary crown comes off accidentally, please call our office to have this recemented. Please do not return to another dentist for this procedure. Please do not bite or chew on this temporary crown because it may damage the implant.
Pain Medicine:
Please take all medication until finished, with the exception of the pain medicine. You may not need the pain medicine after the first day of surgery. But please continue taking the pain medicine if you feel you need this to control discomfort.
Healing abutments:
These may become lose in the mouth. Please try to screw this back into place with your fingers if possible and call our office immediately so we can tighten this back into place.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days, you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling two or three days, or a reaction to the medication, call our office immediately at (502)-899-3000 or (812)-948-0000.