*** FRACTURE PATIENTS CLICK HERE FOR SPECIAL INSTRUCTIONS ***
*** ALL PATIENTS PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY ***
the after-effects of oral surgery are quite minimal, so not all of the
instructions may apply. Common sense
will often dictate what you should do.
However, when in doubt follow these guidelines or call our office for
clarification. Our number is: (859)
DAY OF SURGERY
FIRST HOUR: Bite down gently but firmly on the gauze packs that
have been placed over the surgical areas, making sure they remain in
place. Do not change them for the first
hour unless the bleeding is not controlled.
The packs may be gently removed after one hour. If active bleeding persists, place enough new
gauze to obtain pressure over the surgical site for another 30 minutes. The gauze may then be changed as necessary
(typically every 30 to 45 minutes). It
is best to moisten the gauze with tap water and loosely fluff for more
EXERCISE CARE: Do not
disturb the surgical area today. Do NOT rinse vigorously or probe the area
with any objects. You may brush your
teeth gently. PLEASE DO NOT SMOKE for at least 48 hours, since this is very
detrimental to healing and may cause a dry socket.
bleeding or oozing overnight is normal. Bleeding
may be controlled by placing fresh gauze over the areas and biting on the gauze
for 30-45 minutes at a time.
Bleeding should never be severe.
If so, it usually means that the packs are being clenched between teeth
only and are not exerting pressure on the surgical areas. Try repositioning the
packs. If bleeding persists or becomes
heavy you may substitute a tea bag
(soaked in warm water, squeezed damp-dry and wrapped in a
moist gauze) for 20 or 30 minutes.
If bleeding remains uncontrolled, please call our office.
SWELLING: Swelling is often
associated with oral surgery. It can be
minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a
towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and
twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the
control of swelling, be sure to take it as directed.
PAIN: Unfortunately most
oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain
medication. If you take the first pill before the anesthetic has worn off, you
should be able to manage any discomfort better. After your pain pill, wait an hour, then take 3 Advil or 600 mg Ibuprofen. You can repeat this cycle 3 times during the day if needed.
Some patients find that stronger pain medicine
causes nausea, but if you precede each pain pill with a small amount of food,
chances for nausea will be reduced. Do not take any medication on a empty stomach. The
effects of pain medications vary widely among individuals. If you do not achieve adequate relief at
first, you may supplement each pain pill with an analgesic such as
Ibuprofen. Some patients may even
require two of the pain pills at one time.
Remember that the most severe pain is usually within six hours after the
local anesthetic wears off; after that your need for medicine should
lessen. If you find you are taking large amounts of pain medicine at
frequent intervals, please call our office.
If you anticipate needing more prescription medication for the weekend,
you must call for a refill during weekday business hours.
NAUSEA: Nausea is not
uncommon after surgery. Sometimes pain
medications are the cause. Nausea can be
reduced by preceding each pain pill with a small amount of soft food, and
taking the pill with a large volume of water.
Try to keep taking clear fluids and minimize dosing of pain medications,
but call us if you do not feel better.
DIET: Eat any nourishing
food that can be taken with comfort.
Avoid extremely hot foods. Do not
use a straw for the first few days after surgery. It is sometimes advisable, but not absolutely
required, to confine the first dayís intake to liquids or pureed foods (soups,
puddings, yogurt, milk shakes, etc.) It
is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get
lodged in the socket areas. Over the
next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will
feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal
eating habits or follow instructions given by your doctor.
SHARP EDGES: If you feel
something hard or sharp edges in the surgical areas, it is likely you are
feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work
themselves out during the following week or so.
If they cause concern or discomfort, please call the office.
INSTRUCTIONS FOR THE SECOND AND THIRD DAYS
MOUTH RINSES: Keeping your
mouth clean after surgery is essential.
Use a 50/50 solution of mouthwash (except Listerine) and Hydrogen
Peroxide to gently rinse the socket areas at least two or three times daily. Especially following meals to help prevent food from lodging in the
BRUSHING: Begin your normal
oral hygiene routine as soon as possible after surgery. Soreness and swelling may not permit vigorous
brushing, but please make every effort to clean your teeth within the bounds of
HOT APPLICATIONS: You may
apply warm compresses to the skin over the areas of swelling (hot water bottle,
hot moist towels, heating pad) for 20 minutes on and
20 minutes off to help soothe tender areas.
This will also help decrease swelling and stiffness.
healing after tooth extraction should be as follows: The first two days after
surgery are generally the most uncomfortable and there is usually some
swelling. On the third day you should be
more comfortable and, although still swollen, can usually begin a more
substantial diet. The remainder of the
post-operative course should be gradual, steady improvement. If you donít see continued improvement,
please call our office. If you are given
a plastic irrigating syringe, DO NOT
use it for the first five days. Then use it daily according to the
instructions until you are certain the tooth socket has closed completely and
that there is no chance of any food particles lodging in the socket.
It is our desire that your
recovery be as smooth and pleasant as possible.
Following these instructions will assist you, but if you have questions
about your progress, please call the office where you had surgery. A 24-hour answering service is available to
contact the doctor on call after hours.
Calling during office hours will afford a faster response to your
question or concern. PLEASE NOTE: telephone calls for narcotic (pain killer)
prescription renewal are ONLY accepted during office