Our dentists in Baton Rouge, Louisiana, recommend faithful compliance with these instructions to add to your comfort after an oral surgery and to hasten your recovery time. Be sure to follow these instructions carefully so you can avoid complications which lead to unnecessary discomfort and delayed recovery. Should any undue reaction or complications arise, notify Dr. Suadi at BR Dental Care immediately.
We are committed to providing the same quality of care following procedures that began during your initial visits. To that end, please refer to some general post-operative guidelines below, and by all means, CALL at any hour of any day to report any continuing problem at 225-753-5885.
- Some degree of discomfort and pain arises as numbness subsides. At the first sign of pain or discomfort, take the pain medication prescribed. Please make sure you read the directions carefully before taking the medication. Any pain medication can cause nausea and vomiting. It is very important that you have some food in your stomach before you take them.
- DO NOT DISTURB THE AREA OF SURGERY. The first stages of healing are aided by placing tissues at rest. Avoid vigorous chewing, excessive spitting, or rinsing as initial healing may be delayed, active bleeding restarted, or infection introduced.
- Expect minor bleeding or oozing from the operative site. This bleeding may continue throughout the first day. For the first hour, keep firm pressure on the area of surgery by biting on the gauze sponge placed in your mouth at the office. If bleeding persists, continue pressure on a fresh sponge for an additional 30 minutes to an hour. Biting on a moist tea bag wrapped in gauze may help control persistent oozing from the surgical site. Tea has an ingredient that promotes blood clotting.
- If active bleeding should recur at any time, carefully rinse your mouth with cold water and apply a fresh gauze sponge to the bleeding site. Firm pressure for 15-30 minutes usually controls the problem. Should active bleeding persist, please call the office.
- Limit physical activity during the first 24-48 hours after surgery. Overexertion may lead to postoperative bleeding and discomfort. When you lie down, keep your head elevated on a pillow.
- Pain following oral surgery will be more severe within the first 6-8 hours after the operation. If you have to take the prescribed severe pain medication, remember to have some food intake prior to that and to start slowly. Please do not drink alcoholic beverages while taking prescription pain medication. Do not wait for the pain to become unbearable before using some form of pain medication, as then it will be more difficult to control. Moderate to severe pain usually does not last longer than 14-48 hours, and there should be no more than slight pain or discomfort after the third day. Persistent or increasing pain 3-4 days following oral surgery may be caused by early loss of blood clot (dry socket) or infection. If you feel that this may be happening to you, please contact us so we can help make you more comfortable.
- Swelling related to the surgical procedure usually develops during the first 12-24 hours following surgery, often increasing on the second day. It should begin to subside by the third day. Swelling can be minimized a great deal by wearing an ice pack on the side of your face for 30-45 minutes every hour while you are awake during the first 24 hours following the surgery, unless you receive special instructions. Anti-inflammatory medications, such as Motrin and Advil, also decrease swelling.
- Fluid intake is important. We suggest you start with clear carbonated beverages, such as ginger ale, Seven-Up, or Sprite. Once your stomach has settled, you can advance to other fluids such as water, teas, soda, broth, soups, or juices. We suggest avoiding dairy products initially, such as milk, milk shakes, and eggs nogs. Also avoid hot liquids until the numbness has worn off and the bleeding has stopped. It is important to drink plenty of fluids.
- Avoid using a straw for several days as it may cause the blood clot to dislodge and delay heating.
- Food selection is largely a matter of your choice. Soft, cool foods that require little or no chewing are most easily tolerated at this time. A nutritious diet throughout your healing process is most important to your comfort and temperament. Hungry people become irritable and less able to deal with discomfort following surgery. Since you will be taking medication, it is important to remember that eating can prevent nausea sometimes associated with certain medications. Once your stomach is settled, soups, broiled fish, stewed chicken, mashed potatoes, macaroni and cheese, and cooked vegetables can be added to your diet as your comfort level indicates. Ensure, Carnation Instant Breakfast and/or yogurt supply excellent added nutrition.
- Take any special medication such as ANTIBIOTICS we have prescribed on the specified dosing schedule. Yogurt with active cultures or acidophilus should be taken with antibiotics to prevent diarrhea. It is important to take antibiotics to completion. If you are given antibiotics and you are on birth control pills, you should be aware that the birth control pill might become ineffective; therefore, take appropriate precautions.
- Take any regularly scheduled medication (for diabetes, high blood pressure, etc.) on your regular schedule unless advised to do otherwise by your primary physician.
- TRY TO AVOID SMOKING COMPLETELY. Smoking greatly inhibits the healing process and may also contribute to the development of a dry socket.
- DO NOT DRIVE AN AUTOMOBILE for 24 hours following surgery if you have had tranquilizer medication, or if you are taking prescription pain medication.
DO NOT BLOW YOUR NOSE.
DO NOT SNEEZE THROUGH YOUR NOSE. (If the urge of sneeze arises, sneeze with your mouth open.)
DO NOT SMOKE OR USE A STRAW.
AVOID SWIMMING AND STRENUOUS EXERCISE FOR AT LEAST ONE WEEK.
Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice a day–after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt-water rinses (a teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day as well, especially after meals. Brushing your teeth and the healing abutments is encouraged. Be gentle initially with brushing the surgical areas.
It is uncommon to have a slight amount of bleeding from the nose for several days. Please remember that occasionally a second procedure may be required if there is a persistent sinus infection.