Dr Rick Bonomo DMD Post Op Instructions

 

 

 

 

Instructions Following Oral Surgery


1. PAIN

A certain amount of pain following surgery is to be expected. For persistent pain use the medication prescribed. Always take pain medication with food.

2. BLEEDING

Some bleeding is to be expected. The gauze pad that was placed over the operated area should be removed 1/2 hour after surgery.

 

If slight bleeding continues, it usually can be controlled by simple pressure for 1 hour. Use a wad of gauze or cotton large enough so that pressure is applied when biting down; hold for 1 hour. Repeat if necessary.

If bleeding continues after the above measures, soak a tea bag then wrap it in gauze, place it firmly in the area of bleeding. On top of this, place a gauze or cotton and apply pressure by closing the teeth together. Do not become excited, but lie down with the head elevated on three pillows. Apply an ice bag to the cheek. Avoid hot liquids.


If unable to control excessive bleeding or swelling, call your oral surgeon's office.

3. RINSING

DO NOT rinse, spit, smoke or suck through a straw until the next morning. These activities may dislodge the blood clot, start bleeding, and delay healing. If you are unable to rinse the food particles out of the wound, stop in the office for a syringe. Begin brushing-thoroughly after meals, the next day.

*DO NOT RINSE WITH PEROXIDE*

4. SWELLING

To limit swelling, place an ice pack to the face for the first 24 hours. Apply for 20 minutes out of each 1/2 hour. Also sit with your head elevated and sleep with three pillows. The swelling will normally increase until the second or third post-operative day, and then begin to gradually subside. Do not use ice for more than two days.

5. DIET

Do not chew solid foods while you are still numb. Eat light, soft foods, with as much fluid intake as possible. As soon as possible, change to solid foods. You will feel better, have more strength, less pain - and heal faster- if you continue to eat.

6. STITCHES (sutures)

Dissolvable stitches are used unless otherwise noted, and they normally fall out by themselves in 4-10 days.

7. TREATMENT

Return to this office for post-operative treatment if so instructed.

 

Several possible effects may occur
following oral surgery:

1.

Slight bleeding - control as noted.

2.

Swelling - may be quite large for 3-5 days; control as noted.

3.

There may be a slight elevation of temperature for 24 to 48 hours. If a temperature continues, please notify this office.

4.

There may be a slight earache.

5.

If the corners of your mouth are stretched, they may dry out and crack temporarily. Your lips should be kept moist with a cream or ointment such as Vaseline or Neosporin.

6.

Numbness (paresthesia) may persist around the lower lip on the same side as the operation. This is usually a temporary condition and will gradually disappear in a few days to several weeks as nerve tissue is repaired and regenerated.

7.

Black and blue discoloration may occur on the outside of the face near the area of surgery. This is not unusual, and may take a week or more to resolve.

8.

Your other teeth may ache temporarily. This is called sympathetic pain and is a temporary condition.

9.

Stiffness of the jaw - chewing gum at intervals will help relax the tension and bring relief.

10.

There may be a cavity where the tooth is removed. This area should be rinsed following meals, and will gradually fill in with bone and new tissue. As healing progresses, small sharp bony fragments may work up through the tissue. If they become annoying return to the office for removal.

11.

The area where the I.V. was inserted to put you to sleep may become red and painful. This is temporary, but call the office for instructions on how to manage this condition.

 

 

 

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