INSTRUCTIONS

• Before I.V. Anesthesia
• Care of Mouth After Oral Surgery
• Post-Op Instructions

Post-Op Instructions

What you should do following extractions and other oral surgery procedures:

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 24 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 touch due to the IV.

Follow these instructions below to minimize complications and help ensure prompt recovery:

• To control bleeding
  Immediately following procedure: keep 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 biting on moist tea bags. Once bleeding has stopped, cautiously resume oral hygiene.
• 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 persist, and use an ice bag if needed.
• To minimize swelling
  Immediately following procedure: apply an ice bag over the affected area. Use 20 minutes on and 20 minutes off for 24 hours to help prevent development of 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 applicatons. You may expect swelling for 10 days to two weeks and a fever of 99 degrees F to 100 degrees F.

Special considerations following removal of impacted teeth:

• Removal of impacted teeth is a surgical procedure. Postoperative problems are not unusual, and extra care must be taken to avoid complications.
• Severity of postoperative pain will depend on the procedure and your physical condition. Take medication for pain precisely as directed.
• Healing of the surgical site is variable.
• Swelling can be expected. Be certain to apply ice bags as directed above.
• Difficulty in opening your mouth widely and discomfort upon swallowing should be anticipated.
• Numbness of lips and/or tongue on the affected side may be experienced for a variable period of time.

Oral hygiene is important

24 hours after surgery, rinse mouth gently with a solution of one-half teaspoonful of salt dissolved in a glass of luke-warm water. Repeat rinsing after each meal or snack for seven days. Rinsing is important because it removes food particles and debris from the socket 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 extraction site. Resume your regular tooth brushing after 24 hours, 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. 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 trouble 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. If necessary, a follow-up visit will be scheduled. In the meantime, maintain a healthy diet, observe rules for proper oral hygiene, and visit your dentist for regular checkups.