Teeth Post-Operative Instructions

  1. Patients who have undergone IV Sedation should be carefully attended by a responsible person for 12 to 24 hours (through 1st night) after leaving the office. The patient is not permitted to drive the day of surgery.
  2. BLEEDING ‑ Bleeding follows any surgery and should not alarm you unless it is excessive or persistent. Remove the gauze that is present upon discharge from the office after one hour. If bleeding is excessive or persistent it may be controlled by placing a firm roll of gauze or a moist tea bag directly over the bleeding area and exerting continuous pressure for one hour by closing the teeth firmly together. Repeat if necessary. Keeping your head slightly elevated will also help. Place a towel over the pillowcase as there will be some oozing from the mouth.
  3. DISCOMFORT‑ A certain amount of discomfort is to be expected. This varies with the amount of surgery required. It is usually controlled effectively by the medications that are prescribed. Try to eat something before taking these medications unless otherwise directed. The first dose of pain medication should be taken before the local anesthetic has had time to wear off completely. If a long acting local anesthetic has been used there maybe numbness for ten hours or more. If you are not allergic to Ibuprofen ( Advil, etc.), 600 mg. can be taken every six hours in addition to the prescribed pain medication to limit discomfort and swelling.
  4. SWELLING AND DISCOLORATION ‑ These are part of the healing process, and unless extreme, are of no concern. Use an ice bag on your face continuously for 12 hours today only. The earlier this is started the more effective it will be. Swelling is usually the greatest 48 to 72 hours after surgery. It is helpful to keep the head elevated on two pillows the first night after surgery.
  5. DIET ‑ For your own comfort, consume cool or warm liquids and/or very soft foods, including “Instant Breakfast” and broth as long as it is not piping hot. Milk shakes, pudding, custard and ice cream can also be eaten the day of surgery. Do not use a straw to drink thick liquids. After the first day, food should be soft or mashed with a fork before eaten. This should be done until the first post‑operative visit or until all soreness is gone.
  6. DO NOT rinse your mouth until the following morning as this could dislodge the blood clot and retard healing. In the morning, rinse the mouth gently using a glass of warm salt water (1/4 teaspoon to a glass) or other rinses as prescribed. Repeat 3 to 4 times during the day and continue until the first post-operative visit. DO NOT use regular full-strength mouthwash. Brush teeth as usual except for the surgical sites.
  7. SMOKING and DRINKING alcoholic beverages have been proven to delay healing and in some cases, to cause undue post-operative pain. Smokers have more healing problems and dry-sockets than non‑smokers!
  8. Dry sockets cause undue pain, usually starting 3 to 4 days after surgery. Pain medication usually does not help the pain. Call for an earlier appointment for pain relief if this happens.
  9. Call this office regarding any complications. Do not call your physician or your regular dentist. Our phones are answered 24 hours a day.
Bedford Associates in Oral and Maxillofacial Surgery
2121 Central Drive, Suite 1
Bedford, TX 76021
Phone: 817-200-4873
Fax: (817) 283-8650
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