Patient Instructions

General Post-Op Instructions | Extraction w/o Grafting Post-Op Instructions
Extraction w/Bone Graft & Other Bone Grafting Procedures Post-Op Instructions | Dental Implant Post-Op Instructions
Sinus Lift/Bump Post-Op Instructions | Oral Pathology Post-Op Instructions | Expose & Bond Post-Op Instruction

General Post-Op Instructions

General Post-Op Instructions

Bleeding

Some bleeding, (a slow intermittent ooze) is to be expected following Oral Surgery. If a gauze pad has been placed in your mouth following surgery, leave it in place for at least 30 minutes, held firmly between your teeth, directly over the surgical site.

If bleeding is profuse and continuous, place additional sterile gauze pads over the site of operation and exert firm, constant pressure by biting firmly, or with your finger.

Rinsing

Do not rinse your mouth for at least 24 hours following surgery and DO NOT SPIT!. Normal hygiene (gentle) may resume the next day. A small amount of toothpaste on a fingertip or Q-tip can be used to keep adjacent area clean. With a Q-tip apply water gently around sutures to keep clean.

Swelling and Discoloration

It should be noted that a certain amount if swelling and discoloration following surgery is to be expected and that the height of the swelling is usually towards of the second 48 hours following surgery. The appearance of discoloration may not manifest itself for two or three days and may take up to two weeks to completely resolve

To minimize swelling, place an ice bag or cold towel to your face for 30 minutes of every hour during the first 48 hours.

After the second day, you may place a warm heating pad or towel to your face for 20 minutes of every hour.

Smoking

Refrain from smoking for at least 7 days. Stopping forever is strongly recomended.

Pain

The intensity of post-operative pain is usually greatest from 4-8 hours following the operation, regardless of medication prescribed. Please follow doctor's orders regarding analgesics and if pain persists in severity after 12 hours, please call this office.

Driving

All patients who undergo general anesthesia or intravenous sedation, should refrain from driving a car or operating other machinery for 24 hours.

Medications

Antibiotics are sometimes prescribed during treatment. Please take as described. Resume all other daily medication following surgery unless otherwise directed.

Temporary Prosthesis

Use and care of temporary prosthesis may vary. Each patient should follow the specific instructions given by the doctor.

Prescription Information

  1. Narcotic medication (Codeine, Vicodin, etc.) may cause drowsiness, increase with alcohol intake. Do not drive a car or operate heavy machinery when taking.
  2. Take penicillin on an empty stomach or 2 hours before or after meals.
  3. DO NOT SPIT AFTER ANY EXTRACTIONS BECAUSE YOU WILL INCREASE BLEEDING AND DISRUPT THE SITE.
  4. Antibotics may render birth control pills ineffective. During their usage, and for seven days thereafter, additional means of birth control should be used.
  5. Ibuprofen containing medications should not be taken by aspirin allergic patients.

Extraction without Grafting Post-Op Instructions

Extraction w/o Grafting

Bleeding

Some bleeding, (a slow intermittent ooze) is to be expected following Oral Surgery. If a gauze pad has been placed in your mouth following surgery, leave it in place for at least 30 minutes, held firmly between your teeth, directly over the surgical site.

If bleeding is profuse and continuous, place additional sterile gauze pads over the site of operation and exert firm, constant pressure by biting firmly, or with your finger. Avoid expectorating (spitting).

You can also use a black tea bag (not herbal tea) wrapped in moist gauze for 15-20 minutes at a time. This helps the site clot faster many times. If still unsuccessful, call the office during normal hours or if after hours call the doctor at 339-5399.

Rinsing

DO NOT SPIT! Do not rinse your mouth for at least 24 hours following surgery, since rinsing may dislodge the blood clot and interrupt normal process of healing.

In the second day, rinse gently with a glass of warm salt water (1/4 teaspoon of salt in a glass of warm water) and repeat three or four times daily.

Swelling and Discoloration

It should be noted that a certain amount of swelling and discoloration following surgery is to be expected and that the height of the swelling is usually towards the third day following surgery. The appearance of discoloration may not manifest itself for two or three days and may take up to two weeks to completely resolve. Most people do not experience bruising but it is possible and temporary.

To minimize swelling, place an ice bag or cold towel to your face for 30 minutes of every hour during the first 48 hours. Ice is especially helpful in reducing soreness experienced several days after extraction.

Use of Motrin/Advil is highly recommended if you are able to take this safely since it will also reduce swelling. Take this as your surgeon recommended you to do so (usually every 6-8 hours for adults at 600 mg per dose; if in doubt, call). Do not drink alcohol while using any pain medications.

Bony Projections

After oral surgery, you may feel hard projections in the surgical area. These are generally not roots or tooth fragments, but merely fragments of bone which loosen and work their way through the gum. If they become annoying, contact this office for their simple removal.

Diet

A light diet is advisable during the first few post-operative days. Anything soft is fair game; avoid rice, broccoli hearts (gets caught easily), popcorn and anything very sharp like potato chips. Room temperature, warm, and cold food and liquids are fine (avoid hot temperatures). Avoid the use of straws, carbonated beverages and don't use peroxide rinses or Listerine/alcohol containing mouth rinses. Pasta, scrambled eggs and crock-pot cooked food are examples of a good diet.

Pain

The intensity of post-operative pain is usually greatest from 6-8 hours following the operation, regardless of the medication prescribed. Please follow doctor's orders regarding analgesics and if pain persists in severity after 12 hours, please call this office.

Anesthesia

All patients who undergo general anesthesia or intravenous sedation, should refrain from driving a car or operating other machinery for 24 hours.

Smoking

Refrain from smoking or drinking through a straw for 48 hours.

Prescription Information

  1. Narcotic medication (Codeine, Vicodin, etc.) may cause drowsiness, increase with alcohol intake. Do not drive a car or operate heavy machinery when taking.
  2. Take all medications as directed.
  3. Antibiotics may render birth control pills ineffective. During their usage, and for seven days thereafter, additional means of birth control should be used.
  4. Ibuprofen containing medications should not be taken by aspirin allergic patients.
  5. If you have any questions, call the office or the doctor especially if you have a reaction.

For any medical emergencies such as severe medication reactions or severe breathing problems, call 911 and go to the Emergency Room.

Extraction w/Bone Graft & Other Bone Grafting Procedures Post-Op Instructions

Extraction w/Bone Graft

Bleeding

Some bleeding, (a slow intermittent ooze) is to be expected following Oral Surgery. If a gauze pad has been placed in your mouth following surgery, leave it in place for at least 30 minutes, held firmly between your teeth, directly over the surgical site.

If bleeding is profuse and continuous, place additional sterile gauze pads over the site of operation and exert firm, constant pressure by biting firmly, or with your finger.

Black tea bags wrapped in moist cotton gauze and gentle pressure with the jaws can stop most bleeding. Call the office during office hours if it still a problem (273-0327), or, if severe, call the doctor at 339-5399 if after hours.

Rinsing

Do not rinse vigorously or gargle or use mouthwashes for at least 7-10 days following surgery. The graft is granular and covered by a thin membrane; therefore, rinsing or expectorating may dislodge the graft. Normal hygiene (gentle) may resume the next day. Toothbrushes should be kept away from the graft area. A small amount of toothpaste on a fingertip or Q-tip can be used to keep adjacent teeth clean. With a Q-tip apply water gently around sutures to keep clean.

Swelling and Discoloration

It should be noted that a certain amount of swelling and discoloration following surgery is to be expected and that the height of the swelling is usually towards of the second 48 hours following surgery. The appearance of discoloration may not manifest itself for two or three days and may take up to two weeks to completely resolve. Bruising can occur but is uncommon.

To minimize swelling, place an ice bag or cold towel to your face for 30 minutes of every hour during the first 48 hours. Refrain from using ice after the third day.

Smoking

Refrain from smoking for at least 7 days. Stopping forever is strongly recommended.

Pain

The intensity of post-operative pain is usually greatest from 6-10 hours following the operation, regardless of medication prescribed. Please follow doctor's orders regarding analgesics and if pain persists in severity after 12 hours, please call this office.

Driving

All patients who undergo general anesthesia or intravenous sedation, should refrain from driving a car or operating other machinery for 24 hours.

Medications

Antibiotics are sometimes prescribed during treatment. Please take as described. Resume all other daily medication following surgery unless otherwise directed.

Temporary Prosthesis

Use and care of temporary prosthesis may vary. Each patient should follow the specific instructions given by the doctor.

Prescription Information

  1. Narcotic medication (Codeine, Vicodin, etc.) may cause drowsiness, increase with alcohol intake. Do not drive a car or operate heavy machinery when taking.
  2. Take all medications as directed and please don't miss antibiotic doses.
  3. Antibiotics may render birth control pills ineffective. During their usage, and for seven days thereafter, additional means of birth control should be used.
  4. Ibuprofen containing medications should not be taken by aspirin allergic patients.
  5. Eating small amounts of yogurt or using over-the-counter Acidophilus is recommended with antibiotics.

For any medical emergencies such as severe medication reactions or severe breathing problems, call 911 and go to the Emergency Room.

Dental Implant Post-Op Instructions

Dental Implant Post-Op Instructions

Do not touch the surgical site. Avoid rinsing, spitting, or touching the wound on the day of surgery. There may be a metal healing abutment protruding through the gingival (gum) tissue or sutures in the surgical site. Rinse as directed for proper hygiene.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) is rare, but can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling

Swelling is not typical after most implant surgery. To minimize swelling, apply a frozen gel pack, or a plastic bag or towel with ice on the cheek in the area of the surgery. Apply the ice on for 5 minutes then off for 20 minutes, as much as practical while awake, the first 24 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft foods and liquids should be eaten on the day of the surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication prior to the local anesthetic wearing off. For moderate pain, Tylenol or Ibuprofen (Motrin/Advil) may be taken. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection. Should you experience an allergic-like reaction, stop the medication and contact Dr. Noren.

Oral Hygiene

Good oral hygiene is essential to good healing. The day after surgery, warm salt-water rinses (1/2 teaspoon 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 no problem. Be gentle initially with brushing the surgical areas.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur.If this occurs, you should discontinue exercising. Keep in mind that are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Any questions please call this office.

Sinus Lift/Bump Post-Op Instructions

Sinus Lift/Bump Post-Op Instructions

Please Read Carefully!

You have had a sinus lift or bump augmentation procedure in your upper jaw. This procedure regains lost bone height inside the back of your upper jaw. It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.

The bone that has been grafted may be a combination of freeze-dried bone, artificial synthetic bone and your own bone. Because of this you may have two post-surgical wounds: the donor site and the recipient site. If only banked bone and synthetic bone was used, you may not have a donor site.

Do not under any circumstances blow your nose for the next four (4) weeks. This may be longer if indicated. You may sniff all you like but No Blowing.

Do not blow your nose or sneeze holding your nose. Sneeze with your mouth open. Do not drink with straws and do not spit. Flying in pressurized aircraft may also increase sinus pressure and should be avoided. Decongestants such as Sudafed will help reduce pressure in the sinuses. You may also be given a prescription for antibiotics. Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided. Avoid "bearing down" - as when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. Smoking must be stopped.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection.

Oral Hygiene

Do not rinse or spit on the day of your surgery. This tends to disturb the blood clot, open the wound and can prolong bleeding and slow healing. You should not have a significant amount of blood in your mouth. Saliva can be swallowed, even if slightly blood tinged.

Keeping your mouth clean after surgery is essential to reduce the risk of infection. Start salt water rinses the day following your procedure. Use a "pinch" of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least four to five times daily and always after eating for the next five days.

Do not brush the teeth in the area of surgery for 48 hours. When brushing, be very gentle. Avoid spitting; just let it dribble out and wipe and also be gentle.

We may prescribe an antibiotic rinse (Chlorhexidine, Periogard, Peridex). This rinse should be used 2-3 times per day. Do not eat or drink or rinse your mouth for at least 1/2 hour after using the medicated rinse.

Smoking

Do not smoke for at least two weeks after surgery, if at all. As we discussed at your consultation, smoking dramatically increases the risk of bone graft and sinus augmentation failure.

Wearing Your Prosthesis or Night Guards

Partial dentures, flippers, or full dentures should not be used immediately after surgery until your post-operative appointment unless specifically instructed by the doctor otherwise. Please contact the office if you have any questions. When it is placed it should not touch the gums in the area of the surgery. If it does, this can cause breakdown of the wound edges. This can lead to loss of the graft. If you have questions about the fit of your flipper, partial or complete denture, do not wear it until your general dentist or our office can see you.

Post-Operative Problems or Complications

As with any procedure, unexpected post-operative healing can occur. If you notice the unexpected flow of air or liquids between your mouth and nose, please let us know immediately.

If you are aware of several small particles of graft material being discharged from your nose, let us know as well.

If you experience sinus or nasal congestion on the side your surgery was performed, let us know by message; if it is severe, call my cell phone which is on the message machine.

If there is an increase in swelling in your mouth, cheek or under your eye after 3 days, let us know.

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 this office.

Oral Pathology Post-Op Instructions (Biopsy or Removal of Tissue)

Oral Pathology Post-Op Instructions (Biopsy or Removal of Tissue)

Anesthesia

You may be "numb" for anywhere from 2-8 hours depending on whether long-acting local anesthesia was used. A dull ache may start in 1.5 - 3 hours. Take your pain meds as directed. No driving, operating machinery or playing Rubik's cubes while taking narcotic pain meds (ok, maybe Rubik's cubes).

Bleeding

Generally bleeding is very mild after biopsies. If pressure is placed with moist gauze for 30-45 minutes after surgery, it is usually sufficient. Call us if you think it is excessive, a small amount of blood looks like a lot in saliva though. Don't spit because it will increase bleeding, just wipe and hold pressure. Don't lie flat after surgery, sleep on fluffed pillows, your head being elevated somewhat.

Oral Hygiene

As directed, avoid direct trauma to the site from a toothbrush or floss, but as best as possible, keep your mouth nice and clean. No Listerine or peroxide rinses please. We may recommend mild, warm salt water rinses (a pinch of salt in warm water) 2-3 times per day.

Diet

Soft and as tolerated, sharp food like chips, Captain Crunch, etc. should be avoided. Avoid hot liquids or food for 24 hours; warm, room temp or cold is fine.

Call this office with any other questions.

Exposure & Bonding of an Impacted Tooth Post-Op Instructions

Exposure & Bonding of an Impacted Tooth Post-Op Instructions

Bleeding

Generally bleeding will be minimal; you may have slight oozing up to 24 hours; Gauze pressure is usually sufficient; call us if bleeding is excessive.

Swelling

Usually also minimal but this can be controlled with ice for up to three days. Usually a soft ice pack or gel pack is sufficient 5 minutes on, 10-15 minutes off, as much as possible. Always protect the skin from freezing with a cover like a towel.

Diet

Soft diet is advisable; plenty of fluids but avoid extremes in temperature such as hot food. Keeping up with nutritious meals also helps (boiled carrots, multivitamins, power shakes, sweet potatoes, etc).

Pain

Ibuprofen or Alleve can be used every 6-8 hours for the first two days and is advisable; if you need additional pain relief, a narcotic may be prescribed such as hydrocodone; use this as Dr. Noren has directed you. If pain is excessive, please call us as we might want to see you.

Oral Hygiene

Keeping your mouth clean in areas away from the surgical site is essential. Brush your teeth gently, rinse with warm salt water 4-6 times daily the day after surgery (1/2 teaspoon salt in a large cup of warm water). The cleaner your mouth, the better the healing will be. Be very gentle around the surgical site and do not handle it with your fingers (you can contaminate it).

Activity

The day of surgery should not include heavy physical activity. If throbbing starts after activities within the first three days, that is a sign to rest and heal. Plenty of sleep is necessary for normal healing.

Call 273-0327 with any other questions.