PATIENT INSTRUCTIONS FOLLOWING TISSUE GRAFT PROCEDURE
What to expect following the surgery:
What to do following the surgery:
After leaving the office, rest and avoid strenuous activities for the remainder of the day; keeping blood pressure lower will reduce bleeding and aid healing.
Some discomfort is normal after surgery. To minimize pain, take 800mg of Ibuprofen (four pills) or a similar non-aspirin pain reliever every 8 hours until bedtime to maintain comfort. If pain medication is prescribed, take it as you need it. Do not exceed the dose on the label. Taking it with food or milk will help reduce upset stomach. Avoid driving and operating heavy machinery when taking pain prescriptions. Do not drink alcohol with taking prescription pain medications.
Nausea is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food and taking the pill with a large glass of water.
Applying an ice bag to the face over the operated area will minimize swelling.
Apply for 15 minutes, and then remove for 15 minutes. Continue this for the first day.
Eat soft foods for the first 2-4 days. Maintain a good, balanced diet. Drink plenty of water. Do not drink through a straw. Avoid alcohol for 48 hours.
Avoid chewing directly over the operated area until the sutures are removed.
Brush all of your teeth after each meal, but avoid the operated area for two weeks. Take care to avoid pulling the sutures.
Do not rinse vigorously; do not use a Waterpik.
A saltwater solution (1/2 teaspoon salt + 1/2 teaspoon + 8 oz. water) held in your mouth for 2 to 3 minutes every hour may make your mouth more comfortable.
Do not use whitening toothpaste.
Avoid lifting the lip with your fingers to look at the area. It is possible to accidentally tear the sutures, open the incision, and delay healing.
Smoking should be stopped following the surgery. The cigarette smoke chemicals will substantially reduce the healing and success of the surgery in your body.
If you were given an antibiotic, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.
Return to your dentist’s office for removal of sutures or follow up checks as directed
Please call your dentist if you have:
Following these instructions very closely will greatly help your comfort and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the procedure’s success may be affected.
Please call us with any questions or concerns.
PATIENT INSTRUCTIONS FOLLOWING PERIODONTAL SURGERY
Light bleeding and redness in your salvia are not unusual during the first 24 hours following the periodontal surgical procedures.
Bleeding will best be controlled by limiting your activities during the day. Vigorous rinsing and forceful spitting tend to prolong or increase bleeding.
To stop bleeding, maintain steady and firm pressure on the site by biting on gauze. Replace the gauze as needed until there is little or no blood. This may range from 45 minutes to 2 hours. You may also bite on a moistened black tea bag to promote clotting.
If bleeding is excessive, continuous, or if you are concerned, please call the office immediately.
It is important that you continue regular medications prescribed by your physician. We may request from your physician that you discontinue aspirin and other blood thinners for a few days before your surgery.
As the anesthesia wears off, you may have some discomfort. We recommend taking 600mg of Ibuprofen (Advil or Motrin) every 4 to 6 hours over the next two to four days for the pain.
If you were prescribed a pain killer, take it with the Ibuprofen as needed. If the medication makes you ill, contact the office.
Remember, pain is best controlled if you stay ahead of it. You may stagger the prescribed pain medication with Ibuprofen. For instance, take Ibuprofen at 4 pm, then prescribed pain medication at 8 pm and Ibuprofen at 12 am, and so forth as needed. If you do not wish to take prescription pain medication, you can take the Ibuprofen as directed above and stagger it with Acetaminophen (Tylenol) for extra strength (500mg). Please do not take prescribed pain medication and Tylenol at the same time.
Brush and floss the areas not involved in the surgery as normal. Do not brush the surgical area(s) for 2 weeks. Rinse gently as often as you like with a saltwater solution to keep the area clean. Mix ½ teaspoon of table salt in ½ glass of warm to hot water starting 24 hours after surgery.
If you are prescribed Peridex rinse, it should be started 24 hours after the surgery and continued for the next two weeks. Remember, Peridex can cause teeth and oral tissue staining in some patients. Do not use whitening toothpaste.
Eating and Drinking
Nutrition is important for optimum healing. You may feel comfortable eating a very soft diet for the first few days. You may choose soups, milkshakes (do not use a straw), or food supplements such as Ensure or instant breakfast shake. For the first 24 hours, stick to cold foods.
Avoid hot or spicy food as well as crunchy foods such as chips, nuts, pizza crust, popcorn, or seeds.
Examples of recommended food are Jell-O, yogurt, soft-boiled eggs, apple sauce, mashed potatoes, fish, and tofu.
Swelling and Healing
Some swelling is normal. To minimize swelling, apply cold compresses (ice cubes wrapped in a cloth) for 15 minutes and 15 minutes off to the area for 4 to 6 hours. Do not apply ice after 48 hours. After 48 hours, you can apply a warm compress to the area.
Do not disturb the area by touching with fingers, toothpicks, or tongue, which may irritate or cause infection. Sutures are meant to keep everything in place. Please do not attempt to remove your sutures.
Avoid using a straw and smoking for at least 2 weeks.
Your compliance with post-operative instructions will aid a smooth, comfortable healing process. Please call our office with any questions or concerns.