Surgical Instructions

Pre-Operative Instructions

 

If you have been given a prescription, please have it filled prior to the day of the surgery and start taking medications as directed. Do not start taking medications until advised to do so! Please bring filled prescription with you to your appointment.

 

If you are taking any anticoagulant medications such as Coumadin, Aspirin or non-steroidal anti-inflammatories, consult with your physician. These medications may need to be temporarily discontinued before surgery and resumed three days after surgery.

 

Eat a good meal, preferably protein and carbohydrate, but little sugar (fruit is good).  To achieve optimal dental anesthesia during your dental appointment, avoid stimulants such as coffee, tea, or tobacco.

 

On the day of your surgery, please wear loose fitting clothing and comfortable shoes. Leave all valuables at home.

 

Following surgery, you will need to have a soft diet. Please make sure that you have a week’s worth of soft food at home. We recommend some of the following foods: yogurt, cottage cheese, ice cream, Ensure or other protein shakes, creamed soups, steamed or pureed vegetables, apple sauce, eggs, oatmeal, pasta, soft bread. Avoid hot temperature foods, alcohol and spicy or acidic foods as they can interfere with healing.

 

Please remove nail polish or artificial nails for monitoring vitals during surgery. Please refrain from using make-up around the mouth.

 

IV sedation, do not eat or drink 8 hours prior to surgery. Take your medications as your physician recommends with small sips of water. Please do not drink any water 6 hours prior to sedation. Please arrange for a driver to bring you to the appointment, take you home, and stay with you for a few hours as the sedative medication wears off.

 

 

Post Operative Instructions

Discomfort– As with any surgical procedure some discomfort may be anticipated. You should take any prescribed pain medication right after the procedure to keep pain to a minimum. Take all medications as directed, do not alter dosage and time requirement.

Swelling– Some swelling should be anticipated after surgery. To prevent excessive swelling and keep swelling to a minimum please gently place an ice pack on the outside of your face 20 mins on 20 mins off, for the first 24 hrs as much as possible. After the first 48 hrs, you may switch to a warm compress, and place on the outside of your face 20 min on and 20 mins off.

Bruising– It is normal for some bruising to occur after surgery either outside of the mouth or inside of the mouth and can last up to 7-10 days.

Bleeding– Some oozing of blood after surgery is normal. Please avoid excessive spitting and rinsing. Do NOT use a straw or do any sucking motions, as this will cause bleeding and interfere with the healing of surgical site. If oozing continues, sit in a upright position and use light pressure to position a moist Lipton black tea bag over the surgical site to help stop the bleeding.

Diet– Your diet following surgery will consist of only soft foods, nothing hard, crunchy, spicy or acidic. Stay away from carbonated drinks. Avoid eating foods with small seeds such as sesame seeds, poppy seeds, strawberry seeds, etc. Chew on the opposite side of the surgical site to avoid disturbing the healing process. Protein shakes and fruit smoothies are a good source of nutrients, but remember, do NOT use straws, use a spoon.

Activity– Avoid physical activity for 5 days after surgery as this will increase heart rate and promote bleeding and swelling in the surgical areas. After surgery keep your head elevated and do not sleep on the side is which the surgery was performed.

Sutures– Sutures, also known as “stitches”, will most likely be needed after the surgery. Do not cut any of your sutures yourself. Sutures will start to dissolve as early as 4 days after surgery. Any non-disolving sutures will be removed by our staff 2 weeks post operative.

Healing– Please do NOT, for any reason, lift or pull your lip up to look at the surgical site or feel the area with your tongue. Do NOT rest your hand on your face and do NOT sleep on the side in which surgery was done. Soft tissue takes between 4-6 weeks for healing. Bone grafting and implants take between 3-6 months for final healing.

Recovery time– The first 3 days following surgery are the most critical, if you can take time off from work, that would be beneficial to your healing. If sedation is provided, then at least the following day off would be best.

Oral Hygiene- Please avoid brushing and flossing the surgical site and use the prescribed oral rinse instead. You can continue to brush and floss the rest of your teeth as normal.

Rinse Instructions- Rinse GENTLY with warm salt water or Chlorhexidine Gluconate starting on the day after surgery. Brush and floss your teeth regularly, avoiding the surgical site.

Palatal Stent- If you have been given a palatal stent, please use it until you return to our office for a 1 week post op check. Be careful to avoid food that is hot in temperature or that will stain it.

Smoking- Please avoid smoking as smoking interferes with the healing process.

 

FOOD: Prepare for after surgery by having plenty of soft foods to eat. Examples include; yogurt, soft cheese, cottage cheese, pudding, ice cream, oatmeal, soft bread, pancakes, well boiled pasta, grits, polenta, thinly sliced lunch meats, tofu, eggs, mashed or baked potatoes, avocados, well steamed veggies, beans, hummus, Jell-O and apple sauce. Please stick to these types of foods for the first week after surgery.

 

Avoid any foods that are hard for you to chew or swallow, such as the following:

  • Starches: Dry bread, toast, crackers, and cereal.
  • Vegetables: Corn on the cob and raw vegetables.
  • Fruits: Raw, crisp fruits, such as apples and pears.
  • Dairy, meats, and protein foods: Crunchy toppings, dry or tough meat, and peanut butter.
  • Avoid spicy, acidic, or anything with small seeds.

 

 

If there is an emergency please call the office at (530) 809-2379.

If there is an after-hours emergency, please call our emergency number, (530) 988-5484 and leave a message.