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 the appointment.

If you are taking 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 secure optimal dental anesthesia during your dental appointment, avoid stimulants such as coffee, tea, or tobacco.

On the day of the 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 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 alcohol and spicy or acidic foods as they can interfere with healing.

If you are having Ladies, 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 some water. Please do not drink any water 2 hours prior to sedation. Please arrange for a driver to bring you to the appointment, take you home, and stay with your 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 must take all prescribed 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 further 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 place compresses such as a warm wash cloth on the outside of your face 20 min on and 20 mins off.

Bruising– Some bruising may 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, this will cause bleeding and will interfere with the surgical site. If oozing continues, sit up and use light pressure to position a moist Lipton black tea bag over the wound 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 small seeds such as sesame seeds, poppy seeds or strawberry seeds etc. Chew on the opposite side of where the surgery was done to avoid disturbing the healing process. Protein shakes and fruit smoothies are a good source of nutrients, but remember NOT to use straws, use a spoon.

Activity– Avoid 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 where you had the surgery.

Sutures– Sutures, also known as “stitches”, will most likely be needed after the surgery. Do not cut any of your sutures. Sutures will start to dissolve as early as 4 days after surgery.

Healing– Please do NOT, for any reason, lift or pull up your lip 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 you had surgery. Soft tissue takes between 4-6 weeks for healing. Bone grafting and implants take between 3-6 months for final healing.

Recovery time– Some patient take time off work after the surgical procedure. If sedation is provided, then at least a day is needed.

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

Rinse Instructions- Rinse GENTLY with warm salt water or Chlorhexidine Gluconate starting on the second 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 for about a week. Be careful to avoid food 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, and 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.