Please carefully follow directions for medications. Take all medications with a full glass of water. If at any time you should become nauseous or experience itching or a rash while on medication, discontinue the use of all medications and contact our office. Women using birth control medication should be cautioned that antibiotics may reduce the effectiveness of birth control medications. Alternative methods of birth control should be employed while taking antibiotic medications.
There will be a minimal amount of oozing for the next 24 hours. If you experience continuous or sudden bleeding, you should rinse with ice cold water several times and then apply a wet tea bag with firm pressure directly on the area. If bleeding does not stop within 15 minutes, call our office. To minimize the chance of a bleeding problem we suggest that you not smoke, spit or use a drinking straw for the first 24 hours. Keeping your head elevated for the first 6 hours after surgery will also minimize bleeding.
You should eat a well balanced diet, consisting primarily of soft foods which are easier to chew. Eggs, soft meats, fish, mashed potatoes, jello and puddings for the first few days will be easily managed and will not dislodge the dressing. Food supplements (Metrical, Nutrament, etc.) are also excellent. Please avoid nuts, popcorn and other crunchy food following surgery. We suggest that you not bite directly into hard foods such as apples, carrots or hard breads following surgery.
A slight amount of swelling is normal and may last for the first 2 or 3 days after surgery. Swelling can be minimized by the application of an ice pack over the operated area as soon after surgery as possible. Alternate the ice for 15 minute intervals (15 minutes on/15 minutes off) for the first 3 to 4 hours after surgery.
It is important that you maintain your mouth in a clean state. Although you should avoid the surgery area, treat the remainder of your mouth with the same high level of care which you have shown in the past. If a medicated mouthwash was prescribed, please use as directed. If no mouthwash was prescribed, gentle rinsing with warm salt water can be initiated on the second day following surgery.
The periodontal dressing is placed for your comfort. To facilitate the retention of this dressing, avoid chewing or cleaning in this area. Should the dressing become loose, gently remove it with a toothpick. If the dressing comes off and you are comfortable, rinse gently with a mild salt water solution or diluted mouth rinse, but avoid mechanical brushing and flossing. If the dressing comes off and you are uncomfortable, please call our office.
If you are given a stent to wear post operatively, you should wear the stent continuously for 24 hours following surgery. After 24 hours, remove the stent and clean it with a toothbrush. Gently brush your teeth, avoiding the surgical site. You may continue to wear the stent as needed for discomfort and/or bleeding. You should continue to clean the stent each time you brush your teeth. The stent is provided for your comfort. If after 24 hours you are comfortable without the stent, you need not continue to wear it.
The post operative perio should be uneventful and comfortable. Do not exert yourself for the first few days and follow the instructions above and you should find that no post operative problems will develop. Please call us if you have any questions.