Immediately After Surgery:
To limit bleeding, bite on moist gauze with firm pressure. The gauze should be changed every 60 minutes until the gauze is faint light pink color. The patient should not try to eat or sleep with gauze in the mouth.
Keep ice on the face for 30 minutes from side to side while awake. We will give you one ice bag which is good for approximately one hour and may be refrozen. However, you may use a plastic bag filled with ice or an ice bag as a supplement.
Patients should remain upright so as not to increase swelling. Napping and/or resting on a recliner or on several pillows are encourages. Swelling is normal during the first 2-3 days.
First Day (day of surgery) General Instructions:
- REST and limit activities for the first 24 hours after surgery.
- DO NOT rinse, spit vigorously the first day after surgery, unless instructed otherwise.
- A cool, soft diet is encouraged on day one. This may include yogurt, pudding, ice cream, Jell-O or anything else that is soft and cool. Some type of snack should precede all pain medication by 15 to 30 minutes.
- DO NOT SMOKE or consume alcoholic beverages for seven days after surgery. Smoking and alcohol intakes are main cause of dry sockets.
- DO NOT use a straw for drinking for one week after surgery.
- Take medication as prescribed. The anesthesia given should last two to three hours on the upper jaw and eight to twelve hours on the lower jaw. Therefore, with the first evidence of discomfort or prior thereto, a snack should be taken followed by the prescribed medication, acetaminophen or ibuprofen. This may be repeated every four hours as needed for pain.
- Keep lips moist with Vaseline.
Second Day Instructions:
- Continue resting and limit physical activities. No vigorous physical exercise, i.e. weight lifting, jogging, or hard manual labor, should be done for the first four days.
- Brush teeth up to the surgical site(s) for the first week.
- Rinsing the mouth may be started on the second day, unless you have been instructed otherwise. Use a ¼ teaspoon of salt in an eight ounce glass of warm water. Rinse five to six times daily for the first week.
- Rinse with a non-alcoholic based mouth rinse, i.e Crest ProHealth, beginning the day after surgery, continue use until your one week post-op visit.
- If bleeding is continued so that the gauze is still turning red, please call the office. If it is pink, a few episodes of biting down on moist gauze for 30 minute intervals should stop the bleeding.
- A soft diet should be continued; but warm foods are ok to eat at this time. After the second day following your surgery, you may eat whatever you are able to tolerate.
- Most sutures are resorbable and will begin to dissolve within five (5) to ten (10) days.
Dry sockets- dry socket(s) generally occur on the third or fourth day of surgery. The symptoms may be a jaw ache, earache, headache, or your entire face may hurt. This type of pain needs to be treated by packing which will give total relief within about an hour. In summary, if you are still having pain that requires analgesics after 48-72 hours, you probably have a dry socket and should contact our office at 713-807-9877.
Sore Teeth- teeth adjacent to the surgical area will sometime shift slightly and can be sore for several days. However, if this does not improve, please bring to our attention at your one week post-op visit.
Drug Reaction- if you are experiencing adverse effects from drugs, such as nausea, vomiting, diarrhea, hives, itching or other affects, discontinue the drugs and call the office at 713-807-9877.
Hot & Cold Sensation- occasionally teeth adjacent to the surgical areas are sensitive to thermal changes for six to eight weeks following surgery. If this persists longer, please contact the office at 713-807-9877.
Post-Operative Infections- the usual symptoms are swelling and pain. Please start warm salt water rinses and contact our office for antibiotics and/or an appointment.
Call us at (713) 807-9877 or use the button below to Ask a Question or Schedule Your Appointment to have Dr. Jonathan Penchas or one of his expert staff examine your teeth.