1. RINSING: Begin mouth rinses the morning after surgery. We recommend any commercial mouth rinse (Green Mint, Lavoris, etc, etc.) or ¼ teaspoon of salt to a large glass of warm water. Rinse at least six times per day.

2. HEALING: Do not disturb the wound by touching it with your fingers, toothpick or tongue. Irritation, bleeding or infection could result. The whitish coat or film that forms over the healing areas is not to be disturbed. This is nature’s method of healing. Rinse as stated above.

3. NO SMOKING OR ALCOHOLIC BEVERAGES DURING THE HEALING PERIOD (1-2 WEEKS): It is advised that you try to stop or refrain from use of all alcoholic and tobacco products during the healing phase after surgery from one to three weeks.

4. SWELLING: To reduce ordinary post-operative swelling apply an ice bag or chopped ice wrapped in a towel to the operated area 1/2 hour on and 1/2 hour off for the first 48 hours. After this a hot water bottle may be applied to the area V2 hour on and 1/2 hour off until the swelling has decreased, unless otherwise directed.

5. BLEEDING: Some bleeding is to be expected following surgery. If this persists then do the following:
a. Fold a 3 x 3 gauze pad into four segments (to make a ball) and place over surgical site apply pressure gently by closing your mouth. Repeat every ten minutes for 1/2 to 1 hour.
If this does not stop then place a wet tea bag over the site and apply pressure by closing and changing every 10 minutes to 20 minutes.

If bleeding is not controlled then:
b. Rinse your mouth with a solution of 1/3 glass of hydrogen peroxide and 2/3 glass cold water — repeat several times to clean mouth and repeat (a) for ½ hour.

c. If bleeding still persists then call our office (628-8000).

6. PAIN: A certain amount of pain following surgery is to be expected. For pain that is average use any non-aspirin type medication. If pain is more severe, you will be given a particular prescription. Use as directed.

a. A liquid to soft diet is advisable with gradual increase to normal over a period of several days. We recommend a high protein diet supplemented with a liquid multi-vitamin preparation such as meretine, nutriment, and Carnation instant breakfast. If you have any questions please ask for special diet sheets.
b. Fluids — We recommend at least 2 to 3 quarts of water, juices, or milk per day.

8. SURGICAL SITES: It is expected to have small bone fragments (not teeth) after multiple extractions. These will be removed in a normal healing process after a moderate length of time. If annoying, please return to our office for their removal

a. You will have discomfort — remember it is like having a new pair of hands and you must learn to eat, talk and function all over again — so we advise you not to get discouraged. It takes time on the part of your referring Dentist and on our part to adjust them comfortably to your mouth.
b. DO NOT REMOVE THE DENTURE FOR AT LEAST 24 HOURS, THEN AT LEAST ONCE PER DAY— be sure to replace them immediately after cleaning them.
c. In order to allow the denture to remain in place it is at times necessary to use a dental adhesive — either a paste or powder. If you need to use powder or paste, make sure that the denture is WET upon application of a powder and DRY when using a paste.

10. GENERALIZED DISCOMFORT: This is due in part to the surgical shock to your body and to the anesthesia taken in by your body, which is being metabolized. The discharged hospital patient will in all probability feel the following:

On the day of discharge, your ribs will ache upon breathing. You will also experience pain in your neck and diaphragm. This is due to the drug that is administered to you to relax your muscles. You will never use these muscles unless you anticipate general anesthesia again. The above will not happen to the office general anesthesia patient

11. SORE THROAT: This is due to an endotracheal tube, which is inserted in your windpipe to help you breathe while you are asleep. Simple throat lozenges, such as Thants or Cloraseptic throat lozenges, will alleviate this.

12. TEMPERATURE: Your body defenses cause an increase in temperature. This is helpful in the healing process as it speeds cells to the area to destroy harmful bacteria. IF HOWEVER YOUR TEMPERATURE RISES ABOVE 1010 then you are to call our office.

13. INFECTION: This complication is a common and at times most serious manifestation of any type of surgery. We, as Oral Surgeons, are particularly concerned and advise you to call us if the signs are applicable to you — i.e. sharp rise in temperature, swelling, pain and tenderness of surgical site or area

14. The most common type is OSTITIS the loss of the blood clot due to early eating of food, smoking or playing with the tooth extraction site; this causes a DRY SOCKET and we will have to treat it accordingly. The only problem that is of concern to you is the numerous visits to the office in order to change the dressings—we ask that you have patience with Mother Nature in healing this complication.


16. PHYSICAL ACTIVITY: For routine postoperative extractions, limit activity for at least 24-48 hours. The increase of activity will cause bleeding and an increase in pain.

For major surgery, i.e. implants, multiple extractions, multiple third molar removal, activity must be limited for 48-72 hours after surgery. No jogging or jogging exercises for one week. After the third day, and if not under the influence of narcotics, then weight-lifting, stair climbing and stationary bicycling may be returned to activity. If after sinus surgery, no jogging, no exercise that causes bumping to the knee joints or causes the head to bounce up and down, no excessive weight lifting for at least one month.

Walking, sitting, bicycling stationary and cardiovascular are acceptable.

If there are any questions, do not hesitate to contact us at 617-628-8000.


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