Surgical Instructions

Pre-operative Instructions

The following instructions may be helpful when preparing for your upcoming surgery. Please do not hesitate to call if you have any last minute questions. We can be reached at (773) 769-1754 during regular business hours.

It may be important to stop taking Aspirin and non-steroidals such as Motrin and Advil, 7-10 days prior to your surgery. If you are taking Coumadin, aspirin or another blood thinner, remember to discontinue them as directed by your physician. If you need to pre-medicate with antibiotics, please take them as directed before your surgery. You may bring your iPod or MP3 player with you if you would like. All patients who will be seen for treatment should eat prior to their appointment. If your appointment is in the morning you should have a breakfast, and if it is in the afternoon or evening you should have lunch on that day. Due to the local anesthetic your lip and tongue will be numb and you should not chew anything in order to avoid biting yourself. You will be able to drink fluids or drink soup while you are numb. You will not be sedated or put to sleep for the treatment therefore you should be able to drive after the treatment.

In order to evaluate your progress and healing, we will see you for weekly post-operative checks during the first 1 – 5 weeks. After surgery, in most cases, we will also look forward to seeing you back for a periodontal maintenance cleaning and an examination of tissue maturation about 10-12 weeks following the surgery.

Antibiotics

Please alert the office to any allergies or sensitivities that you might have to antibiotics. You will be prescribed an antibiotic only if our doctor determines it to be necessary.

Food Suggestions

When preparing a post-op menu, please consider some of the following choices:

  • Jell-O
  • Bananas
  • Yogurt
  • Pasta
  • Milk Shakes
  • Casseroles
  • Eggs
  • Fish
  • Cottage Cheese

  • Ensure/Slim Fast
  • Soups
  • Pudding
  • Rice
  • Apple Sauce
  • Oatmeal
  • Macaroni & Cheese
  • Mashed Potatoes

Post-operative Instructions

These instructions apply to the surgical procedure just completed. They are designed to help you minimize post-surgical discomfort and inform you of any situation that may require special attention.

Pain Medications

It is not unusual to have discomfort for at least the first week following your surgical procedure. You might be given a prescription for medication to help you tolerate the post-surgical recovery period, bur normally over-the-counter anti-inflammatory drugs will be adequate to manage the pain. Please take your medications as directed. If necessary, you may take your pain medication more frequently than every 4-6 hours to stay ahead of the soreness. It is advisable to not take pain medication on an empty stomach, as nausea may result.

As an alternative to prescription medications, some patients have found taking a combination of over the counter Ibuprofen and Tylenol to be effective. You may take the combination in either of the following dosages: 3 Advil Liqui-Gels and 2 Regular Strength Tylenol or 3 Advil Liqui-Gels and 1 Extra Strength Tylenol, every 4-6 hours as needed.

Note: When taking any prescribed medication containing Acetaminophen (Tylenol), i.e.; Percocet, Hydrocodone, Vicoden or Tylenol with Codeine, you should not take additional Tylenol so as not to exceed the safety level of Acetaminophen. Please contact the office with any questions you may have.

Antibiotics

An antibiotic may be prescribed following your surgical procedure. Take as directed until gone. It is advisable not to take these medications on an empty stomach, as nausea may result. For women taking birth control pills, be advised that antibiotics may interfere with their effectiveness.

Swelling

Swelling may occur following your surgical procedure and will typically increase 2-3 days after the procedure. To minimize the swelling, place an ice pack over the outside cheek area for 20 minutes on and 20 minutes off. Continue using ice for 2-3 days following the procedure as often as possible.

Bleeding

A small amount of bleeding is normal. If excessive or continuous bleeding occurs:

  • Do not rinse your mouth.
  • Elevate your head when lying down.
  • Apply gauze to the immediate area with moderate pressure for 20 minutes, repeat if necessary.
  • Enclose a moistened tea bag in a gauze square and apply pressure for 20 minutes.
  • Call the office if bleeding persists.

Dressing

If a dressing (which acts as a bandage) is placed, is used to protect the surgical site and help reduce discomfort. If the dressing comes off or is uncomfortable, do not be concerned.

Diet

Do not chew any food while you are numb to avoid biting yourself. Until comfortable, avoid chewing on the side where surgery was completed. Avoid hot foods and liquids for approximately 1 hour following the surgery so as not to soften the dressing. A soft diet is recommended. Foods such as cottage cheese, oatmeal, soup, eggs, yogurt, pasta, mashed potatoes, casseroles, and fruits are more easily eaten. Remember, adequate nutrition is essential for feeling better as well as for healing.

Smoking

Do not smoke for at least 2 weeks following your surgical procedure. It will significantly slow healing and can compromise results.

Alcohol

Do not drink alcohol while taking prescription pain medications.

Rinsing

Do not rinse for the first 24 hours. After that, you may use a mild, diluted mouthwash. Repeat as necessary to help keep the dressing clean.

Brushing


Do not brush the area of surgery for 1 week, but continue to brush and floss the teeth which were not treated. After one week you may brush the teeth in the area of surgery gently with the very soft brush and begin flossing gently. You may slowly increase the force of your brushing and flossing as the area heals and feels normal.

Suture Removal

You may notice increased discomfort 3-4 days after the surgical procedure. As the tissues begin to heal, they may pull against the sutures and dressing. You may choose to take some form of pain medication one hour prior to your suture removal appointment to minimize tenderness. If you are a patient for whom Antibiotic Pre-Medication is required, take the prescribed antibiotics 1 hour prior to your suture removal appointment.

Contact Us

Should you have any questions or concerns during regular office hours, please do not hesitate to contact us at (773) 769-1754.