Before intravenous sedation

Preoperative instructions Before Sedation/ Anesthesia:

. Don’t eat or drink anything (including water) for eight (8) hours prior to the appointment.

Avoid smoking at least 12 hours before surgery. Ideally, limit or stop smoking as soon as possible in advance of your surgery date.

A responsible adult over 18 years and older must accompany you to our office, remain in the office during the procedure, and drive you home.

After receiving anesthesia, you should not drive a vehicle or operate any machinery for 24 hours.

Wear closed toed shoes, and loose-fitting clothing with sleeves that can be rolled up past your elbow.

Contact lenses, jewelry, and dentures must be removed before surgery.

On the day of surgery, do not wear lipstick, excessive makeup, or nail polish.

Notify our office if you have an illness such as a cold, sore throat, or upset stomach or bowels.

In advance of your surgical date, let your doctor know if you routinely take oral medication. Your doctor will discuss any medication and instructions that are applicable to you and your situation.

Post Operative instructions after teeth extraction.

Follow these instructions closely:

Bite on a gauze pad for 20-30 minutes after your appointment.

If the bleeding or oozing persists, replace the gauze pad with a new one and continue to bite firmly for 30 minutes. You may have to repeat this several times.

Avoid vigorous exercise for 24- 48 hours because it will increase your blood pressure and promote bleeding at the extraction site.

Do drink lots of water. Staying hydrated will allow your body to heal faster.

Do gently rinse your mouth with warm After 24 hours , salty water to ease pain and swelling. Make sure to rinse gently and not vigorously.

Do not use a straw for drinking for at least 7-10 days after your surgery. Sucking on a straw creates pressure that can dislodge a blood clot from a socket, leading to a painful condition known as a dry socket.

Do not drink alcoholic, caffeinated, carbonated, or hot beverages.

Do not eat spicy foods, as this can inflame and irritate the gums.

Do not eat or drink acidic food or beverages, as this can irritate the tissues and the recovering surgical site.

Do not smoke for at least 48 hours after the surgery, and stop smoking in general. Smoking releases toxins in the mouth that can irritate the delicate healing tissues.

After 24 hours, resume your dental hygiene routine, including brushing and flossing your teeth at least once a day.

List of soft foods: 50 Soft Foods To Eat After Dental Surgery

Applesauce
Avocado
Baby food
Baked beans
Bananas
Biscuits – soaked or soft biscuits only
Bread – soaking in a soup can make for a delicious, filling snack
Broth – warm, not hot
Cheesecake
Clams
Cold cereal – soaked until soft
Cookies – soaked in milk
Cottage cheese
Custard
Deli meats
Eggs
Fish
Greek yogurt
Ground chicken
Hummus
Ice cream
Jello
Juice
Macaroni and cheese
Mangos
Mashed potatoes
Mashed vegetables
Meatballs
Meatloaf
Milkshakes – make sure to consume using a spoon, not a straw
Mousse
Oatmeal – warm oatmeal can be a filling, nutritious food that doesn’t require effort to chew
Popsicles
Pudding
Pumpkin
Rice
Risotto
Salmon
Semolina
Sherbet
Smoothies – avoid including nuts, seeds, or ice
Soups
Spaghetti
Sweetbreads
Tapioca
Tea
Tofu
Vegetables – only steamed or well-cooked
Waffles – can be soaked
Yogurt

Post operative instructions after wisdom teeth extraction:

Immediately Following Surgery

Keep the gauze pad over the surgical area in place for a half hour. After that, remove and discard it and repack as necessary.

Avoid activities that can dislodge the clot and cause bleeding, including touching the surgical site and vigorously rinsing your mouth.

As the local anesthetic wears off, you will begin to feel discomfort. Take your prescribed pain medication right away, easy to control pain before it starts then to chase pain control once started.

Restrict your activities the entire day of surgery. Resume normal activity when you feel comfortable, typically after 72 hours.

Place ice packs on the sides of your face where surgery was performed to control swelling.

Bleeding

Slight bleeding– After surgery, slight bleeding, oozing, or redness in your saliva is uncommon.

Excessive bleeding – Blood-tinged saliva may create the appearance of a lot of bleeding but is no cause for concern. If you experience quantities of dark blood, this needs attention. Gently rinse or wipe any old clots from your mouth. Place a gauze pad over the area and bite firmly for 30 minutes. Repeat if necessary. If bleeding persists, bite on a moistened tea bag for 30 minutes. Tea contains tannic acid, which contracts bleeding vessels and helps form a clot. You can further minimize bleeding by sitting upright, avoiding over-excitement, and avoiding exercise. If excessive bleeding persists, call our office.

Swelling After surgery, minimize swelling my immediately using ice packs. Two plastic sandwich bags filled with ice, or ice packs, should be applied to the sides of the face where surgery was performed. Cold compress for 15 minutes on to face and 15 minutes off for 6-7 hrs during day,Use ice packs continuously while you are awake. After 36 hours, ice has no benefit. If swelling or jaw stiffness persists for several days, it is a normal reaction to surgery. Instead of ice packs, start applying moist heat to the sides of the face to reduce swelling. Call the office for follow up appointment if need to be seen sooner than one scheduled.

Pain

Moderate pain – Take one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours. Or take two to four 200 mg tablets of ibuprofen (Motrin or Advil) every three to four hours.

Severe pain – Take the prescribed medication as directed. It will make you drowsy, so avoid driving a vehicle or operating machinery. Avoid alcoholic beverages. Pain or discomfort should improve each day. If it persists, call our office.

Dry socket – This occurs when the blood clot is prematurely dislodged from the tooth socket. Sudden, severe pain at the surgical site and even in your ear may occur two to three days after surgery. Call our office if this occurs.

Diet

After general anesthesia or I.V. sedation, drink plenty of liquids directly from the glass. Liquids will prevent dehydration. Drink at least five to six glasses of liquid daily Avoid using a straw as the sucking motion can dislodge the blood clot and cause the surgical site to bleed. If bleeding restarts 48 hrs post-surgery call office ASAP.

You may start with soft food but chew away from the surgical sites. Consume high-calorie, high-protein liquids or soft foods. Stay nourished and compensate for your limited food intake by drinking plenty of fluids. Proper nourishment will help you feel better, have more strength and less discomfort, and heal faster.

Oral Hygiene

Don’t rinse your mouth until the day following surgery(24hours after surgery). You can brush your teeth the night of surgery. The day after surgery, mix a teaspoon of salt with a cup of warm water. Rinse at least five to six times daily, especially after eatingand use prescription Medicated mouth wash Peridex as directed by your doctor

Bruising

Bruising can result in skin discoloration as blood spreads beneath the tissues. This is normal and may occur two to three days after surgery. Apply moist heat to help remove discoloration. It will eventually fade and will change colors and your skin will return back to normal colour.

Antibiotics

Take the tablets or liquid as directed to help prevent infection. Discontinue use if you develop a rash or have an adverse reaction. Call our office if you have any questions. If in case of emergency like unable to swallow / Breath/ swelling of tongue/ lip and cheek report to nearest emergency room ASAP.

Nausea and Vomiting

If you experience nausea or vomiting after surgery, do not take anything by mouth, included your prescribed medication, for at least an hour. Slowly sip on cola, tea, or ginger ale over a 15-minute period. When nausea subsides, you can eat and take the prescribed medicine.

Surgical Site

Sutures – Sutures (stitches) at the surgical site minimize post-operative bleeding and promote healing. If they become dislodged, remove and discard them. Otherwise, the sutures will be removed approximately one week after surgery. There is no discomfort associated with removing them, so no anesthesia or needles are needed to remove them.

Numbness– If you experience numbness in your lip, chin, or tongue, don’t be alarmed. This is normal and usually temporary. Be careful to avoid biting your lip, cheeks, or tongue.

Mild fever – A mild fever immediately following surgery is not uncommon. If it persists, take Tylenol or ibuprofen to reduce the fever.

Dizziness – Be careful when standing up from the lying down position. Your lack of nourishment before and after surgery can make you dizzy, and so can pain medication. Before standing, sit for one minute.

Dryness – The corners of your mouth are often retracted and stretched during surgery. Keep your lips moist with an ointment or with OTC antibacterial cream .

Sore throat – Swollen muscles can cause a sore throat or pain when swallowing. This will subside in two to three days.

Stiff jaw muscles – For a few days after surgery, it may be difficult to open your mouth. This is normal post-operative stiffness that will resolve in time.

Exercise – Avoid exercise the day of surgery and do not exercise for 42-72 hours. Exercise may dislodge the blood clot, weaken you, or cause dizziness. Resume exercise as directed by your doctor.

List of soft foods: 50 Soft Foods To Eat After Dental Surgery

Applesauce
Avocado
Baby food
Baked beans
Bananas
Biscuits – soaked or soft biscuits only
Bread – soaking in a soup can make for a delicious, filling snack
Broth – warm, not hot
Cheesecake
Clams
Cold cereal – soaked until soft
Cookies – soaked in milk
Cottage cheese
Custard
Deli meats
Eggs
Fish
Greek yogurt
Ground chicken
Hummus
Ice cream
Jello
Juice
Macaroni and cheese
Mangos
Mashed potatoes
Mashed vegetables
Meatballs
Meatloaf
Milkshakes – make sure to consume using a spoon, not a straw
Mousse
Oatmeal – warm oatmeal can be a filling, nutritious food that doesn’t require effort to chew
Popsicles
Pudding
Pumpkin
Rice
Risotto
Salmon
Semolina
Sherbet
Smoothies – avoid including nuts, seeds, or ice
Soups
Spaghetti
Sweetbreads
Tapioca
Tea
Tofu
Vegetables – only steamed or well-cooked
Waffles – can be soaked
Yogurt

Implant Post-Operative Instructions

Implant surgeries are typically painless and have minimal issues. However, below are some helpful tips.

The First Day

Local anesthesia immediately after surgery may last 6-8 hours. Be careful not to bite your lips, cheekor tongue

Your doctor will pack pressure gauze after surgery change the Gauzeas directed by your doctor.

Diet: It is important to maintain your dietary intake. Begin with soft, cold foods.You may resume a normal diet when you feelcomfortable. Drink plenty of liquids during the post operative periodespecially when taking medications.( List of soft foods at the end of document)

If Ibuprofen or Narcotics: Take one pill after eating and start taking as directed. While taking narcotics please follow caution instructions as directed.

If antibiotics or anti-nausea medication prescribed take them as directed.

Sleep with your head elevated (head above heart) for 3-4 days to help withswelling and pain.

Avoid rinsing your mouth or spitting the day of surgery. 24 hours after surgery, you mayrinse with warm salt water (1/2 teaspoon salt to 1 cup warm water) every2-3 hours for the first couple of days, then rinse after meals and at bedtimefor the next 2 weeks and or also use Peridex rinse as prescribed and directed by doctor.

Do not brush or floss in the area of surgery for the first 24 hours.

For the first 24 hours following surgery, a responsible adult should beavailable to assist you.

Ice applied over the surgical site during waking hours for the 24-48 hourswill minimize swelling. Apply for 15 minutes then give a 15 minute rest.

Start your regular medications unless instructed not to by your doctor.

No strenuous activities for the first few days following your surgery.

Avoid tobacco products to improve the success of you implant taking. If you need help with smoking cessation advise and direction ask your doctor for appropriate help.

Avoid straws for 24 hours. It increases bleeding and delayed healing.

There may be a metal healing cap which is exposed through the gums,clean the healing cap starting the day after the procedure to keep it freefrom plaque.Initially clean with a q-tip and when it is healed after 3 weeks,you canbrush it.

During months to follow healing process ,the healing cap may loosen or fall out. This is common and will not affect the stability of your implant. It is important to call us as soon aspossible so we can replace it for you. Please bring the loosenedcomponent with you

There may be small granules in your mouth that are part of a bone graft.Don’t worry, this is normal and no need for alarm.

Sometimes we will prescribe a mouth rinse called Peridex®(Chlorhexidine). If so, rinse twice daily for the next 2 weeks.

Do not pull or pick on the sutures. Most of the time you will have suturesthat dissolve within 5-7 days. You will have been instructed to return for asuture removal appointment if your sutures are not dissolvable.

List of soft foods: 50 Soft Foods To Eat After Dental Surgery

Applesauce
Avocado
Baby food
Baked beans
Bananas
Biscuits – soaked or soft biscuits only
Bread – soaking in a soup can make for a delicious, filling snack
Broth – warm, not hot
Cheesecake
Clams
Cold cereal – soaked until soft
Cookies – soaked in milk
Cottage cheese
Custard
Deli meats
Eggs
Fish
Greek yogurt
Ground chicken
Hummus
Ice cream
Jello
Juice
Macaroni and cheese
Mangos
Mashed potatoes
Mashed vegetables
Meatballs
Meatloaf
Milkshakes – make sure to consume using a spoon, not a straw
Mousse
Oatmeal – warm oatmeal can be a filling, nutritious food that doesn’t require effort to chew
Popsicles
Pudding
Pumpkin
Rice
Risotto
Salmon
Semolina
Sherbet
Smoothies – avoid including nuts, seeds, or ice
Soups
Spaghetti
Sweetbreads
Tapioca
Tea
Tofu
Vegetables – only steamed or well-cooked
Waffles – can be soaked
Yogurt

Report Any of the Following

Brisk Bleeding and bleeding that has continued after 24 hours.

Persistent Nausea (More than 24 hours)

Severe, uncontrolled pain.

Development of rash/itching/wheezing

Temperature over 101degrees F (by mouth)

Area becomes red, warm, tender, swollen

Report to nearest emergency room if unable to breath/Unable to swallow/ uncontrolled diarrhea/ Persistent fever.

Bone Graft Post-Operative Information

When Bone Grafting is placed:>

-The socket is filled with bone chips s which are small bone particles, white in color and sand like small particles.

-A collagen membrane which looks like white thin paper like material is placed over of the bone graft while healing.This will look like a sponge or blood clot over the area.

-The area will have stitches, you will see in the mouth stiches, on top of your gum tissue closing the gum tissue closely, that may or may not need to be removed. Do not pull your lip, cheek, to visualize the healing process. This process may cause pulling pressure and tension on sutures and may cause the stitches to come loose sooner.

-You may experience a sensation of “crunching on sand.” This isnormal as some of the bone grafting material will work its way out

Local anesthesia immediately after surgery may last 6-8 hours. Be careful not to bite your lips, cheekor tongue.

• Your doctor will pack pressure gauze after surgery change the Gauze as directed by your doctor.

• Diet: It is important to maintain your dietary intake. Begin with soft, cold foods.You may resume a normal diet when you feelcomfortable. Drink plenty of liquids during the post operative periodespecially when taking medications.( List of soft foods at the end of document)

If Ibuprofen or Narcotics: Take one pill after eating and start taking as directed. While taking narcotics please follow caution instructions as directed.