INSTRUCTIONS TO PATIENTS
GENERAL ANESTHESIA OR INTRAVENOUS SEDATION
- Have NOTHING TO EAT OR DRINK 8 hour before scheduled appointment.
- A RESPONSIBLE ADULT to DRIVE YOU HOME. An adult must remain with you at home for the rest of the day.
- DO NOT SMOKE OR CHEW GUM 6 hours before scheduled appointment.
- DO NOT TAKE ANY ASPRIN PRODUCTS for at least 7 days before surgery. If you do not know if a product has aspirin in it, call us or your pharmacy before taking it.
- DO NOT WEAR EARRINGS OR TONGUE RINGS.
- Wear SHORT SLEEVE SHIRTS and LOOSE CLOTHING.
- Remove CONTACT LENSES before appointment.
- Call if you have DEVELOPED A COLD before surgery.
- Surgery appointments with general anesthesia or I.V. Sedation are scheduled very tightly. Please NOTIFY US OF CANCELLATION AS EARLY AS POSSIBLE.
- If you are under 18 years of age, you must have a parent bring you here. They will be expected to stay here during the entire procedure.
- Please take your blood pressure medication with a sip of water in the A.M.
The instructions 1, 2, 3 and 4 ARE SAFETY PRECAUTIONS.If they are not followed we may have to re-schedule surgery.
Wisdom Tooth Smoothie
- 2 bananas (or strawberries)
- 1 tsp. honey
- Orange juice
- Yogurt 6 oz size (regular or soy)
- Place ice in blender with bananas and set to crush
- Add honey, the yogurt (peach works nicely) and
- Orange juice for consistency. Blend till smooth.
- NO Straws Please.
Other foods you can shop for and enjoy: (use as a guide) Avoid foods that are too spicy or hot in temperature.
Select foods that do not require chewing for the first 3-5 days until you feel ready.
- Ice Cream
- Cottage cheese
- Scramble or soft-boiled eggs
- Oatmeal-Cream of Wheat
- Mashed potatoes
- Soups and Broth
- Pasta well done
- Vegetables well cooked
- Filet of Flounder
- Any beverage non-carbonated, non-alcoholic and non-acidic
- Canned fruits and bananas
If you have any questions about the instructions below, please call the office in which you were seen.
IMPORTANT: If you gave Caller Block/Caller ID, be sure to turn it off before calling the service for a return call from our Doctors. Also, be aware that the Doctors often make post-operative calls and would be unable to get through if the Caller Block is on. Know that one or our Doctors is always on call.
- GAUZE : For the first 30 minutes, keep the gauze that was placed over the surgical site and then gently remove it. If there is still active bleeding, replace it with a fresh rolled up gauze and bite down gently but firmly for another 30-45 minutes. Make sure the gauze is over the surgical site and not just between the teeth. This helps a blood clot to form in the socket. Repeat every 30-45 minutes as necessary until bleeding is minimal. You may see blood tinged saliva for a day or two. This is normal and is no cause for alarm. If bleeding persists, see #6 below.
- DIET : You may eat as soon as possible when you get home being careful if an area of the mouth is still numb. Drink plenty of fluids and maintain good nutrition with soft foods for the first 2-3 days. ( Scrambled eggs, yogurt, soups, apple sauce, anything pureed, etc) It is best to avoid very hot foods and crunchy foods like nuts or chips for several days as these may get lodged in the socket. If you are a diabetic it is especially important to maintain your usual intake.
DO NOT USE STRAWS FOR 5 DAYS!
- MEDICATIONS : Unfortunately, most oral surgery is accompanied by some degree of discomfort. If prescriptions were issued, use according to the directions. These pain medicines will help you recover with minimal discomfort. Talking an anti-inflammatory medication before the local anesthesia wears off can help better manage discomfort. For mild pain you can take either extra-strength or regular Tylenol, or over-the-counter (OTC) non-aspirin pain reliever that you usually take. Nausea is not uncommon after surgery, anesthesia or strong pain medicines. Talking at least one cup of food or liquid before talking any prescribed pain medication (unless otherwise specified) may help avoid stomach upset. Antibiotics, if prescribed, are taken to completion unless drug complications develop.
- SWELLING : Post-op swelling is a normal part of healing and, if significant, tends to peak 2 days after surgery. If you were instructed to apply ice to your cheek, apply for 20 minutes with a 20 minute break and repeat for the first 48 hours only, but do not apply ice when sleeping. Propping yourself up with a few pillows for the first 2 nights may also help reduce facial swelling. Applying ice beyond the recommended time could delay normal healing. Do not apply ice if the swelling you have is due to an infection.
- ORAL HYGIENE : Do not brush your teeth or rinse your mouth for the first 12 hours. Thereafter, you may brush in the non-surgical area and rinse your mouth gently 4 times a day (after meals and at bedtime) for one week. A traditional rinse is a salt-water solution (1/2 tsp. salt in 8 oz. warm water), but the cleansing is more important than the agent used.
- BLEEDING : Some bleeding after surgery is normal. If bleeding persists in spite of following the above instructions, try the following: keep the head elevated and roll a moist tea bag in a piece of gauze. Place it over the socket and bite down gently, undisturbed, for 30-45 minutes. If bleeding persists, call the office in which you were seen.
- SMOKING : Smoking causes irritation and delays normal healing.
- DRY SOCKET : Healing can be delayed if the blood clot filling the socket dissolves or is washed away, exposing the bone. This may lead to a constant deep or throbbing pain, which can be easily treated with a medicated dressing. “Dry Sockets” generally occur 3-5 days extraction. If you suspect you have a dry socket, call the office so that we can assist you.
- BONE SPUR : Occasionally after surgery small edges of bone may become exposed. Usually they are unattached. If these occur, please call the office in which you were seen and make an appointment for their simple removal.
IMPLANT POST-OPERATIVE INSTRUCTIONS
- Rest at home, keep quiet and generally take it easy for the first 72 hrs. following surgery. It may not be necessary to stay in bed, however. It is important that you rest. Keep your head elevated with 1-2 extra pillows to help prevent swelling of the surgical site.
- You may experience lightheadedness, dizziness, or sleepiness after surgery. DO NOT STAY ALONE. A responsible adult should stay with you 24 hrs. following surgery
- Do not climb stairs of ladders without someone assisting you for the first 24 hrs., ESPECIALLY IF YOU ARE TAKING THE MEEDICATION PRESCRIBED FOR PAIN.
- Rinse mouth very gently in the first 48 hrs. or you might tear stitches and impair healing.
Rinse with ½ teaspoon salt in 8 oz. warm water after meals and before bed, until the stitches are removed.
- Avoid all alcoholic beverages for the first 3 day following surgery and when taking medication for pain.
- You may be eager to see the surgery site… PLEASE DO NOT PULL YOUR LIPS OR CHEEKS ASIDE, since this can tear stitches and delay healing.
- Apply ice packs to the outside of your face against the surgical site, alternating for 20 minute intervals with 20 minutes of no ice applied. This should be done for the first 36 hrs. (except when sleeping). Moist heat will aid in healing after the 36 hrs.
- Slight bleeding or spotting of the saliva is normal for the first 2 days, as is a slight elevation in temperature up to 101.0 degree oral. Please report any fever over 101.0 degree
- DO NOT SMOKE!!! Smoking dries-out the tissues and delays healing. Please consult the doctor prior to resuming smoking.
- Following sedation anesthesia, you may not drive, operate machinery or attempt to cook for 24 hrs. Do not make any important decisions or sign any legal documents for 24 hrs. following sedation anesthesia.
- Please continue to take prescribed medication as directed.
- You may engage in normal activities (including exercise) after 1 week.
IMPLANT POST-OPERATIVE INSTRUCTIONS
You can expect to be uncomfortable the first day after surgery; the second day may be more uncomfortable with more swelling. The third day is generally better, with rapid improvement thereafter.
We are genuinely concerned with your well-being. Please report immediately any difficulty in breathing, excessive bleeding, persistent nausea or vomiting, any pain that is unusual. If you feel that your signs and symptoms warrant a doctor’s attention, and you have been unable to reach our staff doctor, go to the emergency room closest to you.
IMPORTANT: It is most important that you maintain a nutritious diet during the weeks of healing. The patient who maintains a good diet of soft foods generally feels better, has less discomfort and heals faster. Since you will be taking medication, it is very important that you eat to prevent nausea.
WE RECOMMEND: Mildly “hot” chocolate along with cereal such as oatmeal or cream of wheat. Soft boiled or scrambled eggs, milk, toast and pastas are all excellent.
Soups along with broiled fish or stewed chicken will taste good to you. Baked potatoes, peas, asparagus, cooked carrots, cottage cheese, and baked apples will add to your diet. Soup alone is not enough.
Boost, Ensure, or Sustacal added to meals or as an in-between snack are good for added nutrition. Yogurt is excellent.
Foods containing tomatoes, onions, lemon juice, or spices of any kind will be irritating and should be avoided.
You may eat soft foods that do not irritate. You may chew if it is not too uncomfortable to do so.
Dietary Supplements of Vitamin C, D and Calcium are important.
EAT WELL AND YOU WILL FEEL WELL!!!!