||Medications: Take ALL your medications as directed by your doctor. If you are taking an antibiotic, be sure to take ALL of the medicine. Narcotic pain medications should only be taken as needed.
a. Antibiotics: (such as penicillin, erythromycin, etc.) may alter the effectiveness of hormonal birth control methods (the pill, the patch, IUD, etc.). Please contact your family physician or gynecologist for assistance with alternate methods of birth control while taking antibiotics.
||Pain and Swelling: Pain and swelling are expected after surgery, and will peak 48 hours after surgery. Any amount of pain and swelling within the first 48 hours after surgery is considered normal. After the first 48 hours, your pain should not continue to escalate. If your pain and swelling is continuing to intensify after 48 hours, this could indicate a problem. Please contact our office immediately.
||Ice: Ice packs should be placed ½ hour on and a ½ hour off the areas operated on for the first 48 hours after surgery. This will help decrease pain and swelling. After the first 48 hours, switching to hot compresses will help to increase blood flow to the area and soothe residual swelling.
||Bleeding: To stop bleeding, bite down on tightly rolled gauze placed at the surgical sites. Maintain firm biting pressure. The more you talk and move your jaw, the less effective the gauze will be. Change the gauze every ½ hour until the bleeding has stopped. Generally, this occurs 2-5 hours after surgery (certain medications and supplements such as aspirin, vitamin E, fish oil, etc. can increase normal bleeding time). To determine that the active bleeding has stopped, remove the gauze and look in the mouth. You should see no bright red blood pulsing from the surgical sites. Do not go to bed with gauze in your mouth.
a. Excessive Bleeding: If heavy bleeding persists, moisten a black tea bag with cool water and place it at the surgical site. Bite down firmly for 30 minutes. If this fails to stop the bleeding, please contact our office.
||Straws: DO NOT USE DRINKING STRAWS. Do not use straws for ONE WEEK, or until you return for your post-operative check-up. The usage of drinking straws can cause newly formed blood clots to dislodge, which may cause severe pain and complications with your healing.
||Local Anesthesia Diet: Do not eat anything that is hot, hard, or crunchy. DO NOT have chewing gum, hard candy, chips, pretzels, popcorn, or foods with small seeds. Excessive heat can increase bleeding, so anything that is normally consumed hot, should be consumed at a lukewarm temperature. Cool, soft foods are best for the first 3 days after surgery. Choose foods such as: yogurt, pudding, ice cream, milkshakes, Italian ice, jello, protein shakes, applesauce, mashed potatoes, macaroni and cheese, soup, scrambled eggs, soft fish, beverages, tea, or coffee. When possible, try to chew on the side where you did not have surgery. After 3 days, you can begin to add any foods you like. However, use common sense. If something is uncomfortable to eat, wait to eat it. Wait to have anything that requires you to chew until your numbness wears off-you don’t want to bite a lip, cheek, or tongue!
||IV Sedation Diet: If you were put to sleep for your surgery, you have some additional dietary precautions. START with clear liquids when you begin to reintroduce foods to your body. Be sure something cold and wet is on your stomach before you begin your medications.
CLEAR LIQUIDS INCLUDE: water, apple juice, cranberry juice, Gatorade, tea, coffee, soda, Italian ice, jello, clear soup broth (beef, chicken, or vegetable), and applesauce. Each doctor will have a preference for when you progress to other foods based on their training and experience. Please find your doctor on the list below to determine when you may progress to cool soft diet.
a. Dr. Dimmich: DO NOT START a soft diet until the day AFTER surgery. The day of surgery, you are to adhere to the list of clear liquid foods and drinks above.
b. Dr. Bender and Dr. Johri: DO NOT START a soft diet until dinner time, after your bleeding has
stopped and your numbness has begun to wear off.
Cool Soft Diet: Do not eat anything that is hot, hard, or crunchy. DO NOT have chewing gum, hard candy, chips, pretzels, popcorn, or foods with small seeds. Excessive heat can increase bleeding, so anything that is normally consumed hot, should be consumed at a lukewarm temperature. Cool, soft foods are best for the first 3 days after surgery. Choose foods such as: yogurt, pudding, ice cream, milkshakes, protein shakes, mashed potatoes, macaroni and cheese, soup, scrambled eggs, soft fish, ground beef, and pasta. After 3 days, you can begin to add any foods you like. However, use common sense. If something is uncomfortable to eat, wait to eat it. Wait to have anything that requires you to chew until your numbness wears off-you don’t want to bite a lip, cheek, or tongue!
||Tobacco Usage: Do not smoke or use tobacco products of any kind the day of surgery. No cigarettes, cigars, pipes, snuff, or chewing tobacco. Try to limit smoking as much as possible the week after surgery.
||Bruising: Bruising can occur and is normal after surgery. It can be quite extensive, and can migrate as it heals. Do not be alarmed if this occurs.
||Hygiene: DO NOT BRUSH your teeth or spit on the day of surgery, as this may dislodge blood clots. Beginning the day after surgery, you may resume brushing your teeth and rinse your mouth, unless otherwise instructed by your doctor.
||General Information: Sometimes during normal healing, small pieces of bone will loosen and work their way through the gum tissue. These are not tooth roots and will often come out on their own over time. Sometimes, it is necessary to return to our office and have them removed. Do not be alarmed if you notice a gray/white appearance of the blood clot; this is normal. Stitches will dissolve on their own in 7-10 days. There is a doctor on call this evening. He/She will call you in your home and make sure that you are doing well.
Please remember that our interest in you and your oral health does not end with the completion of your surgery. We encourage you to call the office if you have any questions or concerns at 610-435-6161; a doctor is on call 24/7 and will contact you as soon as possible. Contact us immediately if any of the following occur: high fever (above 101 degrees F), unusual reaction to medications, rapid increase in pain or swelling after 48 hours, or excessive bleeding that wont stop with the use of a tea bag. Thank you for trusting us with your care!