Pre Operative Instructions: Before IV / General Anesthesia
- If your surgery is scheduled for the morning, do not eat any food or drink any fluids after midnight. If your surgery is scheduled in the afternoon, you may have a light meal (toast or the equivalent and clear liquids such as tea, black coffee, or apple juice) up to 6 hours before.
- Upon arrival the day of surgery, you must be accompanied by a responsible adult who will assure that you get home safely by driving you in a car or accompanying you in a taxi cab. They need to remain in the office during the entire time of your surgery. You should not drive, operate machinery, or make important decisions for the remainder of the day.
- If you regularly take medication in the mornings, follow the instructions given to you at your consultation appointment by your surgeon. Generally, important medicines can be taken at the normal time with a sip of water. Patients taking blood thinners or medication for diabetes require special consideration-this should be discussed with your surgeon. Contact our office if you have further questions.
- Please wear loose-fitting clothing with short sleeves or sleeves that can easily be rolled above both elbows. You may want to wear or bring a sweater/jacket to stay warm prior to surgery.
- Refrain from smoking or vaping tobacco or marijuana and from consuming edibles of any kind for 2 days prior to surgery.
- To help avoid infection, brush and floss your teeth and rinse with mouthwash prior to your surgery.
- Jewelry, contact lenses, and dentures must be removed before surgery. If you wear dentures, please do not use denture adhesive the day of surgery.
- Cell phones are not permitted in the surgical area.
- Do not wear lipstick, excessive makeup, acrylic nails, or dark or metallic nail polish.
- Please visit the restroom immediately before your appointment time.
- If you have a head or chest cold, sore throat, or other illness, please call the office as an appointment change may be necessary.
- Payment is expected on the day of surgery unless other financial arrangements have been made.
If the above instructions are not followed, we may need to reschedule surgery for your safety.
If you have questions or concerns, or need to cancel or change your appointment for any reason, please remember to inform our office at 708-680-7017 as early as possible so other patients can use this time for their care.Post Operative Instructions
Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, when in doubt follow these guidelines or call our office for clarification.
Day of Surgery
FIRST HOUR: Bite down gently but firmly on the gauze packs that have been placed over the surgical areas, making sure they remain in place. Do not change them for the first hour unless the bleeding is not controlled. The packs may be gently removed after one hour. If active bleeding persists, place enough new gauze to obtain pressure over the surgical site for another 30 minutes. The gauze may then be changed as necessary (typically every 30 to 45 minutes). It is best to moisten the gauze with tap water and loosely fluff for more comfortable positioning.
EXERCISE CARE: Do not disturb the surgical area today. Do NOT rinse vigorously or probe the area with any objects. You may brush your teeth gently. PLEASE DO NOT SMOKE for at least 48 hours, since this is very detrimental to healing and may cause a dry socket.
OOZING: Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the areas and biting on the gauze for 30-45 minutes at a time.
PERSISTENT BLEEDING: Bleeding should never be severe. If so, it usually means that the packs are being clenched between teeth only and are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy you may substitute a tea bag (soaked in very hot water, squeezed damp-dry and wrapped in a moist gauze) for 20 or 30 minutes. If bleeding remains uncontrolled, please call our office.
SWELLING: Swelling is often associated with oral surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on then twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.
PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off, you should be able to better manage any discomfort. Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced. The effects of pain medications vary widely among individuals. If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as aspirin or ibuprofen. Some patients may even require two of the pain pills at one time. Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for pain medication should lessen. If you find you are taking large amounts of pain medicine at frequent intervals, please call our office. If you anticipate needing more prescription medication for the weekend, please call for a refill during business hours.
PLEASE NOTE: Telephone calls for narcotic (pain killer) prescription renewal are ONLY accepted during office hours.
NAUSEA: Nausea is not uncommon after surgery. Sometimes pain medications are the cause. Nausea can be reduced by preceding each pain pill with a small amount of soft food, and taking the pill with a large volume of water. Try to continue taking clear fluids and minimize doses of pain medications, but call us if you do not feel better. Carbonated beverages may help with nausea.
DIET: Eat any nourishing food that can be taken with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is sometimes advisable, but not absolutely required, to confine the first day’s intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, etc.) It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.
SHARP EDGES: If you feel something with hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following week or so. If they cause concern or discomfort, please call the office.
Instructions for the second and third days
MOUTH RINSES: Keeping your mouth clean after surgery is essential. Use 1/4 teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like but at least two or three times daily
BRUSHING: Begin your normal oral hygiene routine as soon as possible after surgery. Soreness and swelling may permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort.
HOT APPLICATIONS: You may apply warm compresses to the skin over the areas of swelling (hot water bottle, hot moist towels, heating pad) for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness.
HEALING: Normal healing after tooth extraction should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office. If you are given a plastic irrigating syringe, DO NOT use it for the first five days. Then use it daily according to the instructions until you are certain the tooth socket has closed completely and that there is no chance of any food particles lodging in the socket.
It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office at any time. A 24-hour answering service is available to contact the doctor on call after hours.