Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There may be a metal healing abutment protruding through the gingival (gum) tissue.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding would for 30 minutes. If bleeding continues, please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, a frozen bag of peas, or a plastic bag or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, during the first 36 hours.
Drink plenty of fluids. Avoid hot liquids and foods on the day of surgery. Soft foods and liquids should be consumed on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed, but try to avoid chewing on the surgical site.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol® or Extra Strength Tylenol® may be taken every 3–4 hours. Ibuprofen (Advil® or Motrin®) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets, and 2–3 tables may be taken every 6 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic or have been instructed by your doctor not to take it.
Be sure to take prescribed antibiotics as directed to help prevent infection. Use your antibiotic mouth rinse as prescribed.
Good oral hygiene is essential to good healing. Warm saltwater rinses (a teaspoon of salt in a cup of warm water) should be used at least 4–5 times a day as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.
Wearing Your Prosthesis
Partial dentures, flippers, or full dentures should not be used immediately after surgery and for at least 10 days unless otherwise instructions by your oral surgeon.
If you have any questions or concerns, please feel free to call our office at (360) 293-2808. Our after-hours emergency number is (360) 647-4027.