Post-Op Instructions

female12.jpgPost-Op Instructions

Before and after each in-office service and procedure we perform, we will carefully discuss in depth with you what you can expect during and after treatment. In order to extend our care from our office to your home, we have provided our Post-Op Instructions online to help answer any post-op questions and to educate you on proper after-care. If you have any questions at all, please do not hesitate to call our practice at 941-957-3311.

Crown / Bridge Temporaries

Your anesthesia will wear off in approximately one to three hours after the procedure. It is very important not to chew  (to prevent biting tongue, lip, etc.) until the anesthesia wears off.

Your tooth (or teeth) may be sensitive to hot, cold or pressure after this procedure. Your gum tissue may also be tender. This is COMPLETELY normal. The more invasive the procedure, the more sensitivity you may experience. The possible symptoms of hot, cold or pressure will cease within a few days to a couple of weeks. In a very few instances, this sensitivity could last longer than a couple of weeks. As long as your teeth or gums are continuing to feel better (not staying the same, or getting worse) everything is fine. There is no need for concern.

We may prescribe ibuprofen (Motrin). This IS NOT for pain. Ibuprofen is to reduce the inflammation in the area worked on, and will further eliminate hot, cold and pressure sensitivity if taken as directed. If you are allergic to or cannot tolerate ibuprofen, (Motrin, Advil, etc.) please advise us. If discomfort continues for more than a a few days, please call our office at 941-957-3311.

It is extremely important for the temporary crown/bridge to remain on the tooth until we seat your permanent restoration. If your temporary crown becomes loose or comes off at any time, please call the office immediately. Your teeth can shift within a few hours if your temporary is missing, which can inhibit the placement of your permanent crown or bridge. You may also experience sensitivity if your temporary comes off.

Please note: With your temporary, avoid hard and chewy foods (such as ice, hard candy, gum, taffy). These are known to pull temporaries off the prepared tooth. All patients are given a handout at the crown preparation appointment regarding taking care of your temporary crown.

If your temporary comes off or becomes loose, please gently replace your temporary back onto your prepared tooth and call the office (you cannot put your temporary back on incorrectly because it will only fit one way).

It is important to floss your temporary. However, instead of pulling the floss back up through the teeth, release one end of the floss and pull it through the side of the tooth.

Once the anesthesia has worn off and you feel as though any of the teeth we worked on are hitting first, please give the office a call immediately. This imbalance with your bite may cause further discomfort and should be adjusted.

Oral Surgery

Things to Expect:

  • Bleeding:  Bleeding or "oozing" for the first 12 to 24 hours.
  • Swelling:  This is normal following a surgical procedure in the mouth. It should reach its' maximum in two to three days, and should begin to diminish by the fifth post-operative day.
  • Discomfort:  Any discomfort you might experience will occur after the anesthesia has worn off. This should diminish within one to three days.

Things to Do:

  • Bleeding: Place gauze over extraction sites and maintain pressure by biting for at least two hours. Replace gauze every 30 minutes within these two hours. Keep head elevated and rest. Do not suck or spit excessively. (Also please refrain from blowing into musical instruments.) Note: Some oozing and discoloration of saliva is normal. If bleeding persists, replace the gauze with a clean folded gauze placed over the extraction site, and maintain the pressure until the bleeding stops.
  • Rinsing: Begin rinsing 24 hours after the surgery. Rinse with warm saltwater (or prescription mouth rinse) three-to-five times per day for seven days.
  • Swelling: Place ice or cold compresses on the region of surgery for ten minutes every half-hour for the first eight to twelve hours.

Note: Ice bags or cold compresses should be used only on the day of surgery.

  • Smoking
    Avoid smoking during the healing period. Smoking increases the possibility of a dry socket infection occurring.
  • Discomfort
    Begin taking pain medication immediately after surgery as directed. The medicine will require 45 minutes to one hour to take effect.
  • Diet
    A nutritious liquid or soft diet may be necessary for the first weeks after the surgery. A fluid intake of at least two quarts a day is needed.
  • Physical Activity
    For the first 24 to 48 hours, you should REST.

After Surgery:

  • Brush teeth carefully.
  • Use WARM SALT WATER (or prescription mouth rinse) as a mouth rinse, three to five times per day.
  • If ANTIBIOTICS are prescribed, be SURE to take ALL that have been prescribed, AS DIRECTED.
  • Use WARM, MOIST HEAT on face for swelling after 24 hours. Continue until the swelling subsides. A warm, wet washcloth or heating pad will suffice.
  • If SUTURES were used, you will be appointed to return to the office in seven to ten days for removal.
  • DRY SOCKET is a delayed healing response, usually caused from disturbing the blood clot forming in the socket, which may occur during the second to fourth post-operative day. It is associated with a throbbing pain on the side of the face. In mild cases, simply increasing the pain medication can control the symptoms. If this is unsuccessful, please call our office at 941-957-3311.

Contact the Doctor if:

  • Bleeding is excessive and cannot be controlled.
  • Discomfort is poorly controlled.
  • Swelling is excessive, spreading or continuing to enlarge after 48 hours.
  • Allergic reactions to medications occur which are causing a generalized rash or excessive nausea.

Following all instructions faithfully will add to your comfort and speed recovery.