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Postoperative Instructions
Following Periodontal Surgery

These instructions apply to the surgical procedure just completed. They are designed to instruct you in procedures that will minimize postsurgical discomfort and inform you of situations that may possibly require special attention.


SMOKING

If you are a smoker, it is most important that you do not smoke for the first 3 days after surgery. Smoking greatly increases the chance of postsurgical infection and discomfort, and will retard the healing process.


DISCOMFORT

It is not unusual to have a certain amount of discomfort for a day or two following your surgical procedure. In many instances, two aspirin (Anacin, Bufferin, Tylenol or Excedrin) taken every three hours, but not more than 10 tablets daily, will be sufficient to relieve discomfort. You will be given a prescription for a more potent medication to insure you a mild postsurgical recovery period. Please use this medication only if needed for the control of severe discomfort.


SWELLING

Minor swelling may follow your surgical procedure. To prevent or minimize swelling, it is advisable to place an ice pack over the area; 25 minutes on and 5 minutes off, for the next 6 hours. Remember, the utilization of cold compress to reduce swelling is only effective if used immediately after the surgical procedure. If, after the first 24 hours, swelling has occurred, apply heat to the involved area in the form of wet or dry compresses as often as it is convenient.


BLEEDING

A small amount of bleeding is all that is necessary to discolor your saliva. DO NOT be alarmed, as this is normal. If excessive or continuous bleeding occurs:
  • Discontinue all rinsing.
  • Sit up in an erect position (Do not lie down).
  • Apply a moistened tea bag to the immediate area for 20 minutes. (Repeat if necessary).
If the bleeding continues, please do not hesitate to call this office.


DRESSING

The dressing (which acts as a bandage) is used to protect the surgical site and help reduce discomfort. If small pieces fall off, it is of no concern unless the area has become uncomfortable. If large portions of the dressing fall off, please call this office.


DIET

Do not eat on the side of the mouth that was operated upon for a period of two days. Avoid hot food and liquids. A liquid diet may be used at first but remember, adequate nutrition is essential for healing. Diets rich in quality protein, Vitamin C and Vitamin B complex are especially desirable. Foods such as liver, meat, eggs, milk and citrus fruits, as well as whole grain or enriched cereals are recommended. (Metrecal, Carnation Instant Breakfast, Yogurt and cottage cheese with fruit are excellent and easy to digest).


RINSING

Please do not rinse your mouth for at least 12 hours after surgery. 12 hours it is advisable to rinse your mouth with warm salt water. Rinse gently, do not swish. Avoid commercial mouthwashes.


SPECIAL MEDICATIONS

Antibiotics may be prescribed in your surgical procedure. It is to your advantage to take all prescribed medications (antibiotics, discomfort mediations) as close to the advised time schedule as is possible. It is usually advisable not to take medications on an empty stomach as nausea may result. (This is a general rule, there are exceptions).


PLAQUE CONTROL

You are now aware of the significance of plaque and the importance of plaque control in the success of your periodontal therapy. Although it is not advisable to brush the dressing, it is important that you continue to practice plaque control procedures in all other areas.
If any questions or problems occur, please do not hesitate to call our office.

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Copyright © 2001-2005 Charles A. Nardiello, D.M.D., P.C. All rights reserved.