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Extractions Post Op


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Extractions Post Op


       POST OP INSTRUCTIONS – EXTRACTION(S)

ORAL HYGIENE-

Tommorow rinse mouth gently every 3-4 hours, especially after meals using¼  teaspoon of salt to every glass of warm water. And/or prescribed mouthwash. Continue rinses for up to one week. Refrain from brushing near affected area for up to 24 hours. 

NO SMOKING-48 HOURS AFTER SURGERY-

This may lead to dry socket and also slows the healing process.

BLEEDING-

Following extractions some bleeding is to be expected. If persistent bleeding occurs, place gauze pads over the bleeding area and bite down gently for 10 to 20 minutes. Repeat if necessary. If bleeding continues and cannot be stopped please call or visit our office. 

SWELLING-

Place Ice bag or chopped ice wrapped in a towel to operated area, alternate 10 minutes on and 10 minutes off. 

PAIN-

For pain use any non aspirin type medication like Advil or Tylenol and follow instructions on the bottle. Take any prescribed pain medications as directed. 

FOOD-

Soft or liquid diet during the first 24 hours ex: mashed potatoes, soup or ice cream. Please avoid spicy, extreme hot or cold foods, chips, popcorn, hard bread or other crunchy or fibrous foods as these can get caught within the extraction site leading to inflammation and delayed healing. Please refrain from alcohol and carbonated beverages. 

DO NOT USE A STRAW-

It may dislodge the blood clot forming in the extraction site which can lead to dry socket, inflammation and pain.

BONY EDGES-

Small sharp bone fragments may work themselves through the gum during healing . These are not the roots: if it becomes irritating return to the office for simple removal.

 

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Scaling and Root Planing Post Op


Scaling and Root Planing Post Op


Instructions following Scaling and Root Planing (deep cleaning)

Daily Activity- 

Most patients go about their daily lives with little to no post care pain after this procedure, but please consider relaxing for an hour or two until anesthesia (numbness) wears off. 

Oral Hygiene-

Regular plaque removal through brushing and flossing should be conducted 2-3x/daily. You may experience tooth sensitivity following procedure. If so, please use the prescription toothpaste and it usually resolves within one week, however some people may experience longer bouts of tooth sensitivity. Please rinse 2-3x/daily with the prescription mouth wash until the 30 day re-evaluation of the periodontium. NOTE: If you need to use the prescription toothpaste for sensitivity please do not use the prescription mouthwash at the same time; separate them by a minimum of one hour. 

Discomfort-

Some mild discomfort may be present when anesthesia wears off. Pain medications of choice are over the counter Tylenol or Advil. As stated above tooth sensitivity and/or gum tenderness may be present and will lessen within the week. If pain worsens or does not improve please call our office. 

Bleeding-

 Minimal if any bleeding continues after the procedure unless there is a history of blood thinners. If bleeding persists after a few hours please call our office. Most of the red color you may see is generally small amounts of blood mixed in with the saliva so it appears more than what it really is.

Infection- 

If you notice any signs of infection after a few days such as redness, swelling, tenderness or a fever has set in please call our office. 

Swelling-

Swelling of the face or gums is not common and if occurs please call our office. 

Eating and Drinking-

Do not try and eat until all anesthesia (numbness) has worn off. First meals should be soft or in liquid form. Avoid spicy, salty, very hot or cold foods/liquids. Avoid seeds, nuts, chips, popcorn, hard bread or other crunchy or fibrous foods which can get caught between the teeth. Please refrain from drinking carbonated beverages, alcohol, smoking or using chewing tobacco. 

 

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LANAP Post Op


LANAP Post Op


LANAP Post Operation Instructions

  1. Antimicrobial rinses and antibiotic medications may be prescribed for you. Take any prescribed medications according to directions and continue taking until all medicines are gone. Reduce physical activity for several hours following surgery.
  2. Periodontal laser procedures usually result in little or no discomfort following surgery. For the first 24 hour period immediately following surgery, take two (2) Advil or Motrin (Ibuprofen) every 4-6 hours, even if you do not have any pain. 
  3. For the first 24 hour period immediately following surgery, stay on a liquid diet only. For the following 3-7 days after surgery, a soft diet is recommended. Try to eat soft but nutritious foods such as eggs, yogurt, cottage cheese, malts, ice cream, etc. Stay away from spicy and “chippy” foods. It is also important to maintain good fluid intake during this period. 
  4. Carefully avoid chewing food in the areas of the mouth where the laser has been used for at least one week following surgery. One of the most important results of the laser surgery is the blood clots that form following surgery. It is extremely important not to dislodge the tiny clots that form in the and around the gums. 
  5. Do not be alarmed with any color changes or appearance of tissues following laser therapy. Tissues can be gray, yellow, red, blue, purple, or “stringy” and reflect normal response to laser treatments. 
  6. It is OK to spit, rinse, and wash your mouth today. Rinse as directed with Chlorhexidine morning and night. In between it is OK to rinse gently every three (3) hours with warm salt water (1/2 teaspoon of salt dissolved in an 8oz. glass of warm water). DO NOT brush or floss your teeth until instructed to do so (see Treatment & Home Care sequence sheet). 
  7. Try to keep your mouth as clean as possible in order to help the healing process. Brush, Floss, and follow other home-care measures in all the areas of your mouth except for the surgerized area.  
  8. Do not apply excessive tongue or cheek pressure to the surgerized area. 
  9. Do not be alarmed if the one of the following occurs:
    1. Light bleeding
    2. Slight Swelling
    3. Some soreness, tenderness, or tooth sensitivity
    4. Medicinal taste, from Chlohexidine
  10. Please call the office if you are experiencing any of the following signs and symptoms: 
    1. Prolonged or severe pain
    2. Prolonged or excessive bleeding
    3. Considerably elevated or persistent temperatures
  11. Do not be alarmed that beginning with just 2 weeks after therapy and extending as long as 1 year or more, the teeth may become sore, tender, or sensitive as the bone and ligaments around the teeth regenerate and become more firm. This is a sign of healing but may also indicate the presence of a bite imbalance that may need to be adjusted. 
  12. If you have any questions or concerns, please don’t hesitate to call or email!  

 

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