KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY INSTRUCTIONS
1. DO NOT SMOKE for one week following your surgery. Smoking increases
the risk of dry socket, infection, and prolongs healing.
2. PAIN: If you have been given a prescription, have it filled immediately and use as directed, if necessary. A certain amount of pain following surgery is to be expected. If you have not been given a prescription, take an analgesic, such as Aspirin, Tylenol, Anacin, Empirin, Bufferin, etc. every 3 to 4 hours for mild pain. Applying ice packs may also help relieve discomfort.
3. BLEEDING: BITE ON A GAUZE SPONGE 30 MINUTES, DO NOT SPIT. Spitting can alter the clotting process and cause prolonged bleeding. A certain amount of bleeding is to be expected following surgery. Continue changing gauze every 30-45 minutes, until bleeding subsides (site may ooze for a few days). Moist tea bags may also help to slow bleeding. Unless bleeding is excessive, swallow the saliva that accumulates in your mouth.
4. EATING: Cool foods may be eaten immediately following surgery. Do not eat hot foods until the numbness has worn off. Do not use straws. Light soft food and plenty of liquids are advisable. Avoid foods that are difficult to chew or that are particularly spicy.
5. SWELLING: The area operated upon will usually swell and may become quite large. To aid in reduction of this swelling, apply an ice pack to the face over the operated area and keep head elevated. Apply for 30 minutes out of each hour during waking hours for the first 48 hours. Elevate the head while sleeping with two pillows, will also reduce swelling. Swelling may still persist, however, the use of warm packs are recommended on the third post operative day. *Swelling is a normal post operative response*.
6. MOUTH RINSE: Do not brush or rinse the mouth the day of surgery. This may stimulate bleeding. Rinsing may begin the day after surgery and should be done gently. Use a warm salt water solution (1/2 teaspoon of salt to a glass of warm water) 4 to 5 times a day for several days. Treat the surgical area gently, but keep it clean. Keeping your entire mouth clean lessens the chance of post operative infection.
7. SUTURES: Return to our office for suture removal and follow-up care as instructed on the date given. Most of the sutures that we use will dissolve on their own.
*POSSIBLE OCCURRENCES FOLLOWING SURGERY*
VEIN PAIN / DISCOLORATION: Occasionally, the vein used to administer intravenous drugs becomes swollen or irritated. The affected vein may become hard and discolored and be tender for several weeks. Consult this office if you have a vein problem after anesthesia.
PAIN: This is the most common post-operative problem. Causes can be numerous. If pain persists after the wound has healed, call our office.
BLEEDING: Bleeding is a normal occurrence after any surgery. If heavy bleeding persists, contact the office.
SWELLING/BRUISING OF THE FACE: Swelling and bruising occurs after most surgical procedures. It is usually more pronounced when more complicated procedures have been performed. (i.e.removal of impacted teeth).
NUMBNESS: Often operations are performed very close to the nerves. The post-operative swelling may cause numbness or tingling of the chin or lip. This condition is most often temporary and usually corrects itself. It may remain anywhere from a few days to several months.
SORE THROAT: Rather common after third molar surgery, a sore throat usually will improve in a day or two by gargling with salt water.
FEVER: A slight fever for 24 to 48 hours after surgery is common. If it persists or is over 101 degrees, consult our office.
BONE FRAGMENTS: Small sharp pieces of bone occasionally form in the surgical areas, loosen, and work through the gum. These fragments, which are not roots, usually work out of their own accord. However, if you need our assistance please call our office and make an appointment to have them removed.
STIFFNESS: The inability to move the jaw easily after surgery is a common occurrence. It usually is a result of swelling. Exercise and chewing gumare aids to limber up the muscles involved. If stiffness is severe and associated with a fever, consult our office.
NAUSEA: Nausea and vomiting are common side effects following anesthesia. Drink small sips of clear liquids (Sprite, Ginger Ale) every 30 mins if this problem occurs. Eating before taking your pain medication will help prevent nausea.
**SINUS PRECAUTIONS: If you have been told that your have a sinus exposure following extraction of an upper tooth, the following precautions should be taken:
- DO NOT BLOW YOUR NOSE. If you need to use a decongestant or a nasal
- NO SMOKING
- Sneeze with your mouth open
*Call our office if you experience the following:*
- Reoccurence of swelling
- Prolonged difficulty opening your mouth
- Unpleasant odor or taste
- Persistent nausea / vomiting
- Excessive bleeding
NOTE TO PATIENT ESCORT:
If the patient has received out-patient anesthesia, it is most important that you, the escort, watch the patient carefully for four to six hours afterward. He or she should not be left unsupervised or allow to walk around unescorted. The patient should not drive for 24 hours.
No prescriptions will be refilled after office hours or on the weekend. If you feel that you are going to run out of medication, please call from 9-4pm for refills. This policy is being instituted to reduce opioid dependence and abuse.