Post-Op Instructions

Wylie Dental Care | Cosmetic Dentistry Near Wheeling, WV

Click a procedure below to read post surgical instructions;

Gum Surgery

  1. You may experience some pain, swelling, and bleeding after the surgery.
  2. Take all medication that was prescribed for you according to instructions.
  3. Apply an ice bag on your face over the surgical site on the day of surgery for 15 minutes on and 15 minutes off.
  4. Keep your next appointment on time for removal of sutures and follow up checks.
  5. DO NOT raise your lips with your fingers to inspect the treated area.
  6. DO NOT brush teeth near the surgical site. Brush teeth in the rest of your mouth.
  7. There is often a temporary loss of feeling in the operated area and the tooth may feel loose.
  8. Do not smoke, spit, or use a straw on the day of the surgery (avoid smoking for a few days after the surgery).
  9. Should any difficulties occur, do not hesitate to call our office anytime.

Denture Delivery

  1. You will experience some discomfort with any new denture for a few days. All new dentures need several adjustments to completely and comfortably fit your mouth.
  2. You should take the dentures out every night and keep them in a clean container filled with water or denture cleaning solution. Your gums need to rest and be without the dentures every day for a period of time.
  3. Clean dentures thoroughly with a brush and water before putting them back in your mouth.
  4. It may be difficult to talk normally with the new dentures for a few days. One way to practice is to read a book or newspaper out loud for a period of time every day. Your tongue and muscles will get used to the new dentures and you will talk normally very soon.
  5. Call our office if you have any questions.

Apicoectomy (Root Canal Surgery)

  1. Swelling, minor pain and/or skin discoloration may be experienced following the surgical procedure. This will be temporary.
  2. In order to keep the swelling to a minimum, use an ice pack for the first few hours after surgery (on for 15 minutes and off for 15 minutes).
  3. The day after the surgery, use lukewarm water rinses for the treated area following each meal. This should continue for the first 3 days following the surgical procedure.
  4. Eat only soft foods. Avoid hard and chewy foods.
  5. Get plenty of rest and insure normal intake of food, especially liquids such as fruit juices, soup, and milk. Use a vitamin supplement if desired. Try not to sleep on the operated area for 2-3 days.
  6. DO NOT raise your lips with your fingers to inspect the treated area.
  7. DO NOT brush teeth near the surgical site. Brush teeth in the rest of your mouth.
  8. There is often a temporary loss of feeling in the operated area and the tooth may feel loose.
  9. Take all medication that was prescribed for you according to instructions.

Wylie Dental Care | Cosmetic Dentistry Near Wheeling, WV

Bone Graft Surgery

You have just had surgery completed for the reduction of periodontal pocketing and/or for replacement of bone in an area where pathology existed, or in conjunction with dental implant surgical placement with or without platelet addition to the bone graft. Whether you were sedated for this procedure or were only given local anesthesia, the post-operative instructions remain the same.

You will have several sutures (stitches) placed at the surgical site. These sutures may or may not be resorbable. The sutures will cause a pulling of your tissue over the bone grafting site. Since the bone graft site will have approximately 15 % more bone fill than what was naturally there, it is imperative that you do not pull up your lips or cheeks to show or examine the area. The undue pressure will cause the sutures to widen away from the surgical site, expose bone, create more pain, and delay healing dramatically. This delay can lead to the need for the area to be sutured again when you are seen for your 1 week post-surgical evaluation. The sutures will remain in place for 2 to 3 weeks depending on the size of the graft, the severity of the pathology, and the condition of the tissue being sutured.
Your doctor will tell you what time period to expect, but keep in mind that this is not etched in stone and the doctor may extend the time before your sutures are removed to assure adequate healing and to avoid surgical regression.

Your maintenance during healing has to be completed carefully. It is imperative that you use NO ASTRINGENTS such as mouth wash or antiseptic solutions during the healing period of your bone graft. Listerine, Viadent, or any other potentially caustic agent can RUIN your bone grafting procedure if contaminated, and require a replacement bone graft.

Since bone grows and heals slowly, it requires conditions conducive to a proper environment and blood supply. Thus, it is imperative that immediately after your bone graft you alter your diet, as you would for any oral surgical procedure. This means that you should not eat anything that is too large, too hot, or too sticky. Your food should be tepid or on the cool side. Any food that is too hot will have a deleterious effect on your surgical procedure. Common sense must be used in determining what should be done or avoided. If for some reason you have questions about anything post-surgically, please call the office and we will inform you of the proper action to take.
Smoking after any oral surgical procedure will ALWAYS delay or disrupt normal healing due to a decrease in oxygenation of the tissue that is healing. Smoking should therefore be stopped for the first 10 to 14 days to allow for adequate initial tissue closure. Complete epithilization (closure) and wound healing normally takes a minimum of 21 days from the day the surgery was completed under ideal healing conditions, and with no other underlying systemic causes such as Diabetes, etc.
Bone grafting is a very predictable surgical procedure when done correctly and when patient cooperation is adhered to. Please try to be reasonable in understanding that this procedure has inherent risks associated with it, as stated in your informed consents. Some of these risks are also pertinent to your post-operative care.
We want nothing more than a perfect outcome with the surgical procedures that you are having done to rehabilitate your bone. This can only be attained with your cooperation. Please feel free to communicate with us at any time to make sure that the procedures you are having are properly maintained. No question is ever perceived by our office as being silly or unreasonable. We would rather have questions answered immediately than risk the chance that the procedure will not go as planned, especially from omissions that are preventable.

As stated above and outlined in your informed consents, please remember that there are some instances when no matter what is done, the outcome is not perfect. There are even infrequent occasions when a surgery may have to be redone; these situations are neither the doctor’s nor the patient’s fault.

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