POST-OPERATIVE INSTRUCTIONS

Post-Operative Instructions

Please select the procedure you had to see a summary of post-op instructions. Call us if you have any questions:

Extraction:

POST OPERATIVE INSTRUCTIONS FOR EXTRACTIONS

The first two days after an extraction are the most critical. The day of the extraction, our biggest concern is the formation of a good, strong blood clot. It is from the blood clot that new bone formation begins. This is necessary in order to fill in the holes left by the tooth that was removed

In order to protect the clot, we STRONGLY recommend the following:
  • STAY OFF YOUR FEET AS MUCH AS POSSIBLE.
  • NO RINSING
  • NO SPITTING
  • NO SUCKING THROUGH A STRAW
  • ABSOLUTELY NO SMOKING
  • Change gauze after eating/drinking or every 2 to 3 hours until bedtime or until bleeding has stopped. Do not eat or sleep with gauze in your mouth. 
The days following the extraction our primary concern is to keep the area(s) clean. The area cannot heal, and new bone cannot form if food debris is allowed to stay in the sockets
AVOID: CHIPS, NUTS, CRACKERS, RICE, CRUNCHY FOODS

Starting the second day, you may rinse your mouth with a Hydrogen Peroxide solution. This solution you can make at home. It will be a 1:10 dilution (one part hydrogen peroxide, ten parts water) that you can rinse with after each meal. You may brush the rest of your teeth (avoid the socket area). 

Rinse with warm salt water between meals is recommended to aid in healing. Continue to refrain from ​Smoking. ​ No Smoking is recommended for 3 to 4 days. The longer you go without smoking, the less likely you are to develop a dry socket. Any type of smoking is very irritating to the freshly exposed bone. 

If you have been told to return to have the sutures removed or to have the area checked, please be sure to keep this appointment. 

Pain Management :​ If you have not been prescribed a pain medication and are able to take Ibuprofen (Advil, Motrin) and Acetaminophen (Tylenol), we recommend taking 800mg of Ibuprofen and 1000mg of Tylenol every 8 hours. Do not exceed this dosage. 
 If in the days following your extraction(s), you have ANY questions, please call us. We prefer that you do that rather than worry unnecessarily. 



Root canal:

Home care after Root Canal Treatment

After Treatment :​  Your Root Canal treatment is now complete. Avoid eating or drinking on the side of the mouth that has been treated, until numbness from injections has worn off. If you have been prescribed medications, please take them as directed and be sure to finish the medications.

Discomfort : Discomfort or soreness in the area is normal for a few days. The tooth can be tender to biting or chewing and the gums may be sore. Over the counter medications such as Ibuprofen, Advil, Aleve, Aspirin, Motrin, Excedrin, and Tylenol should relieve most of the discomfort. Rinsing with warm salt water dilution (1 teaspoon of salt per glass of warm water) will help as well. 

Temporary Filling : A temporary filling has been placed on top of the Root Canal. It is normal for a thin layer of the temporary filling to be chewed away between appointments. An unusual taste  can be expected. If the whole temporary filling falls out, please call our office. It’s important that your temporary filling stays intact until the placement of a permanent restoration. 

Final Restorations : If an appointment to place a final restoration has not been made, please call us to schedule this appointment promptly. Endodontically treated teeth have been weakened by previous decay and fillings. In most cases, it is necessary for these teeth to receive additional protection in the form of a permanent restoration (crown). This will protect these teeth against future fracture, decay, and help prevent the root canal filling from possible contamination. Delay in obtaining a final restoration may result in fracture, possible loss of the tooth, or require a retreatment of the root canal. If you have any questions or concerns, do not hesitate to call our office. 



Home Care After Implant: Placement

Medications:
Antibiotics– You may have been given an antibiotic. Please take it as directed until it is gone.

Peridex (Chlorhexidine) Mouth Rinse – GENTLY rinse with ½ ounce twice daily after brushing  the remaining teeth in the nonsurgical sites.

Diet : Drink plenty of liquids, but not through a straw. Stay on a soft diet for the first 48 hours after the procedure. 

Swelling :​ It is natural to expect some swelling after surgery. To keep swelling to a minimum, apply an ice pack to the outside of your face for 15 minutes and then 15 minutes off for the next 24 hours (except while sleeping). Sleep with your head on two pillows; keeping your head slightly elevated will help minimize swelling.

Bleeding : It is natural to have some blood mixed with your saliva for the first two or three days after surgery. However, a bleeding problem would be considered if your mouth were to fill rapidly with blood in just a few minutes. Should this occur, do not rinse to stop the bleeding. Take a wet tea bag and place it over the bleeding area and press firmly for twenty minutes. If the bleeding will not stop, call the office.

Hygiene : In the first 24 hours you are not to rinse or spit as this may disrupt the blood clot and cause  further bleeding. After 24 hours you may begin to brush your teeth and gums gently. Do not  floss. If you have a denture or partial, because of swelling, it may not fit well the first week or  two but should settle in over time. Please leave the denture out as much as possible the first 3  weeks after surgery, especially at night. If the partial or denture is hitting an implant, please call  our office immediately to have the denture adjusted. Early trauma to the implant could cause it  to be compromised.

If Healing Abutment has been placed:
In some cases, swelling may cover the healing abutment for a few weeks until the swelling  subsides. The healing abutment will hold the gum tissue back from the implant until your dentist  is ready to place the final crown. The healing abutment may, on occasion, come loose or even
fall out during the healing period. If this occurs, please call the office at the phone number below  and it will be tightened or replaced. Loosening or loss of the healing abutment will not damage  the implant if it is addressed promptly. Failure to inform your surgeon of a loose abutment could  cause infection or even loss of the implant if ignored.

​For Pain :​ If the doctor prescribes a medication for pain, please make sure you take the medication as directed. Also, if not prescribed a medication, you may take Ibuprofen and Tylenol alternating every 2 hours or as recommended by the doctor.

Activity ​: Get plenty of rest this week and do not overexert yourself. If you were sedated, there should be no driving the day of the surgery. If you need to get in touch with the doctor, please call the office. 



Botox:

Botox POST - TREATMENT INSTRUCTIONS

The guidelines to follow post treatment have been followed for years, and are still employed today to prevent the possible side effect of ptosis (drooping of the eyelids). These measures should minimize the possibility of ptosis.
  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It is now known that it takes the toxin approximately 2 hours to bind itself to the nerve to start its work, and because we do not want to increase circulation to that area to wash away the Botox® from where it was injected.
  • Avoid manipulation of area for 3-4 hours following treatment. (For the same reasons listed above.) This includes not doing a facial, peel, or microdermabrasion after treatment with Botox®. 
  • It can take 2 -10 days to take full effect. It is recommended that the patient contact the office no later than 2 weeks after treatment if desired effect was not achieved and no sooner to give the toxin time to work. 
Light Makeup may be applied before leaving the office.



Dermal Filler: Instructions

DO NOT: Touch, press, rub or manipulate the implanted areas for the rest of the day after treatment. Avoid kissing, puckering and sucking movements for the rest of the day as these motor movements can undesirably displace the implanted dermal filler material. You can cause irritation, sores, and/or problems, and possible scarring if you do. 

AVOID: Aspirin, Motrin, Ginkgo Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A., Vitamin E, or other essential fatty acids at least 3 days after treatment. 

AVOID: Alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours after your treatment. 

AVOID: Vigorous exercise and sun and heat exposure for 3 days after treatment.

DISCONTINUE: Retin 2 days after treatment. It is best to wear no makeup or lipstick until the  next day. Earlier use can cause pustules.

One side may heal faster than the other side.

You can expect some bruising and swelling around the areas that were injected. Apply ice for  the first hour after treatment for ten minutes on and ten minutes off.

You must wait 2 weeks before any enhancements.

***Please report any redness, blisters, or itching immediately if it occurs after treatment.***


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