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A. If surgery has involved only one side of the mouth, chew on your opposite side.  Eating should be avoided after surgery until the local anesthesia (novocaine) has worn off completely.  We encourage well-balanced meals.  Avoid spicy foods, citrus fruits or juices and alcoholic beverages for several days.

B. Teeth not involved in surgery should be brushed and flossed as previously instructed.  In the surgical site, you may gently brush with a soft post op brush after your first post-op appointment. Expect a small amount of bleeding. DO NOT floss this area.  The removal of bacterial plaque will enhance healing. 

        Note:  If a resorbable tissue guiding membrane, Emdogain®, GEM-21s, etc., was used for bone regeneration
                  (ONLY WITH YOUR CONSENT AND KNOWLEDGE), DO NOT BRUSH OR FLOSS this area(s) for 4-6 weeks after surgery.         

C. Mouth Rinses:

  1. Listerine or warm salt water (¼ tsp. per cup of warm water) can be used 24 hours after surgery.  Gently rinse twice daily.
  2. If an antimicrobial rinse (PERIDEX, PERIOGARD etc.) has been prescribed to help remove plaque, please follow this protocol and begin the next day.

                a.) Swish with ½ oz. for 30 seconds after breakfast and before bedtime.  Spit out and do not rinse with water immediately. 
                     Unfortunately, ingredients found in toothpaste interfere with this rinse, so rinse 30 minutes after brushing with toothpaste 
                     or rinse immediately after brushing with no toothpaste.
                b.) Do not use with other mouth rinses.
                c.) This oral rinse may stain your teeth slightly, which can be polished off.  Rinsing can also stain plastic fillings              
                     permanently, if  this occurs, stop rinsing.  Tartar control toothpastes help reduce this staining.  Other temporary side  
                     effects may include a lingering, bitter aftertaste and may alter the taste of your food.

D. Periodontal Dressing (packing):

            This putty-like material helps to control the position of the gum around the tooth/teeth after surgery and becomes hard in several
            hours.  Protect the packing by avoiding the area and do not be concerned if small pieces break off.  If larger pieces break off, then 
            start to brush the exposed area(s) and it is not necessary to call the office.


SWELLING:  You may expect some swelling after surgery.  To minimize swelling, place an ice pack or cold compress against the face for 5 to
10 minutes every 1-2 hours over the next 24 hours.  After this period, use a warm compress to reduce swelling.

BLEEDING:  Expect a small amount of bleeding after surgery.  Do not be alarmed if the area continues to bleed slightly or ooze for one or  two days;  however, if the bleeding is excessive or continuous, place a moistened gauze pad or clean cloth against the bleeding area and hold it firmly between your thumb and index finger for 10 to 15 minutes.  Repeat if necessary.  If this does not stop the bleeding, call the office.

DISCOMFORT:  Following surgery, a certain amount of discomfort can also be expected.  To help control this, take acetaminophen (Tylenol), ibuprofen (Motrin, Nuprin, Advil) naproxen sodium (Aleve) or the medication that we have prescribed before the local anesthesia wears off completely.  Take medication as directed and always use the weakest medication that is sufficient to control your discomfort.

ANTIBIOTICS:  Take as prescribed.  Most antibiotics lessen the effectiveness of birth control pills.  Tetracycline may cause you to be more sensitive to the sun’s rays and do not take this with dairy products.

TOOTH SENSITIVITY:  It is quite normal to experience tooth sensitivity to hot and cold.  This is a temporary condition and will gradually improve with time.  The thorough removal of plaque will hasten the reversal of sensitive teeth.

PHYSICAL ACTIVITY:  Avoid all physical activities for several days.  During this period, walking or light aerobic activities are acceptable.

If you have any problem that you consider an emergency, please call 871-8488.
Office hours are 8:30 a.m. to 5:30 p.m., Monday through Friday.   Suture removal appointment:     M          T         W         TH        F____________ at  ___________  .

For further questions, please call our office to voice your concerns.

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