Post-Surgery Instructions


Post-op Instructions at Plymouth Ann Arbor Oral & Facial Surgery

Medication Instructions

Proper care after surgery is essential to making a full, problem-free recovery. Find instructions below for post-surgery care for the procedures we perform.


• 

Using Blood Thinners (Anticoagulants): Coumadin, Plavix, or Digatroban


Click to Read the Post-op Instructions Here

General:
See the post-operative instruction sheet provided at your visit.
Used after heart stents, heart attack, TIA, or stroke.
Prevents harmful clotting for these conditions.
However, these may cause BLEEDING after a surgical procedure.
Post-operative bleeding:
We will place agents and sutures to help a clot form.
Avoid hot liquids, exercise, and elevate the head.
Avoid ibuprofen or aspirin, as these may cause bleeding.
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office and/or the on-call line so that a doctor may be reached.

• 

After Removal of Single or Multiple Teeth


Click to Read the Post-op Instructions Here

General:
See the post-operative instruction sheet provided at your visit.
Avoid hot liquids and exercise.
Elevate the head to lessen bleeding.
Do not sleep with gauze within the mouth.
Smoking, straw usage, alcohol, and vigorous rinsing or cleansing should be avoided.
Oral hygiene:
Begin salt water rinses the day following the procedure.
Use 1 teaspoon salt in 8 ounces of warm water.
Swish for 30 seconds and spit.
Do two or three times daily during the first week of healing
Brushing:
Begin gently brushing your teeth the next morning.
Wet the bristles with warm water to soften them prior.
Avoid directly brushing the surgical sites during the first week.
Adjacent teeth may be gently brushed.
Diet:
Restrict your diet to liquids and soft foods that are comfortable for you to eat.
Advance your diet over the week.
Drink plenty of liquids and nutritious foods that promote healing.
Activity:
Keep physical activities to a minimum immediately following surgery.
If you are considering exercise, throbbing or bleeding may occur.
Typically 3 to 5 days rest may be advised for wisdom teeth.
Ask your surgeon when you may resume activity.
Antibiotics:
Use and finish prescribed antibiotics.
Call the office with any reactions or concerns that occur.
Ice:

Place ice packs on the same side of the face as the operated area.
Leave 20 minutes and remove for 10 minutes.
Place while awake, as much as possible, for the first 36 hours.
Pain management:
Mild to moderate:
Follow regimen prescribed by your doctor.
If the pain does not begin to subside in two days, or increases after three days, please call the office.
Severe pain not managed by the current regimen? Please call the office.
Bleeding:
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office and/or the on-call line so that a doctor may be reached.

• 

Extractions and Same Day Denture Placement


Click to Read the Post-op Instructions Here

General:
See the post-operative instruction sheet provided at your visit.
As above for multiple extractions.
Swelling:
Expect swelling to peak over two to three days, plateau, and then decline.
Use ice packs to help lessen swelling over the first 24 hours.
Ice should be used 20 minutes on and 10 minutes off.
Do not use ice longer than 24 hours.
Instead, transition to warm compresses (wash cloth under warm water) daily.
Bruising:
Begins after surgery and may last a week or so.
Place warm compresses (wash cloth under warm water) daily.
Stretching or chapped lips:
Apply Vaseline or a similar ointment to soothe and speed healing.
Pain management:
Mild to moderate:
Follow regimen prescribed by your doctor.
If the pain does not begin to subside in two days, or increases after three days, please call the office.
Severe:
Please call the office.
Bleeding:
Expect some oozing around the side of the denture.
Do not remove immediate denture unless the bleeding is severe.
We will place agents and sutures to help a clot form.
Avoid hot liquids, exercise, and elevate the head.
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid, that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office and/or the on-call line so that a doctor may be reached.
Denture:
Leave your denture in until you see your dentist.
Your dentist will be the first person to remove your denture.
Follow-up with your dentist is important to prevent complications and sores.
Sore spots:
These are common.
Will be addressed by your dentist at your follow-up appointments.
Diet:
Restrict your diet to liquids and soft foods that are comfortable for you to eat.
Advance your diet over the week to foods that are comfortable for you to eat.

• 

After Exposure of an Impacted Tooth


Click to Read the Post-op Instructions Here

General: As above for multiple extractions
There will be a small chain attached to the orthodontic bracket or wire.
There will also likely be a pink surgical packing placed.
The pack helps to keep the tooth exposed. If it gets dislodged or falls out, please call the office the next morning to determine whether it should be replaced.
Swelling:
Expect swelling to peak over two to three days, plateau, and then decline.
Use ice packs to help lessen swelling over the first 24 hours.
Ice should be used 20 minutes on and 10 minutes off.
Do not use ice longer than 24 hours.
Instead, transition to warm compresses (wash cloth under warm water) daily.
Bruising:
Begins after surgery and may last a week or so.
Place warm compresses (wash cloth under warm water) daily.
Stretching or chapped lips:
Apply Vaseline or a similar ointment to soothe and speed healing.
Pain management:
Mild to moderate
Follow regimen prescribed by your doctor.
If the pain does not begin to subside in two days, or increases after three days, please call the office.
Severe:
Please call the office.
Bleeding:
Expect some oozing around the side of the denture.
Do not remove immediate denture unless the bleeding is severe.
We will place agents and sutures to help a clot form.
Avoid hot liquids, exercise, and elevate the head.
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid, that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office and/or the on-call line so that a doctor may be reached.

• 

After Wisdom Teeth Removal


Click to Read the Post-op Instructions Here

General:
See the post-operative instruction sheet provided at your visit.
Avoid hot liquids and exercise.
Elevate the head to lessen bleeding.
Do not sleep with gauze within the mouth.
Smoking, straw usage, alcohol, and vigorous rinsing or cleansing should be avoided.
Oral hygiene:
Begin salt water rinses the day following the procedure.
Use 1 teaspoon salt in 8 ounces of warm water.
Swish for 30 seconds and spit.
Do two or three times daily during the first week of healing
Brushing:
Begin gently brushing your teeth the next morning.
Wet the bristles with warm water to soften them prior.
Avoid directly brushing the surgical sites during the first week.
Adjacent teeth may be gently brushed.
Diet:
Restrict your diet to liquids and soft foods that are comfortable for you to eat
Advance your diet over the week.
Drink plenty of liquids and nutritious foods that promote healing.
Activity:
Keep physical activities to a minimum immediately following surgery.
If you are considering exercise, throbbing or bleeding may occur.
Typically 3 to 5 days rest may be advised for wisdom teeth.
Ask your surgeon when you may resume activity.
Antibiotics:
Use and finish prescribed antibiotics.
Call the office with any reactions or concerns that occur.
Ice:
Place ice packs on the same side of the face as the operated area.
Leave 20 minutes and remove for 10 minutes.
Place while awake, as much as possible, for the first 36 hours.
Pain management:
Mild to moderate:
Follow regimen prescribed by your doctor.
If the pain does not begin to subside in two days, or increases after three days, please call the office.
Severe pain not managed by the current regimen? Please call the office.
Bleeding:
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid, that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office andor the on-call line so that a doctor may be reached.

• 

Nausea After Sedation or Pain Medications


Click to Read the Post-op Instructions Here

Nausea & Vomiting:
May occur following sedation or after taking pain medications, such as narcotics.
After vomiting or while nauseated, do not take anything by mouth for at least an hour including the prescribed medicine.
You should then slowly sip on Coke, tea, or ginger ale over a 15-minute period.
Narcotics, such as those with codeine (Tylenol #3) or hydrocodone (Norco) may cause nausea or vomiting. Holding or eliminating these medications may help to reduce these symptoms.
When the nausea subsides, you can begin taking solid foods and the prescribed medicine.
If nausea or vomiting continues, please call the office.
Other Issues: Numbness or tingling, feeling flush, dizziness, jaw stiffness, bone chips.
Numbness:
If numbness of the lip, chin, or tongue occurs there is no cause for alarm.
As stated before surgery, this is usually temporary in nature.
Please discuss this issue at your follow-up or call the office to make an appointment.
Feeling flush:
A slight elevation of temperature immediately following surgery is not uncommon.
If the temperature persists, notify the office.
Tylenol or ibuprofen should be taken to reduce the fever.
Dizziness:
This may be if you were not able to eat or drink prior to surgery.
As, a result, you could get light-headed when you suddenly stand up.
Before standing up, you should sit for one minute and then get up.
Stiffness ( a.k.a. trismus):
Tightness of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery.
This is a normal post-operative event that will resolve in time.
To help with this, sugarless gum chewing may be helpful and started 2 days following your procedure.
Bone chips (spicules):
Occasionally, patients may feel hard projections in the mouth with their tongue.
They are not roots; they are the bony walls, which supported the tooth.
These may be uncomfortable or painful.
These projections usually smooth out spontaneously.
If not, they can be removed by your surgeon.
Sutures:
Are placed in the area of surgery to minimize post-operative bleeding and to help healing.
Sometimes sutures become dislodged. This is no cause for alarm. Just remove the suture from your mouth and discard it.
If the area is now open causing concern please call the office.
In general, sutures placed will resorb spontaneously or will be removed approximately one week after surgery, if needed.
Healing:
There will be a cavity (hole) where the tooth was removed.
The cavity will gradually fill in with new tissue over the next month.
In the meantime, the area should be kept clean especially after meals with salt-water rinses or a toothbrush, as discussed in the hygiene section.
Dry Socket:
A dry socket occurs when the blood clot is dislodged prematurely (degraded or lost) from the tooth socket.
Symptoms of pain (throbbing) at the surgical site and even pain to the ear may occur three to five days following surgery.
Call the office if this occurs as a dressing may be placed and subsequently removed or additional pain prescribed in order to help with your discomfort.

• 

After Placement of Dental Implants


Click to Read the Post-op Instructions Here

General:
See the post-operative instruction sheet provided at your visit.
Avoid hot liquids and exercise.
Elevate the head to lessen bleeding.
Do not sleep with gauze within the mouth.
Smoking, straw usage, alcohol, and vigorous rinsing or cleansing should be avoided.
Oral hygiene:
Begin salt water rinses the day following the procedure.
Use 1 teaspoon salt in 8 ounces of warm water.
Swish for 30 seconds and spit.
Do two or three times daily during the first week of healing.
Brushing:
Begin gently brushing your teeth the next morning.
Wet the bristles with warm water to soften them prior.
Avoid directly brushing the surgical sites during the first week.
Adjacent teeth may be gently brushed.
Peridex ® Rinses (Chlorhexidine):
Two nights prior to surgery, use the prescribed Peridex Oral Rinse as directed.
The day after surgery, Peridex® should be used twice daily, after breakfast. and before bed. Be sure to rinse for at least 30 seconds, spit, and refrain from eating or drinking for 30 minutes to allow the medicine to work.
Diet:
Restrict your diet to liquids and soft foods that are comfortable for you to eat.
Advance your diet over the week.
Drink plenty of liquids and nutritious foods that promote healing.
Activity:
Keep physical activities to a minimum immediately following surgery.
If you are considering exercise, throbbing or bleeding may occur.
Typically 3 to 5 days rest may be advised for implants.
Ask your surgeon when you may resume activity.
Antibiotics:
Use and finish prescribed antibiotics.
Call the office with any reactions or concerns that occur.
Ice:
Place ice packs on the same side of the face as the operated area.
Leave 20 minutes and remove for 10 minutes.
Place while awake, as much as possible, for the first 36 hours.
Pain management:
Mild to moderate:
Follow regimen prescribed by your doctor.
If the pain does not begin to subside in two days, or increases after three days, please call the office.
Severe pain not managed by the current regimen? Please call the office.
Bleeding:
Bite on gauze for 30 minutes.
Still oozing? Bite on a tea bag for 45 minutes, tea has tannic acid, that helps clotting.
Oozing after biting on gauze and a tea bag? Please call the office and/or the on-call line so that a doctor may be reached.
Wearing Your Prosthesis:
Partial dentures, flippers, or full dentures may be used.
Please discuss this with your surgeon, as each case is different.
Please call the office with any questions.

Plymouth

9416 S. Main St. Suite 211
Plymouth, MI. 48170


Call (734) 455-0710
Appointment

Chelsea

1303 S. Main St. Suite B
Chelsea, MI. 48118


Call (734) 475-0710
Appointment

Ann Arbor

3055 Plymouth Road Suite 202
Ann Arbor, MI. 48105


Call (734) 761-5885
Appointment

Ypsilanti

1900 Packard Road
Ypsilanti, MI. 48197


Call (734) 481-0010
Appointment
Copyright © 2016-2018 Plymouth Oral & Facial Surgery and WEO MEDIA. All rights reserved.  Sitemap