Pressure should be placed on the surgical site with the gauze pad for 30 minutes. If the bleeding continues new gauze should be placed and pressure applied for another 30 minutes. If Bleeding persists, Bite on moistened, squeeze dried tea back for 30 minutes. Tannic acid in tea bag helps to form a new clot. If Bleeding does not stop please contact the office for further instruction.
Avoid eating or drinking anything hot on the day of your extraction. Also, do not rinse your mouth and do not use a straw for drinking. No rinsing or spitting of any kind should be performed until the day following surgery. The day after surgery you should begin rinsing at least 5-6 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt. You can start brushing your teeth day after the surgery.
You may experience some pain, bruising around your lips, and/or some swelling, especially after extraction of impacted wisdom teeth. Ice bag application and medication prescribed for you will help to minimize your discomfort. Please take all the medication you have received based on the provided instructions.
In some cases, you may experience some discoloration of the skin following swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.
During the first 2-3 days after surgery a diet of soft food and liquids is recommended (soup, yogurt, milkshakes and juice). For more complex surgical procedures, including Impacted Wisdom Tooth Extraction, Implant Surgical Procedures, etc: You will receive an ice wrap which should be worn for the rest of the day until you go to bed on the day of surgery (10 minutes on and 5 minutes off). Instructions for various surgical treatments will have some unique directions, which will be supplied to you at the time of your treatment.
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. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation, so be careful.
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 projections usually smooth out spontaneously.
If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline. Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.
A dry socket is when the blood clot dissolves prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Pain should not increase with time. Call the office if this occurs.
Call our office if you experience excessive bleeding, severe pain or swelling, or if you have any questions or concerns.
It is not advised to eat on your new filling for one hour or when there is still a feeling of numbness. Children who had fillings done must not bite on their numb lips or tongue as this can cause serious injury. In case of silver amalgam fillings, do not bite hard or chew for 24 hours.
It is normal to experience cold and heat sensitivity along with gum soreness for the first few days. When you experience pain or discomfort for more than a few days after the fillings, feel free to contact our office.
Crowns and Bridges (also Inlays and Onlays):
It usually takes 2 -3 appointments for completion of Crown and Bridge treatment. The tooth/teeth are prepared on the first appointment which include taking impressions and placing a temporary crown on your tooth/teeth. You may experience sensitivity, gum soreness, and slight discomfort on the tooth/teeth. There is nothing to worry; it would subside when the permanent crown(s) are placed.
Temporary crowns are usually made of plastic-based material or soft metal. It can break when too much pressure is placed on it. It is advisable not to eat hard or sticky food on the temporary crown or bridge. When your crown comes off, save it and call us. The temporary crown protects the tooth and prevents other teeth from moving. If it comes off, it should be replaced as soon as possible. Whenever anaesthesia is used, do not chew on your teeth until the numbness has worn off.
Be careful while flossing around the temporaries. Try to remove the floss gently from the side. If it is hard to get the floss between the temporary and surrounding teeth, resume flossing when you receive your permanent crown.
Root Canal Treatment:
You may experience moderate pain, tenderness and sensitivity to bite on for a few days after the treatment. The discomfort should subside gradually. Take prescribed medications for faster healing process.
Do not bite on the tooth while you are numb or for one hour after temporary filling has been placed. Until the permanent restoration is placed, be gentle with the tooth and try to chew on the opposite side.Follow up with the placement of your permanent restoration as you have been advised. Any unnecessary delay in placement of final restoration may damage the tooth permanently.
Call us if you experience severe pain or swelling.
Teeth Cleaning (Deep Cleaning):
You may experience some cold and heat sensitivity. This is especially true after a deep cleaning procedure. Continue your regular brushing and flossing. Some bleeding for a day or two is normal. Call us when it bleeds too much or when you have any concern.
You may experience some pressure and discomfort on your teeth. Be gentle with your braces and avoid chewing hard or sticky food. It may be hard to brush and floss, but these are important to keep your mouth clean. You may apply some wax if any part of braces feel sharp. Call us should you have any question or concern about your braces.
Any new denture may bring some discomfort for a few days. All new dentures need several adjustments to fit completely and comfortably to your mouth. Speech is also affected during the first few days. A good practice to condition your mouth is by reading a book or newspaper aloud for several minutes a day. Your tongue and other muscles will get used to your dentures as you do this every day. Take your dentures out every night and keep them in a clean container filled with water or denture cleaning solution. Clean your dentures using a brush and water before wearing them back. Bone Graft Surgery
Whether you were put to sleep for your surgery procedure or were only given anaesthesia, the post-operative instructions remain the same. You will have several sutures (stitches) at the surgical site. These sutures may or may not be resorbable. If you received external silk sutures, we have to remove them as they will cause pulling on your tissue over the area. The bone graft site will have about 15 % more bone fill than what was naturally there. Do not pull up your lips or cheeks to check 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.
Brush in every area except where the periodontal pack is placed. Use no astringents like mouth wash or antiseptic solutions during the healing period. They can contaminate the bone grafting site, which may require replacement. We will provide you with normal saline and instruct you on how to use it after the first healing stage.
You should not eat anything that is too hard, too hot, or too sticky. Your food should be tepid or on the cool side. Smoking after any oral surgical procedure will delay or disrupt normal healing. It must be stopped for the first 7 to 10 days. Note that bone grafting has inherent risks associated with it. Some of these risks are also pertinent to your post-operative care. If you have questions about anything post-surgically, call the office and we will inform you of the proper action to take.