Discomfort after surgery



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Melvin Matsuda, DDS, PC

Michael Matsuda, DDS

Perio Aesthetics & Implantology

Post Op Instructions

DISCOMFORT AFTER SURGERY

  • You may have moderate discomfort after anesthesia wears off. Most of your discomfort can be controlled by taking your pain medications as directed. If your pain medications are not keeping you comfortable please call our office. Take the prescribed medication (s) as directed. You next medication should be taken at: _____________AM/PM.

  • Do not drink alcohol while taking pain medications.

  • It is normal to experience increased soreness 3-4 days following your surgery.

ANTIBIOTICS

  • Antibiotics may be prescribed depending on the surgical procedure. It is important that these antibiotics be taken completely as directed.

  • For women who use birth control pills, please be aware that oral antibiotics may interfere with oral contraceptives. In very rare instances a woman may become pregnant while taking oral contraceptives with antibiotics. Please be advised to use supplemental methods of contraception if you will be taking birth control pills with other medications.

BRUSHING AND FLOSSING

  • GRAFT SURGERY OR IMPLANT

  • Do not brush or floss the grafted area until your first post op visit. It is important to keep your mouth clean by brushing ALL OTHER areas of your mouth with a regular soft toothbrush or Sonicare AVOIDING THE GRAFT SITE (s).

  • Begin using the prescribed mouth rinse the evening after your surgery. Gently dab on your surgical site(s) with a Q-tip four to six times a day. If super healing gel was dispensed, apply morning and evening after brushing and rinsing as directed.

  • A periodontal dressing may be applied to protect the surgical site. Remove the dressing 3-4 days following surgery to allow for proper oral hygiene

  • GUM SURGERY

  • With the exception of the area of surgery, meticulous oral hygiene (brushing, flossing and proxy brush use) should be continued in all areas of the mouth.

  • Begin using the prescribed mouth rinse the evening after your surgery. Gently dab on your surgical site(s) with a Q-tip morning and night. If super healing gel was dispensed, apply morning and evening after brushing and rinsing as directed.

  • The night of your surgery begin using the post-surgery toothbrush we provided you, without toothpaste, on the tooth structure. Be careful to avoid the gum tissue. Resume normal brushing at the surgery site one week following your surgery.

  • Do not use hydrogen peroxide or a water pick.

SMOKING

  • Do not smoke for the first two weeks after your surgery. Smoking irritates the gums and will delay healing.

  • Smoking will decrease predictability of results/success and increase chances of infection.

BLEEDING, BRUISING AND SWELLING

  • In order to keep inflammation, bruising, and bleeding to a minimum, keep the inside of your mouth as cold as possible by consuming ice chips, popsicles, ice cream, milkshakes, or ice water for the first 24 hours.

  • If your gums change color from whitish grey to bluish purple this is a normal part of healing and should not be a concern.

  • Slight swelling and bruising of your face is normal. If you experience swelling accompanied by fever, a bad odor, or pain that intensifies and is not relieved by pain medications please call our office.

  • If excessive bleeding occurs, take a moist black tea bag or gauze and hold with firm pressure over the bleeding site for 20 minutes. Drinking ice water or sucking lightly on ice cubes will also help to slow bleeding. If bleeding persists please call our office.

~OVER~

SENSITIVITY

  • You may experience increased sensitivity to hot or cold liquids, air, and foods.

  • Sensitivity is almost always due to inadequate plaque removal. It is important that you clean your teeth and gums as directed.

  • Tooth sensitivity may last a few weeks and then subside. If your teeth remain sensitive please let us know.

SUTURES

  • Do not remove your sutures early. Improper removal can compromise the healing and outcome of your surgery.

  • Some sutures will dissolve within 3 to 5 days after surgery. Resist pulling on sutures, this may cause bleeding.

  • Avoid contact with sutures on the grafted area. We will remove these sutures when healing is complete.

  • It is very important to see us for follow-up visits to ensure proper healing.

  • GUM SURGERY

  • If sutures have been placed in your mouth they will dissolve within 3 to 7 days. If they dissolve within the first 24 hours do not be alarmed.

  • Do not remove sutures yourself as this can harm your healing.

EATING AND NUTRITION

  • If a dental flipper or essix retainer was created to replace a missing tooth or teeth, DO NOT chew with the appliance in your mouth, this could both break the appliance & damage the surgical site.

  • Do not suck through a sports bottle or straw when having cold drinks, milkshakes or slushies. Use a spoon instead. Any kids of suction action can remove clotting, causing bleeding and delayed healing.

  • Avoid hot food/drinks for the first day; everything should be room temperature or cooler, as heat stimulates bleeding.

  • Do not eat any foods that require chewing until the anesthesia has completely worn off.

  • Maintaining an adequate diet after your surgery is important for proper healing.

  • If possible, chew on the opposite side of your mouth from your surgery. Avoid extremely hard, hot, spicy or citrus foods.

  • Avoid foods with small seeds and like berries, which can be found in yogurt and smoothies.

  • The following are some examples of nutritious foods that require little chewing: scrambled eggs, pasta, soup, ice cream, apple sauce, bananas, ground meat, tuna or protein shakes.

ACTIVITY

  • Avoid strenuous physical activity, i.e. contact sports, weight lifting, running, swimming, etc for 48 hours following your procedure.

  • Get plenty of rest and resume normal activity, as you are comfortable.


WHEN YOU SHOULD CONTACT US


  • If you have pain that is keeping you UP AT NIGHT.

  • A slight to moderate amount of pain is normal for most procedures, but if the pain is unbearable, you should be seen by Dr. Matsuda

  • If bleeding is uncontrollable.

  • Blood will mix with saliva, giving the appearance that you have lost more blood then you actually have. Blood loss of over 2 cups needs to be replaced with IV fluids or whole blood immediately.

  • If you are running a fever or temperature above 100 F (oral).

  • If you notice puss (yellow or green discharge) or have a very sour bad taste or smell in your mouth.

  • If you notice that your implants have become exposed.

  • Some implants are left uncovered and his is normal.

  • When bone grafting is performed or the implants are supposed to be buried under the tissue and they can be visibly seen, you should contact us.

  • If your sutures tear or are ripped and your tissue is loose or the graft is exposed.

  • If your membrane is loose, untucked, or bunched up- the membrane should lay flat if it is meant to be exposed.

  • If numbness or tingling from anesthesia persists for over 8 hours past surgery.


*If you have any questions or concerns that are not answered by these instructions, please do not hesitate to call.*

Dr. Mel Matsuda: 503-640-1313 (work), 503-645-1315 (home), 503-317-6370 (cell)

Dr. Michael Matsuda 503-640-1313 (work), 503-317-4250 (cell)

Your membrane is meant to be EXPOSED Your membrane should NOT BE EXPOSED


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