For your comfort, safety and to help prevent possible
complications read the following.
After leaving the office, relax for the remainder of the
day. Avoid strenuous activity for 3 days. If you have been given a
sedative, do not: drive, watch children, make serious decisions or
operate machinery for at least 8 to 10 hours.
Some swelling may be present the day after the surgery and
may peak at 48-72 hours after surgery. Cold liquids are important for
reducing swelling, discomfort, and bleeding. Sip ice water, iced tea,
frozen yogurt, milkshakes, or similar cold liquids and keep the surgical
area cold for the remainder of the day after surgery. Do not use a
straw, as suction can start bleeding. Swelling can also be minimized by
placing an ice pack over the treated area, on the outside of the face.
Continue for 24 hours after surgery alternating on and off at 20 minute
There should be minimal bleeding after surgery. When you leave,
you may have gauze placed in your mouth. It may be removed once you get
home. You may have a pink discoloration of your saliva for up to 24
hours; frank bleeding (bright red) is not to be expected. Should
bleeding occur, take a piece of gauze, make a firm compress and place
directly over the area which is bleeding. Apply steady pressure for 30
minutes. Placing a moistened tea bag (not herbal tea) over the area may
be more effective. Sit quietly in an upright position to aid in
controlling the bleeding. If these measures do not stop the bleeding,
call doctor immediately.
EATING, DRINKING, SMOKING
High protein soft foods and liquids are important during the 3-5
day postoperative period. During this time avoid solid, spicy, salty,
hot foods, hot or carbonated liquids and do not: spit, smoke, rinse
hard, drink through a straw, or create a “sucking” action in your mouth.
If you are comfortable you can start eating solid food after 3-5 days.
Do not drink alcohol for 8 days following surgery. Do not smoke during
the post surgical period, as wound healing will be delayed. Ask us about
new treatments to help you quit smoking.
CARE OF THE DRESSING
If a dressing was placed over the surgical site, try to stay away
from it the first few days. It is primarily for comfort. If the
dressing should become loose or fall off, and there is no increase in
the level of discomfort, it is o.k. to leave it off.
Do not brush your teeth or rinse your mouth for the rest of
today. Tomorrow you may begin rinsing with your prescription
“Chlorhexidine” mouth rinse. It will keep the surgical area clean while
it heals. Rinse twice daily for 30 seconds and don’t eat or drink for 1
hour. Make sure you brush and floss the rest of your teeth as usual to
minimize infection and staining but don’t use an oral irrigating device
for six months. Do not disturb the surgical area for 2 weeks; after that
lightly clean the teeth using a very soft toothbrush soaked in warm
water or cotton swab with Chlorhexidine. Do not brush tissue grafted
areas until your stitches are removed!
“Sutures” are placed to hold the gum tissues in the proper
position for ideal healing. Drs. Wunderlich & Chang usually places dissolving sutures.
However he will want you to return so that they can be fully removed
after sufficient. Disturbing the sutures will impair healing. If you
notice a loose or missing suture, it is not urgent; contact us during
regular hours for instructions.
Follow the instructions on the bottle for prescribed medications.
If an adverse occurs, (nausea, itching, swelling, severe diarrhea),
stop the medicine and contact the office immediately .
We normally prescribe (four) medications to keep our bone
graft patients comfortable.
- Antibiotic: usually amoxicillin or
clindamycin. Please take as directed by Drs. Wunderlich and Chang.
- Non-narcotic, anti-inflammatory pain reliever:
- “Motrin” or ibuprofen, which will also help reduce swelling
and reduce pain.
You may take 1 pill 4 hours after surgery and then 3-4 times daily
as needed or
- "Lodine" which will also help reduce pain and swelling. You may
take this medication immediately after surgery, then every 6-8 hours as
- Narcotic pain reliever: “Acetaminophen
with hydrocodone.” Although severe pain is unusual, you can take
this, every 4 hours as needed after surgery, in addition to the
ibuprofen or Lodine . It can cause drowsiness, and is best taken
- Antiseptic rinse: Peridex
which you can start using the day after surgery to keep the area
clean during healing. Rinse after breakfast and before bed, avoiding
food or drink for
1-hour. Do not rinse vigorously
DISCOMFORT OR FEVER
A slight fever is usual after a simple procedure for a day or so.
Fever may also be caused by inadequate fluid intake. If you have a high
fever or more pain than can be controlled with your prescriptions,
call Drs. Wunderlich & Chang. Your teeth may be sensitive to extremes of hot, cold, and
sweets. This is completely normal and usually diminishes as healing
progresses. Good plaque control helps the desensitizing process. It is
also helpful to brush with toothpaste for sensitive teeth. If the
sensitivity does not improve, let us know.
REMOVABLE TEMPORARY TEETH “FLIPPER”
If an appliance has been given to you for use during healing,
leave it in tonight unless otherwise instructed. Tomorrow morning,
remove it, rinse it thoroughly, and place it back in your mouth. It not
only replaces teeth it acts as a bandage to help keep swelling down. In
some cases sore spots may develop. Contact your Dentist or Drs. Wunderlich & Chang
after surgery to adjust and relieve those sore spots. Failure to do so
may result in severe sores, which may prolong the healing process.
NORMAL BUT UNUSUAL
If bruising occurs, the application of a moist warm towel will
help eliminate the discoloration quicker. The towel should be applied
continuously for as long as tolerable beginning 36 hours after surgery
(ice packs are used for the first 36 hours only). A sore throat may also
develop. The muscles of the throat are near the injection sites. This
is normal and should subside in 2-3 days.
If the corners of the mouth are stretched, they may dry out and
crack. Your lips should be kept moist with a lip ointment.
Notify the Office if:
- Your medications do not relieve your discomfort
- If you develop a fever above 99.5F
- If you have any unusual swelling, uncontrolled bleeding
- If you develop any changes in vision, balance.
In the event you need to reach Drs. Wunderlich & Chang regarding today’s
visit, we can be reached at the office (734) 981-7477.
We look forward to seeing you at your next