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Post-op Instructions

Crown Lengthening

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Dressing

    Do not drink hot liquids for 24 hours after surgery. When/if dressing falls off, use a Q-tip dipped in Peridex and gently swab the area. If the dressing becomes loose, simply remove it, do not try to push back in place, this will irritate the tissue.
Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Extractions

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Gingivectomy

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Dressing

    Do not drink hot liquids for 24 hours after surgery. When/if dressing falls off, use a Q-tip dipped in Peridex and gently swab the area. If the dressing becomes loose, simply remove it, do not try to push back in place, this will irritate the tissue.

IV/Oral Sedation

    Do not drive, operate machinery or perform any physical activities for the rest of the day.
    A responsible adult must watch the patient for at least 8 hrs after the surgery, patient cannot be dropped off alone.
    Post-operatively, do not take any narcotic pain medication until 8 hours after procedure.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Lip Repositioning

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hrs is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Reduce for 2 Weeks

    High smiling and lip movement while talking.

Osseous Surgery

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hrs is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Dressing

    Do not drink hot liquids for 24 hours after surgery. When/if dressing falls off, use a Q-tip dipped in peridex and gently swab the area. If the dressing becomes loose, simply remove it, do not try to push back in place, this will irritate the tissue.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Ridge Augmentation Surgery

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Sinus Augmentation

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

SINUS INSTRUCTIONS (Sinus Grafting Procedures)

    Use nasal saline nose spray for 2 weeks.
    Avoid bending over, nose blowing and suppressing a sneeze for 2 weeks.
    Avoid flying for 3 weeks.
    Slight nose bleeds are normal for up to 2 weeks.
    Small bone particles may be found in the mouth in the morning, they are normal.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Soft Tissue Grafting

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Dressing

    Do not drink hot liquids for 24 hours after surgery. When/if dressing falls off, use a Q-tip dipped in peridex and gently swab the area. If the dressing becomes loose, simply remove it, do not try to push back in place, this will irritate the tissue.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Laser-Assisted Periodontal Therapy

1. Do not be alarmed with any color changes or appearance of tissues following laser therapy. Tissues can be gray, yellow, red, blue, purple, "stringy" and reflect normal response to laser treatments.
2. Reduce activity for several hours following the surgery.
3. It is ok to spit, rinse and wash your mouth out today. Rinse as directed with Peridex morning and night. In between it is ok to rinse gently every three hours with warm salt water.
4. Do not chew for 1 week on the side of your mouth, which has been treated.
5. Do not eat spicy or excessively hot foods for 48 hrs.
6. Try to keep your mouth as clean as possible in order to help the healing process. Brush, floss and follow other home care measures in all the areas of the mouth EXCEPT for the surgery area.
7. Do not brush or floss surgical site for one week.
8. Do not use WaterPik around surgical site for 6 months
9. Do not apply excessive tongue or cheek pressure to the surgery area.
10. Do not be alarmed if one of the following occurs:

    a. Light bleeding
    b. Slight swelling
    c. Some soreness, tenderness or tooth sensitivity
    d. Staining of teeth or tongue from using Peridex mouthrinse.
11. The surgical pack is placed on the area to prevent food, trauma and or smoke from irritating the surgery tissues. If a piece of the packing falls out or if the entire pack loosens and falls out it's ok, do not be alarmed.
12. Swelling may possibly occur. To keep this at a minimum gently place an ice pack on the outside of the face for 20 minutes each hour until you go to sleep that night. Do not continue to use the ice bag beyond the day of the surgery.
13. Some oozing of blood may occur during the first 48 hrs and will appear to be greatly exaggerated when it dissolves in saliva.
Determine the side of oozing and place pressure on this area. If you cannot locate the origin of the bleeding, rinse your mouth gently with ice water and apply a wet tea bag to the general area. If excessive bleeding continues, please call the office.
14. It is very important to maintain a good food and fluid intake.
15. If medication has been prescribed, please take exactly as directed.
16. Please call the office so that we may render further treatment if any of the following occurs:
    a. Prolonged or severe pain
    b. Prolonged or excessive bleeding
    c. Considerably elevated or persistent temperature.
17. Do not be alarmed that beginning with just 2 weeks after therapy and extending as long as 1 year or more, the teeth may become sore, tender or sensitive as the bone and ligaments around the teeth regenerate and become more firm. This is a sign of healing, but also indicates the presence of bite imbalance that needs to be adjusted.

Dental Implant

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Implant Surgery

    Do NOT chew on dental implant side for 1.5 months.
    If you wear a partial denture or any type of temporary restoration, it has been adjusted at the time of surgery to make sure it does not put pressure on your implant. If your partial denture or temporary restoration is replaced while the implant is healing; please, notify us immediately since it might need to be adjusted to avoid excessive pressure over implant that could lead to implant loss.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Dental Implant & Immediate Loading

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Implant Surgery

    Do NOT chew on dental implant side for 1.5 months.

Diet

    All soft foods for 1.5 MONTH post-procedure.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

Dental Implant & Sinus Augmentation

Medications

    Take all prescribed medications as directed- Finish ALL antibiotics and anti-inflammatories. (Naproxen, Ibuprofen, Medrol Dose Pack).

Medications for Discomfort

    Take Naproxen Sodium 500mg (2X/day) with food, as needed for pain.
    One tablet of Extra Strength Tylenol every 6 hours is okay to take in between doses of Naproxen.
    Vicodin (Hydrocodone) is okay to take if not driving/working/operating machinery. Take 1 tab every 6 hours with food, in addition to Naproxen if needed. (**Not within 1 hour of taking Naproxen).
    Do not take Tylenol (Acetaminophen) while taking Hydrocodone.
    Do not drink alcohol or use any illicit drugs while taking Hydrocodone and all other prescribed medications.
    Do not take any other sleeping/sedative medications while taking Hydrocodone.

Swelling

    Swelling is normal for up to 1-2 weeks post procedure, peaking at 2 to 4 days and especially in the early morning.
    First Two Days: Apply ice pack 20 minutes on/ 20 minutes off
    Third Day: Apply heat pack 20 minutes on/20 minutes off
    Sleep on 2 pillows to elevate head.

Bleeding

    Light bleeding (oozing) from the surgical area may occur for up to 48 hours post-surgery.
    Control by applying pressure with moist gauze or a wet tea bag for minimum of 30 minutes.

Diet

    All soft foods for 7 days post-procedure.
    Do NOT chew on surgical site for 2 weeks.
    Do NOT eat hard, crunchy, fried or spicy foods along with small seeds, pretzels, crust, chips, peanuts, popcorn, sesame seeds, kiwi seeds, cereal, bread, pizza, candy, rice, nuts, gum, nachos, steak, wings, sausage, etc.
    Eat soft foods such as: yogurt or cottage cheese, soup, well-cooked veggies, soft bread, mashed potatoes, stuffing, pudding or gelatin, sorbet, oatmeal, pasta, eggs, applesauce, bananas, protein shakes, fish.

Oral Hygiene

    Do NOT brush or floss the area for 2 weeks. Okay to clean other teeth.
    Do NOT use WaterPik for 6 months around the surgical site.
    Use a Q-tip dipped in Peridex (0.12% Chlorhexidine) to very gently swab surgical site for the first 2 weeks.
    After 24 hours, resume rinsing with Peridex 2X a day until completed. Okay to rinse with warm salt water in between.

Sinus Instructions (Sinus Grafting Procedures)

    Use nasal saline nose spray for 2 weeks.
    Avoid bending over, nose blowing and suppressing a sneeze for 2 weeks.
    Avoid flying for 3 weeks.
    Slight nose bleeds are normal for up to 2 weeks.
    Small bone particles may be found in the mouth in the morning, they are normal.

Implant Surgery

    Do NOT chew on dental implant side for 1.5 months.
    If you wear a partial denture or any type of temporary restoration, it has been adjusted at the time of surgery to make sure it does not put pressure on your implant. If your partial denture or temporary restoration is replaced while the implant is healing; please, notify us immediately since it might need to be adjusted to avoid excessive pressure over implant that could lead to implant loss.

Soft Tissue Grafting

    Avoid pulling cheek/lip to look at the surgical site for at least 2 weeks, this will cause loss of sutures and loss of graft.<

Avoid for 48HRS

    Spitting out with force
    Drinking from a straw

Avoid for 1 Week

    Cardio exercise
    Sun Exposure

Avoid for 2 Weeks

    Smoking (including e-cigarettes).
    Chewing tobacco.

PINHOLE SURGERY: Wound Care

Wound care for first 6 weeks

1. NO BRUSHING OVER SURGICAL SITE(S).
2. NO FLOSSING (Water-Pik ONLY from tongue-side or inside on low)
3. NO TOUCHING: with finger or any other device or object.
4. Do not lick surgical area.
5. Do not use co on swabs, cloth or any so or hard object to clean area.
6. Do not sleep with hands under the cheek where surgery was done.
7. No facial massages for 3 weeks or massage that area of the face for any reason.
8. NO LOOKING: Do not obsess over or question on doctor about appearance of gums for 6 weeks. You cannot look without pulling cheek.
9. RINSE ONLY WITH LIPS APART: SLOSHING ONLY
10. NO Chipmunk cheeks when you rinse.
11. Do not play wind instruments for 3 weeks.
12. Do not suck on straws.
13. Do not blow balloons.
14. No spitting.
15. No mints over surgical area.
16. No smoking, chewing tobacco, cigar, pipe or recreational marijuana. Please consult doctor if you use marijuana for medical purposes.
17. WEAR PRESCRIBED BITE APPLIANCE 24 HOURS A DAY, if instructed. Check with Doctor about any other appliances (e.g., retainers, Invisalign, Perio-Protect, etc.). If wearing a retainer or Invisalign please bring with you to appt since it might need to be adjusted.
18. No Clenching or grinding of the teeth.
19. No heavy lifting that require clenching of the teeth.
20. No heavy aerobics or vigorous dancing or physical activity for 3 weeks.
21. No Snorkeling for 6 months.
22. ICE OVER AREA at 10 minute intervals for the first 48 hours to minimize swelling.
23. DO NOT BE ALARMED ABOUT SOFT SWELLING OR BRUISING FOR THE FIRST WEEK.
24. DO NOT EAT crunchy or sticky food that can get stuck on or in between your teeth.
25. EXPECT cold sensivity for 6 weeks or longer. DO REPORT sensivity during check-up appointments.
26. PAIN CONTROL- take prescribed medication as directed.
27. CALL DOCTOR IMMEDIATELY IF YOU HAVE UNEXPECTED PAIN, CONTINUOUS BLEEDING, OR HEAT FROM SURGICAL SITE.
28. Patient MUST return to our office 24 hours after surgery, 1 week after surgery, 3 weeks after surgery, and 6 weeks after surgery.
29. After the 6th week you may brush surgical area with special extra soft brush dispensed for 6 MONTHS.
30. Lower your sugar intake in consultation with your medical doctor.

Hygiene wound care for 6 months (ON SURGICAL SITE)

1. Brush surgical site using soft toothbrush. PHB brand toothbrush is one option.
2. Use roll technique when brushing surgical site (from vestibule down).
3. NO Waterpik for 6 months.
4. Do not use electric tooth brush for 6 months
5. Electric tooth brush should be held like a flute
6. Floss through teeth without touching gum. Don’t “rope-burn” gum.
7. After 6 months it is recommended you use a hand brush. If you use an electric toothbrush use the finger-hold, like holding a flute.
8. No subgingival cleaning, probing, or restorations before 6 months

Update on Antibiotics for Joint Replacement Patients Undergoing Dental Procedures

January 2015: The American Academy of Orthopedic Surgeons (AAOS) and the American Dental Association (ADA) recently announced their finding that there is insufficient evidence to recommend the routine use of antibiotics prior to dental procedures for patients with orthopedic implants (joint replacements) to prevent infections. There is no direct evidence that routine dental procedures cause prosthetic joint infections. The AAOS and ADA recommendations are based on a collaborative, evidence-based clinical practice guideline that focuses on the possible linkage between orthopedic implant infection and patients undergoing dental procedures.

If you have been taking antibiotic premedication prior to your dental visits due to joint replacement, it is no longer necessary for you to continue antibiotic premedication. In an effort to improve quality and effectiveness of your care, we encourage you speak with your orthopedic surgeon about this recent update in the clinical practice guidelines. We also have a copy of the American Dental Association article published in the January 2015 issue if you would like to discuss with your orthopedic surgeon.