After Oral Surgery Instructions

 

On the Day of Your Surgery for an Extraction

  1. Bite firmly on gauze until bleeding stops. Change gauze as needed. Remove gauze when eating, at bedtime, or when bleeding has stopped.
  2. Keep ice on outside of jaw near extraction site for 24 hours. Zip-lock bags with ice may substitute for ice packs.
  3. Eat and drink only cold soft items, such as: pudding, Jell-O, yogurt, ice cream.
  4. Take medications as instructed. Stagger by at least thirty (30) minutes. Do not take medications on an empty stomach.
  5. Avoid driving, operating machinery, or drinking alcohol while taking medications.
  6. Sleep with head elevated to reduce swelling.
  7. Use old pillowcase or towel at bedtime in case of oozing.
  8. No sucking, spitting, smoking, or physical activity. No tooth brushing. No drinking through straws.

On the Day After Surgery for an Extraction

  1. Brush teeth gently.
  2. Rinse with warm water after meals and before bed. Continue with rinses until follow-up appointment.
  3. Add warm soft items, such as: mashed potatoes, soups, pasta, and oatmeal, to soft diet.

In General…

  1. Stitches may dissolve on their own after several days.
  2. Exercise the jaw to reduce stiffness.
  3. Gradually increase diet.
  4. Avoid sharp food items like popcorn and chips during the first week.
  5. May gently chew gum after 2 to 3 days to ease jaw stiffness.
  6. Mild bruising may occur along the jaw or at IV site.
  7. Some swelling is normal.
  8. Use only MOIST heat to jaw (no heating pads).
  9. Some patients develop a “dry socket”. A dry socket is an inflammation of the bone which causes a dull throbbing pain and is not relieved by normal pain medication. Please contact us immediately if you suspect this condition. A dry socket can be easily treated in the office.

If extraordinary symptoms develop such as profuse bleeding or bodily illness, contact Dr. Widner immediately (512) 452-3223. On weekends, holidays, or after hours, instructions will be provided to you to page Dr. Widner.

For Patients Following Extractions or Wisdom Tooth Removal

After extractions, the following conditions may occur, all of which are considered normal:

  1. The surgical area will swell.
  2. Swelling usually peaks on the 2nd or 3rd post-operative day
  3. Trismus (stiffness) of the muscles may cause difficulty in opening your mouth for a period of days.
  4. You may have a slight earache.
  5. A sore throat may develop.
  6. Your other teeth may ache temporarily. This is referred pain and is a temporary condition.
  7. If the corners of the mouth are stretched, they may dry and crack. Your lips should be kept moist with cream or ointment.
  8. There will be a space where the tooth was removed. After 24 hours this area should be rinsed following meals with warm salt water until it is healed. This cavity will gradually fill in with new tissue.
  9. There may be a slight elevation of temperature for 24 to 48 hours. If temperature continues, notify us.
  10. It is not unusual to develop bruising in the area of an extraction.
    You will need to be seen in the office, 5 to 7 days after surgery to check the area(s).

Please take all prescriptions as directed. Medications should be staggered by at least 30 minutes and pain medications and Motrin/ibuprofen should be separated by at least one hour. Should you have questions, concerns, or abnormal reactions, please contact Dr. Widner immediately at (512) 452-3223 or (800) 460-3123.

Women please note: Some antibiotics may interfere with the effectiveness of your birth control pills. Please check with your pharmacist.

For Patients Following Implant Surgery

For rapid healing, it is essential that you follow these instructions during the post-operative period.

  1. An elevated head rest (extra pillow) should be used during the first two nights of rest following surgery to reduce swelling in the area. In general, the level of the head should be above that of the heart.
  2. Should oozing or bleeding occur after surgery, it may be stopped by gently biting on a roll of moist gauze.
  3. Rinse your mouth with a warm salt-water solution following each snack or meal. A salt-water solution may be made with one level teaspoon of salt in eight ounces of warm water.
  4. Commercial mouth washes or sprays should not be used for one week following surgery because they may be too strong or irritating to the tissues. Dr. Widner may prescribe a prescription mouth rinse to be used twice daily for ninety seconds each time.
  5. Dentures may not be worn until refitted or relined by Dr. Widner or your restorative dentist. The wearing of inappropriate dentures may jeopardize a successful healing process and cause loss of the implant.
  6. Keep the area cool. We recommend that you keep ice on and off every fifteen to twenty minutes during the first twenty-four hours. This will help to minimize any post-treatment swelling and discomfort. You can make your own ice packs with crushed ice and a plastic bag. Bags of frozen peas or frozen corn work well as they will mold to the shape of your face and can be refrozen and reused. (not for consumption following their use)
  7. Smoking and consumption of alcoholic beverages should be avoided.
  8. Take medications as directed.
  9. If you have any questions concerning your recovery, please call our office.

Diet Instructions Following Implant Surgery

A nutritious diet is an essential part of a fast recovery. It is important that you maintain a diet of soft nutritious foods to help speed healing, to maintain a feeling of well-being and lessen discomfort. A hungry person becomes irritable and nervous; in this state a person may be more susceptible to pain.

A liquid or non-chew diet is advised following the first twenty-fours of surgery. Soft foods may be added to the diet the day after surgery. A soft diet should be eaten for seven to fourteen days following surgery. Avoid chewing on the area of the implant. If you have any questions, please call the office. Some suggestions are:

Breakfast
Milk, hot chocolate, tea, coffee
Non-acidic fruit juices. Stewed fruits, prunes or similar fruits should be well mashed.
Cooked cereals, such as Oatmeal, Cream of Rice, Cream of Wheat
Eggs, soft boiled, scrambled, poached, or soft fried. Bread-whole wheat preferred.

Lunch and Dinner
Broth, soups, and stews
Baked or broiled fish
Broiled or stewed chicken (finely chopped)
Mashed or refried beans.
Potatoes (baked, boiled, or whipped)
Soft cooked vegetables. Vegetable juices. Soft avocados.
Macaroni and cheese. Soft pastas.
Cottage cheese, cream cheese
Canned, cooked, or stewed fruits

Snacks
Yogurts, milkshakes, ice cream, puddings, custards, jello
Nutritional supplements such as Ensure, Boost, and Slimfast.
Soft fruits.

Small frequent meals may be easier to tolerate. You may eat any soft food that does not irritate. Foods containing tomatoes, onion, pepper, or spices may be irritating. Additionally, acidic fruit juices may cause a burning sensation.

It is recommended that you take a multi-vitamin that contains Vitamin C, E. and Zinc.

EAT WELL AND YOU WILL FEEL WELL