Post-Extraction Care for Rapid Healing

Extractions

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Care of the mouth after surgery has an important effort on healing. Depending on the extent and location of the surgery, swelling, discomfort, slight oozing of blood and restricted jaw movement may be expected. These problems need not alarm and may be minimized if the following post-operative instructions are followed:

 

Bleeding:

It is not unusual to have slight oozing for 24 hours and periodic break through bleeding for 1- days after oral surgical procedure. If folded gauze has been placed in the area of surgery prior to leaving the office, bite on it with constant, firm pressure. After 1 hour, remove the gauze. If there is continued bleeding, sit upright, place new gauze or a moistened tea bag over the area and bite down for 1 hour – DO NOT SPIT OR TAKE THE GAUZE OUT! Bring any fluids forward with your tongue and wipe with a towel or gauze

 

To minimize bleeding:

·     Do not place a large bulky gauze pack, for it will only put pressure on the nearby teeth and not in the area of bleeding.

·     Do not replace the gauze if there is only slight oozing.

·     Avoid spitting and rinsing your mouth on the day of surgery.

 

Remember – a drop of blood mixed with saliva may seem like more blood than there really is. Place a towel on your pillow to prevent the staining of your linen with blood, which will be in your saliva for several hours. Again, firm biting pressure and a correctly placed gauze pack on your surgical area is the most effective means of stopping the bleeding.

 

Swelling:

Swelling will be at its greatest 2 days after surgery but then will slowly disappear.

 

To minimize swelling:

1.    Apply an ice bag to the operated side of the face as soon as you arrive at home.

2.    Apply cold for 20 minutes and off for 20 minutes as frequently as possible for first 48 hours.

3.   After 2 days you should switch to hot packs and hot rinses.

 

Pain:

Although discomfort (or moderate pain after a difficult or prolonged surgery) should be expected, medication will be prescribed to make you comfortable. However, severe pain lasting more than 3 days is normal. If this happens, call me. Remember, after pain medication is swallowed, it may take an hour to take effect and may only work for 3 to 4 hours. Therefore, it is important to try to keep ahead of anticipated pain. The full dose of pain medication taken every 3 to 4 hours will be much more beneficial than smaller amounts taken more frequently.

 

Care of the mouth:

Do not rinse your mouth on the day of the surgery. This may dislodge the blood clot and interfere with normal bleeding.

On the morning after surgery, rinse gently (not vigorously!) with very warm salt water (1/2 teaspoon salt to one cup water). Repeat until your post-operative appointment.

Avoid smoking, alcohol, or drinking through a straw, as these may disrupt the healing or cause bleeding or pain. APPLY OXYFRESH LIBERALLY AT THE WOUND SITE 2 OR 3X DAY

 

Diet:

Eat whatever is comfortable. You may require soft or liquid foods for 2-7 days. Avoid foods that require hard chewing. It is very important to maintain a good dietary intake even if it is only liquids.

 

Nausea:

Nausea may accompany the discomfort during the initial post-operative period. Small sips of tea, 7-up, or ginger ale may help.

 

Post-operative conditions:

The following post-operative conditions may occur in some patients while healing is progressing normally.

 

1. Swelling on one or both sides of the jaw.

2. Numbness (transient parasthesia) of the lip or chin.

3. Tightness of the muscles (Trismus) may cause limited mouth opening.

4. Slight ear-ache or sore throat.

5. The skin may become discolored a few days after the operation.

6. When intravenous anesthesia medications are given, you may experience tenderness, discoloration or a hardening of the vein at the site of injection.

Please keep in mind that it is reasonable to expect your normal activities to be disrupted following a surgical procedure.

 

Denture Patients: Do not remove a new denture for 24 hours after surgery. UNLESS you have been told differently.

 

Prescription refills and problems can be best handled for you if you call during normal business hours as pharmacies are typically closed in early evening.

 

IN CASE OF PROBLEMS OR IF YOU HAVE ANY QUESTIONS, YOU CAN CONTACT DR. BINON AT (916) 786-6676

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