Pre-Surgery
It is important to us that our patients are informed during every step of their treatment so that they are well-prepared and have the chance to ask questions. The following information is a starting point for researching your procedure and should assist in developing a list of questions to ask during your consultation.
Before Anesthesia
There are a few steps that patients need to take prior to anesthesia. First, you should not eat or drink anything at least eight hours prior to surgery and refrain from smoking 12 hours prior to surgery. You will need someone to accompany you to the surgery and drive you home after. On the day of surgery, do not wear any jewelry, contact lenses, or dentures. If you regularly take medications, discuss those with the doctor to ensure that they are approved prior to surgery.
It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery, the doctor or dental assistant will give you full instructions on how to properly recover from surgery.
Post-Op Instructions
Root Canal Therapy
You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling), call your dentist immediately.
Crowns and Bridges
Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating; you should avoid sticky or chewy foods while you have the temporary in.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol® if the pain does not go away.
When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural teeth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.
White Fillings (Bonding)
After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.
Scaling and Root Planing
After this procedure, your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (one tsp salt in eight ounces water) two to three times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for two to three days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days, contact your dentist.
Veneers
Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating; you should avoid sticky or chewy foods while you have the temporary in.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol® if the pain does not go away.
When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural teeth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.
Extractions
After the surgery, you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take it as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Gelatin
- Pudding
- Yogurt
- Mashed Potatoes
- Ice Cream
- Thin Soups
- Any other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly, call your dentist for a follow-up.
Wisdom Tooth Removal
Wisdom tooth extraction is a surgical procedure that requires some post-operative care to reduce the chance of infection or other complications. Immediately after surgery, a gauze pad will be placed over the extraction site, which should not be removed for at least 45 minutes, and then discarded after that. Refrain from drinking from a straw or rinsing the mouth to ensure that you do not dislodge the blood clot that has formed. Limit your activities that day. You can resume your regular activities the following day. Take the pain medication as prescribed to reduce the amount of discomfort you feel after the local anesthetic wears off. As with any oral surgery, refrain from drinking through a straw as doing so creates suction and may disrupt the sutures.
Multiple Tooth Extractions
The removal of one or two teeth is a simple procedure. Extracting multiple teeth requires that the jawbone be shaped and removed to prepare for a denture. You may experience the following after a multiple tooth extraction procedure. Within two days, you will experience the maximum swelling both inside the mouth and possibly around the eye as well. The area around your eye may also become discolored, which may be alleviated by a warm compress. The muscles near the extraction site may become sore after surgery, causing a sore throat. This is normal as well as the corners of your mouth becoming dry and cracked from being stretched open during surgery. In most cases, you will have a follow-up appointment with your dentist within 48 hours after surgery to discuss any post-surgery symptoms that you are experiencing.
Dental Implant Surgery
After dental implant surgery, it is recommended that you take at easy for 48-72 hours. Resting assists the healing process and limits after-surgery bleeding. Drink plenty of fluids, but nothing too cold. You may need to apply an ice pack to your face in twenty-minute intervals for the next two days following surgery. If you received upper implants, do not blow your nose for two weeks.
It is common to experience slight bleeding for about two days after surgery. You will feel slightly uncomfortable the first two days following surgery, but the third day is generally better. An increase in temperature of about one to two degrees is to be expected and is not a cause for concern. Finally, while you can eat when you are hungry, do not chew directly onto the bone graft.
Impacted Tooth
A tooth becomes impacted when there is not enough room to accommodate the space in the dental arch and growth becomes impossible. After surgery to remove an impacted tooth, mild discomfort and some swelling is expected. This is part of the process and should not alarm you. You may use cold compresses to alleviate the swelling. In addition, your doctor will prescribe pain medication, which should be taken as directed. Patients are also advised to favor the extraction area and modify their diet for a few days to allow for healing.
