Post-operative Instructions

GENERAL:

  • Arrange to take the day of surgery and the next day off of work. After that use your best judgment.
  • Do not rinse your mouth for the first 24 hours.
  • Get plenty of rest after surgery.
  • Minimizing talking for the first 24 hours will help aid in the healing process.
  • Avoid bending over and sleep with your head elevated for the first night
  • The better care you take of yourself, the better your result.

EXERCISE:

  • No exercise or any activity that would raise your pulse for 7 days after your surgery: including but not limited to running, jogging, working-out, aerobics, and yoga.

DIET:

  • You will be on a soft food diet for 2 weeks after surgery.
  • Cold or room temperature foods are recommended for the first day.
  • Do not use a straw at any time.
  • Remember, maintaining an adequate diet after surgery is essential and you will do better if you continue to eat a balanced diet.
  • Avoid hard, chewy or spicy foods. Citric acid (orange juice and grapefruit juice) may sting.
  • Foods with small seeds should be avoided.
  • Avoid concentrated alcoholic beverages for the first few days.
  • Fluid intake is very important. Try to drink 8 glasses per day. This can help avoid a slight fever following the surgery.

SOFT FOOD IDEAS:

Soup/Broth

Milkshakes

Apple Sauce

Soft Pasta

Protein Powder Drinks

Flan

Soft Rice

Oatmeal

Cottage Cheese

Mashed Potatoes

Grits/Polenta

Tofurkey

Yogurt

Soft Steamed Vegetables

Risotto

Jell-O

Pudding

Rice Porridge

Fish

Tofu

Pancakes

IF YOU CANNOT REACH US VIA THE OFFICE LINE San Francisco Office Phone Number 415-781-7147 AND HAVE AN AFTER HOURS EMERGENCY YOU CAN CALL DR. PASQUINELLI DIRECTLY AT (415) 847-2207

If you cannot reach your doctor and you have a medical emergency,  Please go directly to your nearest hospital emergency room

BLEEDING

  • Slight bleeding may continue for up to 24 hours after surgery. This is not unusual and is no cause for alarm.
  • If excessive bleeding occurs, take moistened gauze from the packet given to you following the surgery or a wet caffeinated tea bag and apply slight pressure over the bleeding area for 20-30 minutes.
  • Sitting quietly in an upright position will aid in the control of bleeding.
  • Do not rinse for the first 24 hours.
  • If excessive bleeding persists after following the instructions above please call the office.

DISCOMFORT

  • The amount of pain or discomfort varies from patient to patient and typically is most noticeable 3 days after surgery.
  • The medication given to you should be used as prescribed to control your pain. If you need to take the medication for a few days do not be alarmed.
  • If you cannot control the pain with the medications given, please call the office.

SWELLING and BRUISING

  • You can expect some swelling and bruising following your surgery. It may take 3 to 5 days before it reaches a maximum.
  • If you have had facial plastic surgery, or any Botox-like injections in the facial area, you will experience more bruising and swelling.
  • To minimize the swelling, apply an ice pack to the cheek over the area of surgery, 10 minutes on and 10 minutes off, for the first day.
  • Ice cubes in a plastic bag work well as an ice pack, as do a frozen bag of peas.

PERIODONTAL DRESSING for Pocket Reduction and Gum Grafting

  • Following your surgery, a pink plastic-like material called a periodontal dressing may be placed around your teeth and gums.
  • This dressing acts as an oral bandage.
  • It should remain in place until your follow up appointment when it will either be removed or replaced.
  • Parts of the dressing may chip off this is not a problem unless it causes discomfort.

ORAL HYGIENE

  • Do not brush or disturb the surgical site in any way until your follow up appointment. If you have a stent or stayplate please read the sections below.
  • Rinse gently with 1/2 oz. of Periogard for 30 seconds twice a day for two weeks.
  • After two weeks you may begin using Natural Dentist Antiseptic Mouth Rinse daily, rinsing once or twice a day for a full 30 seconds.
  • Remember that the remainder of your mouth should be cleaned as usual, being VERY careful not to disturb the surgery site.

STENT for Gum Grafting

  • A clear thin plastic retainer (stent) may have been made to cover the roof of your mouth. It is provided for your comfort and to reduce irritation to the surgical site.
  • The stent will be in your mouth following surgery and should not be removed for 48 hours.
  • 48 hours after surgery please remove your stent, gently rinse your mouth with the Periogard Oral Rinse and place the stent back in your mouth; this will allow the roof of your mouth to be cleansed.
  • It is then recommended that you wear it for 2 weeks following surgery, taking it out after you eat to clean it.
  • You may have been given ORABASE ointment samples
  • If it is 24 hours after your surgery and you are still experiencing discomfort on the roof of your mouth you may begin using ORABASE.
  • Place ORABASE on the stent/retainer, then place stent/retainer gently into your mouth.

STAYPLATE/FLIPPER (If you have one)

  • The stayplate will be in your mouth following surgery and should not be removed for 48 hours unless directed by our office to leave it in longer.
  • It is then recommended that you wear it night and day for 2 weeks following surgery, taking it out after you eat to clean it and then placing it back in your mouth immediately.