Prior to Your Surgery
Always check with your medical doctor before stopping any medications. It is not necessary to discontinue Aspirin or any blood thinning medications prior to surgery. We do ask that you avoid alcohol the night before surgery. We ask that men arrive for surgery clean shaven unless you wear a beard normally, and that women do not wear makeup.
Keep in mind the following when arranging your surgical appointment:
If you have travel plans or an event scheduled, please know that swelling and bruising can occur so it is best to schedule when you have a few weeks available to heal. Swelling usually develops during the first 12-24 hours following surgery, often peaking on the 3rd post-operative day. It should begin to subside by the 4th day after your surgery. Swelling can be minimized by placing an ice pack on the affected side at 30 minute intervals during the first 48 hours after surgery.
Limit activity during the first 48 hours after surgery. Excessive exertion such as elevated blood pressure, exercise and/or heavy lifting may lead to postoperative bleeding and discomfort and can cause disruption of the surgical site.
Preoperative Instructions for Patients Undergoing Conscious IV Sedation
If you have been given a prescription of Halcion (Triazolam) take the tablet 1 hour prior to your appointment. Place it under your tongue and let it dissolve (In some cases you may have one for the night before surgery – this is to be taken 1 hour prior to bedtime to ensure a good nights rest).
- Do not eat anything for 6 hours prior to your surgery. You may drink clear liquid equal to 1/2 cup that morning.
- Refrain from drinking coffee or tea.
- The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
- Contact lenses, jewelry, and dentures must be removed at the time of surgery.
- Wear a comfortable shirt with short sleeves.
- A responsible adult must accompany the patient to the office, remain in the office during the procedure, and be able to drive the patient home.
The following conditions may occur after periodontal surgery or dental implant placement, all of which are considered normal:
- The surgical area will swell.
- Swelling peaks 2 or 3 days after the surgery.
- You may experience slight bleeding. We recommend that you cover your linens when sleeping to prevent staining.
- Your teeth may be sensitive to cold liquids for several weeks to several months.
- If the corners of the mouth are stretched out they may dry and crack. Your lips should be kept moist with cream or ointment.
- You may have a slight earache.
- A sore throat may develop.
Please take all prescriptions as directed.
Some antibiotics may interfere with the effectiveness of your birth control pills. Consult your pharmacist.
After Your Surgery
If you follow Dr. Goggin’s instructions, you can generally expect to enjoy your normal routine the following day. Talk with Dr. Goggin about any special post-operative considerations you may have, such as exercise, diet or post-surgical medications. This should help minimize any disruptions to your daily activities.
In order to recover quickly from your periodontal surgery you need to follow these guidelines:
AVOID STRENOUS ACTIVITY
After leaving the dental office, relax for the remainder of the day. Avoid strenuous activity (heavy aerobic exercise) for 3 days.
The day of surgery, Place an ice pack (or bag of frozen peas/corn) on your face for intervals of 10 minutes on and off for 10 minutes until you go to bed. You may also place ice chips in your mouth. This will help reduce the swelling. Cold liquids are very important for reducing swelling, discomfort and bleeding. Sip ice water, ice tea, frozen yogurt, milk shakes, applesauce, Ensure or similar cold liquids for the remainder of the day. DO NOT USE A STRAW.
It is necessary to maintain a relatively normal diet throughout the course of healing. The day of surgery, stick with cold liquid. The day after surgery, start a soft food diet and continue for the next 2 weeks, chewing should be done predominately on the side opposite of the surgery. AVOID any type of food that is “hard and crunchy”-chips, pretzels, nuts, seeds, popcorn, raw vegetables, tacos, apples, etc. If surgery was done in the front area of your mouth DO NOT bite off any type of food such as, corn on the cob, etc.
FOOD YOU CAN EAT
Cooked pasta meals- (spaghetti, macaroni and cheese, etc.), soft meats- (turkey, fish, chicken, hamburger, pasta casseroles, tuna, etc.), mashed potatoes/gravy, breakfast foods- (eggs, cooked cereals-oatmeal, pancakes, etc.)
DRINKING OF LIQUIDS
Many of our patients are numb for an average of 3 to 8 hours after surgery. DO NOT DRINK ANYTHING HOT OR EAT SOLID FOOD WHILE YOU ARE NUMB… you may burn yourself and/or cause bleeding and swelling.
The use of alcohol is strongly discouraged when taking prescription drugs such as pain medication, muscle relaxants, and antibiotics. Its use can cause potentially lethal interactions.
Avoid smoking for at least 24 to 48 hours after surgery. We suggest that you do not smoke for at least 5 days after surgery.
BRUSHING AND FLOSSING
Avoid brushing, flossing, Waterpik, and proxy brushing the area of surgery until you are instructed to do so. It is important to maintain a normal level of oral hygiene in the non-operated areas by brushing and flossing.
Please follow the instructions on the bottle for any medications prescribed. If any adverse reactions to those medications should arise, such as nausea, itching, swelling, or any allergic symptoms, please contact the office immediately and discontinue all medications immediately.
In Case of Problems
You should experience few problems if you follow the instructions and suggestions as outlined. But if you should have any problems such as excessive bleeding, pain, or difficulty in opening your mouth, call our office immediately for further instructions or additional treatment.