PLEASE READ THESE INSTRUCTIONS CAREFULLY

Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. However, when in doubt follow these guidelines or call our office for clarification. Our number is 973-627-6006.

Day of Surgery

FIRST HOUR: Bite down gently but firmly on the gauze that has been placed over the surgical areas, making sure they remain in place. The gauze may be gently removed after 20-25 minutes. If active bleeding persists place enough new gauze to obtain pressure over the surgical site for another 20-25 minutes.

*If surgery was done under general anesthesia, remain in a cool environment until effects of anesthesia have worn off (24 hours) as medications can inhibit sweating*

OOZING: Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the areas and biting on the gauze for 20-25 minutes. Do not replace the gauze unless it is STEADY, FLOWING blood.

PERSISTENT BLEEDING: Bleeding should never be severe. If so, it usually means that the gauze is being clenched between teeth only and is not exerting pressure on the surgical areas. Try repositioning the gauze. If bleeding persists or becomes heavy you may substitute a tea bag (dry) for 20-30 minutes. If bleeding remains uncontrolled, please call our office.

ORAL HYGEINE AND CARE: Do not disturb the surgical area today. DO NOT rinse vigorously or probe the area with any objects. You may brush your teeth gently. If you are a smoker, PLEASE DO NOT SMOKE for at least 72 hours, since this is very detrimental to healing and ignoring this precaution may cause a dry socket.

SWELLING: Swelling is often associated with oral surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent with the surgical area. This should be applied 20 minutes on, 20 minutes off during the first 24 hours after surgery. If there is an active infection consult with your doctor prior to applying ice. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.

PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off, you should be able to manage any discomfort better. Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced. The effects of pain medications vary widely among individuals. If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as aspirin or ibuprofen. Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medicine should lessen. However you may experience maximum pain and swelling 3-5 days after the surgery.

If you find you are taking large amounts of pain medicine at frequent intervals, please call our office. If you anticipate needing more prescription medication for the weekend, you must call for a refill during weekday business hours.

NAUSEA: Nausea is not uncommon after surgery. Sometimes pain medications are the cause. Nausea can be reduced by preceding each pain pill with a small amount of soft food, and taking the pill with a large volume of water. Try to keep taking clear fluids and minimize dosing of pain medications, but call us if you do not feel better.

DIET: Eat any nourishing food that can be taken with comfort. Avoid extremely hot or spicy foods. Do not use a straw for the first 3 days after surgery. It is not required to confine the first day’s intake to liquids or pureed foods, but a cool, soft diet is advisable (soups, puddings, yogurt, milk shakes, etc.). It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will feel better, gain strength, have less discomfort, and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.

SHARP EDGES: If you feel something hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following month. If they cause concern or discomfort, please call the office. Try to keep your tongue away from the surgical sites.

Instructions for the Second and Third Days

MOUTH RINSES: Keeping your mouth clean after surgery is essential. 48 hours after your surgery use ¼ teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least two or three times daily.

HEALING: Normal healing after tooth extraction should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable, and although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office. If you are given a plastic irrigating syringe, DO NOT use it for the first five days. Then use it daily according to the instructions until you are certain the tooth socket has closed completely and that there is no chance of any food particles lodging in the socket. It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call our office. A 24-hour emergency answering service is available to contact the doctor on call after hours. Calling during office hours will afford a faster response to your question or concern.

PLEASE NOTE: Telephone calls for narcotic prescription renewal are ONLY accepted during office hours. The doctor can be reached after hours for EMERGENCIES only by prompting through to our answering service.

Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, acetaminophen may be taken every 3-4 hours. Ibuprofen may be taken instead of acetaminophen. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.

Oral Hygiene

Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

IF AT ANY TIME YOU HAVE QUESTIONS OR CONCERNS REGARDING YOUR TREATMENT OR POST-OPERATIVE CARE, PLEASE CONTACT OUR OFFICE AT (973) 627-6006.

Call the office immediately if you experience increased pain, mucous discharge, or swelling that is greater than the previous day (or pain or bleeding under the eye patch). Call the office immediately if you have a fever over 101 degrees.

Check vision daily by covering each eye and reading the newspaper print while blinking frequently to clear the tear film and to keep the eye moist (some tearing and mucous discharge is to be expected). Call immediately if there is a change in vision in either eye.

If eye is not patched, apply bags of frozen peas or ice (in Ziploc Bag) over the sterile gauze that has been placed over the eyelids.

• Apply ice 10-15 minutes on and 15 minutes off every hour while awake for the first 48 hours after surgery.
• Continue the application of the bags of frozen peas or ice 4 times a day for 10-15 minutes for the next 2 days.
• Do not apply compresses of any kind on the fifth day after surgery.
• Apply hot compresses the sixth day after surgery 4 times a day for 10-15 minutes. Boil water. Dip washcloth in moderately warmed water (allowed to cool- Do Not scald skin) and place over sterile 4×4 gauze (interface between eyelid wounds and washcloth).
• Use eye drops (one drop) in the involved eye four times a day UNTIL IT RUNS OUT and wear eye shield at bedtime (if not patched) DO NOT RUB EYE.
• If eye does not open, place sterile gauze soaked in cooled boiled water over eye
• Please do not remove any steri-strips or taps applied by Dr. Cohen, unless otherwise directed.

If eye is patched, local treatments including eye drops, or shields are no longer necessary but call Dr. Cohen immediately if there is pain or bleeding under the eye patch.

It is better to bathe for the first week. If you must shower, do not allow water to directly hit the wounds or get in your eyes. Pat wounds dry.

All bending and lifting must be avoided for one week. In addition, do not engage in strenuous activity or physical exercise for 18 days after surgery. Gradually resume activity.

Resume all medications the day of the surgery, but do not take Aspirin/Vitamin E/Motrin until directed by your physician or Dr. Cohen.

Take Tylenol or Extra Strength Tylenol-two tablets every four hours as needed.

Someone should assist you the first 48 hours.

• Sleep on 2 or more pillows in a reclining chair for the first 48 hours. If you sleep on your side, please wear an eye shield for 1 month after surgery.
• Avoid alcohol for 48 hours and smoking 1 week post surgery.
• Eat lightly the night of surgery, try clear liquids first.
• You may usually resume a normal diet the day after surgery.
• Wear sunglasses to protect the incisions from the sun and for comfort.

Please bring eye drops to first post-op visit with the eye shield.

Driving is prohibited until the first post-op visit. At that time, if our vision has returned to a pre-operative level with no complications, permission to drive will be given.

If any oral antibiotic is prescribed, use as directed but take after meals. Contact Dr. Cohen if any diarrhea, abdominal pain, or vaginal yeast infection occurs.

Call the office with any other questions or concerns and to schedule a post-operative appointment 2-3 days after surgery.

IF AT ANY TIME YOU HAVE QUESTIONS OR CONCERNS ABOUT YOUR TREATMENT OR POST-OPERATIVE CARE PLEASE DO NOT HESITATE TO CONTACT OUR OFFICE AT (973) 627-6006.

• Try to keep your mouth closed as much as possible
• When brushing your teeth, use a soft child’s tooth brush and keep both teeth and hardware as clean as possible
• Eat a cool, soft, nourishing diet
• It is important that you come to all post-operative appointments as scheduled so Dr. Cohen can check the progress of your healing

If you had dental implants placed, general postoperative instructions apply.

1. Placement of dental implants usually does not create a great deal of pain. Start with an over-the-counter pain reliever before using a narcotic.
2. Do not avoid cleaning the area. Most times the sutures that are placed are dissolvable sutures that will dissolve in up to twelve days.
3. If a one-stage implant was placed so that you can actually see the metal part protruding from the gum tissue, it is very important for you to keep this area clean. You may start with a cotton-tipped swab dipped in warm salt water and cleaning the area gently. You may then proceed to a soft toothbrush after one week.
4. Avoid chewing hard foods on the implant sites. Chewing forces during the healing phase can decrease the body’s ability to heal around the implant.
5. Do not use any mouth rinse such as Listerine, Scope, etc. during any part of the healing process.
6. It is highly recommended to discontinue smoking for a minimum of one week after your procedure.

If you have any questions or concerns please contact our office (973)627-6006.

1. Your jaws may be held together with elastics or wires to immobilize them during their healing period. The usual period of fixation (the time during which your jaws are held together) for adults will range from three to four weeks depending on the type of fracture or corrective procedure. Age, general health, presence of infection, and nutritional status also affect the fixation time.
2. It is very important to keep your mouth incredibly clean. This will be difficult, but with meticulous care it can be done. A small infant size toothbrush can be used on the outside of the teeth to keep wires and teeth free of debris. A Waterpik is also effective for this purpose. Keeping your mouth clean is VERY IMPORTANT to stop the possibility of infection and rapid decay of the teeth. The use of mouth rinses in addition to frequent brushing will also be very helpful.
3. Diet is another important consideration. High calorie, high protein liquids will be your diet for the entire fixation period. Dietary supplements like Ensure may be needed to maintain caloric intake. It is especially important for diabetics to monitor their blood sugar carefully.
4. Medication which have been prescribed for you are also important. If an antibiotic has been prescribed, it is very important to take it as directed until finished. Also, a liquid pain medication can be taken only as directed.
5. Bowel habits may change during your fixation period. Following surgery, it is not uncommon not to have a bowel movement for several days. If this becomes a problem, consult your surgeon at one of your routine appointments.
6. Nausea is no cause for alarm. If you experience persistent, significant nausea an anti-nausea medication can be prescribed.
7. All patients with their jaws wired together or held shut with elastics should not drink alcohol for their period of fixation. Smoking also prolongs bone and soft tissue healing. Vigorous exercise should be avoided as it may cause excessive strain on fixation wires and elastics.
8. You should carry your scissors or wire cutters with you at all times to be used to cut all the vertical elastics or wires between your upper and lower teeth in case of emergency. Soft orthodontic wax may help reduce irritation from any protruding wire.
9. Feel free to call the office should any problem develop. There is always a doctor on call that will be able to assist you. Should an immediate emergency develop, go to the nearest Emergency Room and contact this office.

How to Ensure Proper Healing

• Avoid water or other moisture the first 24 hours
• After that time has passed, you can begin washing it with soap and water (very gently), up to two times per day
• Your surgeon can prescribe an antibiotic ointment. You will want to apply this to the site after washing.
• You will need to have your stitches removed on the day designated by your surgeon. It’s very important that you adhere to this, because removing too soon or leaving the sutures in longer than needed can cause unnecessary scarring.

Warning Signs

• Redness that goes beyond the basic edge of the wound
• Fever over 100 degrees (sign of an infection)
• Any unusual coloring or discharge, including pus
• Unusual tenderness or swelling. Remember, you will experience the most tenderness in the second day, but it should subside each day thereafter. If there is any indication that this is not happening, contact your doctor.
• Stitches that come out sooner than expected. If this happens, contact your doctor immediately.

Even after you have your stitches removed, it’s crucial to care for the site with an ointment or cream that your surgeon can recommend. Protect the site from any unnecessary injury for at least four weeks following stitch removal.

If you have stitches that dissolve, make sure you understand exactly when they should dissolve and how to care for the site during and after that period.

• If your wound is covered with a bandage: Bandages keep your wound clean and protected. They can also prevent swelling. Leave your bandage on as long as directed. Ask when and how to change your bandage. Be careful not to wrap the bandage or tape too tightly. This could cut off blood flow and cause more injury.
• If your wound was closed with staples: Remove the bandage over your staples and gently clean with soap and water 24 to 48 hours after your injury.
• If your wound was closed with wound tape: You may have wound tape or medical strips to hold your wound closed. Keep the area clean and dry. The strips will usually fall off on their own after several days.
• If your wound was closed with tissue glue: Your wound may be closed with tissue glue. Do not use any ointments or lotions on the area. You may shower, but do not swim or soak in a bathtub. Gently pat the area dry after you take a shower. Do not pick at or scrub the glue area. If the glue comes off too soon, call your primary healthcare provider. Never use your own glue to put the wound back together.

IF AT ANY TIME YOU HAVE QUESTIONS OR CONCERNS REGARDING YOUR TREATMENT OR POST-OPERATIVE CARE PLEASE CALL OUR OFFICE AT (973) 627-6006.

• Apply Aquaphor or plain Vaseline to treated areas 3-4 times a day or more if needed to maintain a continuous layer on your skin for the first 3-4 days. Be sure to thoroughly wash your hands prior to touching your face.
• Do not put ANY other creams, ointments or products of any kind on your face until you are told it is ok to do so.
• Do not pick, rub, scrub, or irritate your skin in any way while healing.
• You can leave the Aquaphor or Vaseline on and soak the treated area with a clean soft cloth using the following solution: 1 teaspoon of plain white vinegar to 2 cups of water. This solution may be mixed ahead of time and kept in the refrigerator.
• Washing at least twice daily with a mild non-soap cleanser such as Cetaphil can be done in place of soaks.
• Apply a layer of Aquaphor or Vaseline to the treated area immediately after soaking. If the skin gets dry or scabby you need to soak more often.
• Skin may be red for the first 3-7 days or longer and then turn darker as the skin begins to slough (peel).
• Edema (swelling) may also occur. Sleeping on 2 pillows with your head elevated is helpful.
• The skin will usually start sloughing on day 3 or 4. Do not pick at it but allow skin to slough off on its own.
• It is ok to shower but do not let the shampoo or hair products get on the face. Do a soak after the shower followed by Aquaphor or Vaseline.
• It is normal for skin to feel “sunburned” and/or tight.
• Ibuprofen or acetaminophen may be used if needed.
• Do not expose your skin to the sun. Remember UVA light passes through the house and car windows.
• Make-up may be worn after the majority of skin has sloughed usually day 4 or 5.
• You can resume use of your regular cleanser/moisturizers after sloughing is complete.
• The use of sunscreen with a high SPF of 20 or greater is very important after sloughing to maintain results and help prevent post inflammatory hyperpigmentation (darker areas).
• An increased sensitivity or irritation to anything that comes in contact with your skin such as detergents, fabric softeners, or dryer sheets in pillowcases, sheets, and clothes
  may occur.
• If you experience itching, an over the counter antihistamine such as Benadryl (diphenhydramine) may be helpful.
• Please call the office at (973) 627-6006 if you experience increased pain, drainage, severe redness or fever, increased itching, the appearance of a cold sore, blister or a similar tingling sensation, or if at any time you feel that you are not healing normally.

Because of the close relationship between the upper back teeth and the sinus, a communication between the sinus and the mouth sometimes results from surgery. That complication has occurred and it often heals slowly and with difficulty. Certain precautions will assist healing and we ask that you faithfully follow these instructions.

• Take prescriptions as directed.
• Do not forcefully spit for several days.
• Do not smoke for several days.
• Do not use a straw for several days.
• Do not forcefully blow your nose for at least two weeks, even though your sinus may feel
  “stuffy” or there may be some nasal drainage.
• Try not to sneeze; it will cause undesired sinus pressure. If you must sneeze, keep your mouth open.
• Eat only soft foods for several days, always trying to chew on the opposite side of your mouth.
• Do not rinse vigorously for several days.
• Keep head elevated with 2 pillows when lying down.

Slight bleeding from the nose or mouth is not uncommon for several days after surgery.

Please keep our office advised of any changes in your condition, especially if drainage or pain increases.

It is important that you keep all future appointments until this complication has resolved.

If you had a sinus grafting procedure performed, the general postoperative instructions still apply, but several additional points should be emphasized:

1. Do not blow your nose- gently wipe if necessary.
2. If you must sneeze, do so with your mouth open to avoid any unnecessary pressure on the sinus area.
3. Do not smoke or use smokeless tobacco. Smoking greatly inhibits healing, especially in the sinus graft.
4. Do not take liquids in through a straw.
5. Do not lift or pull up on you lip to look a stitches; this may actually create damage and tear the stitches.
6. Take your antibiotics as directed and until finished.
7. You may be aware of small granules in your mouth for the next few days. This is not unusual because your graft is mainly made of particles and not all of them are accepted by the body. The socket is over packed to allow for the loss of several particles.
8. If you feel congested you may need to use antihistamine. If you do, use over-the-counter Claratin or Dimetapp.

If you have any questions or concerns, please contact our office (973) 627-6006.

In addition to the general postoperative instructions, a few points should be emphasized.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. The socket is over packed to allow for the loss of a small amount of particles. It is normal to have some of them come out of the graft site and into your mouth. There are some things that can be done to minimize the amount of particles that become dislodged.

1. Do not rinse or spit for two weeks.
2. Do not avoid cleaning the area. Most times the sutures that are placed are dissolvable sutures that will dissolve in up to twelve days.
3. Do not apply pressure with your tongue or fingers to the grafted area because the material is movable during the initial healing.
4. Avoid chewing hard foods on the graft sites. Chewing forces during the healing phase can decrease the body’s ability to heal around the graft.
5. Do not lift or pull the lip to look at the sutures; this can actually cause damage to the wound site and tear the sutures. Avoid poking the site with your tongue.
6. Do not use any mouth rinse such as Listerine, Scope, etc. during any part of the healing process.
7. It is highly recommended to discontinue smoking for a minimum of one week after your procedure.

For the first day, it is advisable to let the blood clot stabilize by not rinsing your mouth. Following the first day, gentle rinsing would be advised; avoid vigorous rinsing because you can still disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you will probably have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.

If a CollaPlug was placed during your procedure it will come out several days later. As the sutures begin to heal and dissolve the plug will come out. This is normal and to be expected.

If you have any questions or concerns please contact our office (973) 627-6006.

1. Tome los medicamentos prescritos como se le indicaron
2. Remueva la gaza
3. Si tiene alguna infección aplique hielo en el área exterior de la cirugía por las próximas 24hrs cada 30 minutos.
4. Evite alimentos duros en el área, de lo contrario se puede disminuir la capacidad del cuerpo para sanar.
5. No levantar o estirar el labio para mirar las suturas; esto puede causar daños en el sitio de la herida y desgatar la sutura. Evite tocar el área con su lengua.
6. No utilice ningún enjuague bucal como Listerine,Scope, etc., durante el proceso de curación.
7. Se recomienda no fumar por un mínimo de una semana después del procedimiento.

Por el primer día es recomendable dejar que el cuájalo de sangre se estabilice al no

Si usted tiene alguna pregunta o inquietud por favor comuníquese con nuestra oficina (973) 627-6006.

A veces, los efectos después de la cirugía oral son mínimos, por lo que no todas las instrucciones le pueden aplicar. Sin embargo, en caso de duda siga estas pautas o llame a nuestra oficina para una aclaración. Nuestro número es 973-627-6006

Día de la Cirugía

PRIMERA HORA: Muerda suavemente pero con firmeza sobre la gasa que se ha colocado en las áreas quirúrgicas, asegurándose de que se mantengan en su lugar. La gasa se ​​puede retirar con cuidado después de 20-25 minutos. Si el sangrado activo persiste coloque suficiente gasa nueva para obtener la presión sobre la zona operada durante otros 20-25 minutos.

SUPURACION: Sangrado o supuración intermitente durante la noche es normal. El sangrado puede ser controlado mediante la colocación de una gasa fresco sobre las áreas y morder en la gasa durante 20-25 minutos. No sustituya la gasa a menos que sea un FLUIDO ESTABLE de sangre.

SANGRADO PERSISTENTE: El sangrado nunca debe ser grave. Si es así, por lo general significa que la gasa está siendo​​apretada entre los dientes y no está ejerciendo presión sobre las áreas quirúrgicas. Pruebe reposicionando la gasa. Si el sangrado persiste o se vuelve pesado, puede sustituir con una bolsa de té (en seco) durante 20-30 minutos. Si el sangrado permanece sin controlar, por favor llame a nuestra oficina

HIGIENE ORAL Y CUIDADO: No moleste a la zona de la cirugía hoy. NO enjuague vigorosamente o sondear el área con ningún objeto. Usted puede cepillarse los dientes con suavidad. Si usted es un fumador, NO FUME POR FAVOR por lo menos por 72 horas, ya que esto es muy perjudicial para la curación y haciendo caso omiso de esta precaución puede causar una alveolitis seca.

HINCHAZON: La hinchazón se asocia a menudo con la cirugía oral. Puede ser minimizado mediante el uso de una compresa fría, una bolsa de hielo o una bolsa de guisantes congelados envuelta en una toalla y aplicadas con firmeza a la mejilla junto con el área quirúrgica. Esto se debe aplicar por 20 minutos cada 20 minutos, durante las primeras 24 horas después de la cirugía. Si hay una infección activa consultar con su doctor antes de la aplicación de hielo. Si le han prescrito medicamentos para el control de la inflamación, asegúrese de tomarlo como indicado.

DOLOR: Desafortunadamente la cirugía oral es acompañada por un cierto grado de incomodidad. Por lo general, usted tendrá una receta para analgésicos. Si se toma la primera pastilla antes de la anestesia haya pasado, usted debería ser capaz de manejar cualquier incomodidad mejor. Algunos pacientes encuentran que un analgésico más fuerte produce náuseas, pero si toma cada pastilla para el dolor con una pequeña cantidad de comida, se reducirán las posibilidades de náuseas. Los efectos de los medicamentos para el dolor varían ampliamente entre los individuos. Si no se logra un alivio adecuado al principio, usted puede complementar cada pastilla para el dolor con un analgésico como la aspirina o el ibuprofeno. Recuerde que el dolor más severo es generalmente un plazo de seis horas después de la anestesia local desaparece, después de que su necesidad de la medicina debe disminuir. Sin embargo, usted puede experimentar el máximo dolor y la hinchazón de 3-5 días después de la cirugía.

Si usted encuentra que usted está tomando grandes cantidades de medicamento para el dolor a intervalos frecuentes, por favor llame a nuestra oficina. Si usted anticipa que necesita más medicación de la prescripción para el fin de semana, tiene que llamar para una recarga durante los días de semana el horario laboral.

Al tener implantes dentales, instrucciones post operatorias generales aplican.

1. La colocación de implantes dentales por lo general no crea gran cantidad de dolor. Comience con analgésico de venta libre antes de usar un narcótico.
2. No evitar la limpieza del área. La mayoría de las veces las suturas que se colocan son suturas solubles y pueden tardar hasta doce días.
3. Si un implante de de una etapa se coloco de modo que Ud. pueda ver la parte metálica que sobresale del tejido de las encías, es muy importante que Ud. mantenga esta área limpia. Ud. puede empezar con un copito humedeciéndolo en agua tibia con sal y limpiar el área suavemente. Después de una semana podrá usar un cepillo con dientes suaves (si se realizo injerto de hueso debe evitar la zona durante dos semanas.)
4. Evite masticar en el sitio de el implante. Masticar fuertemente durante la fase de curación puede disminuir la capacidad del cuerpo para sanar alrededor del implante.
5. No utilice ningún enjuague bucal como Listerine,Scope, etc., durante el proceso de curación.
6. Se recomienda no fumar por un mínimo de una semana después del procedimiento

Si usted tiene alguna pregunta o inquietud por favor comuníquese con nuestra oficina (973) 627-6006.

Debido a la estrecha relación entre los dientes posteriores de arriba y la cavidad sinusal, una comunicación entre la cavidad sinusal y la boca puede resultar debido a la cirugía. Esa complicación se ha producido y a menudo se cura lentamente y con dificultad. Ciertas precauciones ayudaran la curación y le pedimos que siga estas instrucciones fielmente.

• Tome los medicamentos prescritos como se le indicaron.
• No escupa con fuerza durante varios días.
• No fume durante varios días.
• No utilice pitillos/ pajas (straws) durante varios días.
• No se sople con fuerza la nariz durante al menos dos semanas a pesar de que su cavidad nasal se sienta tapada o tenga algún drenaje.
• Trate de no estornudar, esto causara presión en la cavidad sinusal. Si tiene que estornudar mantenga la boca abierta.
• Coma alimentos suaves durante varios días, siempre tratando de masticar en el lado opuesto de la boca.
• No haga enjuagues bucales durante dos semanas.
• Mantenga la cabeza elevada con dos almohadas al acostarse.

Un sangrado ligero de la nariz o boca es frecuente durante varios días después de la cirugía. Un antihistamínico puede ser sugerido por un periodo de dos a cuatro semanas después de la cirugía.

Por favor infórmenos si hay algún cambio en su condición especialmente si el dolor o el drenaje aumentan.

Si usted tiene alguna pregunta o inquietud por favor comuníquese con nuestra oficina (973) 627-6006.

Además de las instrucciones postoperatorias generales, algunos puntos deben ser enfatizados.

Su injerto de hueso se compone de muchas partículas.
Posiblemente encontrara algunas partículas pequeñas en la boca durante los primeros días. No se alarme por esto. El área de la extracción fue sobre llenado para permitir la pérdida de una pequeña cantidad de partículas. Hay algunas cosas que se pueden hacer para reducir la cantidad de partículas que llegan a ser expulsadas.

1. No use enjuagues o escupa por dos semanas.
2. No evitar la limpieza del área. La mayoría de las veces las suturas que se colocan son suturas solubles y pueden tardar hasta doce días.
3. No aplique presión con la lengua o los dedos a la zona injertada ya que el material es móvil durante la cicatrización.
4. Evite alimentos duros en el área, de lo contrario se puede disminuir la capacidad del cuerpo para sanar.
5. No levantar o estirar el labio para mirar las suturas; esto puede causar daños en el sitio de la herida y desgatar la sutura. Evite tocar el área con su lengua.
6. No utilice ningún enjuague bucal como Listerine,Scope, etc., durante el proceso de curación.
7. Se recomienda no fumar por un mínimo de una semana después del procedimiento.

Por el primer día es recomendable dejar que el cuájalo de sangre se estabilice al no enjuagarse la boca. Después del primer día se recomienda un enjuague suave; evitar un enjuague vigoroso ya que puede molestar alguno de los gránulos de injerto óseo. Si tiene alguna dentadura parcial o un flipper, es probable que tenga que ver a su dentista para ajustarla si es necesario y aprender a como quitársela y ponérsela.

Si se coloco un CollaPlug, el cuerpo deberá expulsarlo en unos cuantos días. A medida que las suturas empiezan a sanar y a disolverse el CollaPlug será expulsado. Esto es normal y de ser esperado. .

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