Surgical Instructions

Sedation Pre-Operative Instructions

DO NOT:

  • Do not EAT anything, for 6 hours, before your appointment or your surgery may be cancelled. Clear water is allowed for up to 3 hours before surgery

  • Do not wear any of the following:

    • Contact Lenses

    • Tight fitting clothing

    • Make-up, hair pins, jewellery, or colored nail polish

 DO:

  • Do call our office (604-273-5655) if you have a COLD or COUGH. We may reschedule your approintment in your better interest.

  • Do have a responsible pick you up after surgery. Private automobile is preferred. Public transportation is not recommended. Taxicabs are not acceptable unless accompanied by another responsible adult.

  • Do have a responsible adult at home who can assist you and help take care of your needs for the balance of the day and night if necessary.

  • Do wear a blouse or shirt with short sleeves and front opening.

  • If you take routine oral medications, please check with our staff prior to your surgical date for instructions.

Thank you for taking the time to follow these simple and important instructions!

General Anesthetic Pre-Operative Instructions

DO NOT:

  • Do not EAT or DRINK anything not even water after midnight before your appointment or your surgery may be cancelled.

  • Do not wear any of the following:

    • Contact Lenses

    • Tight fitting clothing

    • Make-up, hair pins, jewellery, or colored nail polish

  • Do not operate a motor vehicle, boat, or power tools and machinery for at least 24 hours or longer if drowsiness persists.

DO:

  • Do call our office (604-273-5655) if you have a COLD or COUGH. We may reschedule your appointment in your better interest.

  • Do have a responsible adult pick you up after surgery. For transportation home, private automobile is preferred. Public transportation is not recommended. Taxicabs are not acceptable unless accompanied by another responsible adult.

  • Do have a responsible adult at home who can assist you and help take care of your needs for the balance of the day and during the night.

  • Do wear a blouse or shirt with short sleeves and front opening.

  • If you take routine oral medications, please check with our staff prior to your surgical date for instructions.

Thank you for taking the time to follow these simple and important instructions!

Post-Operative Instructions

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully. 

At any time of day or night if the need arises please feel free to call our office at 604-273-5655.

Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded.

  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.

  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.

  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.

  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on Swelling for an explanation.

Bleeding

  • Blood streaked saliva and minor oozing is normal for the 1st three days

  • DO NOT SPIT, RINSE, OR SUCK THROUGH A STRAW ON THE DAY OF SURGERY POST-OPERATIVELY

  • If extensive oozing, place a piece of damp gauze directly over the surgical site and bite firmly for one hour. A gauze tea bag may also be used.

  • Semi-sitting postion is suggested with rest while attempting to contral bleeding

  • If these measures do not stop the bleeding please phone our office

Swelling

Swelling reaches maximum amount 48 hours after surgery. It takes a few more days after that to go away completely. Much discomfort and swelling can be minimized by applying an ice pack to your face over the area of surgery as soon as possible following the operation. After 48 hours do not use the ice pack anymore – change to a hot compress.

Pain

Post operative pain requiring strong pain pills usually persists 2-3 days after surgery. If the pain gets worse after the third day, or if the pain returns after you have felt better, please call our office.

Sutures

Do not attempt to remove them yourself. Unless otherwise directed they will dissolve in approximately 7 – 14 days.

Eating

Although a regualr diet may not be possible for a few days, nutritious liquids and soft foods should be taken (e.g. juices, soups, eggnogs). IT IS IMPORTANT TO DRINK PLENTY OF LIQUIDS AND EAT POST-OPERATIVELY STARTING ON THE DAY OF SURGERY.

Oral Hygiene

Do not rinse the mouth the day of surgery. Start rinsing GENTLY the next day with warm salt water (half a teaspoon salt to a glass of warm water) after each meal and at bedtime no more than 4 times per day. Cleaning of teeth, gums and other soft tissues must be done after eating. Use a soft brush or gauze wrapped around the finger to clean.

Medication

It is advisable to not take alcohol while taking pain pills. Use extreme caution if you have to drive while on pain pills. It is best to have someone else drive for you.

After Placement of Dental Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting 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 on the cheek in the area of surgery. Apply the ice continuously, as often 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, one to two Tylenol or Extra Strength Tylenol may be taken every three to four hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets. Two to three tablets may be taken every three to four hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection.

Oral Hygiene

Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt-water rinses (one teaspoon of salt in a cup of warm water) should be used at least four to five times a day, as well, especially after meals. Brushing your teeth with the healing abutments is not a problem. Be gentle initially when brushing the surgical areas.

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. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Wearing Your Prosthesis

Partial dentures, flippers or full denture could possible be used immediately after surgery but care must be taken to not irritate the surgical site at least for the first ten days. This was discussed in the preoperative consultation.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, insert another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities.

After Removal of Multiple Teeth

A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.

For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every three to four hours. Ibuprofen (Advil, Motrin) 200mg can be taken two to three tablets every three to four hours.

For severe pain, use the prescription given to you. If the pain does not begin to subside in two days, or increases after two days, please call the office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt-water rinse every four hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in a glass of lukewarm water). After you have seen your dentist for denture adjustment, take out denture and rinse three to four times a day.

Restrict your diet to liquids and soft foods that are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.

The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur (all of which are considered normal):

  • The area operated on will swell, reaching a maximum in two days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 hours only).

  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in two to three days.

  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify the office.

If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist/denturist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.

Get the relief you need today.

Book Now