S U R G E R Y . I N S T R U C T I O N S
Pre and Post Operative Directions

Pre-Intravenous Sedation
Pre-Oral Sedation
To Speed Your Healing - General Post-Operative Instructions
Instrucciones Postoperatorias Españolas
Removal of an Oral Cyst
Instructions for Dental Implant Patients
Sinus Precautions
Jaw Fracture Post-Operative Instructions

Pre-Intravenous Sedation Instructions

• No food or drink 8 hours prior to your appointment time.

• Please inform your doctor or office staff of any recent change in your medical status (including colds, medications, etc).

• Wear loose and comfortable clothing (including short sleeves) to your appointment.

• Do not wear contact lenses.

• Please have a responsible adult whom you know (at least 18 years of age) accompany you to your appointment. A responsible adult must accompany you in order to leave the office (i.e. you may not go home by yourself in a taxi).

• Remove any nail polish and/or artificial nails from both of your index (pointer) fingers prior to your appointment.

• Please use the restroom prior to entering treatment room.

• Take 1 tab of Motrin 600 mg the night before procedure or on the morning of procedure with a small sip of water.

• If you normally take your blood pressure medication in the morning, please take 1 to 2 hours before scheduled surgery with a small sip of water.

Pre-Oral Sedation Instructions

• Oral sedation is usually given in forms of liquid or pills. Although no IV access is needed, it is still a form of anesthesia.

• Please eat or have your child eat a light meal prior to the procedure. Example: toast with juice, cereal, chicken noodle soup, rice, etc. Please avoid coming to the office with any empty stomach or after a greasy meal as chances of nausea or vomiting increase.

• Oral sedation may cause the following effects: nausea, vomiting, disorientation, crying, increased salivation, nightmares. The effects of medication usually stay in the body for about 24 hours.

• It is advisable to have your or your child rest at home the day after the procedure until the effects of anesthesia wear off.

• Oral sedation has about 70 – 80% success. Some children may get a paradoxical reaction to anesthesia (getting more hyper or more sober). The reaction differs from person to person.

• Please arrive to the office prior to appointment time:
45 minutes for children and 1 hour early for adults and inform the front desk about it upon arrival. You will then be given the medication, which takes 30 – 45 minutes to achieve desired effects. If you are more than 15 minutes late for your appointment, your visit may have to be rescheduled.

• Please have a responsible adult whom you know (at least 18 years of age) accompany you to your appointment. A responsible adult must accompany you in order to receive any in-office pre-sedative medications and also to leave the office (i.e. you may not go home by yourself in a cab).


To Speed Your Healing - General Post-Operative Instructions

Proper care after surgery can reduce complications and speed healing. These suggestions should be followed as closely as possible.

• Change gauze every hour until it is light pink in color (like a pencil eraser). Lightly wet gauze before putting it in the mouth so it does not pull out the stitches or disturb the clot. It will not become clear, so do not wait for this. Some spotting or oozing of blood is normal during the first 78 hours. Do not eat, sleep or drink with gauze in the mouth.

• Things to avoid for 1 week:
NO smoking
NO spicy, acidic or carbonated food or beverages
NO use of straw
NO swishing, spitting rinsing
NO alcohol (mouthwash included)
NO chewy, crunchy, hard foods (chips, hoagies, steak)
NO strenuous acivity
NO rubbing of tongue over area

• Soft, cool, liquid food is recommended for the next week (yogurt, ice cream, jello, pudding, mashed potatoes, applesauce). Food and drinks should be room temperature and cooler, nothing hot.

• Ice should be applied to the outside of the face for about 20 minutes, then off for 20 minutes for the first 1-3 days following surgery. Ice and sleeping elevated will alleviate sever swelling. In 2-3 days, pain and swelling will peak. If you are being treated for an infection, DO NOT USE ICE AT ALL.

• After the 24-hour period, rinse gently with warm salt water (approximately ¼ teaspoon salt to 8 oz warm water). Place salt water in the mouth, rock head gently from side to side, and let it fall out naturally. This should be done hourly and especially after meals.

• If stitches were placed around the extraction site(s), be careful not to disturb them. They will dissolve or fall out within 1 to 2 weeks or sooner.

• Please take medications as prescribed:
.. - Start taking antibiotics (Amoxicillin, Clindamycin, Cleocin) the day of the extraction. It is important to finish the full course in order to fight off infection.
.. - Pain Medications can be taken every 4-6 hours as needed. If you are prescribed a narcotic, please do not do any activities (work, drive) as it will make you tired. Another side effect is nausea. Stop medication and call office or doctor if this happens.
.. - You can alternate the two pain medications for maximum pain management.

NOTE: Occasionally a tiny piece of bone may work itself free from an extraction site. This is nature’s way of eliminating an area that does not have adequate blood supply to heal properly. This is routine and should not be cause for alarm.


Para Acelerar El Proceso De Sanamiento

• Es muy importante seguír las instruciones cuidadosamente para minimizar incomodidad.

• Cambie la gaza cada hora por las primieras 4 horas hasta que el color Rosado aparezca (como un borrador). Por las proximas 4 horas mantenga mordiendo la gaza colocada en el area de la cirugia firmemente. El sangramiento del area tratada es normal durante los primeras 78 horas. Si esto occurred, enrolle un pedazo de gaza (proveida por nosotros) con manos limpias y coloquela en el area de extracción. Repeta por una hora el morder la gaza compressión hasta que la gaza se vuelva rosada.

• No lave, escupa, use sorbete, fume, o toque el area con su lengua. Despues de 24 horas, lave el area con agua tibia con sal (approximadamente 1/4 cuchara pequeño sal y 8 onzas de agua tibia (despues de comidas).

• Una buena nutrición es esencial para un buen sanamiento. Una dieta rica en liquidos es recomendara por los primeros 7 diás despues del procedimiento (batidos, yogures, salsa de manzana, sopas, pudines, y helado). Ud. Será avisado cuando pueda masticar. Ud. Puede comenzar a comer comidas blandas como pastas y pancakes despues de una semana.

• Si el doctor piensa que hielo es necesario este debe ser aplicado en la cara por 20 minutos luego quitado por 10 minutos los primeros 1-10 diás despues de la cirugia. Si usted está siendo tratado de una infeción no utilize hielo.

• El adormecimiento puede durar tanto como 2 horas. Despues del procedimiento este seguro de tomar su medicina para el dolor tan pronto como ser possible.

• Toma estos medicamentos tal como el doctor lo recomiendo.

• Si los puntos fueron colocados alrededor de la extracción tenga cuidado de no tocarlos. Los puntos se disolvaron en 2 semanas. No se preocupe a no ser que este sangrando.

(a) excesiva actividad especialmente durante la primera semana
(b) fumar o bebidas alcoholidas
(c) no fumar por lo menos 2 semanas
(d) bebidas acidicas (soda, algunes jugos)
(e) tocar la zona extracción


Removal of an Oral Cyst

• Impacted teeth are formed by a sac or membrane. Sometimes this sac thickens or grows. Occasionally it can be destructive. It is standard care to have a cyst evaluated under a microscope to understand what type of cyst has occurred. Additional treatment of cysts may rarely be needed. Some cysts come from a non-restorable, infected or inflamed tooth. These may also be destructive and require examination by a pathologist under a microscope.

• One or more of these dental cyst(s) was/were detected today during oral surgery.

• When these cysts are removed, and are on the larger side, they are sent to the lab for pathology. Typically, these cyst reports are returned to us as benign (which is nothing to worry about). However, because of the size of the cyst(s), it is important just to be sure that it is not malignant.

• The pathology report(s) usually takes about 2-4 weeks to be returned to us. Upon receiving the reports, should there be a problem or issue of any kind, we will call and/or make an appointment for a follow-up to discuss the results. If you do not hear from our office, it means the report came back as benign and there is no need for a follow-up appointment.

• You may receive something in the mail from the laboratory saying that the pathology was done today.


Instructions for Implant Patients 

• Today, bite on your gauze with pressure. Do NOT rinse, spit, use a drinking straw, smoke or eat irritating foods such as orange juice, pineapple juice, alcohol mouthwash, alcoholic beverages or spices. Change your gauze hourly until they are light pink like a pencil eraser. If the gauze remains dark red, do not be alarmed. Continue the gauze with pressure for several more hours making sure that they are placed over the treated area. You should remove gauze when drinking or taking medicines.  Sit or sleep with your head elevated, do not do any strenuous activity. 

• For one week, only eat soft, purée foods that do not require chewing (i.e.: yogurt, soup, pudding, applesauce, etc. Avoid pepper & spices). After the first week you may chew soft foods (pasta, hamburger, fish) but not on the side of your mouth where the implant was placed.  If you have a healing cap on your implant (it will look like a small silver “button”), please do not use this as a tooth.  If you are using a "flipper" (temporary removable tooth or teeth), please use this only when you are in social settings for the first 1-2 weeks.
• Starting tomorrow rinse gently several times daily with ½ teaspoon of salt in 1 cup of water (mild salt water). Continue rinsing for 2-3 weeks. Your doctor will instruct you to begin brushing the area with hydrogen peroxide 2-3 weeks from now as an ongoing important cleaning of the area. 

• For 2 days following your appointment, please use ice packs (ice in a bag with a towel over it will work also) on the outside of your face – 20 minutes on, 20 minutes off, 20 minutes on, 20 minutes off, etc. – as much as you can for the next 48 hours.  This will help with swelling.  Your peak of swelling and soreness will be in 3-4 days. Swelling may take up to 2 weeks to resolve. This is part of the normal healing process. 
• Take any medications as recommended by your doctor.

• There will be a series of follow-ups after this appointment.  If non-dissolving sutures were placed, the doctor will see you back in 2 weeks to remove them.  After that, you will return to the office in 2-3 months for a follow-up.  2-3 months after that, you will come in for a final follow-up and x-ray.  If the area of the implant is covered with tissue, the doctor will perform a small procedure at that time to “uncover” the implant and place a healing cap.  You will then go to your general dentist’s office for several visits to design and construct your new tooth or teeth.


Sinus Precautions

• For 6 weeks, avoid smoking

• For 6 weeks, no nose blowing (you can sniff & wipe instead)

• For 30 days, take Claritin D one time per day

• For 3 weeks, take Sudafed three times a day

• For 3 weeks, take Augmentin two times a day
.. - Take probiotics (or Activia yogurt) with the Augmentin to avoid upset stomach.


Jaw Fracture Post-Operative Instructions

• Your jaws are wired closed.

• Carry a wire cutter with you at all times.

• Keep a note in your jacket pocket that states:
“My jaws are wired closed, I have a wire cutter.” (for emergency only)

• Ice your face for the first 2 - 3 days (20 minutes on, 10-15 minutes off).

• Large swelling will peak in 3 days.

• Puree/liquid diet only. No spicy foods.

• No strenuous activity at all.

• Do not take a bath at all. Shower only.

• Do not shower for the first 24 hours.

• If nausea occurs, crush Zofran Oral Dissolving Tablets in cheek and drink down with some water 2-3 times daily.

• Do not go near bath, lakes, pools, ocean, etc.

• Brush teeth gently with soft toothbrush after meals.



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17 West Ormond Avenue
Cherry Hill, NJ 08002

856) 205 9922
83 South State Street
Vineland, NJ 08360

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