Patient Instructions

Anesthesia/Surgery Instructions Pre-Operative

1-2 Weeks Prior To Surgery

Stop all use of tobacco products and refrain from any illegal drugs.

Ask your surgeon or prescribing physicians for guidance regarding blood thinners (examples include Ibuprofen, Aspirin, Coumadin, Lovenox, Aggrenox, Plavix, and herbal medicines).

24 Hours Before Your Surgery

Please verify the time and location of your surgery.

Allow adequate time to arrive prior to your surgery time.

The Night Before Your Surgery

For your safety, it is imperative that you do not eat or drink anything after 12:00AM midnight on the eve of your surgery. This rule applies to all patients unless you have been given specific instructions otherwise. Please note that this also includes water and other clear liquids, lozenges, mints, chewing gum, hard candy, etc. Food and drink in your system while you are sedated is dangerous. If you eat or drink within the forbidden period above, your surgery will most likely be cancelled.

Please notify someone on your anesthesia care team if you notice any change in your physical condition such as a cold, fever, rash, nausea, vomiting, diarrhea or other illness.)

If you have an urgent question about your anesthesia prior to your surgery, you can reach us at (801) 292-5812

The Day Of Your Surgery

Do not eat or drink any foods or liquids, including, but not limited to, water, lozenges, mints, chewing gum, hard candy, etc.

Bring a list of all medicines you are now taking. Include with this list the doses, how often, and when you take the medicines.

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

Most medicines can be taken with a sop of water; however, ask your surgeon about blood thinners. If you have any questions about your medicines, please speak with a member of the Davis Dental team prior to your surgery date.

A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.

Patients under age eighteen must have a parent or legal guardian present at the time of surgery in order to give written consent for anesthesia.

The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.

Do not smoke any tobacco products on the day of your surgery.

You are encouraged to brush your teeth, but do not swallow any toothpaste or drink any water.

Remove any dentures, removable bridges, contact lenses, retainers or other prosthetic devices that may dislodge and cause a complication or injury during surgery.

If you must wear contact lenses, glasses, dentures, etc, to the clinic, then please bring a container to store these items. Glasses are helpful to bring since using contacts can be difficult when you initially awaken in the recovery room.

Do not wear any jewelry, makeup, false eyelashes, nail polish, hair spray, or hair pins.

Wear casual or loose fitting clothing.

Where possible, leave all valuables at home.

Pregnant women cannot receive anesthesia for non-emergency surgery. If a chance of pregnancy exists, a negative pregnancy test must be obtained prior to the day of surgery or your anesthesia may have to be cancelled.

 

 

Extraction Post-Operative Instructions

1. If gauze is placed on surgical site, bite on gauze for 30 minutes. Do not chew on the gauze. Replace the gauze at one hour intervals as needed.

2. Do Not smoke.

3. Do Not drink carbonated drinks for 48 hours.

4. Do Not drink through a straw for 48 hours.

5. Keep your head elevated on 2 or 3 pillows or in a recliner for several hours after surgery. This will reduce bleeding and improve your comfort.

6. Do Not rinse on the day of your surgery. Starting the day after your surgery, you may rinse gently following meals with warm salt water (1/2 teaspoon of salt in 8oz. warm water). This serves to remove food and debris from the socket area and helps prevent infection.

7. Do Not forcefully spit for 2-3 days. Wipe excess saliva with a cloth or tissue if needed. Remember that excess saliva and a little bleeding will look like a lot of bleeding.

8. Drink lots of liquids (water, milk, and fruit juices-at and in between meals). Take your meals at the usual times avoiding very tough, hard, or chewy foods. Avoid hot liquids the day of surgery. Use the opposite side of your mouth for chewing. Salty or acidic foods may cause discomfort.

9. Avoid strenuous activity on the day of surgery. After this, you should follow your doctors specific instructions regarding resuming your usual activity level. Avoid overexertion for several days after surgery.

10. If the corners of your mouth are stretched, they may dry and crack. You may apply Vaseline or ointment to keep them moist.

11. Your doctor may give you prescriptions for medications to take after surgery. Follow all instructions on the box or bottle of medication, if any.

By this time tomorrow, if you’ve used the methods described, most of your discomfort should be gone. ny swelling you may have should be about the same or starting to go down. Bleeding should have stopped completely and pain should be improving.

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 for post-operative care until this complication has resolved.

 

 

Implant Surgery Post-Operative Instructions

Numbness: The numbing sensation that you are currently experiencing in the area where your implant(s) was/were placed is temporary, likely resolving in the next hour or two. If you continue to experience this numbing sensation after this period, please call as soon as possible.

Eating and Drinking: You may begin eating and drinking as soon as you can swallow comfortably. Do not use a straw for the next three days. While you are numb, you need to drink and eat cool, smooth foods (yogurt, ice cream, applesauce, pudding, etc.), and drink fluids that are room temperature or cooler.

DO NOT SMOKE: Smoking is one of the leading causes of implant failure. Not only does smoking lace and excessive amount of pressure on the surgical site(s), it is also impedes/deprives the tissue of healthy blood flow to the healing implant areas.

Ice and Elevation: An ice bag placed over the face where the implant(s) was/were placed can provide comfort and minimize swelling. We suggest elevating your head on a couple of pillows or in a recliner while resting today, applying the ice pack in a 20-minute on, 20-minute off cycle for the rest of the day.

Sutures: Your implant site may have been sutured with stitches that we will need to remove. Typically, this follow-up appointment is made 10-14 days after your surgery. Your sergeon will be checking the implant site for proper healing at the time of suture removal. Some oozing from the implant placement site(s) is completely normal today and easily controlled by biting on gauze as instructed.

Prescriptions:Your surgeon will provide you with detailed instructions regarding use of prescribed or over the counter medications.

Partial/Dentures: If you currently have a removable dental prosthesis, it is perfectly understandable that you might want to wear it as soon as possible. It is critical to follow your doctor’s recommendations regarding its use as the pressure on the tissue overlying your implants may create problems with healing. We need to know immediately if there are signs of irritation at the surgical site from your dental prosthesis.

Brushing your teeth: You may brush your teeth the day of surgery, preferably this evening before bedtime. Take care to brush gently around the surgical sites, and gently rinse and spot the water you rinse with. Do not swish or spot forcefully.

 

 

Post Operative Instructions Following Periodontal Surgery

Rest:

  • Rest quietly with your head elevated for the remainder of the day.
  • Always get up slowly from a reclined position to prevent dizziness.
  • Limit physical activity for the first 24 hours and avoid excessive exertion for the first 72 hours.
  • Healing will occur much faster with rest.

Ice:

  • As soon as possible, place an ice pack on your face over the surgical area: 20-minutes on, 10-minutes off.
  • Use the ice pack for the first day following surgery. this will contribute to your comfort and minimize swelling.
  • Moist heat may be applied the day following surgery for added comfort.

Medication:

  • You should begin taking your pain medication BEFORE numbness wears off. If a pain reliever was called in to the pharmacy prior to your appointment, you may take it at our office if you have a driver. Otherwise, we can give you a non-narcotic pain reliever and you can take your prescription when you get home.
  • If an antibiotic was prescribed, take it as directed until it is all gone.
  • Some pain medications may cause you to feel light headed. Lying down will help this.
  • Some medications may cause an upset stomach. Taking these with food will lessen this side effect.

Bleeding:

  • Some seepage of blood is expected. However, extensive bleeding should not occur. If such bleeding should occur, apply firm pressure with a moist gauze or moist teabag to the area for 20-minutes. If the bleeding does not subside, please call.

Swelling:

  • Some swelling occurs and this is normal. However, if swelling is excessive and is accompanied by fever, please call immediately.

Mouthcare:

  • Do not brush, floss, or rinse the day of the surgery.
  • Avoid rinsing, spitting, or sucking through a straw for 24 hours after surgery. Blood is clotting and this will disturb the healing process.
  • Begin gentle rinsing with the prescription mouth rinse 24 hours after surgery.
  • Do not rinse with an over-the-counter mouthwash.
  • Do not rinse vigorously for 2 days.
  • You ma begin to brush the NON-SURGICAL areas the day following surgery.
  • Remember to rinse very gently with prescription rinse.
  • A surgical pack may be placed around the teeth in the surgical area. Please leave this in place until your post operative visit. It should remain in place for 3-5 days, but it is fine if it comes out after that time.
  • You will be given an ultra-soft toothbrush along with other hygiene aids after the sutures are removed.
  • You may need to leave your partial denture out for one week. A flipper can still be worn after surgery.

Eating:

  • Maintain a balanced diet.
  • Eat softer foods for the first week such as pasta, eggs, fish, yogurt, soup, pudding and soft cooked vegetables.
  • Avoid extremes: very hot, very cold, or acidic foods. Do not eat hard crunchy foods such as popcorn, seeds, nuts, or chips for the first month after surgery.

Fluids:

  • Fluids should e consumed as soon as possible. It is recommended that you drink 6-8 glasses of water during the day following surgery.
  • Avoid using straws as it may cause suction, which may loosen the blood clot and cause bleeding.

Alcohol/Aspirin:

  • DO NOT CONSUME ALCOHOL WHILE ON PAIN MEDICATION.
  • Avoid alcohol and aspirin for 2 days after surgery. These are blood thinners and may cause bleeding, delaying the healing process.

Smoking:

  • We strongly advise NOT SMOKING after surgery. Smoking delays the healing, increases discomfort, and may encourage bleeding and infection in the surgical site.

 

Gum Graft Post-Operative Instructions

Do not disturb the wound. Avoid forcefully rinsing, spitting, or touching the wound on the day of surgery.

Bleeding:

Some bleeding or redness in the saliva is normal for the first 24 hours. Keep your head elevated slightly rather than lying flat. Vigorous rinsing and forceful spotting tend to prolong or increase bleeding. 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 our office during working hours or after working hours call Dr. Davis’s emergency number provided to you for further instructions.

Medications:

You will have a schedule provided by us on how to take your medications. This is an important part of your recovery process. Take medications with a full glass of water at room temperature. For most medications, it is preferable to have food before taking. Let us know if any of the medications disagree with you in any way.

Pain:

You should begin taking your prescribed pain medication within an hour following surgery. Dr. Davis usually recommends an alternating schedule between two analgesic (pain controlling) medications. You should have a customized schedule on how to take your medications. Do not take any medication if you are allergic or if you have been instructed by your doctor not to take it.

If you had sedation for your procedure, the IV site could become sore. Warm, moist heat applied to the injection area can help. If you have other problems or the condition worsens, please let us know so we can help.

Antibiotics:

Be sure to take any prescribed antibiotics as directed. Do not take any medication if you are allergic or have been instructed by your doctor not to take it. If you are childbearing age and are on birth control pills, know that antibiotics may interfere with their effectiveness. Please take additional birth control precautions if this is the case.

Oral Hygiene:

Good oral hygiene is essential to good healing. The night of surgery, use the prescribed mouth rinse before bedtime. The day after surgery, the rinse should be used twice a day, after breakfast and before bed. Be sure to rinse for at least 30 seconds then expectorate. Warm salt water rinses (one teaspoon of salt in a cup of warm water) can be used 4-5 times a day, best after meals. This usually speeds up the healing and provides a comfortable feeling to your tissues. Brushing your teeth and the healing caps is not a problem with an ultra soft hand toothbrush. Be gentle with brushing the surgical areas. Do not use your electric toothbrush until healing has progressed enough and you are advised at our office to do so.

Sutures:

Sutures are expected to remain in place until you return to the office for your post-operative visit. It is normal for dissolvable sutures to begin to melt before your first post-op visit and we will remove the remaining sutures as soon as they are ready to come out during your post op visit. If they begin to melt , do not be concerned. You can use a cotton swab dipped in the prescribed mouth rinse to clean them gently. Be sure to gently clean food from between the teeth after meals. Let us know if you have any discomfort.

Swelling:

Swelling and bruising is common but comes with varying degrees depending on your procedure and post-operative care. The use of ice packs (on the day of surgery) will help diminish the swelling you would otherwise experience in the next 48-72 hours. Applying ice for 15-20 minutes followed by resting the same amount of time works very well. If you have 2 surgical sites alternate between them. Bruising may occur and is not unusual.

Diet:

Drink plenty of fluids. Start with clear fluids and advance as you can tolerate them. Products like Gatorade, Boost, and Ensure are good for most patients. Advance promptly to food that is warm not hot. Stay away from spicy foods. Also avoid sharp and crunchy foods like tacos, chips, nuts. Having food frequently and good nutrition after surgery will help you healing process.

Activity:

If you had sedation for your procedure, do not plan on driving or using any type of machinery for at least 24 hours. 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 your usual nourishment. This may weaken you further and limit your ability to exercise.

Surgical Bandage:

For a soft tissue graft, Dr. Davis typically uses a surgical bandage on the donor site (the palate). Sometimes it is also used in the recipient site (grafted site).

If a surgical bandage was used, it is desirable for it to remain in place for 24 hours. Do not remove it; just let it come off when it is ready. If it does not come off, we will remove it during your post-operative visit. When the surgical bandage comes off, do not place it back in position. At that point, begin cleaning the wound gently with a cotton swab dipped in the medicated mouth rinse prescribed.

Tobacco and Alcohol:

Tobacco and Alcohol should not be used. Smoking is an irritant and will decrease the benefits to you from surgery. If will also slow down the healing process. Alcohol should not be used in combination with pain medications and it can also inhibit the effectiveness of any antibiotics prescribed.

 

Sinus Precautions Post-Operative Instructions

It is common for teeth in the upper jaw to develop in close proximity to the sinus of the upper jaw (maxillary sinus).

When the root(s) of a tooth extend into the sinus, a communication between the sinus and the mouth may occur as the tooth is removed. This is analogous to pulling a plug from a drain.

The healing of such a communication is generally good. Uncontrollable factors such as the size of the communication and quality of the bone and gum tissue may complicate the healing process. In order to maximize the likelihood for favorable healing, it is absolutely necessary that the  following directions be followed precisely.

1. Maintain an equal pressure between the sinus and the mouth at all times.

  • Do not blow the nose.
  • Do not play a wind instrument.
  • Do not use a straw.
  • Do not smoke.

2. If a cough or a sneeze is unavoidable, open the mouth, turn the head toward the floor, and direct the cough or sneeze toward the floor through your open mouth.

3. Gently rinse the surgical site as directed.

4. Take all medications as directed.

5. If the sinus communication is on one side only, then please rest/sleep with the involved side tilted up. Example: if the communication is in the upper right area of the mouth, then sleep with the let side of the face against the pillow.

6. Do not remove sutures or stitches.

7. Some bleeding from the nose may follow surgery, blot the area, but do not blow the nose, even if the sinus feels “stuffy”.

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 for post-operative care until this complication has resolved.

 

BOTOX Pre-Treatment Instructions

In an ideal situation it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result or great result, by reducing some possible side effects associated with the injections. We realize this is not always possible; however, minimizing these risks is always desirable.

  • Patient must be in good health with no active skin infections in the areas to be treated.
  • Patient should not be needle phobic.
  • Avoid alcoholic beverages at least 24 hours prior to treatment. Alcohol may thin the blood which will increase the risk of bruising.
  • Avoid anti-inflammatory/blood thinning medications ideally, for a period of two (2) weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Gingko Biloba, St. John’s Wort, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections.
  • Schedule BOTOX appointment at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.

 

 

BOTOX Post-Treatment Instructions

The guidelines to follow post treatment have been followed for years and are still employed today to prevent the possible side effect of ptosis (drooping of the eyelids). These measures should minimize the possibility of ptosis.

  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It is now known that it takes the toxin approximately 2 hours to bind itself to the nerve to start its work, and because we do not want to increase circulation to that area to wash away the Botox from where it was injected.
  • Avoid manipulation of area for 3-4 hours following treatment. (For the same reasons listed above.) This includes not doing a facial, peel, or microdermabrasion after treatment with Botox.
  • Facial exercises in the injected areas is recommended for 1-hour following treatment. This is to stimulate the binding of the toxin only to the localized area.
  • It can take 2-10 days to take full effect. It is recommended that the patient contact the office no later than 2 weeks after treatment if desired effect was not achieved and no sooner to give the toxin time to work.

Make up may be applied before leaving the office.


Sinus Lift Procedure Post-Operative Instructions

  • Take your medications (antibiotics, analgesics, anti-inflammatory medications, chlorhexidine rinse, nasal spray, and decongestant as directed).
  • Avoid Smoking
  • Do not blow your nose for 2 weeks. This could create positive pressure, which could spread air through confluent soft tissue planes, creating soft tissue emphysema.
  • Avoid sucking liquid through a straw because this creates negative intrasinus pressure.
  • Try not to sneeze or cough; if it is unavoidable, keep the mouth open to decrease internal astral pressure.
  • Some nasal bleeding (oozing of blood through the nose) may occur during the first day.
  • Rest as much as possible for the first 3-7 days following surgery.
  • During the 24-hour period following surgery, place light pressure and ice on the surgical site.
  • Keep your head elevated. On the first night, your head should be elevated on two or more pillows. This will prevent airway obstruction and aspiration of blood and heavy saliva and will diminish edema.
  • Maintain a liquid diet for 2 days (Carnation Instant Breakfast, Meritene, and Ensure are recommended); then soft foods (the consistency of mashed potatoes or scrambled eggs) may be consumed following the second day and for at least 2 weeks (until the mucosal incision has closed completely).
  • Do not wear a prosthesis for 2 weeks.
  • Do not lift or pull on the lip to look at the sutures.
  • Return to the office for a postoperative check-up in 1 week.
  • Notify the office if you feel granules in your nose, if your medications do not relieve discomfort, or if you have questions.
  • Please contact our office if you have any questions or concerns. (801) 292-5812