Postoperative Instructions

Yukon Oral & Maxillofacial Surgery

Yukon Office Phone Number 405-577-7744

405-330-7584 (After Hours)

888-480-7744 (Toll Free)

Extraction of teeth or other oral surgeries are serious procedures.  Postoperative care is very important and to prevent complications and unnecessary pain, discomfort, and expense, the following instructions should be followed closely to insure proper healing.

KEEP THE MOUTH CLEAN

Do not rinse your mouth or brush your teeth for 24 hours after surgery.  The day after surgery use a solution of ½ teaspoon of salt in a glass of warm water as needed, not too vigorously, as this may dislodge the blood clot and possibly delay healing.  You may resume brushing teeth the following day.

BLEEDING

Following oral surgery, slight bleeding or oozing is not uncommon for the first day.  Place a roll of sterilized gauze over the wound and bite down firmly for at least 2 hours.  Do not spit or rinse as this only makes the bleeding worse.  Swallow normally.  The fluids will not hurt you.  Repeat if necessary.  If bleeding continues if after trying the above, bite on a moistened tea bag for 20 minutes.  The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels.  Do not become excited, but rather lie down with your head elevated on three pillows.  If bleeding does not subside, call for further instructions.  Upon leaving our office, your first stop needs to be for a milkshake.  The patient should drink the shake with a spoon or “cup it”.  Do not use a straw.  Keep the gauze in the patient’s mouth (change after the shake).  When only a few swallows of the shake are left, the patient should take two pain pills and one antibiotic unless instructed otherwise.

PAIN

For severe pain, take tablets prescribed for pain.  For moderate pain, one or two tablets of Tylenol or Advil may be taken every 2 or 3 hours with milk or juice.  IMPORTANT!  Swallow tablets; do not dissolve in mouth.  If prescription was given, use as directed.  The prescription for pain will make you a little groggy and will slow down your reflexes.  Do not drive an automobile or work around machinery.  Move about slowly.  If you suddenly sit up or stand up from a lying position, you may become dizzy and a few people black out for a few seconds.  Without infection or other complications the discomfort following an extraction or other oral surgery will usually disappear in a few days.  However, if pain or swelling continues, it may require attention and you should call our office.

ANTIBIOTICS

You have been given a prescription for an antibiotic.  Take the entire prescription as directed.  The drugs you may be given will minimize swelling, reduce discomfort, prevent infection, and promote healing.  Discontinue only in the event of a rash or other unfavorable reaction and call our office immediately.

SWELLING

Swelling is a normal response following surgery but can be partially avoided by using an ice bag for the first 24 hours after surgery.  Maximum swelling normally occurs on the 3rd day following surgery.  A hot water bottle or hearing pad should be used starting the 3rd day after surgery.

DISCOLORATION

You may develop black, blue, green, or yellow discoloration resembling a bruise in the tissue.  This is due to a slight oozing of blood beneath the tissues and is of little significance.  This is a perfectly normal postoperative event.  It should be treated the same as swelling.

FLUIDS

For the first 24 hours, cool liquids only may be consumed.  Dehydration must be guarded against when having oral surgery, since a patient’s solid food intake is limited the first day.  It is necessary to compensate for this by increasing the fluid intake (at least five to six glasses of liquid should be taken).  Suggested food for the day of surgery:  yogurt, pudding, jello, instant breakfast, milk, malts, ice cream, and applesauce.  The day after surgery diet should consist of soup, eggs, cottage cheese, and a hamburger patty. 

NAUSEA

In the event of nausea from taking pain medication, keep something light in your stomach such as broth or saltines.  Do not get up and move around more than necessary.  Call our office if nausea persists.

IMPACTED OR BURIED TEETH

The following conditions are not uncommon with removal of these teeth.  Difficulty in opening your mouth due to muscle spasms.  If a lower impaction was removed, you may have numbness of the lower lip or tongue on the side from which the tooth was removed.  This is almost always a temporary condition.  It is not disfiguring, but just annoying and may last from a few days to many months.  After removal, the adjacent teeth may realign themselves, causing some discomfort or sensitivity.  Sores may develop at the corner of the mouth and these should be covered with a mild ointment such as Vaseline.

SHARP BONY EDGES

Occasionally patients will place their tongue on an operation site and feel a hard substance, which they think is part of a tooth.  It is the hard, bony wall, which originally supported the tooth.  Leave it alone and it should heal nicely.

IF YOU ARE CONCERNED ABOUT ANYTHING AT ANY TIME,

PLEASE CONTACT THIS OFFICE AT Yukon Office Phone Number 405-577-7744.

DO:

  • Do rest today and tomorrow; half speed the third day.
  • Do place ice on jaws for 24 hours.
  • Do use pressure on gauze packs for 2 hours, preferably right up to bedtime.

DON’T:

For seven days after your oral surgery:

  • Don’t smoke, dip or chew tobacco.
  • Don’t use drinking straws.
  • Don’t drink carbonated beverages.
  • Don’t use alcohol or mouthwash.
  • Don’t lift, bend or strain.