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 reclining position to prevent dizziness.
• Limit physical activity as if you have a cold or the flu.
• To encourage rapid healing please REST!

Ice:

• As soon as possible, place an ice pack on your face over the surgical area; 20 minutes on and 20 minutes off.
• Use the ice pack for the first 6 hours following surgery. This will contribute to your comfort and minimize swelling.
• Moist heat may be applied the day following surgery for added comfort.

Medication:

• Ideally, pain medication should be taken BEFORE numbness wears off. You may wish to take your pain medication at our office immediately following surgery, but you MUST HAVE A DRIVER. If you do not have a driver you may take the medication as prescribed as soon as you arrive at home.
• If the pain medication seems to wear off before it is time to take more, you may want to alternate it with Ibuprofen every two hours. (Ibuprofen: Adults do not exceed 800mg four times a day).
• If an antibiotic was prescribed, take it as directed until it is ALL GONE.
• Some pain medications may cause lightheadedness. Lying down will help this.
• Some medications may cause an upset stomach. Taking these with food will lessen this effect.

Bleeding:

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

Mouthcare:

• Do not brush, floss, rinse or spit the day of your surgery.
• Do not rinse with salt-water or mouthwash the day of your surgery.
• Begin rinsing with the prescription peridex mouth-rinse 24 hours after your surgery.
• You may begin to brush the NON-SURGICAL area the day following surgery. Remember to rinse very gently. You may begin brushing the surgical area 3 days after surgery.
• When brushing the surgical area, run your toothbrush under hot water first to soften the bristles.
• If you have had a crown lengthening procedure done, you may need to use other dental aids, such as a proxa-brush along with your toothbrush to prevent tissue re-growth.

Eating:

• Eat softer foods such as pasta, eggs, yogurt, baked potato or hot cereal.
• Chew in the non-surgical areas as much as possible.
• Avoid extremes: very hot, very cold, acidic foods, also hard or crunchy foods.
• Maintain a balanced a diet.

Fluids:

• Fluids should be consumed as soon as possible. It is recommended that you drink 6-8 glasses of water over the remainder of the day following surgery.
• Avoid using a straw as it may cause suction, which may loosen clotting and cause bleeding.

Alcohol/Aspirin:

• DO NOT CONSUME ALCOHOL WHILE ON PAIN MEDICATION.
• Avoid the use of alcohol and aspirin products for 2 days after surgery or until you are no longer taking pain medication. These are both blood thinners and may cause bleeding and delay the healing process.

Swelling:

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

Smoking:

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

If you have any questions or concerns please call us!

Kenmore Office (425) 486-9111; Tri-Cities Office - refer to Kenmore (425) 486-9111; Emergency (425) 381-0227