What to expect
Before and after IV sedation

Before Your IV Sedation

  • Do not eat or drink anything for 6 hours prior to appointment.
    (Eating less than 6 hours prior to procedure may result in vomiting, aspiration and/or hospitalization).
    Please take all morning medications with a small sip of water.
  • Wear loose clothing.
  • Have a responsible adult with you to drive you home.
  • Avoid alcohol and smoking 24 hours prior to appointment.
  • NO jewelry.  Please wear slip off shoes and please refrain from wearing dark fingernail polish the day of the surgery.
  • If you are taking blood pressure medications, take it as directed with as little water as possible.
  • If you are diabetic, please check your blood sugar the day of surgery and inform us of the results at your appointment.
  • Be prepared to wait.  Although we do our best to stay on time, delays are not uncommon.

After Your Oral Surgery

Pain/Medication Management

  • Ibuprofen: 800mg every 8 hours
    OR
    600mg every 6 hours for the next 48 hours
  • Norco, Vicodin (Hydrocodone): Every 4 hours as needed
  • Percocet (Oxycodone): Every 4 hours as needed

What you can eat

Pancakes, eggs, yogurt, potatoes, smoothies (no straws), ice cream, pasta, mac and cheese and anything soft for at least 2 days then slowly add more solid foods.

POST-OPERATIVE INSTRUCTIONS FOR DENTAL ORAL SURGERY

If you have had one or more impacted teeth surgically removed, this may have involved making a small gum incision and possibly the removal of a small amount of bone surrounding the teeth.  As a result you can expect some soreness for several days, some swelling and a small amount of bleeding, mild fever and maybe some weakness.  These are normal occurrences following extraction of impacted teeth.

CARE DURING THE FIRST 24 HOURS:

ORAL CARE

Gauze packs will be placed inside your mouth to control bleeding from the extraction sites.  Bite down on the gauze for 30-45 minutes.  Do not change the gauze before the initial 30-45 minutes has passed, as the gauze is used to apply pressure, not to absorb blood.  After the initial time, you may remove the gauze.  If bleeding persists, place additional gauze to the extraction site(s) and continue to bite with firm pressure until the bleeding stops.  If a moderate amount of bleeding still persists, soak a tea bag for 3 minutes in warm water, blot it and bite on it with some gauze until the bleeding stops.  It is not unusual to have a slight oozing for the first 12-24 hours after tooth extraction.

To avoid dislodging the blood clot from the extraction site, please follow this advice during the first 24 hours:

  • No aggressive oral rinsing.
  • No spitting.
  • No drinking through a straw.
  • No smoking (for at least the first 6 days).
  • No alcohol or carbonated beverages (for at least the first 6 days).

FACIAL CARE

Apply ice packs to the involved sides of the face and ensure that they are enclosed within a towel or similar covering to avoid freezing the skin.  Leave the ice pack in place for 20 minutes at a time and remove for at least 20 minutes before reapplying to the same area.  Apply vaseline to the lips and corners of the mouth to aid in keeping these areas moist and comfortable.

TOTAL BODY CARE

Your head should be elevated with 2 or 3 pillows to reduce the blood pressure in your head.  This will help diminish the discomfort and minimize the swelling you may experience.  Get plenty of rest, but walk 5 minutes 2 to 3 times during the afternoon and evening.  Do not engage in any strenuous activity or lift heavy items.  Eat and drink at your normal meal times.  It is important to consume fluids and nourishment to assist in the healing process and to avoid complications.  This will help you avoid becoming dehydrated and helps to keep your strength up.

CARE AFTER THE FIRST 24-48 HOURS

ORAL CARE

After the first 24 hours, begin gently rinsing your mouth with warm salt water (1/2 teaspoon in an 8 oz. glass of warm water) 2-3 times a day.  Brush and floss your teeth gently.  If you have sutures, keep them as clean as possible.  You can expect the sutures to dissolve in about 1 week.  Do not use commercial mouthwashes for two weeks after surgery, as they tend to irritate the extraction sites at this stage. Do not consume carbonated or alcoholic beverages.

FACIAL CARE

Discontinue ice 24 hours after surgery.  Don’t be alarmed at a continued slow increase in facial swelling/bruising during the first 48-72 hours.  This is normal, and should subside within several days.  Take the prescribed narcotic pain medication only if in real discomfort.  Motrin or plain Tylenol is often enough during the day.  Most patients may only need narcotic medication to assist in sleeping during the first few nights.  A snack before taking pain medication often helps avoid an upset stomach.  Advance your diet to soft foods, then to regular meals as soon as you are comfortable to do so.

This information should address the most common questions about the recovery period following surgery.  If you have any further questions or problems, do not hesitate to contact the office immediately at (484)821-1357.  It is our hope to make your experience as pleasant as possible.

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