Olney Center

Olney Center

Olney Center

Following intravenous sedation, it may take several hours for the full effects of the drugs to wear off. Please follow these recommendations.
Remain at home, resting quietly for the remainder of the day.
If you feel dizzy, immediately lie flat until the dizziness is gone.
Do not drink alcohol for 48 hours after surgery or while taking pain medication.
Do not operate a motor vehicle, power tools, or machinery for 24 hours after surgery.
Do not sign or enter any legal contracts for 24 hours.
Post-operative instructions
Following oral surgery, it will be important to follow these care instructions exactly as we present them. They are intended to guide you to a comfortable recovery and assist your healing.

DISCOMFORT

A certain amount of discomfort should be expected and varies with the amount of surgery that was performed. Your doctor will instruct you on what medications to take the day of your surgery. If your pain is not controlled by the ibuprofen (also known as Advil® or Motrin®) alone, take your prescribed medication in addition to keep you comfortable. It is best taken with fluid or food in your stomach; this will help prevent nausea. If a rash develops, stop taking the medication and call our office.

BLEEDING

When you leave the office, you will be biting on gauze pads that have been placed over the surgical area. Maintain firm biting pressure on the gauze for 30–40 minutes after leaving. You may replace the gauze if active bleeding occurs upon its removal. Most of your bleeding will slow within 3–4 hours, but a small amount of oozing is common for up to 24 hours after surgery.

SWELLING AND BRUISING

These are part of normal healing. Swelling typically peaks by the third day and then starts to resolve gradually; it can be reduced by the use of an ice pack. Apply the ice pack on your face over the area of surgery in 15-minute intervals for 24 hours after surgery. After 24 hours, it is usually best to switch from ice to moist heat to the same areas. The earlier this is started, the less swelling you will experience. Also, keep your head elevated (on several pillows) for 24–48 hours after surgery. Some bruising on your face is normal and may gravitate to areas below the site of your surgery.

DIET

Good nutrition and adequate fluid intake are important after surgery. Immediately following surgery, a liquid or soft diet is suggested (for example, soup, milkshake, eggs, mashed potatoes, etc.). Avoid any HOT foods or liquids during the first 24 hours. You may gradually return to a normal diet as tolerated 3–5 days after surgery unless otherwise directed. To help prevent dry socket, do not use a straw for the first 5 days after surgery.

ORAL HYGIENE

Good oral hygiene is very important to ensure uneventful healing. You may begin brushing your teeth using a soft toothbrush the day after surgery. It is important to brush all of your teeth, even if the teeth and gums are sensitive. Bacterial plaque and food accumulation near the extraction site will delay healing.
Do NOT rinse your mouth or spit on the day of surgery. Begin rinsing the day after surgery; rinse with warm salt water 3–4 times a day for 7 days (1 teaspoonful of salt to a glass of warm water). Do NOT use mouthwash or hydrogen peroxide, as this will delay healing. Begin use of the syringe provided (on lower extraction sites only) 5 days after surgery.
Do not smoke for at least 1 week after surgery (smoking will cause significant pain) or drink alcohol for at least 48 hours after surgery (or while taking pain medication); smoking and alcohol both delay healing and may lead to complications such as dry socket.

STITCHES

If stitches (sutures) have been placed in your mouth, they will dissolve and fall out on their own in 7–10 days. If they fall out sooner, do not be alarmed, as this is normal.

NAUSEA

This is usually due to not eating or taking too much pain medication on an empty stomach. It may also be caused by not keeping firm pressure on the gauze and swallowing some blood after surgery. Drinking small amounts of clear carbonated beverages every hour for 5–6 hours usually helps. Gravol™ may also be taken without a prescription. If nausea continues, please call our office.

ACTIVITY

Unless told otherwise, avoid vigorous physical activity for 5 days following your surgery. Physical activity increases your blood pressure, which will cause an increase in your swelling, pain, and bleeding.

Post-Operative Instructions for Dental Implant & Bone Grafting Surgery

Prescribed Medications (use as directed):
Take Amoxicillin (500 mg) 3 times a day (breakfast, lunch, dinner) until completed. If you are allergic, an alternative antibiotic will be prescribed. The antibiotic is very important and must be taken to completion.
Use Chlorhexidine oral rinse (Peridex™) twice a day for 2 weeks or until instructed by the doctor.
You can take a narcotic analgesic (Tylenol® #3 or equivalent) for moderate to severe pain. Take 2 tablets within 1 hour after surgery or as needed.

Do not disturb the wound. Avoid spitting or touching the wound for a few days after surgery. There may be a metal stump slightly protruding through the gum tissue.
Bleeding after implant surgery is normal and may continue for several hours. If bleeding is excessive, roll a pad of sterile gauze or clean linen the size of the wound and hold firmly on the wound by closing teeth or by using finger pressure for 30 minutes. If bleeding does not subside, please call the office for further instructions.
Swelling is a normal occurrence after surgery. Put an ice pack or cold towel your face for 20 minutes on and 20 minutes off during the first 24 hours. After 24 hours, it is usually best to switch from ice to moist heat to the same areas. The earlier this is started, the less swelling you will experience.
Avoid rinsing your mouth for 24 hours. (Rinsing may dislodge the blood clot and interrupt the normal healing process.) If no bleeding problem has occurred within the first 24 hours, rinse your mouth gently with warm salt water (1 teaspoonful of salt to glass of warm water) 3 times a day for 7 days, especially after meals. If you were given a prescription mouth rinse (such as Peridex), use it as directed in addition to the salt water.
Drink plenty of fluids. Have nothing hot to eat or drink for 24 hours; lukewarm liquids are recommended. Soft foods only for 2 weeks. You may gradually return to a normal diet as tolerated 2 weeks after surgery unless otherwise noted.
Brushing your teeth is important to decrease the risk of infection. Be very careful with brushing around the surgical site(s) until the gum tissue is fully healed.
If a temporary denture/flipper was provided, it should be used for aesthetic purposes only (i.e., absolutely no chewing, eating, or direct pressure/trauma on the provided temporary denture unit). Failure to follow these instructions may jeopardize the outcome of the implant(s) and may lead to certain complications, such as implant loss.
If a sinus lift surgery is done, do not blow your nose for 2 weeks, and sneeze only with your mouth open (follow sinus precautions).
Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed; it’s normal to have some of them come out of the graft site and into your mouth. Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
Keep physical activities to a minimum for several days after surgery.