DEEP CLEANING POST-OP INSTRUCTIONS
If you require more than just a regular cleaning your Dentist /Hygienist may prescribe a deep cleaning (Scaling and Root Planing).It is usually done in sections. One half of the mouth is cleaned in one session & you will have to come back for the other half. First the teeth & the gums are anaesthetized then the teeth are cleaned using a combination of ultrasonic & hand instruments. It is normal to experience cold & hot sensitivity after the appointment. Your teeth may even be sensitive to chewing. Your gums will be sore and may bleed.
Sometimes your Dentist /Hygienist may advise the placement of an antibiotic ( arestin , perio-chip) in the pocket if it is greater than 4mm. In that case, patients should postpone brushing for 12 hours and avoid the use of interproximal cleaning devices(flossing) for 10 days. Also patients should avoid eating hard, crunchy or sticky foods for 1 week.
After the completion of treatment it is important to follow good home care which includes regular brushing, flossing, using a mouth rinse (prescription or over the counter).Your Dentist / Hygienist may put you on a 3 -4 month follow up care. Failure to comply with it will return your gum condition back to square one. Regular follow up care will create an environment for the gums and bone to heal and will prevent further destruction. Gum disease is a silent disease and the importance of follow up care cannot be overemphasized.
Post Operative Instructions for Extractions and Oral Surgery
Day 1: Continue biting on the gauze for 30-60 minutes following your procedure. Do NOT spit, rinse, suck (using a straw), smoke, drink carbonated or alcoholic beverages for at least 24 hours.
Passively empty your mouth when needed.
- The goal is to keep blood clot in the socket to prevent bleeding and a painful complication known as DRY SOCKET
Day 2: You will most likely experience one or more of the following symptoms:
Minor pain, swelling, bruising, limitation in opening or closing your mouth, pain in jaw or ear, sore throat. It is important to listen to your body and take it easy.
No heavy lifting, spitting, sucking, alcohol or smoking.
- Oral hygiene: Brush gently. A gentle lukewarm salt water rinse can be used to freshen your mouth. But again, do not spit; just let the fluid passively empty. The corners of your mouth may become cracked and dry – moisturize frequently.
- Discomfort: Over-the-counter- pain medication (Ibuprofen, Aleve, and Tylenol) may be taken as directed on the bottle to relieve discomfort.
- Swelling: Apply cold compresses to affected area at 10 minute intervals for the first 24 hours to minimize swelling. Any swelling that occurs usually begins to diminish within 72 hours; call the office if there is no change.
- Bleeding: Some oozing of blood is normal for the first 12-24 hours. Put a hand towel on your pillow as some drooling can occur when you are numb. If you experience excessive bleeding, apply firm pressure with 1-2 folded gauze pads or damp tea bag on the affected area for 30-60 minutes and keep your head elevated. Call the office if the bleeding does not subside.
- Diet: Drink plenty of fluids.
Avoid carbonated and alcoholic beverages.
A soft diet will be easiest: yogurt, milkshakes (no straw), soups, fish, pasta.
Nothing too spicy is recommended.
It is normal to have a little tenderness while chewing and difficulty opening wide.
- Stitches: If you have received sutures, avoid playing with them. A fifteen minute appointment will be needed to remove the sutures in 7-10 days.
- Prescriptions: If you have been prescribed antibiotics, take them as directed until they are all gone, even if symptoms dissipate. Some antibiotics can interfere with the effectiveness of birth control pills or other medications. If pain medication or a mouth rinse is prescribed take as directed.
In case of any unusual disturbances, questions or any post surgical problems, please call the office.