PRE / POST-OP INSTRUCTIONS

PRE-OP INSTRUCTIONS:

  • Inform our office if you are taking any anticoagulant (blood thinning) medication. i.e. Plavix, Coumadin, etc.
  • Take any prescribed antibiotics as directed by your physician for certain heart conditions (i.e.  Artificial heart valve, Infective Endocarditis , etc.) and total joint replacement within 6 months (i.e. knee, hip).
  • Please inform our office of any allergies to medications.
  • Eat a light meal prior to your surgical appointment. Avoid heavy or greasy foods
  • Please be clean-shaven on the day of surgery.
  • NO SMOKING for 2 weeks before and after the surgery.

SUGGESTED FOODS – SOFT IN TEXTURE:

Our office presents a list of suggested food to eat before you surgical procedure. Dr. Aldallal highly recommends to eat a light and soft meal before you surgery. the following food list could be helpful to choose from:

  • soup, oatmeal, cream of wheat, baby food, apple sauce, yogurt, smoothies, over-cooked pasta, cottage cheese, fish, eggs, rice, jelly, ice cream, mashed vegetables, vegetable drinks, and soft casseroles.

FOODS TO AVOID – HARD FOODS: Spicy foods, acidic foods & drinks, raw vegetables, crusty or hard bread, and  hard fruits.

DRIVING 
Your doctor may recommend that you do not operate a motor vehicle for 24 hours if you are given oral sedation, such as Valium or IV sedation for your surgery. Some medications cause drowsiness and slow down your reflexes. You must arrange for someone to drive you back and forth from your home. Other medications may not have this effect and you will be advised accordingly. Plan to rest at home the remainder of the day and the day following if necessary. Directions will be given to you regarding physical activity on the day of surgery.

POST-OP INSTRUCTIONS:

SUTURES (STITCHES):
Dissolvable stitches will usually break down, loosen or disappear by the time you return for your first post-operative visit. Non-dissolvable stitches will remain in place until after your first or second post-operative visit at which time they will be removed.

TOOTH BRUSHING AND FLOSSING:
Do not brush or floss the surgical area(s) until you are instructed to do so on the post-surgical visit. Instructions will be given to you about when you can return to a regular oral hygiene routine. An electric toothbrush should not be used at any time in the surgical area(s) UNTIL FURTHER INSTRUCTION. A Waterpik should not be used in the surgical area(s) for 6 weeks. DO NOT brush the surgical dressing, if one was applied.

MOUTH RINSING: 
DO NOT rinse for 24 hours after surgery. Vigorous rinsing can lead to bleeding.
DO NOT spit the day of surgery
Warm salt water rinsing should start the day after surgery.

SENSITIVITY:
Some periodontal surgery may cause sensitivity of the teeth, especially to cold drinks. If this occurs, we will recommend special desensitizing toothpastes and fluoride rinses to help relieve the sensitivity.

SYMPTOMS YOU CAN EXPECT AFTER SURGERY:

SWELLING:
Expect swelling. It may take 2-3 days of increased swelling before the area begins to return to normal. To help minimize the swelling, you will be advised to apply ice packs on the outside of your face, over the treated area for 15 minutes. Keep the ice pack in position for 15-minute intervals throughout the day (i.e. 15 minutes on the surgical site(s) and 15 minutes off). Ice packs should not be used after the first 24 hours. 48 hours following the surgery, you may apply a warm, moist compress (i.e. a wet face cloth) to the side of the face where the swelling is present.

BLEEDING:
Slight bleeding or oozing is normal during the first 1-2 days following surgery. If excessive bleeding occurs, place a wet tea bag (regular not herbal) directly on the area that is bleeding and apply firm pressure for 30 minutes. Do not rinse or spit for 12 hours. If excessive bleeding continues, contact our office immediately.

BRUISING:
In the first 24-48 hours after a surgical procedure, slight bruising may occur. If a bruise appears, there is no cause for alarm. It is not a sign of a complication. Bruising will resolve on its own, usually over a period of 1 week. However, if bruising seems excessive or at all questionable, do not hesitate to contact our office.

DIET:
Diet is restricted to soft foods and moderate temperature liquids. Avoid hard, extreme hot or extreme cold, chewy or spicy foods for the first 2 weeks following surgery. Food with small seeds should also be avoided since they may get caught under the surgical dressing or surgical area(s). Supplement your diet with any over-the-counter multi-vitamin pills. Do not skip meals. Regular food intake will make you feel better and aid in a faster recovery. Do not drink from a straw as the suction it creates may cause bleeding problems. No alcohol or smoking after a surgical procedure. Alcoholic beverages can slow down the healing process and may cause bleeding problems. Alcoholic beverages also interact with the pain medication to cause adverse reactions. Do not drink alcohol while taking medications. Do not smoke for 2 weeks following surgery. Smoking is an irritant to healing tissues and will delay the healing process.

SUGGESTED FOODS – SOFT IN TEXTURE: Soup, oatmeal, cream of wheat, baby food, apple sauce, yogurt, smoothies, over-cooked pasta, cottage cheese, fish, eggs, rice, jello, ice cream, mashed vegetables, vegetable drinks, and  soft casseroles

FOODS TO AVOID – HARD FOODS: Spicy foods, acidic foods & drinks, raw vegetables, crusty or hard bread,  and hard fruits.