Postoperatory care

After a tooth extraction

Bleeding

You must bite down on cotton compresses for 30 minutes and change them every 30 minutes until there is no more bleeding. (Don’t forget to wash your hands before changing the cotton.)

If the bleeding does not seem to stop, you can replace the cotton compresses with a moist tea bag and bite down on it for about 30 minutes or until the bleeding stops

Swelling and Bruising

Swelling can occur up to 72 hours after surgery. It should disappear within 4 to 7 days after surgery.

To decrease the swelling, you must APPLY ICE 10 MINUTES PER HOUR during the first 24 hours. If swelling persists beyond 24 hours, you must apply warm moist compresses. Bruising may occur on the skin, it is also normal and will disappear about 1 week later.

Stitches

The stitches are absorbed about 1 week after surgery.

Medication

Take the medication as specified in the prescription. If an antibiotic is prescribed, you must take them ALL. This serves to prevent infection.

Oral Hygiene

You need to start rinsing your mouth 24 hours after surgery. Use a mixture of water and salt (1 tsp. of salt for 1 glass of warm water) and rinse several times a day especially after meals.

DO NOT SPIT during the first 24 hours, let the liquid drip out of your mouth.

It is important to maintain good oral hygiene. It is allowed to brush your teeth the day of the surgery but you must however avoid touching the site(s) of the surgery for a week.

Physical Efforts

It is forbidden to make any effort or physical activity 72 hours after surgery.

Cigarettes / Alcohol

Ideally, you should quit smoking up to 2 weeks after surgery to reduce the risk of infection. It is not recommended to consume alcoholic beverages during the first 72 hours following surgery or depending on the medication.

Food

IT IS VERY IMPORTANT FOR YOU TO BE WELL FED TO REDUCE THE POSSIBLE ADVERSE SIDE EFFECTS OF THE MEDICATION.

For all types of surgery, you should avoid hot and/or spicy foods during the first 24 hours. Also avoid hard and/or crispy foods. Eat on the opposite side if possible or eat more liquid foods for the first 48 hours and then soft for 4 to 5 days afterwards.

Beverages

It is permitted to drink cold or warm liquids immediately after surgery. However, IT IS FORBIDDEN TO USE A STRAW TO DRINK during the first 48 hours.

After a graft

Brushing and dental floss

The day after surgery, start by brushing and flossing in places who have NOT undergone surgery. DO NOT USE TOOTH PASTE FOR AT LEAST 2 WEEKS. AVOID THE SITES OF THE SURGERY until we give you further instructions at your postoperative visit. There may be a whitish thread over the surgical site. This is completely normal.

Mouthwash

Use the prescribed mouthwash 2x per day beginning the morning after surgery until you are told to stop using it.

Electric Toothbrush

DO NOT USE an electric toothbrush for a period of 6 weeks following the procedure.

Water Pik

DO NOT USE a water-pik for a period of 6 weeks following the procedure.

Food (First 24 hours)

Proper nutrition is essential for normal healing. After surgery, your diet should be restricted to COLD LIQUIDS. Dietary supplements are highly recommended.

Avoid

  • Alcohol/carbonated beverages
  • Drinking with a straw

Food (24 hours after the surgery)

Gradually progress to soft foods that are easy to chew, such as :

  • Cooked vegetables
  • Cooked fish
  • Meatloaf
  • Pasta

DO NOT SKIP MEALS. Eat 3 meals a day, you will feel better and heal faster.

Activities

Rest. Plan to stay home the day and the following day of the surgery. For these first two days talk the less POSSIBLE. When you sleep, elevate your head to reduce swelling. SLEEP IN A SEMI-SEATED POSITION.

After 24 hours, you can return to your regular schedule, but avoid all physical activity for ONE WEEK AFTER THE INTERVENTION..

Medication

ANALGESIC : Take the medication within an hour of treatment with milk, juice or a glass of water. NEVER TAKE MEDICATION WITH AN EMPTY STOMACH..

DO NOT TAKE MEDICATION SUCH AS ADVIL OR ASPIRIN because they promote bleeding. Only painkillers such as TYLENOL or as per your prescription can be taken.

ANTIBIOTICS : Take your medication as directed until the end of your prescription. (If needed)

Swelling

It is normal to have swelling after periodontal surgery. To minimize it, we suggest using ICE PACKS. Place on the cheek alternating every 10 minutes (10 minutes with the ice pack and 10 minutes without). Continue applying frequently for the first 24 hours following surgery.

Bleeding

Slight bleeding or a pinkish tint is normal during the first days after surgery. If excessive bleeding occurs please call us.

Smoker

DO NOT SMOKE for a period of 3 WEEKS following surgery. Smoking slows the healing of tissues and affects the results of the intervention.

After an open root planing

First week

  • Use dental floss normally but, gently in the treated areas.
  • Brush the crown of the tooth gently with the toothbrush.
  • Use curaprox with chlorhexidine in the areas that have undergone surgery.
  • Clean sutures with a cotton swab and chlorhexidine.
  • Normal brushing in other regions with toothpaste.
  • Rinse 2x a day with chlorhexidine.
  • Apply X-pure product everywhere with your fingers or a toothbrush, do not rinse.

Eat on the other side for next week.

Take anti-inflammatory if needed.

Slight bleeding is normal.

Rest for the following 24 hours.

After a dental implant

Week before the surgery

If you smoke, rinse your mouth with warm salty water, 3x a day the week before surgery. (1 tsp. of salt in a glass of warm water.)

Avoid taking ASPIRIN 10 days before the intervention.

Ensure that a person may accompany you on the day of surgery if a drug causing drowsiness was taken.

Day of the surgery and 24 hours after

There is no need to be on an empty stomach the day of surgery. It is recommended to wear comfortable clothing.

  • Take your medication as prescribed by your dentist.
  • Do not touch the surgical site with your fingers or tongue.
  • It is normal for the saliva to be tinted with blood for about a day.
  • Do not lie down or sleep without placing your head on a pillow.
  • Do not rinse your mouth for 24 hours.
  • Apply an ice pack surrounded by a damp towel at least 20 minutes every hour.
  • Restrict your diet to a soft diet (doesn’t require to chew).
  • Clean the operated site with chlorhexidine and swab 3 to 4x a day.
  • Pain is normal although different from one person to another.
  • AVOID PHYSICAL ACTIVITY

The next days

After meals, gently brush your teeth, including the operated area and stitches.

DO NOT SMOKE. Nicotine can interfere with healing and it is preferable to abstain.

To rinse your mouth, use mouthwash with chlorhexidine which will be provided to you at your appointment. (In case you run out of mouthwash, use a mixture of 1 tsp. Of salt in a glass of warm water and rinse.)

Swelling may occur, peaking over a period of 48 to 72 hours after surgery and disappear within days.

Bruising can occur, this is normal and no treatment is indicated. Everything will be back to normal within about 2 weeks.

The diet should be soft (mashed) for the first day. No chewing at the surgical site for the next month.

After 2 weeks, a control appointment will be made to remove the stitches and verify the healing process.

Paresthesia (numbness) of the lower lip, neck or chin may occur following an intervention in the mandible (lower jaw). This symptom should disappear in the weeks or months that follow.

Diet after the surgery

Avoid croutons, raw vegetables, toast, steak, salad leaves (due to the shearing effect).

Avoid anything that is acidic (tomato juice, carrot soup or vegetables, orange juice and apple juice).These foods may cause burning sensation at the surgical site.