Surgical Post Operative Instructions

Implant Post-Operative Instructions




Oral Surgery Post-Op

Do's and Don't After Oral Surgery and Tooth Extraction

Do:                                                                    Don't:


  • Bite down on gauze for 20-30 minutes
  • Eat soft, colder, non-spicy foods
  • Take medicines as prescribed
  • Maintain oral hygiene
  • Swish with warm salt water rinses 4-6 times/day
  • Take it easy for a few days  
  • Constantly spit or rinse out blood and spit
  • Use straws
  • Smoke or Drink Alcohol for 48 hours
  • Play with the surgical site
  • Exert yourself for 72 hours
  • Bend or lift heavy objects 

General Oral Surgery Post-op Instructions

Tooth Extraction, Implant placement, Grafting

DO NOT DISTURB THE AREA:  For the next few days, and especially the first 24-72 hours, it is very important to allow your body to form a good clot and start the natural healing process. Swishing, sucking through a straw, and smoking can all dislodge the clot. Keep anything sharp from entering the wound (crunchy food, toothpicks, eating utensils). Be sure to chew on the opposite side for 24 hours.

BLEEDING:  When you leave the office, you might be biting on a gauze pad to control bleeding. Keep slight pressure on this gauze for at least 30 minutes. Don't change it during this time; it needs to remain undisturbed while a clot forms in the extraction socket. After 30 minutes you may remove it. You may bite on another gauze or a tea bag for another 30 minutes if you feel it is still bleeding; there are chemicals in tea that help form a blood clot.  Small amounts of blood in the saliva can make your saliva appear quite red, please swallow and avoid spitting as much as possible. 

SMOKING:  Smoking should be stopped following surgery. Healing and success of the surgery will be substantially reduced by the cigarette smoke chemicals in your body. Also the suction created when inhaling cigarettes can dislodge the clot. Smokers are at greater risk of developing a painful Dry Socket. Ideally smoking is never resumed but please try to wait 48-72 hours after your surgery.

PAIN:  Some discomfort is normal after surgery. To minimize pain, take Tylenol, Nuprin, Advil or similar non-aspirin pain relievers as directed. Take it before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Don't exceed the dose on the label. Taking with food or milk will help reduce chances of an upset stomach. Avoid driving or operating heavy machinery when taking prescription pain medications. Do not drink alcohol while taking prescription pain medications.

NAUSEA:  This is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food, and taking the pill with a large glass of water.

SWELLING:   Applying ice or a frozen bag of peas/corn to the face over the operated area will minimize swelling. Apply for 15 minutes, then remove for 15 minutes. Continue this for the first day.

NUMBNESS:  The local anesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch or scratch the numb area. Sometimes the extraction causes residual numbness or tingling for six weeks or longer.

BRUSHING:  Do not brush your teeth in the affected area for the first 5 days after surgery. After this period you can use an extra soft toothbrush to clean the area as long as it doesn't cause bleeding.  Otherwise use the rinse that was prescribed for you until your follow-up appointment.  Please continue brushing the rest of your teeth.

RINSING:  Avoid all rinsing or swishing for 24 hours after extraction. Rinsing can disturb the formation of a healing blood clot which is essential to proper healing. This could cause bleeding and risk of dry socket. Starting the second day, please use the antimicrobial rinse that was prescribed for you in the morning and at night. If you did not have a rinse prescribed, after 24 hours you may begin gentle rinsing with a saltwater solution (1/2 teaspoon salt + 1/2 teaspoon soda + 8 ounces warm water). Avoid commercial mouthrinses.

DIET:  Eat soft foods for the first 2-3 days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.

ACTIVITY:   After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing. Avoid heavy lifting and bending over.

ANTIBIOTICS:  If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.

SINUS:  If your sinus was involved in the procedure, you should avoid blowing your nose or playing a wind musical instrument for one week. Use of decongestant medications might be recommended.

FOLLOW-UP APPOINTMENTS:  You may need to return to the office to have sutures removed, or just for a brief follow-up healing check.

Please call the office if you have:

uncontrollable pain
excessive or severe bleeding
marked fever
excessive warm swelling occurring a few days after the procedure
reactions to medications, especially rash, itching or breathing problems

Following these instructions very closely will greatly help your comfort and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the success of the procedure may be affected.