New and Post Op Form

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New Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Surgical Instructions

You may not have anything to eat or drink (including water) for six (6) hours prior to the appointment.

A responsible adult driver 18 years or older must accompany the patient to the office, remain in the office during the procedure and drive the patient home.

No smoking at least twelve (12) hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.

The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience. (Need a DD? visit designateddriversinc.com).

Please wear loose fitting clothing with sleeves that can be rolled up past the elbow, and low heel shoes.

Contact lenses, jewelry and dentures must be removed at the time of surgery.

Do not wear lipstick, excessive make-up, or nail polish on the day of surgery.

If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office prior to you appointment.

If you take routine oral medications, please check with Drs. Johnson, Holtzen, and Hunter prior to your surgical date for instructions. Questions? Call us at 702-360-8918.

You can take your regular medications with a sip of water.

DO NOT disturb the wound after placement of dental implants. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. If bleeding continues, rinse lightly with hydrogen-peroxide and water half and half for 30 seconds, SPIT and QUICKLY replace the gauze or tea bag. Again, it is not abnormal to continue to ooze for the first 24 hours after surgery. To minimize further bleeding, do not disturb the area and avoid exercise.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed.

The ice packs should be left on continuously while you are awake (15 minutes on, 15 minutes off). After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six (36) hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For mild to moderate pain, one or two tablets of Ibuprofen, (Motrin or Advil) 200 mg may be taken every 4 hours.
For moderate to severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. DO NOT drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day after the 2nd to 3rd post-operative day. If pain persists, it may require attention and you should call the office at 702-360-8918.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws for 1 week after surgery. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. It is very important to eat normally to keep up your strength and to promote healing.

NO RINSING of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing 5-6 times a day especially after eating, with a cup of warm water mixed with a teaspoon of salt.

Antibiotics
If you have been placed on antibiotics, take the tablets or liquid as directed until gone. Antibiotics may be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office at 702-360-8918 if you have any questions.

Oral Hygiene
Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used as directed to help prevent infection. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.

Activity
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Wearing your Prosthesis
Partial dentures, flippers, or full dentures can be used immediately after surgery if approved by your oral surgeon.

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

Immediately Following Surgery
The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded. If the area is still oozing replace the gauze placing it over the surgical area. (Not just between the teeth. Firm pressure must be placed to the surgical area). Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged. Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished. Make sure you eat before taking ANY pain medications or it will increase the likelihood of nausea/vomiting. Restrict your activities the day of surgery and resume normal activity when you feel comfortable.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. If bleeding continues, rinse lightly with hydrogen-peroxide and water half and half for 30 seconds, SPIT and QUICKLY replace the gauze or tea bag. Again, it is not abnormal to continue to ooze for the first 24 hours after surgery. To minimize further bleeding, do not disturb the area and avoid exercise.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed.

The ice packs should be left on continuously while you are awake (15 minutes on, 15 minutes off). After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six (36) hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For mild to moderate pain, one or two tablets of Ibuprofen, (Motrin or Advil) 200 mg may be taken every 4 hours.
For moderate to severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. DO NOT drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day after the 2nd to 3rd post-operative day. If pain persists, it may require attention and you should call the office at 702-360-8918.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws for 1 week after surgery. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. It is very important to eat normally to keep up your strength and to promote healing.

NO RINSING of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing 5-6 times a day especially after eating, with a cup of warm water mixed with a teaspoon of salt.

Discoloration/Bruising
In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics
If you have been placed on antibiotics, take the tablets or liquid as directed until gone. Antibiotics may be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office at 702-360-8918 if you have any questions.

Nausea and Vomiting
In the event of nausea and/or vomiting following surgery, DO NOT take anything by mouth for at least an hour including the prescribed medicine. You should then sip on water, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications
If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call the office if you have any questions. Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or Ibuprofen should be taken to reduce the fever. You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up. Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, your surgeon can remove them. If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline.
Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days. Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally
Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged, this is no cause for alarm. Just remove the suture form your mouth and discard it. The sutures will be removed approximately one week after surgery. In Most instances dissolvable sutures are used and will not need to be removed. The removal of sutures requires no anesthesia or needles. It takes only a minute or so, and there is no discomfort associated with this procedure.

Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. If bleeding continues, rinse lightly with hydrogen-peroxide and water half and half for 30 seconds, SPIT and QUICKLY replace the gauze or tea bag. Again, it is not abnormal to continue to ooze for the first 24 hours after surgery. To minimize further bleeding, do not disturb the area and avoid exercise.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed.

The ice packs should be left on continuously while you are awake (15 minutes on, 15 minutes off). After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six (36) hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For mild to moderate pain, one or two tablets of Ibuprofen, (Motrin or Advil) 200 mg may be taken every 4 hours.
For moderate to severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. DO NOT drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day after the 2nd to 3rd post-operative day. If pain persists, it may require attention and you should call the office at 702-360-8918.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws for 1 week after surgery. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. It is very important to eat normally to keep up your strength and to promote healing.

NO RINSING of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing 5-6 times a day especially after eating, with a cup of warm water mixed with a teaspoon of salt.

Oral Hygiene
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

Activity
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

Immediately Following Surgery
The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded. If the area is still oozing replace the gauze placing it over the surgical area. (Not just between the teeth. Firm pressure must be placed to the surgical area). Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged. Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished. Make sure you eat before taking ANY pain medications or it will increase the likelihood of nausea/vomiting. Restrict your activities the day of surgery and resume normal activity when you feel comfortable.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. If bleeding continues, rinse lightly with hydrogen-peroxide and water half and half for 30 seconds, SPIT and QUICKLY replace the gauze or tea bag. Again, it is not abnormal to continue to ooze for the first 24 hours after surgery. To minimize further bleeding, do not disturb the area and avoid exercise.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed.

The ice packs should be left on continuously while you are awake (15 minutes on, 15 minutes off). After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six (36) hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For mild to moderate pain, one or two tablets of Ibuprofen, (Motrin or Advil) 200 mg may be taken every 4 hours.
For moderate to severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. DO NOT drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day after the 2nd to 3rd post-operative day. If pain persists, it may require attention and you should call the office at 702-360-8918.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws for 1 week after surgery. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. It is very important to eat normally to keep up your strength and to promote healing.

NO RINSING of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing 5-6 times a day especially after eating, with a cup of warm water mixed with a teaspoon of salt.

Discoloration/Bruising
In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics
If you have been placed on antibiotics, take the tablets or liquid as directed until gone. Antibiotics may be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office at 702-360-8918 if you have any questions.

Nausea and Vomiting
In the event of nausea and/or vomiting following surgery, DO NOT take anything by mouth for at least an hour including the prescribed medicine. You should then sip on water, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications
If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call the office if you have any questions. Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or Ibuprofen should be taken to reduce the fever. You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up. Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, your surgeon can remove them. If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline.
Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days. Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally
Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged, this is no cause for alarm. Just remove the suture from your mouth and discard it. In most instances dissolvable sutures are used an will not need to be removed. There will be a cavity where the tooth was removed. The cavity will gradually over the next month fill in with new tissue. In the mean time, the area should be kept clean especially after meals with salt-water rinses or a toothbrush. Your case is individual, no two mouths are alike. Do not accept well intended advice from friends. Discuss your problem with the persons best able to effectively help you: Drs. Johnson and Holtzen or Hunter. Brushing your teeth is okay – just be gentle at the surgical sites. A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs. If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

Immediately Following Surgery
The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded. If the area is still oozing replace the gauze placing it over the surgical area. (Not just between the teeth. Firm pressure must be placed to the surgical area). Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged. Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished. Make sure you eat before taking ANY pain medications or it will increase the likelihood of nausea/vomiting. Restrict your activities the day of surgery and resume normal activity when you feel comfortable. Place ice packs to the sides of your face where surgery was performed. Place ice packs (wrapped in a towel) on for 15 minutes/off for 15 minutes, while awake for the first 36 hours following surgery. DO NOT rinse vigorously, suck on straws, smoke, drink alcohol or brush your teeth following your extraction.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. If bleeding continues, rinse lightly with hydrogen-peroxide and water half and half for 30 seconds, SPIT and QUICKLY replace the gauze or tea bag. Again, it is not abnormal to continue to ooze for the first 24 hours after surgery. To minimize further bleeding, do not disturb the area and avoid exercise.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed.

The ice packs should be left on continuously while you are awake (15 minutes on, 15 minutes off). After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six (36) hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For mild to moderate pain, one or two tablets of Ibuprofen, (Motrin or Advil) 200 mg may be taken every 4 hours.
For moderate to severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. DO NOT drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day after the 2nd to 3rd post-operative day. If pain persists, it may require attention and you should call the office at 702-360-8918.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws for 1 week after surgery. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. It is very important to eat normally to keep up your strength and to promote healing.

NO RINSING of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing 5-6 times a day especially after eating, with a cup of warm water mixed with a teaspoon of salt.

Discoloration/Bruising
In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics
If you have been placed on antibiotics, take the tablets or liquid as directed until gone. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office at 702-360-8918 if you have any questions.

Nausea and Vomiting
In the event of nausea and/or vomiting following surgery, DO NOT take anything by mouth for at least an hour including the prescribed medicine. You should then sip on water, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications
If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call the office if you have any questions. Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or Ibuprofen should be taken to reduce the fever. You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up. Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, your surgeon can remove them. If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline.
Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days. Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally
Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged, this is no cause for alarm. Just remove the suture from your mouth and discard it. In most instances dissolvable sutures are used an will not need to be removed. There will be a cavity where the tooth was removed. The cavity will gradually over the next month fill in with new tissue. In the mean time, the area should be kept clean especially after meals with salt-water rinses or a toothbrush. Your case is individual, no two mouths are alike. Do not accept well intended advice from friends. Discuss your problem with the persons best able to effectively help you: Drs. Johnson and Holtzen or Hunter. Brushing your teeth is okay – just be gentle at the surgical sites. A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs. If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

Because of the close relationship between upper back teeth and the sinus, a communication between the sinus and mouth sometimes results from surgery. The complication has occurred in your case, which often heals slowly. Certain precautions will assist and we ask that you faithfully follow these instructions: Take prescriptions as directed. DO NOT forcefully spit for several days. DO NOT smoke for several days. DO NOT use a straw for TWO weeks. DO NOT forcefully blow your nose for at least two weeks, even though your sinus may feel “stuffy” or there may be some nasal drainage. If this feeling persists you may take over the counter decongestants if specified by your surgeon. Try not to sneeze; it will cause undesired sinus pressure. If you must sneeze, keep your mouth open. Eat only soft foods for several days, always trying to chew on the opposite side of your mouth. DO NOT rinse vigorously for several days. GENTLE salt-water swishes may be used.

Remember:
Slight bleeding from the nose is NOT uncommon for several days after surgery. Please keep our office advised of any changes in your condition, especially if drainage or pain increases. It is important that you keep all future appointments until this complication is resolved.

WHAT OUR PATIENTS SAY