The surgery that you had requires your cooperation to provide the best possible results for your comfort and safety.
THERE ARE 3 MAIN THINGS THAT YOU CAN DO TO DECREASE PAIN AND LESSEN YOUR DISCOMFORT IMMEDIATELY FOLLOWING YOUR SURGERY:
- Take 600mg of Ibuprofen right away and 600mg every 6 hours for the next 3 days, then every 6hrs as needed. This will help reduce pain and swelling.
- Keep your head elevated. Sleep with your head up on 2 pillows and rest during the day with your head elevated. This will help reduce pain and swelling.
- Use your ice packs, 20 minutes at a time (20 minutes on and 20 minutes off) for the first 24 hours.
Do Not Disturb the Wound: Keep finger and tongue away from area; you may cause irritation and bleeding.
Bleeding: If a gauze pack was place, hold it tightly against the area for approximately 30- 40 minutes. after surgery. If there is still some bleeding noted you can replace the gauze with some of the extra gauze that we will provide you. Do not change every 5 minutes or the bleeding will continue. If this does not work, try using a moist tea bag for a maximum of 30 minutes. The tannin in it is a good clotting agent and works well. It is normal to bleed for up to 24 hours after surgery. Normally it is mainly saliva, with just a little blood to turn the saliva red. Do not panic. Place a towel on your pillow tonight to protect it. Do not suck through a straw or forcefully spit or you may start to bleed again.
Swelling: This is not uncommon. Swelling of the area may take place up to 72 hours after the surgery, but then should subside. If it does not subside or worsens after 72 hours, contact Dr Chamberlain for further instruction. Ice pack should be placed gently on the area for 20 mins on 20 mins off starting for the next 24 – 48 hours. This will help ease swelling. Place ice on both sides of your face, 20 minutes on, 20 minutes off, for the next 24 to 48 hours. Sleep on several pillows, or in a reclining chair, tonight to keep your head up. This will help reduce the swelling. If you are able to take Ibuprofen*, it is important that you take 600mg every 6 hours for the first 3 days after surgery, even if you are not experiencing any pain. This will reduce the chance of swelling. *Do not take any medication which your medical doctor has advised against taking.
Pain: If you are able, take Ibuprofen 600mg every 6 hours for 3 days. If you continue to have pain after taking the ibuprofen, start taking the additional pain medication prescribed (Tylenol#3/Percocet/Endocet/Oxycet), as needed. DO NOT stop taking the Ibuprofen; they work best together. Prescriptions should only be taken as prescribed. Medications should not be taken with alcohol, especially medications to relieve pain. While taking pain medication, you are impaired and should not drive, operate any machinery, or be home alone with young children.
Hygiene: Starting tomorrow, morning and night after brushing your teeth, rinse your mouth with the prescribed mouth rinse. Use the salt water rinse (½ teaspoon in 1 cup water) in between after eating. This will help keep your wound sites clean and prevent infection. Brush your teeth normally but avoid the surgical sites.
Diet: When you get home, start to drink fluids. It is important to drink a lot of fluids so you don’t get dehydrated. Do not drink anything hot or very cold as you will still be frozen. Nutrition is very important to your healing process. It is important that you eat. Start with a soft diet for the first day or two, but go slowly or nausea and vomiting may occur. By the second day you should be comfortable eating solid foods. Avoid taco chips or anything that may impact into the wound. Diabetics need to check blood glucose levels and adjust intake accordingly. It is important to eat to maintain nourishment; this will make you feel better, give you more strength and will lessen the pain as well as promote faster healing.
Smoking DO NOT SMOKE. Smoking will cause delayed healing and increases the risk of infection or dry socket. Try to quit for 7 days if possible, minimizing the chances of a complication.
IMPORTANT : If given any form of sedation, you are now legally impaired for 24 hrs. The medication can impair your judgment; even if you think you are OK, don’t risk it. You cannot drive, operate any heavy machinery, make any important decisions or consume any alcohol.
Other : The stitches placed will dissolve in 7-14 days.
If you have been prescribed an antibiotic, start this right away and continue to take it until ALL the medication is gone. Try to eat plenty of yogurt (probiotics) while taking the antibiotic to increase its effectiveness. Bruising is normal and resolves in 7 to 14 days. It is normal to run a low grade fever after surgery. However if your temperature is greater than 40.0C (104F) please call. If you have any questions, concerns, or problems, please do not hesitate to call the clinic or visit our website at www.thelakesoralsurgery.ca. If necessary, Dr. Chamberlain can be reached at 452-5033.