Care of the mouth after surgery has an important effect on healing. Swelling, discomfort, slight oozing of blood and restricted jaw movement may be expected. These problems need not cause alarm and may be minimized if the following post-operative instructions are followed carefully.
(IT IS NOT UNUSUAL TO HAVE SLIGHT OOZING FOR 24 HOURS AND BREAKTHROUGH BLEEDING FOR 10 DAYS AFTER AN ORAL SURGICAL PROCEDURE.)
A folded gauze sponge has been placed in the area of surgery prior to your leaving the office. Bite on it with constant firm pressure. When it is completely red, remove the gauze. If there is continued active bleeding, place a new gauze over the area and change it every 20 minutes for an hour and a half. Remember a drop of blood mixed with saliva may seem like a mouth full of blood. A moistened tea bag may be substituted for the gauze if the gauze pad does not seem to be working. Do not sleep with the gauze in your mouth as you may choke on it. Place a towel on your pillow to prevent staining of linen with blood.
Swelling should be at its greatest 2-4 days after surgery. The swelling should SLOWLY disappear, sometimes lasting 2-3 weeks. To minimize swelling, apply an ice bag to the operated side of the face as soon as you arrive home. Apply cold for 20 minutes, then off for 20 minutes. Continue this for 5-6 hours. Ice is only to be used the first day. A heating pad may be applied to help with circulation on the following days.
Discomfort (or severe pain after any difficult or prolonged surgery) should be expected. Medication will be prescribed to make you comfortable. Remember, after a pain medication is swallowed it may take an hour to take effect and may only work for 3-4 hours. It is therefore, important to try to keep ahead of anticipated pain. The full dose of pain medication every 3-4 hours will be much more beneficial than smaller amounts taken more frequently. It is not uncommon to have pain a week after surgery. Pain should not be getting worse after one week.
CARE OF THE MOUTH
Avoid brushing, rinsing and spitting the day of the surgery and drinking through a straw for one week. This may dislodge the blood clot. You should understand that smoking can be very detrimental to the progress of recovery. The morning after surgery, rinse gently with warm salt water (1/2 teaspoon of salt in a glass of warm water). Repeat every few hours, especially after meals, for the next 3-4 days.
You may prefer soft or liquid foods for your own comfort. It is important to maintain a good dietary intake immediately after surgery even if it is only liquids.
Nausea may accompany the discomfort during the initial post-operative period. Remember to eat prior to taking medications. If nausea continues, then contact the office.
The following Post-Operative conditions may occur in some patients while healing is progressively normal. (1) Swelling on one or both sides of the jaw; (2) Numbness (paresthesia) around the corner of the mouth or tongue; (3) Tightness of the muscles causing difficulty in opening the mouth; (4) Slight earache or sore throat; (5) The skin may become discolored a few days after surgery; (6) You may experience tenderness, discoloration, or hardening at the site of injection. You should be careful standing after lying for a prolonged period of time. Have someone at your side in case you feel faint.
Do not remove denture for 24 hours after surgery.
NOTE: In case of problems or questions, contact Dr. Tyler Boynton at 707-996-4519 to anticipate prescription refills or care problems during office hours. If your telephone number is blocked, calls cannot be returned after office hours.