Pre and Post Operative Care for Oral Surgery in Buffalo Grove

PRE- & POST-OPERATIVE CARE

Whether you're getting ready for surgery or want to know what to expect afterwards, here's how to prepare

    Pre-Operative Care

     


    In order to make sure that we can carry through with your procedure, you must adhere to a few preoperative rules. First of all, make sure you are on time! We typically schedule operations between the hours of 7 a.m. and 12 p.m. We would love to start on time so we don’t inconvenience our other patients and so that you are guaranteed the best service that we have to offer. Also, you shouldn’t drink any water or eat any food 6 hours prior to the surgery. Doing this could prevent us from being able to perform the operation. Follow these two simple rules, and there should be nothing in the way of having a successful oral surgery!

     

    Post-Operative Care

     

    To minimize pain and other effects from surgery, follow these rules:

    1. Do not disturb the wound with the fingers or by sucking on it. Bite firmly on gauze for 45 minutes without changing it. Keep swallowing the saliva in the mouth. Remove the gauze after 45 minutes. The saliva may be tinged with blood for 24-48 hours, but the saliva should be swallowed as the motion of spitting may precipitate bleeding.

    2. Alleviate discomfort with pain relievers as directed. Two Tylenol or Advil tablets should be taken before the effects of the local anesthetic disappear. Thereafter, one or two tablets every 4 hours may be taken as needed. Medication given by prescription should be taken as directed on the label, and also started before the effect of the local anesthetic disappears. Avoid taking medications on an empty stomach. Eat something with consistency, such as mashed potatoes, oatmeal, or a banana, as this helps to prevent an upset stomach. Greasy food should be avoided for 12 hours. See specific food guidelines below.

    3. Reduce swelling with ice. To help minimize the swelling, which may occur later, use an ice bag, half-hour on and half-hour off for the first 24-48 hours following a surgical procedure. The maximum amount of swelling normally occurs after 36-48 hours. Heat compresses may be used after 48 hours.

    4. Stop bleeding with gauze. Some bleeding is normal following all procedures for 24-48 hours. But if bleeding is excessive, it should be contained. Place gauze or a moist tea bag over the wound. Hold firmly for 60-90 minutes by closing teeth. Replace the gauze, and maintain pressure on the wound for another hour. If bleeding doesn’t diminish after a sensible length of time, call us for further instructions. There is a doctor on call 24 hours a day and he may be reached by calling 847-276-2500.

    5. Follow a soft-food and liquid diet. Following routine extractions, a soft diet such as soup, combined foods, and food supplements, Susticial, Ensure, Nutriment, etc., should be consumed for the first 24 hours. After a day, unless specified, a normal diet may be gradually resumed as tolerated.

    6. Maintain careful oral hygiene. Do not rinse the area of surgery for 18 hours. After 18 hours, brushing of all teeth should be resumed, preferably with a soft brush. AFTER one week following surgery, rinse gently with salt water at least once a day. Healing will occur more rapidly when good oral hygiene is observed.
    7. Patients who have dentures inserted immediately after surgery should not remove their dentures until they have seen their dentist, which will normally occur within 48 hours, or unless otherwise instructed. Rinsing with iced salt water, with the dentures in place, several times a day helps maintain good oral hygiene.
    8. Limit activities. Keep physical activity to a minimum for the first day. Sports should be avoided for 3-4 days unless otherwise instructed.

    9. Miscellaneous Pain in the ear, difficulty swallowing, difficulty in opening and closing the jaw, and some local discoloration of the skin are additional symptoms that occur with differing frequency. These symptoms are almost always short-term, and should relinquish during the regular healing period.


    Sedation Options

     

    Oral and maxillofacial surgery involves using anesthesia or other medication to put you at ease during your procedure. This must be done carefully, and the doctor must have a confident grasp on the amount of anesthesia he or she is giving to a patient. Dr. Frank specializes in oral surgery, so he deals with anesthesia on a daily basis. Because Dr. Frank has received the necessary training in sedation during surgery, we offer all levels of sedation:

    General anesthesia – General anesthesia is also given in the form of an IV. This medication results in the complete loss of consciousness, so you will not remember any of the surgery and will need more time for the sedation effects to wear off. General anesthesia is known for having an excellent safety record for an office procedure but can also be used within a hospital setting.

    Oral sedation – May be an alternative option to local anesthesia. It is medication taken orally to put you into a relaxed state before operation.

    Nitrous oxide – Also known as laughing gas, nitrous oxide is used in tandem with local anesthesia as well as the sedation choices below. You will be completely relaxed and less aware of your surroundings, but you’ll remember your procedure.

    IV sedation – A medicine given to you through IV into your arm or hand. This causes complete relaxation but will not render you unconscious. However, you will remember little to nothing about the procedure.