Periodontal Instructions


Do not hesitate to call our office if you have any doubt regarding the following instructions.

1. Keep fingers and tongue away from the tooth socket or operative site. DO NOT
SMOKE for 3 days following surgery. Smoking greatly increases the chances of dry

2. EATING: Do not rinse your mouth for 24 hours. You may drink lukewarm or cool
liquids immediately but do not use a straw. Restrict your diet to soft foods; a regular diet
can usually be resumed in 4-5 days.

3. ORAL HYGIENE: Providing that no bleeding is evident, oral hygiene should be
resumed 24 hours after surgery. Salt water rinses can be started 24 hours after surgery
after each meal. Avoid brushing near the surgical site for the first four days, then brush
very gently to remove debris.

4. BLEEDING: It is normal for the saliva to be lightly streaked with blood for a few days.
If bleeding is present place folded moistened cotton gauze directly against the surgical
site and apply firm pressure for 20 minutes. The less frequent the gauze is changed the
better. Do not spit out. In an emergency a moistened tea bag may be substituted for the
gauze pad. Do not rinse your mouth for 12 hours after the bleeding has stopped. Call the
office if excessive bleeding cannot be controlled with above methods.

5. SWELLING: Swelling can be expected in certain cases, reaching its maximum in 2 to 3
days, than disappearing in 4 to 5 days. An ice bag or cold compress may be applied to
the outside of the face next to surgical site: 20 minutes on and every hour while awake.
This helps swelling and relieves some discomfort.

6. HEAT: If there has been swelling or bruising you may apply mild heat using a hot water
bottle or heating pad. This should be commenced 3 days after surgery.

7. PAIN: At the doctor’s discretion a prescription for pain medication will be given. Do
not take any other pain medication while taking these tablets unless you have been
specifically asked to by the doctor. Do not drink alcohol while on prescription drugs.
Some pain medication may cause drowsiness; do not take them if driving or operating
heavy machinery or doing anything requiring concentration.

8. INFECTION: When antibiotics are prescribed they must be taken as directed. If you
experience an adverse reaction such as itching, rash, hives, swelling or difficulty
breathing; stop taking the medication and inform our office

9. EXERCISE: It is best to avoid exercise and strenuous activity for the first 2-3 days
post-operatively, or until you begin to feel up to it. Exercise or strenuous activity will
raise your blood pressure and may bring on bleeding during the first 24-48 hours after

10. CONGESTION: When removing upper teeth you may experience nasal or sinus
congestion. If this is the case you must avoid vigorous nose blowing for three days,
avoid drinking with a straw, and phone the office for a decongestant.

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