After leaving our dental office today, we suggest you consider relaxing or at least limiting your activity as much as possible for the remainder of the day. No nose blowing, or cigarettes for 3 weeks. Also coughing or sneezing with mouth open will reduce sinus pressures. Avoid strenuous activity or aerobic exercise for the next 2-3 days. Do not to fly in an airplane, helicopter or do any skydiving where sinus pressure changes occur. This can compromise grafting and affect success rates and have a higher risk of infection.
Some discomfort may be present when the anesthesia wears off. You have been given a prescription for an anti-inflammatory (NSAID) analgesic. Please take as directed for the first 3 days. This drug will greatly decrease the possibility of post-surgical swelling and pain and has been shown to accelerate healing. Take medications with narcotics only after NSAID’s have been taken. Should intense discomfort occur at any time after the surgery, please take the narcotic medication (if one has been prescribed for you), as directed, or telephone the doctor and he will phone in a narcotic prescription for you. You may take both the narcotic and NSAID together. Their analgesic effect will be increased.
Please continue taking your antibiotic as directed until all of the tablets have been taken. If you notice that after a few days, pain or swelling are increasing or that you are experiencing an elevated temperature, please call the doctor.
Please continue taking your antihistamine, one tablet every 5-8 hours, or 2-3 times per day for at least the first 4-5 days, particularly if you are having any symptoms of “stuffiness” or tendency to sneeze. Antihistamines can make you drowsy. If this is the case then reduce the dosage, i.e. take them twice a day instead of three times a day. Continue to use the nasal spray, one puff every 5-8 hours for the first three days, or longer if symptoms of “stuffiness” and difficulty breathing through your nose are present.
It is normal to experience some facial swelling after surgery. Applying ice to the external aspect of cheek and sleeping with head elevated is vital for the first 48 hours. This should be left on your face for about 10 minutes, then removed for 10 minutes, or alternated from side-to-side, between operated areas, for 2-3 hours after surgery. The use of both ice and the NSAID analgesic as described above will reduce facial swelling.
It is common to have slight bleeding for a few hours following surgery. Most of the blood you may see in your mouth is actually a little bit of blood mixed with saliva. Blood is a very strong “dye” and a little bit of blood will color your saliva dramatically. If bleeding persists, apply a tea bag to the surgical site with gentle pressure for 15-20 minutes. Let yourself rest for 15 minutes then repeat the application of the tea bag for a second time if you still have slight bleeding. If excessive bleeding continues, please call our office or the doctor after normal office hours. You may experience some blood discharge from your nose. If so, lie down, with your head slightly elevated and apply an ice pack over your midface-nasal area. If this bleeding does not stop within 30 minutes, telephone the doctor.
Brushing and oral hygiene procedures should be done as usual in all untreated areas. Around operated areas, limit your oral hygiene to brushing using a soft bristled toothbrush. Avoid dental flossing in operated areas during the first week following surgery. Rinsing with the prescribed Chlorhexidine rinse for 3 weeks is vital. No undiluted mouthwash, salt water or peroxide rinses should be used during the first week following surgery. Also avoid the use of water irrigation devices such as Water-piks for 1 month following surgery. The exposed operated areas should be gently swabbed with a Q-tip (cotton tipped applicator) saturated with Peridex (Chlorhexidine) as a last oral hygiene procedure at bedtime and again in the morning, after eating and drinking.