Dental Surgery Aftercare Instructions

What to Expect After Dental Surgery: Your Guide to a Smooth Recovery from McLean Healthy Smiles

Undergoing any surgical procedure, even a seemingly minor one like a tooth extraction, requires careful preparation and aftercare. Following pre-operative and post-op instructions is important for a smooth procedure, quicker recovery, and minimized risk of complications. 

From simple fillings to surgical wisdom tooth extractions, dental procedures, while often necessary, can leave you feeling a bit worse for wear if you don’t take the proper pre- & post-op care. 

Taking good care of your mouth after dental work is key for feeling better, avoiding problems, and promoting optimal healing. Here’s a simple guide to help you recover quickly and get back to a healthy smile after different types of dental procedures. 

 

First, Can I Have a Tooth Pulled Before Surgery?

Have an upcoming surgery and wondering if you can have a tooth pulled shortly before then? It is typically recommended to avoid dental procedures before surgery to reduce the risk of bacteria entering the bloodstream and potentially causing infections. Dental infections can lead to complications since the mouth is closely connected to overall health. Additionally, dental procedures may cause bleeding and swelling, which could interfere with having your surgery. Resolving dental issues well beforehand and maintaining good oral hygiene helps reduce infection risks. Always consult with your dentist and healthcare provider for specific personalized advice. When considering if you can have a tooth extracted before surgery there are several key factors to consider:

• Type of surgery: Some surgeries require a period of optimal oral health to minimize the risk of infection. If the tooth extraction poses a risk of infection that could complicate the other surgery, it might be postponed.
• Urgency of the tooth extraction: If the tooth extraction is urgently needed due to severe pain, infection, or other pressing dental issues, it might be prioritized even before other planned surgeries.
• Overall health: Your overall health status plays a significant role. Certain medical conditions may increase the risks associated with both tooth extraction and other surgeries.
• Medications: Some medications prescribed before or after surgery can interact with medications used during or after a tooth extraction.

Open communication between your dentist and oral surgeon is paramount. They will work together to determine the best course of action based on your individual circumstances and prioritize your overall well-being.

 

General Post-Operative Guidelines: First Steps to Recovery

Immediately following any dental procedure, your mouth will likely feel numb. This is due to the local anesthetic, which gradually wears off over several hours. During this period, be mindful not to bite your cheek, tongue, or lip – it’s easy to do. 

It’s often recommended to avoid eating altogether until you regain the feeling in your tongue or mouth. You should also avoid hot beverages and food until the numbness completely subsides to prevent burns.

Here’s a general outline of post-procedure care:

• Bite down firmly on the gauze: Your dentist will place gauze over the surgical site to control bleeding and encourage clot formation. Bite down firmly for the recommended time (usually 30-60 minutes). Replace the gauze as needed, and if bleeding persists excessively, contact your dentist immediately.
• Manage pain and swelling: Over-the-counter pain relievers like ibuprofen or acetaminophen can effectively manage discomfort. Applying an ice pack to the affected area for 15 minutes on and 15 minutes off can help reduce swelling. Follow your dentist’s specific instructions regarding pain management.
• Rest: Take it easy for the rest of the day. Avoid strenuous activities that could increase blood flow and disrupt the healing process.
• Maintain a soft food diet: Stick to soft, easily chewable foods for a few days, gradually reintroducing solid foods as comfort allows. Avoid crunchy, sticky, or spicy foods that could irritate the surgical site. Smoothies, soups, yogurt, and mashed potatoes are excellent choices.
• Gentle oral hygiene: While maintaining oral hygiene is vital, be extra gentle around the surgical site. Rinse your mouth with warm salt water as directed by your dentist, and avoid brushing the affected area for the first 24 hours. Resume brushing and flossing gently as advised.
• Antiseptic Mouthwash: Your oral surgeon may recommend using an antiseptic mouthwash to further reduce bacteria in your mouth. Follow their instructions carefully.
• Follow-up appointments: Attend all scheduled follow-up appointments with your dentist to monitor healing and address any concerns.

 

Specific Post-Operative Care: Tailoring Your Recovery

While the general guidelines above provide a solid foundation, specific procedures require tailored aftercare. Let’s explore some examples:

Tooth Extraction

After a tooth extraction, especially wisdom teeth removal, expect some swelling, bruising, and discomfort. Follow the general guidelines diligently. Avoid spitting or using straws, as these actions can dislodge the blood clot, leading to a painful condition called dry socket.

Dental Fillings

Sensitivity to hot and cold is common after fillings, but it usually subsides within a few weeks. Avoid chewing directly on the filled tooth until the numbness wears off completely. If sensitivity persists or worsens, contact your dentist.

Root Canal Therapy

Following a root canal, the treated tooth may be tender for a few days. Manage discomfort with over-the-counter pain relievers. A temporary filling may be placed, which will be replaced with a permanent crown later. Follow your dentist’s instructions regarding the crown placement process.

Dental Implants

Post-implant surgery care is crucial for successful osseointegration (the fusion of the implant with the jawbone). Follow your dentist’s instructions carefully, including specific dietary restrictions and oral hygiene practices.

 

What Do I Need to Do for Pre-Operative Care?

Think of your body as a finely tuned machine. Before any “repair” work (like surgery), it needs to be in its best possible condition. Pre-operative care is like giving your body a tune-up before the big day, whether you’re undergoing a simple tooth extraction or a set of All-on-4 dental implants.

Pre-op care sets the stage for a successful procedure and helps prevent unexpected outcomes. By following these instructions, you actively contribute to a faster healing process and a less stressful post-operative experience.

 

Dos & Don’ts for Pre-Operative Surgical Procedures or Tooth Extraction Surgery

DON’Ts:

• No Alcohol: Avoid alcoholic drinks for 24 hours before your procedure.
• No Caffeine: Skip caffeinated drinks the day of your procedure.
• No Makeup (if possible): Try to avoid wearing foundation or lipstick.

DOs:

• Take Regular Medications: Continue taking your prescribed medications as usual unless instructed otherwise.
• Dress Comfortably: Wear loose, comfortable clothing.
• Eat a Meal: Have a light to moderate meal before coming to the office, unless your anesthesiologist tells you differently.
• Tell Us About Supplements: Let your dentist know about any herbal or nutritional supplements you take. Some can thin your blood and increase bleeding after surgery.
• Bring Necessary Medications: Bring any medication you usually carry with you, like an inhaler.

 

Antibiotics and Ibuprofen: If you were prescribed antibiotics and ibuprofen before your surgery, take the prescribed dose one hour before your appointment unless instructed otherwise.

As always, call us if you have any questions or problems before your appointment.

 

 

Dietary Guidelines Pre Tooth Extraction Surgery

The food you consume in the days leading up to your surgery can significantly impact your recovery.

Your oral surgeon or dentist will provide specific instructions regarding fasting. This typically involves abstaining from all food and drink (including water) for a specific period before the procedure. This is to prevent complications during anesthesia.

Staying well-hydrated in the days before your fast can help prevent dehydration. Be sure to drink plenty of water and clear fluids.

If permitted, opt for easily digestible, nutritious foods the day before surgery. Avoid heavy, greasy meals that can upset your stomach.

 

McLean Healthy Smiles Long-Term Post-Operative Care: Maintaining Your Oral Health

Once the initial healing phase is complete following your dental procedure, maintaining excellent oral hygiene is always necessary for the long-term success of your dental procedure and your overall oral health.

Taking good care of your teeth & gums is easier than you think! 

Brush twice a day with fluoride toothpaste, and floss every day to get rid of leftover food and that sticky film called plaque that’s hiding between your teeth. Seeing your dentist for regular checkups and cleanings is really important too. They can catch small problems before they become big ones. 

What you eat matters as well. Sugary drinks and snacks can lead to cavities and other dental troubles, so try to limit those. Focus on healthy foods like fruits, veggies, and whole grains. And it goes without saying, but steer clear of all tobacco products. Smoking and chewing tobacco are terrible for your mouth and can cause gum disease, oral cancer, and other serious health problems.

By following these guidelines and maintaining open communication with your dental professional, you can ensure a smooth recovery and enjoy the benefits of a healthy, vibrant smile for years to come. 

Remember, proactive post-operative care is an investment in your long-term well-being.

 

FAQs About Dental Surgery

1. What procedures are considered dental surgeries?

Dental surgeries cover any procedure that involves cutting the gums to promote better oral health. Common examples include tooth or root extractions, like wisdom tooth removal, as well as gum surgeries aimed at improving gum health or covering exposed roots due to gum recession. Additionally, placing dental implants or performing bone grafts, sinus lifts, & ridge augmentations are also classified as dental surgeries.

2. What types of tooth extractions are there?

Tooth extractions fall into three main types:

• Simple extraction: Removing a tooth that’s visible above the gum line, requiring minimal cutting.
• Soft tissue extraction: Removing a tooth or root that’s partially covered by gums, involving some gum cutting.
• Surgical extraction: Removing a tooth fully covered by gums and bone, requiring both gum cutting and bone removal to access the tooth.

3. How many teeth can be extracted at once?

Generally, dentists can extract about three to four teeth in a single visit. However, for patients in good health with multiple loose teeth, more extractions may be possible. It’s best to discuss your specific needs with your family dentist to determine what’s safest and most effective for your oral health.

 

Day by Day Post Operative Instructions for Extractions and Oral Surgery from McLean Healthy Smiles

Day 1: Continue biting on the gauze for 30-60 minutes following your procedure. Do NOT spit, rinse, suck (using a straw), smoke, or drink carbonated or alcoholic beverages for at least 24 hours. Passively empty your mouth when needed. 

• The goal is to keep the blood clot in the socket to prevent bleeding and a painful complication known as  DRY SOCKET. 

Day 2: You will most likely experience one or more of the following symptoms: 

Minor pain, swelling, bruising, limitation with opening or closing your mouth, pain in jaw or ear, sore throat.  It is important to listen to your body and take it easy. No heavy lifting, spitting, sucking, alcohol or smoking. 

• Oral hygiene: Brush gently. A gentle lukewarm salt-water rinse can be used to freshen your mouth. But again, do not spit; just let the fluid passively empty. The corners of your mouth may become cracked and dry – moisturize frequently.  
• Discomfort: Over-the-counter pain medication (Ibuprofen, Aleve, Tylenol) may be taken as directed on the bottle to relieve discomfort.  
• Swelling: Apply cold compresses to the affected area at 10-minute intervals for the first 24-hour to minimize swelling. Any swelling that occurs usually begins to diminish within 72 hours; call the office if there is no change. 
• Bleeding: Some oozing of blood is normal for the first 12-24 hours. Put a hand towel on your pillow as some drooling can occur when you are numb. If you are experiencing excessive bleeding, apply firm pressure with  1-2 folded gauze pads or a damp tea bag on the affected area for 30-60 minutes and keep your hand elevated. Call the office if the bleeding does not subside. 
• Diet: Drink plenty of fluids. 

Avoid carbonated and alcoholic beverages. 

A soft diet will be easiest: yogurt, milkshake (no straw), soups, fish, and pasta. 

Nothing too spicy is recommended. 

It is normal to have a little tenderness while chewing and difficulty opening wide. 

• Stitches: If you have received sutures, avoid playing with them. A fifteen-minute appointment will be needed to remove the sutures in 7 to 10 days. 
• Prescriptions: If you have been prescribed antibiotics, take them as directed until they are all gone, even if symptoms dissipate. Some antibiotics can interfere with the effectiveness of birth control pills or other medications. If pain medication or a mouth rinse is prescribed take as directed. 

In case of any unusual disturbances, questions or any post-surgical problems, please call our office.