Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There may be a metal healing abutment protruding through the gingival (gum) tissue or there may be a shorter metal piece that becomes covered by the gum.
Some bleeding or redness in the saliva is normal for a few days. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes at a time. If bleeding continues, please call the office for further instructions.
Swelling is a normal occurrence after surgery and should be expected. Swelling will peak on day 2 and 3, after which it will gradually resolve. To minimize swelling, apply an ice bag or pack on the cheek near the area of surgery. Apply the ice intermittently, as much as possible, for the first 24 hours. The ice should be applied for 20 minutes and removed after 20 minutes. Be careful not to nap with the ice left in place.
Drink plenty of fluids. Avoid hot liquids or food until the local anesthesia has resolved. Soft food and liquids should be eaten the first few days after surgery. Your surgeon will discuss specific diet recommendations with you during the consultation.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, over-the-counter pain medication such as Tylenol or Advil may be enough. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medications if you are allergic or have been instructed by your doctor not to take them.
Be sure to take the prescribed antibiotics as directed to help prevent or manage infection.
Good oral hygiene is essential to proper healing. Peridex rinse is frequently prescribed for oral surgery procedures. If you received a prescription, be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.