Instructions – Gainesville Oral and Maxillofacial Surgery https://oralsurgeryofgainesville.com Fri, 17 Mar 2017 18:37:19 +0000 en-US hourly 1 https://wordpress.org/?v=4.6.4 https://oralsurgeryofgainesville.com/wp-content/uploads/cropped-Favicon-32x32.png Instructions – Gainesville Oral and Maxillofacial Surgery https://oralsurgeryofgainesville.com 32 32 Pre-Operative Instructions https://oralsurgeryofgainesville.com/instructions/pre-operative-instructions-gainesville/ Mon, 27 Jun 2016 17:44:25 +0000 http://oralsurgeryofgainesville.com/instructions/pre-operative-instructions-gainesville/ Nothing to eat or drink for 8 hours prior to surgery. Take Valium 1 hour before surgery time (if prescribed); do not drive after taking the Valium. No nail polish or artificial nails. Wear short sleeves. Make sure your driver stays in the office the entire time of surgery with the vehicle so they can take you home. Make sure…

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  • Nothing to eat or drink for 8 hours prior to surgery.
  • Take Valium 1 hour before surgery time (if prescribed); do not drive after taking the Valium.
  • No nail polish or artificial nails.
  • Wear short sleeves.
  • Make sure your driver stays in the office the entire time of surgery with the vehicle so they can take you home.
  • Make sure someone can stay with you the day of surgery.
  • Make financial arrangements prior to surgery day.
  • No oral or facial jewelry (for example, tongue or nose ring).
  • Take all morning medications with a sip of water (for example, blood pressure medications).
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    Post-Operative Instructions: Following Oral Surgery https://oralsurgeryofgainesville.com/instructions/post-operative-instructions-following-oral-surgery-gainesville/ Mon, 27 Jun 2016 17:44:25 +0000 http://oralsurgeryofgainesville.com/instructions/post-operative-instructions-following-oral-surgery-gainesville/ You have just undergone an oral surgery procedure. A limited amount of pain, swelling, and bruising is to be expected and should be no cause for alarm. The gauze that has been placed in the mouth should remain in place for 2 hours by biting firmly. Also, refrain from spitting and talking. These activities tend to make bleeding worse. A…

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  • You have just undergone an oral surgery procedure. A limited amount of pain, swelling, and bruising is to be expected and should be no cause for alarm.
  • The gauze that has been placed in the mouth should remain in place for 2 hours by biting firmly. Also, refrain from spitting and talking. These activities tend to make bleeding worse.
  • A slight amount of blood mixed with saliva should be ignored; however, should there be active bleeding, place a new gauze sponge over the wound and bite on it hard enough to cause pressure for 2 more hours. Do not talk, spit, eat, or drink during these hours.
  • After active bleeding has subsided and the gauze is removed, you may rinse gently several times a day with a mouthwash consisting of ½ teaspoon of salt in a glass of warm water.
  • Apply an ice bag or cold, wet towels to the face for the first day to inhibit swelling. Also, elevation of the head and sleeping on 2–3 pillows tend to reduce swelling.
  • Drink large quantities of water or fruit juices (3–4 quarts per day).
  • You must have plenty of food in your stomach — wait 30 minutes before taking pain medication. Make sure you eat plenty of food; taking medication on an empty stomach can produce nausea.
  • If you are still having pain after taking the prescribed pain medications, you can add Advil® or Motrin®.
  • No alcohol, smoking, or drinking through a straw for 1 week. These activities make the areas bleed more, cause more pain, and delay healing.
  • The sutures/stitches placed in the surgery site will dissolve in 1–2 weeks; therefore, there is no need for their removal.
  • We are very interested in your prompt recovery, so if any unusual symptoms should arise, please contact the office at once.
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    Post-Operative Instructions: TMJ Care https://oralsurgeryofgainesville.com/instructions/post-operative-instructions-tmj-care-gainesville/ Mon, 27 Jun 2016 17:44:25 +0000 http://oralsurgeryofgainesville.com/instructions/post-operative-instructions-tmj-care-gainesville/ Post-operative care is important following surgery. Our surgical treatment for TMJ is generally performed in the afternoon at a local surgery center in the Gainesville area. Patients usually go home a few hours after surgery or after an overnight stay. We then see patients in the office the day after surgery and two weeks later to remove their stitches. From…

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    Post-operative care is important following surgery. Our surgical treatment for TMJ is generally performed in the afternoon at a local surgery center in the Gainesville area. Patients usually go home a few hours after surgery or after an overnight stay. We then see patients in the office the day after surgery and two weeks later to remove their stitches. From there, we schedule post-op follow-up appointments in our office at 6 weeks and 3 months.

    There is often some bruising and swelling that accompanies TMJ surgery, and that is why follow-up appointments are so critical. We prescribe short-term courses of antibiotics and pain medications for our post-op patients. Typically, we suggest patients plan to take 2 weeks off work, but many are ready to return to normal activities much sooner than that.

    The 3 most important steps of recovery from TMJ surgery:

    • Diet

    Our TMJ surgery patients are instructed to follow a liquid diet for the first two weeks after their operation. At 3–4 weeks post-op, patients move to very soft foods (scrambled eggs, etc.), then soft foods with more substance for 2 weeks, and ultimately return to their normal diet at 6 weeks post-op.

    • Exercise

    Our TMJ surgery patients are instructed to use an oral therapy device 5 times a day for 6 months to hasten their recovery from their TMJ disorder. This device gently opens the mouth to achieve maximum mouth opening postoperatively.

    • Attitude

    Our TMJ surgery patients must want to do well in their recovery and follow their prescribed treatment plans to obtain optimum results. Attitude and a positive outlook are critical to a successful outcome.

    Our goal for post-op TMJ surgery patients

    Generally, TMJ specialists consider surgery a success if a patient experiences a decrease in pain and restoration of the ability to open the mouth from 30 mm to 35 mm (2–3 fingers stacked). We strive for, and usually achieve, an incisal opening of 40+ mm.

    And, although there are no guarantees, our patients often report prompt relief from their TMJ pain. Our expectation is that our post-op patients will be able to return to a normal life, including everything from yawning to eating a steak, without the limitations imposed by TMJ pain.

    To speak with a TMJ specialist concerning your medical needs, please contact Dr. Fred Simonton today.

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    Post-Operative Instructions: Wisdom Teeth Removal https://oralsurgeryofgainesville.com/instructions/post-operative-instructions-wisdom-teeth-removal-gainesville/ Mon, 27 Jun 2016 17:44:25 +0000 http://oralsurgeryofgainesville.com/instructions/post-operative-instructions-wisdom-teeth-removal-gainesville/ Discomfort is normal after the extraction of teeth. If you are not allergic or intolerant to non-steroidal anti-inflammatory drugs, start taking ibuprofen (also known as Advil® or Motrin®) as instructed by your doctor at the time of your surgery. If you are asthmatic, do not take ibuprofen unless you have tolerated it in the past. If your pain is not…

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  • Discomfort is normal after the extraction of teeth. If you are not allergic or intolerant to non-steroidal anti-inflammatory drugs, start taking ibuprofen (also known as Advil® or Motrin®) as instructed by your doctor at the time of your surgery. If you are asthmatic, do not take ibuprofen unless you have tolerated it in the past. If your pain is not controlled by the ibuprofen alone, take your prescribed narcotic in addition. Ibuprofen and your prescribed narcotic can be taken together.
  • Be certain to take your pain medicines with food; this will help prevent nausea. Remember, narcotic pain medicine will impair your judgment and reflexes.
  • Gauze pad(s) should be placed directly over the extraction site(s) and held in place with firm biting pressure; proper placement will help you not swallow blood, which can make you nauseated. Replace the gauze pad(s) every hour. When the gauze pads have little or no blood on them, they are no longer necessary. The amount of bleeding will vary from person to person. Most of your bleeding will slow within 3–4 hours, but a small amount of bleeding is common for up to 24 hours.
  • Do not rinse on the day of surgery; it may prolong your bleeding. Begin saltwater rinses the day after surgery and continue for 1 week. Rinse with warm salt water 4–6 times each day. To make the saltwater solution, dissolve ½ teaspoon of salt in a small glass of warm tap water.
  • If you have been given an irrigating syringe, start irrigation on the seventh day following surgery. Fill the syringe with warm salt water and place the tip of the syringe into the extraction site to clean. Do this every time you eat until the hole closes which may be a few weeks.
  • Swelling is normal after surgery and is a major cause of post-extraction discomfort. Swelling typically peaks by the third day and then starts to resolve; it can be reduced by the use of an ice pack. Apply the ice pack to the side of your face for 10 minutes; transfer it to the opposite side for another 10 minutes. Continue icing the face for the first 24 hours. Do not freeze the skin. Ice packs are useful for the first 24 hours only. Also, keep your head elevated on 2 pillows for 3–4 days. These measures will not eliminate swelling, but they will help to reduce its severity.
  • To allow blood clots to form undisturbed, do not eat for 2 hours after surgery. Drink clear liquids, such as apple juice, tea, or broth. Gradually increase your diet as tolerated. Always cool down any hot foods or liquids during the first 24 hours. If you were sedated for surgery, do not eat fatty, creamy, or oily foods; these foods may cause nausea. You should eat only soft food for the first week: for example, soups, eggs, mashed potatoes and meatloaf are fine. To help prevent dry socket, do not use a straw for the first week after surgery.
  • Begin brushing your teeth the day after surgery. Bacterial plaque and food accumulation near the extraction site will delay healing.
  • Do not smoke for at least a week. Smoking will increase your bleeding, and the nicotine and tar in tobacco impair healing and may cause a dry socket.
  • Unless told otherwise, do no vigorous physical activity for 3 days following your surgery.
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    Post-Operative Instructions: Dental Implants https://oralsurgeryofgainesville.com/instructions/post-operative-instructions-dental-implants-gainesville/ Mon, 27 Jun 2016 17:44:25 +0000 http://oralsurgeryofgainesville.com/instructions/post-operative-instructions-dental-implants-gainesville/ Do NOT disturb the wound. Avoid spitting or touching the wound for a few days after surgery. There may be a metal stump slightly protruding through the gum tissue. Some bleeding or redness is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the…

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  • Do NOT disturb the wound. Avoid spitting or touching the wound for a few days after surgery. There may be a metal stump slightly protruding through the gum tissue.
  • Some bleeding or redness is normal for 24 hours. 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 1 hour. If bleeding continues, please call the office for further instructions.
  • Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, a plastic bag filled with ice, or a towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 24 hours.
  • Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids can be consumed on the day of surgery. You may return to a normal diet 1–2 days after surgery unless otherwise directed.
  • Warm saltwater rinses can be made by mixing a ½ teaspoon of salt in a cup of warm water and should be used at least 4–6 times a day, especially after meals.
  • Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.
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