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Post Op & Pre Op Instructions

Below you will find instructions that will help guide you through any questions you may have regarding the pre op and post op procedures. Please take the time to review them thoroughly.

  1. Food Suggestions After Surgery

    – Oral surgery can leave you feeling nauseated and not interested in food, but it is important to eat well after surgery. Nutritious food can improve healing and you will generally feel better as well.

    – Immediately after surgery cold soft foods are best. Yogurt, pudding, Jell-O, ice cream, shakes without seeds, juices, thick drinks like eggnog, or nutritional drinks like Ensure are easy to swallow, will not traumatize the surgical area. They are also filled with calories and proteins which are important for healing. After 24 hours, you may have warmer foods.

    – Food suggestions after surgery: Smoothies, applesauce, soft fruits such as bananas or canned peaches, thin soups, broth, soft cooked eggs, smooth mashed potatoes and gravy, well cooked rice (and other grains). Staying hydrated is also very important for quick healing time. Remember to drink water or juice regularly.

    – Foods that you should avoid after surgery: New Mexico green chili and other spicy foods will cause discomfort at the surgical site. Crunchy foods, chips, popcorn, and small seeds are dangerous during the first two to three weeks of healing as they may traumatize the surgical site. Avoid biting through foods such as whole apples or sandwiches. As much as possible, avoid significant chewing on the teeth which have had surgery until Dr. Tingey gives you clearance, which will usually be 3 to 6 weeks following the surgery.

  2. Gingival Graft Post Operative Instructions

    – Do not remove the surgical stent for 24 hours.

    – Do not disturb the graft site. Avoid pulling on your cheek or lip to “Take a peek” at the area. Leave it alone! The tissue fibers are trying to generate a blood supply to the new graft and any manipulation lessens the best possible chance for a good graft.

    – Bleeding is normal. If there is excessive bleeding from the roof of the mouth, apply pressure with your thumb with the stent in place for ten minutes without removing the pressure. This could take several attempts. If you can not get it to stop, take the stent out and gently rinse your mouth and stent. Take 3 pieces of gauze and dampen, fold them together and apply to donor site with pressure until bleeding stops. Return stent to mouth. If you are experiencing bleeding from the graft site, take 3 pieces of damp gauze and gently tuck in graft site and apply pressure from outside the mouth. Pressure with a Tea-bag will also help stop bleeding. If you are experiencing a large amount of bleeding call Dr. Tingey. If for some reason you cannot contact Dr. Tingey seek medical attention.

    – A pink packing may be placed over the graft site. If a packing is placed and becomes loose, gently peel it off and throw it away. You do not need to come back to the office to have it replaced.

    – Avoid “biting” into foods. Use a knife and cut bite-size pieces and chew on the opposite side from the graft site. It will take longer to eat a meal. However, you will learn very quickly what will work for you. It would be best to avoid using a straw due to excessive mouth and tissue manipulation. Hot and spicy foods may not feel very comfortable on the roof of your mouth….be careful.

    – Dr. Tingey may prescribe an antiseptic mouth rinse. If you receive this prescription, do not use it until the morning after the procedure. Avoid swishing the rinse; rather hold the rinse at the surgical sites for 30 to 60 seconds and let it fall out of your mouth. Use this rinse morning and night for two weeks or until Dr. Tingey instructs otherwise.

    – If you have any other post-operative concerns you may call Dr. Tingey home (319) 321-4347 after hours or at the office (505) 275-0500 during normal business hours.

  3. Preoperative/Postoperative Instructions For Conscious Sedation

    – You MAY NOT HAVE ANYTHING TO EAT OR DRINK (including water) for six (6) hours prior to the appointment.

    – A responsible adult must accompany the patient to the office, remain in the office during the procedure, and be able to drive the patient home and remain with the patient until he or she returns to normal function.

    – The patient should not drive a vehicle, operate any machinery or make critical decision for 24 hours following the sedation experience.

    – Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low heeled shoes. Contact lenses, jewelry, and dentures must be removed at the time of surgery.

    – Nail polish may be removed if it interferes with patient monitoring.

    – If diabetic,

    • – Please bring you glucose monitor with you. Your blood glucose will be checked before and possibly during the procedure.
    • – Do not take glucose lowering medication (insulin or others) prior to the surgery as you will be fasting.

    – You may eat cool soft foods as soon AFTER the sedation as you feel comfortable.

  4. Root Planning Facts & Instructions

    – During root planing, the roots of the teeth are cleaned deep within the pockets to remove deposits and to plane the root surfaces. The purpose is to lessen the irritation to the gums caused by these deposits and to make the tissues healthier prior to surgery. This makes any recommended surgical procedure shorter and makes the healing process faster and more complete. In some shallower pockets, it may postpone or eliminate the need for surgery.

    – Following root planing, your mouth may be numb for several hours. Be careful not to eat or drink anything too hot, and be careful of chewing during this time.

    – You should rinse with warm saltwater, or with diluted commercial mouth rinse several times during the 24 hours after root planing. Ibuprofen (Advil, Motrin) or Acetaminophen (Tylenol) may help alleviate sore gums.

    – Brush and floss thoroughly three times a day, emphasizing the area of the teeth along the gumline.

    – You may notice some clotting between the teeth, or slight bleeding, for a couple of days after the procedure. This is normal.

    – Periodontal health around root planed teeth should be re-evaluated 4 to 6 weeks after the procedure to assess the results and to clarify what, if any, further treatment is needed.

    – Follow carefully any further instructions provided by your dentist or dental hygienist.

    – As always, if you have any questions, feel free to contact us at any time. (505) 275-0500.