Style Options



Close X

Pre Operative Instruction

  • You must have a responsible adult with you throughout the duration of the surgery and to drive you home. They must stay with you for the first 8 hours.
  • Wear short sleeve, loose fitting, clothing and long pants as it is cool in the Operating Room. Please no dresses.
  • For patients with long hair, refrain from ponytails or buns.
  • Start rinsing with chlorhexidine mouth wash 4 days prior to surgery. (½) cap, twice daily, swish and spit. RX given to you at your consultation.
  • If given analgesics at your consultation, please take (1) tablet the night before and (1) tablet the morning of surgery with a sip of water. If you have an allergy or can’t take analgesics it is ok, you may disregard this instruction.
  • Do not smoke 72 hours before your surgery.
  • Do not drive or plan to operate machinery for 24 HOURS after your surgery.
  • Do not plan on returning to work or school the same day as your surgery. A doctor’s excuse will be provided, if necessary.
  • Make sure this office is aware of any medications you are taking or have taken recently.
  • Make sure this office is aware of any allergies and/or illnesses you may have.
  • Do not wear contact lenses.
  • Please inform us if you have any cold or flu-like symptoms that develop before your surgery.

YOUR DRIVER CANNOT LEAVE THE OFFICE DURING YOUR SURGERY!

After Placement of Dental Implants

After your dental implant surgery, there are several instructions to follow to ensure your recovery goes as smoothly as possible. The day of surgery, do not disturb the surgical site. For the next 3-5 days, your activity level should be almost nothing. We recommend that you rest and keep your head elevated 30-45 degrees that day (Example: prop your head up on two pillows). You may see a metal or a white protective healing cap protruding through the gum, this is normal.

Bleeding/Swelling

After surgery, it is not uncommon to have some bleeding or redness in your saliva for the first 24-72 hours. Excessive bleeding can be controlled by biting down tight on the moist gauze after it has been dipped in ice water. Proper placement and pressure of the moist gauze should slow and stop the bleeding.

Swelling is expected with any type of surgery. To minimize swelling, apply an ice pack for 15-20 minutes at a time once or twice per hour. This should be done as much as possible for the first 36 hours. After day 3, if you are still swelling, please switch to moist heat such as a hot cloth or heating pad. Moist heat will help you with tight/sore muscles as well.

Diet

Once the bleeding has stopped and the sensation has come back, be sure to drink plenty of fluids to stay hydrated. Avoid hot liquids or foods for the first day. Soft foods and liquids can be eaten on the day of surgery, and should continue for the first 5 days. (Examples: apple sauce, yogurt, pudding, mashed potatoes, soup, etc.). If you have had an extraction, you need to avoid straws for 7 days to avoid a dry socket, which is very painful.

Pain Medicine/Antibiotics

There are several ranges of discomfort that are normal once sensation returns. You should begin taking your prescribed pain medication 2-3 hours after your surgery. This will get you ahead of the pain since your numbing medicine should last anywhere from 4-6 hours after surgery. If you were given Ibuprofen 600mg, please take it 3 times daily for a minimum of 5 days to help with pain. Even if you are not in pain, continue it to help minimize swelling and delayed soreness.

If you were prescribed antibiotics prior to your surgery, you will need to finish them to help prevent any type of infection.

Oral Hygiene

Good oral hygiene is critical to the healing process. The evening after your surgery, it is OK to lightly brush your teeth, but you need to stay away from the surgical sites. We recommend NO RINSING until the day after your surgery. Warm salt water rinses should be used at least 4 times a day. By “salt water” we recommend a teaspoon of salt in a cup of warm water.

Sinus Grafts or Bone Grafts

If you had a bone/sinus graft procedure, there are some additional instructions that are critical to your recovery. Sinus precautions are the MOST important instructions you can follow after the sinus graft procedure. **Note: with these procedures you are more susceptible to bruising.**

Sinus Precautions

  • Continue antibiotics as prescribed.
  • Take an over-the-counter sinus medication as needed for sinus symptoms.
  • Salt water rinses 3-4 times a day, very gentle.
  • NASELIN saline nasal spray may be used for 3-4 days for any congestion
  • Avoid bending over for the first week.

DO NOT BLOW YOUR NOSE AND AVOID SNEEZING!

You may notice bleeding or bloody drainage from the nose which is normal and may last several days. If you have to sneeze, do so with your mouth open!

Partial / Complete Denture

You may have received a partial/complete denture, temporary crown, temporary bridge at the time of surgery. Unless it is not in an aesthetic zone we recommend you to leave it out in the first week after your surgery. We have adjusted it so you can wear it after the surgery. We recommend during the first week to leave it OUT as much as possible. Also, try to avoid using it when you eat to avoid forces on the implant the first week. With dentures, we place a soft liner in the denture so that it can be used. NO adhesive in denture during the first week. Upper dentures can be worn, but leave out when not necessary. Lower dentures are adjusted and soft relined at the time of surgery but they are very difficult to wear the first week. We recommend they be left out during this time. After 5-7 days as swelling and soreness decrease, they can be worn.

Possible Complications

If you experience numbness of the tongue/lip/chin, there is no need to worry as this is usually temporary and will return to normal. Nerves can be bruised when working in the mouth and it takes a little longer for the sensation to return to normal. Just remember to be careful so you don’t bite your tongue/lip/cheek.

  • Nausea/vomiting can sometimes occur after surgery. If you experience either of these, please call our office and we can get a prescription called in.
  • You should always be careful the day of surgery when getting up to use the restroom, etc. Light-headedness can occur very easily once you have been sedated. Be sure to have someone stay with you for 6-8 hours after surgery to avoid falling or passing out from being dizzy.
  • Occasionally patients may feel something that feels like a root left behind in their mouth. These hard areas are the bony walls that surrounded the tooth before it was removed. They usually smooth up over time but if not we can remove them.
  • Slight elevation of temperature after surgery is not uncommon. Antipyretics should be taken to reduce the fever. If the fever persists, contact our office.

It is our desire that your recovery be as smooth as possible. If you have any questions or concerns about your progress or any symptom you are experiencing, please call our office 08023311000 or +91-9880168585.

After Wisdom Tooth Removal

The removal of impacted teeth is an involved surgical procedure. Post-operative care is very important. Unnecessary pain and complications, infection, and swelling can be minimized if the instructions are followed carefully. We stress the importance of resting the first three days after surgery to have an easier and uneventful recovery.

Day of Surgery

Patients who receive anesthesia should go home immediately and lie down with their head elevated. Anesthesia effects vary by individual. You may feel drowsy or sleep for several hours. Someone MUST stay with the patient for the first 8 hours. The patient should be assisted into the house and going to the bathroom. The patient is not to drive that day.

Gauze/Bleeding

The patient will leave our office with gauze in place and extra gauze will be sent home with the patient. The gauze should remain in place until you arrive home. Once home, the gauze can be changes every 30-45 minutes until the bleeding stops. When changing the gauze, moisten with cold water and place directly on the site. Once the bleeding has stopped, the gauze may be left out.

Bleeding is normal and usually stops within a few hours; you may have blood-tinged saliva for 24 hours. Heavy bleeding is uncommon. This may be controlled by wetting the gauze with ice water and biting firmly down for 15-20 minutes. Repeat 3-4 times and the bleeding should subside. If bleeding continues, call our office at +91 80 6959 7000.

Pain and Medication

Numbness will last several hours after surgery to help with comfort. Take the first pain pill three hours after your procedure before the sensation returns, take 1 analgesic tablet three times daily. If pain is not controlled, please call our office at +91 80 6959 7000. Remember to take medications with plenty of food and water to lessen side effects.

Swelling/Bruising

Swelling is to be expected and usually reach its maximum around 48-72 hours after your procedure. To minimize swelling, an ice pack should be applied on the outside of operated area for 20 minutes on, 20 minutes off while you are awake. On your third day post op from surgery, swelling may peak which is normal. Start using any form of moist heat to help eliminate swelling and to aid in muscle stiffness. If bruising does occur, it should subside around day 7.

Orthodontic Appliances

If you wear an orthodontic appliance, you may continue to wear as soon as it is comfortable. Do not leave them out for an extended period of time as the teeth can shift and make it difficult to reinsert appliance.

Diet

On your first day post-surgery, limit your diet to mostly liquid, soft non-chew foods. After the first day, continue to drink plenty of liquids (NO STRAWS FOR 7 DAYS) and continue with soft foods for 5 days. You want to avoid hard crunchy foods, like nuts, popcorn, or any food that may be lodged in surgical sites. Some examples of soft foods are: oatmeal, mashed potatoes, soups, puddings, yogurt, scrambled eggs, etc.

Possible Post Surgery Effects

Dry socket is when the clot that is covering the surgical site is lost or does not form properly. This may occur around day 4-5 after surgery. A noticeable and persistent pain will develop that will be severe and not relieved by pain medication. Keep in mind, day 3 is typically the worst day. You may experience radiating pain to the jaw, neck, and ear. If there is no improvement, please call our office for assistance.

Skin discoloration may occur at the surgical site, this is normal and all part of the healing process.

Numbness is loss of sensation of the lip, chin, tongue and may occur after the lower wisdom teeth are removed. This usually is temporary and resolves over the next few days to weeks. Rarely, some numbness may persist for months or be permanent due to the close association of the nerve that runs through lower jaw. If you are having these symptoms, we will assess at your follow-up appointment.

Nausea/vomiting can sometimes occur after surgery. If you experience either of these, please call our office and we can get a prescription called into your pharmacy.

Oral Care and Hygiene

  • Do not drink with a straw for seven days
  • Do not brush area for 5 days, brush your other teeth normally
  • After 24 hours start gentle, warm salt water rinses 3-4 times daily for 7-10 days
  • Do not smoke 3-5 days after surgery
  • Do not probe areas with your tongue or any other object

It is our desire that your recovery be as smooth and pleasant as possible. If you have any questions or concerns about your progress or any symptom you are experiencing, please call our office at +91 80 6959 7000.

After Exposure of An Impacted Tooth

Exposure and bracket of an impacted tooth is a common procedure. An exposure is a procedure to expose a tooth that is impacted beneath the gum tissue and prepare it for realignment by your orthodontist, with whom we work closely. Post-operative care is very important.

Day of Surgery

The day of surgery, you will leave with gauze in place, extra gauze will be sent home with you as well. Once you are home, change your gauze and make sure to moisten it with cold water prior to placement. Continue to change gauze every 30-45 minutes until the bleeding has subsided. Some bleeding or redness in the saliva is normal the first 24 hours. Heavy bleeding is uncommon with this procedure, if concerns arise, please call our office.

Patients that have received anesthesia should go home immediately and lie down where their head elevated (30-45 degrees). You will feel drowsy or sleep for 4-6 hours after your surgery. Someone must stay with you for at least 8 hours and assist you when getting up or down or any other movements. If you experience any nausea/vomiting, please call our office and we will get a prescription called into your pharmacy.

Pain and Medications

TYou should begin taking analgesics three hours after your procedure. Keep going with the Ibuprofen one tablet three times a day for 5-6 days. If you are experiencing severe pain, you may have been given an alternate pain medication. Take the pain medication as directed. If pain persists, call our office at +91 80 6959 7000

Swelling

Swelling may occur after your procedure. Ice packs are to be used 20 minutes on, 20 minutes off for the first two days after surgery. It is normal for the swelling to peak day 3 after your surgery. Switch to moist heat instead of the ice pack.

Diet

Be sure to drink plenty of fluids after your surgery. You will be on a soft diet for 5-6 days, avoid hard and crunchy foods. Examples of soft foods are: oatmeal, yogurts, puddings, mashed potatoes, scrambled eggs, soups, etc.

Oral Care and Hygiene

You will start some gentle warm salt water rinses the day after your surgery. Continue rinses for 5-6 days after your surgery, 3-4 times a day. Remember, a clean wound heals better and faster.

Avoid brushing the surgical site for 5 days, brush your other teeth normally.

It is our desire that your recovery be as smooth as possible. If you have any questions or concerns about your progress or any symptom you are experiencing, please call our office at +91 80 6959 7000

Biopsy

After a biopsy procedure, there are several instructions to follow to avoid any post-operative complications. The day of surgery, do not disturb the surgical site. We recommend that you rest and keep your head elevated 30-45 degrees that day (Example: prop your head up on two pillows). You may see sutures or where the area was cauterized by the electrocautery/ laser, this is normal.

Bleeding/Swelling

Once you leave the office, change your gauze every 30-45 minutes until the bleeding has stopped. Make sure you moisten the gauze with cool water before placing it into the mouth to keep it from sticking to the site. Proper placement and pressure of the moist gauze should slow and stop the bleeding.

Swelling is to be expected and usually reaches its peak around 48-72 hours after surgery. To minimize swelling, make sure you continue salt water rinses 3-4 times daily as well as your pain pills as directed. Ice chips/popsicles will help soothe the areas in your mouth. If you had a biopsy of the lip, use an ice pack.

Pain Medicine

There are several ranges of discomfort that are normal once sensation returns. The tongue can be somewhat unpredictable. If you had a procedure on the tongue, it is not uncommon to have a great deal of discomfort when the numbness wears off, but it usually wears off fairly quickly after it peaks. You should begin taking your prescribed pain medication 2-3 hours after your surgery. This will get you ahead on the pain since your numbing medicine should last anywhere from 4-6 hours after surgery. If you were given analgesics/ pain killer, please take it 3 times daily for a minimum of 5 days to help with pain. Even if you are not in pain, continue it to help minimize swelling and delay soreness.

Diet

Once the bleeding has stopped and the sensation has come back, be sure to drink plenty of fluids to stay hydrated. Avoid hot liquids or foods for the first day. Soft foods and liquids can be eaten on the day of surgery, and should continue for the first 5 days. (Examples: applesauce, yogurt, pudding, mashed potatoes, soup, etc.)

Oral Hygiene

Good oral hygiene is critical to the healing process. The evening after your surgery, it is OK to lightly brush your teeth but you need to stay away from the surgical sites. We recommend NO RINSING until the day after your surgery. Warm salt water rinses should be used at least 4 times a day. By “salt water”, we recommend a teaspoon of salt in a cup of warm water.

Possible Complications

  • If you experience numbness of the tongue/lip/chin, there is no need to worry. This is usually temporary and will return to normal. Nerves can be bruised when working in the mouth and it takes a little longer for the sensation to return to normal. Just remember to be careful so you don’t bite your tongue/lip/cheek.
  • Nausea/vomiting can sometimes occur after surgery. If you experience either of these, please call our office and we can get a prescription called in.
  • You should always be careful the day of surgery when getting up to use the restroom, etc. lightheadedness can occur very easily once you have been sedated. Be sure to have someone stay with you for 6-8 hours after surgery to avoid falling or passing out from being dizzy.
  • Occasionally patients may feel something that feels like a root left behind in their mouth. These hard areas are the bony walls that surrounded the tooth before it was removed. They usually smooth up over time but if not, we can remove them.
  • Slight elevation of temperature after surgery is not uncommon. Tylenol or Ibuprofen should be taken to reduce the fever. If the fever persists, contact our office.

It is our desire that your recovery be as smooth as possible. If you have any questions or concerns about your progress or any symptom you are experiencing, please call our office at +91 80 6959 7000.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days, you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately at +91 80 6959 7000.

After the Removal of Multiple Teeth

A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.

For pain use the prescription given to you. If the pain does not begin to subside in 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt water rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One-half teaspoon of salt in a glass of lukewarm water.). After you have seen your dentist for denture adjustment, take out denture and rinse 3 to 4 times a day.

Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.

The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur, all of which are considered normal:

  • The area operated on will swell reaching a maximum in two days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 hours only).
  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2-3 days.
  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify our office.

If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.

Need Help with Dental Advice?

You can now book a doctors’ appointments online