Surgical instructions for Guyette Facial & Oral Surgery Center
At the Guyette Facial & Oral Surgery Center, we want our patients to be as comfortable as possible. We are providing the following information that should help you understand what to expect before your procedure and during your recovery. Dr. Guyette may give some patients additional instructions based on each patient's individual needs. If you have any questions regarding these instructions, please feel free to contact our office.
Before Intravenous (IV) Sedation:
The patient may not have anything to eat or drink (including water) for six (6) hours prior to the appointment time except to take your normal medication or the medication prescribed by this office.
A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home after the procedure.
The patient should not drive a vehicle for 24 hours following anesthesia or operate any machinery for 24 hours following anesthesia or for 4 hours after taking narcotic pain medication.
The patient should wear loose fitting clothing with short sleeves or sleeves that can be rolled up above the elbow. Contact lenses, jewelry, and dentures should be removed before the time of surgery.
After Extraction of Teeth
Bite firmly on the gauze until normal feeling returns to your lip and tongue. This allows for proper clot formation and prevents biting of the cheek, lips, or tongue. Once feeling returns to normal, remove gauze and drink or eat something light. You may then take medication. REMEMBER-do not drive for 4 hours after taking prescription pain medication.
Do not replace the gauze packs unless you have abundant red bleeding. Slight oozing is normal and can continue throughout the day and into the night. Persistent bleeding can be stopped by placing a moistened tea bag on the wound and biting firmly for approximately 90 minutes without changing.
For the first 24 hours DO NOT rinse your mouth. DO NOT use straws for one week, as this can dislodge the blood clot. If this happens, a "dry socket" can develop and this will be painful. You can gently brush and floss the night of the surgery.
After 24 hours you should start the salt water rinses to aid healing. Use 1/2 tsp of salt in a half glass of warm water and gently allow this solution to fall out of your mouth-do not spit.
ON DAY 7, begin to gently irrigate the surgery site with a syringe ( if provided). Irrigate 4 times a day until completely healed.
Smoking increases the risk of a dry socket as well as delays healing. It is strongly recommended that you discontinue smoking for at least 3-5 days following oral surgery.
Swelling is normal. In certain instances, medication is given before surgery to minimize swelling. Cold packs (bags of frozen peas or crushed ice) can be used for the first 24 hours. Place the cold pack on the area for 20 minutes on and 20 minutes off. Elevate your head for the first 3 to 4 days. Laying flat or bending over may increase swelling.
Dry Socket-should the blood clot become dislodged, bone which held the tooth in place is exposed. This causes a constant aching type of pain which usually begins 3-5 days after surgery. If you are initially doing well but then develop severe, persistent pain, contact our office. A dry socket is treated in our office with the placement of medicated packing. This packing will need to be changed every 2-3 days for about 7-10 days. A dry socket is not an infection and does not influence the long term healing process.
Nutrition-adequate nutrition is a very important part of the healing process. The evening of surgery, you may eat soft foods, such as pasta, fish, chicken, mashed potatoes, oatmeal, eggs, soups, protein shakes, Ensure, instant breakfast, pudding, yogurt, ice cream, smoothies (no straws), cottage cheese, macaroni and cheese...just to list a few. AVOID FOODS WITH SEEDS, POPCORN, RICE, ETC.
Activity-light exercise, such as evening walks, can begin the day following the surgery but do not lift heavy objects, bend, or return to strenuous activity for at least one week. The return to normal activities depends on your age and the extent of the surgery.
Orthodontic retainers-resume wearing the night of oral surgery unless painful. If wearing a retainer, or other removable dental appliance causes soreness, wait one or two days and try again.
IF A BONE GRAFT WAS PLACED-for later placement of a dental implant, expect that a few bone particles will escape over the next several days. A tan color membrane is placed over the extraction site to hold the particles in place. This membrane and the sutures will dissolve over the next two weeks. AFTER 24 hours, gently rinse with salt water twice daily for 2-3 weeks in addition to normal brushing and flossing.
If you have any further questions or concerns, please feel free to contact our office.
“On the night of my procedure, Dr. Guyette called me to see how I was feeling. I thought that was magnificent and it was greatly appreciated! I felt very cared for!” Gordon Stein