Post-operatory Instructions

  • Avoid exercise for the first 48h;
  • Soft and cold diet for the first 24-48h;
  • Avoid very hot places and keep your head upright;
  • Avoid talking too much;
  • When you go to sleep, use an extra pillow to keep your head more upright;
  • Keep a good oral hygiene, as recommended by your dentist;
  • Avoid thorough mouth washes and do not spit for the first 48 hours;
  • Take your medication correctly.

Possible Reactions:

  • You may notice some swelling around the operated area;
  • Small amount of bleeding is normal – avoid spitting, use a sterile gauze with pressure for 30 minutes;
  • You may notice bruising around the area;
  • You may experience some mild difficulty when swallowing and to open your mouth;
  • Most symptoms will improve shortly after the sutures are removed;
  • If you have any questions please let us know.

If you have severe hemorrhage, very strong pain and swelling, fever or any reaction to the medication given to you please contact us immediately.

Recover well!

  • Do NOT manipulate the treated area for 3 hours following treatment. Do NOT receive facial/ laser treatments or microdermabrasion after Botox injections for at least 10 days. Ask your provider if you are not sure about the time frame of certain services.
  • Some providers believe that smiling and frowning right after Botox treatments helps the Botox find its way to the muscle into which it was injected after treated.
  • Do NOT lie down for 4 hours after your Botox treatment. This will prevent the Botox from tracking into the orbit of your eye and causing drooping eyelid.
  • It can take approximately 4 to 7 days for results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional Botox.
  • Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the Botox in the injected area and not elsewhere.

Tooth whitening is a very efficient procedure. Once you've completed a whitening treatment, there are a few steps you can take to maintain your whiter smile.

  • What you need to do for the next 24 hours:
  • Drink milk, water, or any drinks without colorings and not acidic;
  • Food: give preference to food that doesn't contain colorings;
  • Brush your teeth with soft tooth brush and a tooth paste for sensitive teeth;
  • If your teeth are very sensitive, apply a small quantity of toothpaste for sensitive teeth over the area.

What you should avoid for the first 24 hours following in office whitening or throughout the home whitening procedure:

  • Any dark drinks with too much tanning such as red wine, colas, coffee, tea;
  • Avoid mustard, ketchup, soy-sauce
  • Smoking tobacco can cause teeth to become discolored. Eliminating tobacco can help keep your teeth bright particularly during the treatment.
  • Avoid dark lipsticks;
  • Basically: avoid anything that would stain a white shirt.

DO NOT DISTURB THE AREA: For the next few days, and especially the first 24 hours, it is very important to allow your body to form a good clot and start the natural healing process. Swishing, sucking through a straw, and smoking can all dislodge the clot. Keep anything sharp from entering the wound (crunchy food, toothpicks, eating utensils). Be sure to chew on the opposite side for 24 hours.

1. BLEEDING

When you leave the office, you might be biting on a gauze pad to control bleeding. Keep slight pressure on this gauze for at least 30 minutes. Don't change it during this time; it needs to remain undisturbed while a clot forms in the extraction socket. After 30 minutes, you may remove it. You may bite on another gauze or a tea bag for another 30 minutes if you feel it is still bleeding. Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and may be noticed the rest of the day after the procedure.

2. SMOKING

Smoking should be stopped following surgery. Healing and success of the surgery will be substantially reduced by the cigarette smoke chemicals in your body. Also, the suction created when inhaling cigarettes can dislodge the clot. Smokers are at greater risk of developing a painful Dry Socket or compromising the healing process of grafts and implants.

3. PAIN

Some discomfort is normal after surgery. To minimize pain, take two Tylenol, Nuprin, Advil, or similar non-aspirin pain reliever every 3 to 4 hours until bedtime to maintain comfort. Take it before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Don't exceed the dose on the label. Taking with food or milk will help reduce upset stomach. Do not drink alcohol while taking prescription pain medications.

4. NAUSEA

This is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food, and taking the pill with a large glass of water.

5. SWELLING

Applying an ice bag to the face over the operated area will minimize swelling. Apply for 15 minutes, then remove for 15 minutes. Continue this for the first day.

6. NUMBNESS

The local anesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch, or scratch the numb area. Sometimes the extraction causes residual numbness or tingling for six weeks or longer.

7. BRUSHING

Do not brush your teeth for the first 8 hours after surgery. After this, you may brush your teeth gently, but avoid the area of surgery for 3 days.

8. RINSING

Avoid swishing for 24 hours after extraction. Rinsing can disturb the formation of a healing blood clot which is essential to proper healing. This could cause bleeding and risk of dry socket. After 24 hours you may begin gentle rinsing with a chlorhexidine mouth rinses.

9. DIET

Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.

10. ACTIVITY

After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing.

11. ANTIBIOTICS

If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.

12. SINUS

If your sinus was involved in the procedure, you should avoid blowing your nose or playing a wind musical instrument for one week. Use of decongestant medications might be recommended.

13. FOLLOW-UP APPOINTMENTS

You may need to return to the office to have sutures removed, or just for a brief follow-up healing check.

Please call your dentist if you have:

  • uncontrollable pain
  • excessive or severe bleeding
  • marked fever
  • excessive warm swelling occurring a few days after the procedure
  • reactions to medications, especially rash, itching, or breathing problems

Following these instructions very closely will greatly help your comfort, and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the success of the procedure may be affected.