After Gum Surgery
These instructions apply to the surgical procedure just completed. They are designed to help you minimize post-surgical discomfort and inform you of any situation that may require special attention.
It is not unusual to have discomfort for at least the first one to two weeks following your surgical procedure(s). You will be given a prescription(s) for pain medication to help you tolerate the post-surgical recovery period. Please take your medications as directed. If necessary, you may take your pain medication more frequently than every 4-6 hours to stay ahead of the soreness. It is advisable to not take pain medication on an empty stomach, as nausea may result.
As an alternative to prescription medications, some patients have found taking a combination of over-the-counter Ibuprofen and Tylenol to be effective. You may take the combination in either of the following dosages: 3 Advil Liqui-Gels and 2 Regular Strength Tylenol or 3 Advil Liqui-Gels and 1 Extra Strength Tylenol, every 4-6 hours as needed.
Note: When taking any prescribed medication containing Acetaminophen (Tylenol), i.e.; Percocet, Hydrocodone, Vicoden or Tylenol with Codeine, you should not take additional Tylenol so as not to exceed the safety level of Acetaminophen. Please contact the office with any questions you may have.
Please alert the office to any allergies or sensitivities that you might have to antibiotics. An antibiotic may be prescribed following your surgical procedure. Take as directed until gone. Do not stop your antibiotic regiment short as this can create antiobiotic resistant bacteria in your body. It is advisable not to take these medications on an empty stomach, as nausea may result. For women taking birth control pills, be advised that antibiotics may interfere with their effectiveness.
Swelling may occur following your surgical procedure and will typically increase 2-3 days after the procedure. After 72 hours, the swelling should begin to subside. To minimize the swelling, place an ice pack over the outside cheek area for 20 minutes on and 20 minutes off. Continue using ice for 2-3 days following the procedure as often as possible.
A small amount of bleeding is normal and oozing can occur for the first 24 hours. If excessive or continuous bleeding occurs:
- Do not rinse your mouth.
- Elevate your head when lying down.
- Apply moistened gauze to the immediate area with moderate pressure for 20 minutes; repeat if necessary.
- Enclose a moistened tea bag in a gauze square and apply pressure for 20 minutes.
- Call the office if bleeding persists.
Until comfortable, avoid chewing on the side where surgery was completed which may last up to 1-2 weeks. Avoid hot foods and liquids for approximately 1 hour following the surgery as you may still be numb and can injure yourself. A soft diet is recommended. Foods such as cottage cheese, oatmeal, soup, eggs, yogurt, pasta, mashed potatoes, casseroles, and fruits are more easily eaten. Remember, adequate nutrition is essential for feeling better as well as for healing.
Do not smoke for at least 2 weeks following your surgical procedure. It will significantly slow healing and can compromise results.
Do not drink alcohol while taking prescription pain medications. Alcohol can be dangerous when taken in combination with Acetaminophen conatining drugs and antibiotics like Metronidazole.
Do not rinse for the first day of treatment. After that, you may use the prescription mouth rinse or salt water. Repeat as necessary to help keep the surgical site clean.
Do not brush the surgical site until you see your doctor for a post-op examination. You may resume normal brushing/flossing in other areas the following day.
You may notice increased discomfort 3-4 days after the surgical procedure. As the tissues begin to heal, they may pull against the sutures and dressing. You may choose to take some form of pain medication one hour prior to your suture removal appointment to minimize tenderness. If you are a patient for whom Antibiotic Pre-Medication is required, take the prescribed antibiotics 1 hour prior to your suture removal appointment.
Should you have any questions or concerns during regular office hours, please do not hesitate to contact us at Campbell Office Phone Number 408-371-7616.