Please read all the instructions prior to your procedure:
- ALL ON 4 – general sedation
- ALL ON 4 – iv sedation
- Biopsy Surgery
- Bone Grafting
- Canine Exposure
- Soft Tissue Graft
- Sub-Epithelial Connective Tissue Graft
- Pedicle Grafts and Coronally Repositioned Flaps
- Implant Surgery
- Implant Uncovering
- Mono-Coricle Onlay Graft
- Ossecous Crown Lengthening
- Scaling & Root Planing
- Sinus Elevation
- Tooth Extraction(s)
Preparing for Your Procedure:
- Pick up your prescriptions: Begin taking your antibiotic the day of surgery. Take all your regular medications as prescribed by your physician, unless otherwise instructed.
- Antibiotics: It is advised to take an over-the-counter probiotic to help prevent intestinal upset. For women taking birth control pills, please be aware that oral anitbiotics may interfere with oral Be advised to use supplemental methods of contraception until you have finished taking your antibiotics.
- Make arrangements for transportation and care: If you have elected to have oral conscious sedation, arrange for a responsible adult to bring you to your appointment and take you home after wards. It is recommended that this is someone you know and trust, such as a friend or family member.
- Stock up on soft foods: Scrambled eggs, yogurt, apple sauce, ice cream, oatmeal, pasta, soup, tuna or chicken salad, and meal replacement shakes are ideal. Avoid foods that are spicy, acidic, hard or crunchy. Allow hot food to cool before eating. If you are unsure how to plan post-operative meals for your particular procedure, call us for advice.
- Clear your schedule for 2-3 days after surgery: Allow yourself adequate time to recover. You may want to take a day off work the day after surgery. If you have small children, you may want to arrange for someone to help with child care for the first 24-48 hours. Do not plan any trips that will require you to leave the city for a week after surgery. Get plenty of rest and resume normal activities as you are comfortable. You should not perform any vigorous excursive or activities for at least 2 days following your procedure.
- Dress comfortably: Wear loose-fitting comfortable clothing. Avoid wearing heavy make-up. Feel free to bring your iPod or MP3 player to listen to during your procedure.
- Discomfort after surgery: You may experience moderate discomfort after anesthesia wears off. Most of the discomfort should be controlled by taking the prescribed pain medication. If pain medication does not keep you comfortable, call Dr. Wilde. It is normal to have increased soreness for 3-4 days following surgery. You may also experience tooth sensitivity to cold, hot, or air that will slowly subside after a few weeks. If teeth remain sensitive, call our office for further instruction.
- Smoking: Do not smoke for 2 weeks following surgery.
- Supplements: Do not take any over the counter supplements including (but not limited to) fish oil, ginkgo biloba, omega supplements, garlic, ginseng, turmeric, St. John’s wart, or ginger for 3 days before your scheduled procedure as they may increase your risk of bleeding and other complications.
- Additional Instructions for Sedation:
- Do not eat or drink anything 6 hours prior to surgery
- Do not wear tight clothing on the day of appointment. Wear a short-sleeved shirt or blouse and comfortable clothing
- Do not wear fingernail polish or acrylic fingernails.
- Be sure that a responsible adult accompanies you on the day of the appointment to drive you to and from your appointment
- If you have any questions regarding your specific instructions simply call or email our office.
- No brushing, flossing, or waterpik near the surgical area until Dr. Wilde has determined it has healed adequately. For some procedures this may be up to 6-8 weeks.
No looking. Do not pull or lift your lips to see the surgical area. This can unintentionally move the surgical area and disrupt healing and compromise results. It is impossible to look at the surgical area without pulling on the cheek. Do not obsess over or question about appearance of gums for 6 weeks.
No Touching. Do not touch the surgical area with finger or any other device or object.
No Licking. Do not lick the surgical area or touch with tongue
Do not sleep with hands under cheek where surgery was done
No wind instruments, scuba diving, or snorkling for up to 6 weeks after surgery, depending on your procedure.
No Chewing in Surgical Area. Avoid hard, sharp, crunchy, or sticky foods. Chew on the opposite side.
No Straws & No Spitting. This may cause additional bleeding, loosen any grafts that may have been placed, or move the surgical area, disrupting healing and compromising your results.
Do not pull on your stitches. If they become loose simply cut the loose end with sharp scissors or call our office and arrange to come in and have them trimmed for you.
No Smoking, Chewing Tobacco, Cigar, Pipe, or Recreational Marijuana for 6 weeks
Do not wear any appliances such as retainers or bite guards for 6 weeks unless otherwise approved by Dr. Wilde. If you have concerns about not wearing your appliance, discuss with Dr. Wilde.
Ice. Applying an ice pack to the cheek near the surgical area for 20 minutes on and off for the first 48 hours after surgery will help to reduce swelling.
No Exercise. Allow yourself adequate time to recover. Get plenty of rest and resume normal activities as you are comfortable. You should not perform any vigorous exercise or physical activities for at least 3 days following your procedure.
- Expect some cold sensitivity for 6 weeks, sometimes longer. Be sure to report any sensitivity at all post-operative follow up visits.
Bleeding: A little bleeding or oozing the day of surgery is to be expected. If you continue to bleed, use gauze or a tea bag and apply firm pressure to the area for 10 minutes. If bleeding continues call Dr. Wilde.
Swelling And Bruising: Mild to moderate swelling or bruising is to be expected, peaking approximately 3 days after surgery and lasting about 3-4 additional days. Within one week most swelling or bruising should be resolved. While swelling is a normal post-operative occurrence and should not raise alarm, notify our office immediately if your experience severe or prolonged pain, or if the area begins throbbing without relief from your prescribed pain medication.
Take All Medications As Prescribed: Call immediately if you have unexpected pain, continuous bleeding, heat or severe pain in the surgical.
- Call the office if you have any questions about your medications.
- Do not take your medications on an empty stomach as this may cause nausea.
- If nausea becomes severe and pain medication is still required, call Dr. Wilde for a nausea reducing medication.
- Stop taking your medications and call the office if you develop an adverse reaction such as rashes, hives or diarrhea.
- Do not drink alcohol while taking pain medication.
- Take an over-the-counter probiotic to help prevent intestinal upset.
Considerations For Women: For women taking birth control pills, please be aware that oral antibiotics may interfere with oral contraceptives. Be advised to use supplemental methods of contraception until you have finished taking your antibiotics. If you suspect you may be developing a yeast infection or are prone to yeast infections when taking antibiotics, call our office for an anti-fungal medication.
Dr. Greggory Wilde, Periodontistat Lowell Street Dental Implant and Surgical Center in Silverdale,WA
Serving the Olympic Peninsula, Kitsap County & Jefferson County communities including Silverdale, Bremerton, Bainbridge Island, Port Angeles, Poulsbo, Sequim & Port Orchard WA Serving Silverdale, Bremerton, Port Orchard, WA