» Ingeneral, the sur disturbed during the surgery (unless otherwise directed) + Please begin cinsing with Peridex mouth rinse the morning after surgery. Rinse with 8 % cap full in the morning and evening. inge with warm salt water as carefully "swab" the surgery site. Special Instructions: ‘0 For SINUS LIFT procedures: do not blow your nose. If you need to sneeze, please sneeze with your mouth open. Do not attempt to hold it in. if your nose feels congested, please use Sudafed and Afrin nasal spray as directed. (© For BONE GRAFT and TISSUE GRAFT procedures: do not chew or bite into solid hard foods until further instructed at your first post-operative appointment. This can harm your surgery results. Ifyou are advised to refrain from brushing the surgery site, you may Qctip swab here. Also, please do not chew gum. (© For CROWN LENGTHENING procedures: begin brushing the surgery area as soon as possible. (© Ifyou have been given a temporary removable prosthesis to replace a missing please take It out at night in water. Also, please be i fit of the appliance, as the expected swelling of the surgery site may affect the comfort of the fit, Yogurt lee Cream Soft Steamed Vegetables Baked Potato, Baked or Broiled Fish or Chicken Soft Fruits: Bananas, Applesauce, Cantaloupe, Grapes, Pineapple, Honey Dew, Oranges, ‘Watermelon Oatmeat Pancakes Scrambled Eggs Foods to Avold: Popcorn Nuts Chips Grits Sesame Seeds Strawberries Spicy Foods Highiy Acie Foods (i. tomato sauce) All foods should be room temperature or cold {not frozen) forthe First 28 hours after surgery. Dr. Elizabeth Abell Diplomate ofthe Anerican Board of Dental Sleep Medicina 40 Okatie Center Blvd, ° - Okatie, SC 29909 843-706-9662 \www.harborpointdentistry.comPost Operative Instructions 20 Not: For the first 24 hours following your surgical procedure, DO NOT: + spit + Smoke. + Suck through stravis or rinse vigorous Do not create any “sucking™aetion in your mouth Discomfort: Periodontal surgery like any other surgical procedure, may be associated with varying degrees ‘of discomfort, depending on the type of procedure and individual differences. Discomfort usually begins several hours after the procedure, as the local anesthesia wears off. To minimize discomfort please 60 the following: + Take up to 800mg of Ibuprofen (Advil or Motrin), or up to (4) 200mg Ibuprofen tablets, every 8hours. Do not exceed this, ‘amount, ast is the maximum recommended daily dose. Ibuprofen works best ifs taken before the numbness wearsoff. + Take any prescristion pain relievers provided as directed. These medications ‘may cause nausea or vomiting, 50 be sure to take them with food and a ful glass of water. after several days, with peak swelling occurring 48 hours after surgery. To minimize swelling, be sure to do the following: + Apply an ice pack to the outside of the face immediately following surgery for 15, minute intervals (15 mins. on, 15 mins. off) for the frst 24 hours. + When lying down, keep your head elevated + Any unusual or large swelling or marked rise in temperature should be reported to our office immediately ‘You can expect minor bleeding or oozing from the surgery site for the frst 24 hours following surgery. Keep gauze pressed against the surgery site, ‘changing the saturated “red” gauze out until the gauze shows a lighter and lighter “pink” tinge. sudden or excessive bleeding occurs, rinse your ‘mouth'several times with cold water and apply several moist gauze Squares or a tea bag with firm pressure to the area for 15-30 minutes (tea has tannic acid that promotes blood clotting). ifthe bleeding does not stop, please contact our office. o Following periodontal surgery, itis necessary to eat ‘diet of soft foods for your comfort and to protect the surgical area. Its also important to maintain a diet with normal calorie intake levels that is high in protein, minerals, and vitamins to support healing. ‘When selecting appropriate foods, see the included Ist of food suggestions and remember the following: ‘+ Soft, cool foods that require litle to no chewing are tolerated best immediately lowing surgery. + Avoid any foods or liquids that are hot in temperature onthe frst day. This may stimulate bleeding + Supplements such as Carnation Instant Breakfast and Ensure provide excellent nutrition and are highly recommended during the fist week + You may place foods in a blender to reduce them toa soft consistency + Drink plenty of Fluids. + Avoid foods that are erunchy, spicy, oF hight aig (such as tomato sauce. After leaving the office, relax as much as possible for the rest of the day. If oral or intravenous sedation was utilized, you are prohibited from driving a vehicle that day. Avotd strenuous activity for the next few days, as this may stimulate increased bleeding. Take it easy and let your body begin the ling process. As always, let common sense itis extremely important that you do not smoke ‘during the post-surgical period. Wound healing be delayed. Moreover, the success of your periodontal treatment will be compromised. Chewing um: Absolutely not! Alcohol Avoid all alcoho! until after your one-week post operative visit. Antibioties: If you have been prescribed an antibiot rote the following: + Itigimperative that you use the entire prescription. + Ifyou have any problems with the antibiotic hives, itching, rash, diarrhea, etc- please discontinue the medication and contact our office. + For women, antibiotics may reduce the efficacy of some birth control medications. Alternative birth control methods should be used while taking antibiotics. Oral Hygiene: {tis important that you maintain your mouth in as clean a state as possible during the healing phase to keep the overall bacteria levels at a minimum. This will expedite your healing process. + So, continue to brush and floss all untreated teeth as usual