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POST-OP INSTRUCTIONS
The following items are covered in this section:
- INSTRUCTIONS FOR TAKING
MEDICATIONS
- POST SURGERY INSTRUCTIONS
- FILLINGS (POST OPERATIVE
INSTRUCTIONS)
- CROWN (CAPS) AND BRIDGE INFORMATION
- ROOT CANAL THERAPY (POST
OPERATIVE INSTRUCTION)
- DENTURES AND PARTIALS
- ROOT PLANNING AND CURETTAGE
OR
OSSEOUS (Bone) SURGERY
INSTRUCTIONS FOR TAKING MEDICATIONS
Take the medication exactly as prescribed so
it will accomplish what its meant to. If you are given a prescription
for antibiotics like Penicillin, Clindamycin, or Keflex, take
it as scheduled around the clock, even at night time.
It is easiest to take it before you retire at night, first
thing in the morning, then at lunch and finally at dinner.
However, continue taking the antibiotics until the tooth or
infection is taken care of even if you have to get the prescription
refilled.
For pain medications, do not
take it on an empty stomach because it will make you nauseous.
Any pain medication should not be taken with alcohol, and
operation of any machinery or driving should be done with
great caution or not at all.
If an allergic reaction occurs, like
rash, hives, or itching stop taking the medication and call
Dr. Paul Szott or your Physician. If difficulty breathing
occurs call 911 because you need immediate emergency medical
care.
Warning!!
Many antibiotics commonly used in dentistry interfere with
the action of oral contraceptives and can result in unexpected
pregnancies.
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POST SURGERY INSTRUCTIONS
- Bite firmly on gauze for (2) hours following
surgery. If bleeding continues, replace guaze with another
as provided and maintain pressure for another 30 minutes.
Some oozing of blood is normal and it may persist until
the next day. Do not replace gauze if there is no active
bleeding.
- Apply an ice pack to the side of your face
where your surgery was done for six (6) hours (20 minutes
off, 20 minutes on). To avoid damage to your skin from the
ice, make sure there is a cloth between the ice and your
skin.
- Do not rinse your mouth out with anything
for 24 hours.
- 24 hours after surgery, begin rinsing your
mouth gently with warm ( not hot) salt water. Do Not
rinse vigorously, this may initiate bleeding. Rinse
4-5 times per day for 4-5 days. Use approximately
1/2 teaspoon salt in 8 ounce glass of warm water.
The use of commercial mouthwashes during the healing period
is not encouraged.
- Do not drink any alcoholic or carbonated
beverages for one (1) day.
- Do not smoke cigarettes or drink through
a straw for 48 hours. The suction in your mouth can dislodge
the blood clot.
- Take the medication prescribed for you, according
to the directions.
- If you had sutures placed in your mouth you
must return to the office when instructed to have them removed.
- You should eat soft foods for a few days
because your gums will be sore. Begin a regular diet when
it is comfortable for you.
- Do not brush your teeth in the first day,
instead use a wet cloth to wipe teeth surfaces, gums, and
tongue, is the second day, you may carefully brush in the
area of the mouth not involved by the surgical procedure.
A clean mouth heals faster.
- Some swelling and pain often occur
following oral surgery. However, if you have excessive
bleeding, pain, fever, or other severe problems, get in
contact with the office immediately. We will be available
24 hours a day should a question arise.
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FILLINGS (POST OPERATIVE INSTRUCTIONS)
You may experience some thermal sensitivity, particularly
to cold. This should subside over a few days or weeks.
Any sensitivity that presents longer than a few days or weeks
or is more severe than just "mild" or hurts when you
bite or chew on the tooth, may indicate a more serious condition,
please call Dr. Szott so he can check it promptly. Often,
when decay reaches the pulp (nerve) of the tooth (an exposure)
we try to "direct pulp cap", sometimes allowing the
pulp to heal itself. Nevertheless, this can still lead to the
need of a root canal treatment, particularly if the pulp
was infected by the decay. Any pin build-up filling should
have a crown (cap) placed over it as soon as possible.
Your gums may be slightly sore, but don't let this deter you
form practicing good home care.
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CROWN (CAPS) AND BRIDGE
INFORMATION
Thanks to modern technology we have been able to construct
a temporary crown or bridge, while you wait for your permanent
to come in from the lab. Because this was constructed
chair side and is only meant to be temporary, the crown or bridge
may, or may not, match the color, smoothness or bite of your
original teeth. Your final crown or bridge will resemble
your natural teeth in color, shape, bite and smoothness to the
feel of your tongue an lips. The temporary crown or bridge is
cemented in place with an adhesive that will enable it to be
removed with minimum effort. For this reason, it might
come loose. If this happens, please call Dr. Szott.
In the meantime, replace it if possible with vaseline or toothpaste
as a temporary cementing agent. The final crown or bridge
will be cemented to the prepared teeth with special dental adhesive
that is designed to attach the crown or bridge firmly and permanently.
We must stress that the function of the temporary crown or bridge
is not only to protect the prepared teeth, but also keep them
in the position they were in when the impression for the permanent
crown or bridge was taken. The gums may be sore and tender for
a few days, however, continue with proper home care of brushing
and flossing (pull the floss out the side), and warm salt water
rinses. Work with us during this brief period of inconvenience
and the final results will be rewarding and satisfying.
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ROOT CANAL THERAPY (POST OPERATIVE
INSTRUCTION)
You have just had root canal therapy and may experience
some tenderness. This is expected and may last a few days
or weeks. Make sure to take any medications exactly as
prescribed. Should you have swelling, fever or severe
pain, please call Dr. Szott promptly. The treated tooth should
have a crown (cap) placed over it to restore shape, esthetics
(appearance) and for stability. The temporary placed in
the tooth will break down quickly and therefor requires a more
stable-type filling. It may require a build-up or post
beforehand to create a stump for a crown.
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DENTURES AND PARTIALS (Post Insertion
Instructions)
It will take time and patience to become comfortable with
your new appliance. You will probably develop several sore spots
at first. Call for an adjustment appointment, but make
sure to wear the appliance 6-8 hours before coming in.
Three, no-charge adjustment appointments are usual. You
may have to cut your food in small pieces and chew evenly on
both sides. When placing partial(s) in your mouth, seat
them in place with finger pressure. Never bite them into
place because you may bend or break them. All appliances should
be brushed three times per day with a toothbrush or denture
brush. Plaque and calculus forms on dentures exactly like it
does on natural teeth. Don't sleep with your appliance in your
mouth. Clean and soak it in water overnight. A cleaning
solution may be added to the water, but this does not replace
brushing the appliance regularly. Let us make any adjustments
on the appliances... please don't "whittle away" a
"high" or "sore" spot. It requires
time to learn to tolerate dentures. Please be patient!
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ROOT PLANNING AND CURETTAGE OR OSSEOUS
(Bone) SURGERY
Pre-Operative Instructions: Root planing and curettage
is a minor surgical treatment performed under local anesthesia
by Dr. Szott or his dental hygienist. Root-planing involves
deep scaling below the gum line to remove a heavy calculus (tartar)
can cause periodontal problems, or pyorrhea of the gingival
tissues and bone tissues. Curettage involves the surface
removal of diseased gingival cells of a periodontal pocket or
deep area around the tooth. The objective of root planning and
curettage is reduction or elimination of inflammation, reduction
or eradication of gingival or periodontal pockets. The
patient's meticulous hygiene care is extremely important, to
aid in healing and further prevent gingival problems.
The regular use of Rotadent toothbrush will make the Root planing
and Curettage more successful and heal much quicker.
Post-Operative Instructions: You have just had
minor/major periodontal surgery. You will experience some
discomfort which can very considerable. Any prescribed
medication should be taken as directed. Soreness should
subside in a few days, but may last several weeks. It
is imperative to continue with immaculate home-care (brushing
and flossing) even through the healing phases to insure proper
results. Warm salt-water rinses are necessary 4-5 times
per day. Should any fever, swelling or severe pain occur,
please contact the office immediately! Bleeding is normal
for up to 24 hours. If any sutures (stitches) or periodontal
dressing is placed on your mouth, gently clean these areas as
well as you can, and rinse with care. Return to my office
in one week for post-operative treatment.
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