Oral Surgical Instructions, Tampa FL

Pre/Post Operative Instructions for Dental Surgeries

The following instructions may be helpful when preparing for your upcoming surgery.  Please do not hesitate to call if you have any last minute questions.  We can be reached at Tampa Office Phone Number 813-264-1258 during regular business hours.

You should receive your pre/post-operative prescriptions when surgery is scheduled and confirmed. Prescriptions may be phoned in or sent electronically for your convenience. Narcotic pain medication cannot be phoned in or sent electronically.  For your convenience, please have your prescriptions filled prior to your scheduled surgery.  If possible, please bring your filled prescriptions with you to your appointment. It may be important to stop taking Aspirin and non-steroidals such as Motrin and Advil, 7-10 days prior to your surgery.  If you are taking Coumadin or another blood thinner, remember to discontinue them as directed by your physician.  If you take an antibiotic premed, please take it as directed before your surgery.  We keep the office cool, so dress warmly. You may bring your iPod or MP3 player with you if you would like.  You will typically feel better if you have eaten prior to surgery, unless you are undergoing conscious sedation.  Conscious sedation requires specific pre-operative preparation outlined below for your safety and well being.

In order to evaluate your progress and healing, we will see you for periodic post-operative checks during the first 1 – 5 weeks.  After surgery, in most cases, we will also look forward to seeing you back for a periodontal maintenance cleaning and an examination of tissue maturation about 10-12 weeks following the surgery or possibly sooner. After that initial healing time, you will be referred back to your general dentist for routine care or any restorative care.

Antibiotics

Please alert the office to any allergies or sensitivities that you might have to antibiotics.  You will be prescribed an antibiotic if our doctor determines it to be necessary.

Sedatives

Anti-anxiety agents or sedatives can be used to help you relax during dental visits. These agents – such as nitrous oxide or tranquilizers – may be given before and/or during dental procedures.  They can be administered in pill form, inhalation or by injection into a muscle or vein.  They are typically used in combination with local anesthetics and pain medications for more involved dental procedures.

Nitrous oxide is an anti-anxiety agent that dentists commonly use to help patients relax.  Because it produces a feeling of giddiness or euphoria, people often call it “laughing gas.”  It is mixed with oxygen and is inhaled through a small mask or nasal hood.  Since it is fast acting, the effects wear off soon after the mask or hood is removed.  It is associated with few side effects.

Sedatives produce a state known as “conscious sedation,” during which you are awake and responsive but calm and relaxed.  Many states, including Florida, require dentists who use conscious sedation techniques to hold a special permit and to use special monitoring devices.   With conscious sedation, you will not fall into a deep sleep but rather feel drowsy and can undergo treatment in a more relaxed state.  You may even forget some portion of the treatment.  Conscious sedation is usually achieved with an oral sedative combined with nitrous oxide, or alternatively, an IV administered sedative which offers more control for greater effectiveness.  The following instructions must be strictly adhered to in preparation for conscious sedation:  You must  not have anything to eat or drink eight hours prior to your scheduled surgery unless directed by the office. Patients who have high blood pressure or other conditions may need to take their morning medication with a sip of water. If you are diabetic be sure to test your blood sugar the morning of surgery. Do not take any insulin unless directed to do so. The office will give you directions regarding medications. You must have a responsible family member or close friend accompany you to and from your appointment. Your escort should stay with you for the  next 3-4 hours postoperatively. We will not discharge you to a taxi or uber driver.  You will not be able to drive or operate  any machinery for 24 hours after your  procedure . Due to the effects of the medications, you should not return to work on the day of surgery or make any important decisions. Your sedation will be cancelled if the directions are not followed.

 Food Suggestions:

When preparing a post-op menu, please consider some of the following choices:

  • Jell-O
  • Bananas
  • Yogurt
  • Pasta
  • Milk Shakes
  • Casseroles
  • Eggs
  • Fish
  • Cottage Cheese
  • Ensure/Slim Fast
  • Soups
  • Pudding
  • Rice
  • Apple Sauce
  • Oatmeal
  • Macaroni & Cheese
  • Mashed Potatoes

Post-operative Instructions

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.

Pain Medications

It is not unusual to have some level of discomfort for at least the first 7-10 days following your surgical procedure.  You will be given prescriptions for medication to help make you more comfortable during the post-surgical recovery period.  Please take your medications as directed.  It is advisable to not take pain medication on an empty stomach, as nausea may result.

Extra Note: When taking any prescribed medication containing Acetaminophen (Tylenol), i.e.; Percocet or Vicodin , 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.

Antibiotics

An antibiotic may be prescribed following your surgical procedure. Take as directed until gone.  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

Swelling may occur following your surgical procedure and will typically increase and peak 72 hours  after the procedure.  To minimize the swelling, place an ice pack on the outside of your face over the surgical area for 10 minutes on and 10 minutes off.  Continue using ice for 3 days following the procedure as often as possible.

Bleeding

A small amount of bleeding is normal.  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 or you are unable to stop it with the above measures.

Dressing

The dressing (which acts as a bandage) is used to protect the surgical site and help reduce discomfort.  If the dressing comes off or is uncomfortable, please call the office for directions.

Diet

Until comfortable, avoid chewing on the side where surgery was completed.  Avoid hot foods and hot liquids for approximately 24 hours following  surgery  to avoid softening the dressing and increasing any bleeding.  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 Use a Straw during the first week after surgery. 

Smoking

Do not smoke for at least 2 weeks following your surgical procedure.  It will significantly slow healing and can compromise results.

Alcohol

Do not drink alcohol while taking prescription pain medications.

Rinsing

You may use the prescribed mouth rinse ( Peridex or Chlorhexadine) as directed. When rinsing, please remember to refrain from agitating the surgical site with vigorous swishing.  Just use the rinse in a soaking manner, and when finished, allow the liquid to drain from the mouth through gravity as opposed to expectorating the contents. Do not swallow the mouth rinse.

Brushing

Do not brush the surgical site.  You may resume normal brushing/flossing in other areas the following day. Do not brush the surgical sites until directed to do so.

Suture Removal

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.***

Contact Us

Should you have any questions or concerns during regular office hours, please do not hesitate to contact us at Tampa Office Phone Number 813-264-1258.