2763 DANFORTH AVE. TORONTO, ON, 416-699-5577

Post-op Treatment

POST-PROCEDURE INFORMATION AND ADVICE

Post-Operative Procedures

For any post-procedure problems or questions, please contact our office at 416-699-5577.

Swelling, Bruising & Discomfort

Considerable swelling of the face and neck may occur. Swelling may increase for 72 hours and then gradually subside over approximately one week.

Bruising of the neck and chest may occur. Do not apply any heat to the face. Ice packs should be utilized at intervals of 15 minutes for the first 36 hours.

If symptoms have not improved by the fifth day, please contact our office at 416-699-5577.

Limited Mouth Opening

This normal protective mechanism usually occurs following oral and maxillofacial surgery, and can last between seven to ten days. Your jaw muscles may have become stiff and sore from holding your mouth open during surgery.

If your jaw muscles are not too sore, massage them gently with a warm, moist facecloth. Eat foods that are easy to chew, such as eggs, pasta and bananas. Have drinks like milkshakes, milk and juices.

If the problem persists, please call our office at 416-699-5577 to schedule a follow-up appointment.

Temperature Elevation

After oral surgery, it is normal to see an increase in temperature to 102 degrees Fahrenheit or 39 degrees Celsius for one to two days after surgery.

If your temperature goes higher than this or lasts beyond the first two days, please call our office at 416-699-5577.

Stitches

Stitches may be placed on the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged; this is no cause for alarm. Just remove the suture from your mouth and discard it.

Most stitches will dissolve over four to five days but if the removal of sutures is required, no anesthesia or needles are needed. It takes only a minute or so, and there is no discomfort associated with this procedure.

If you have any concerns, please call our office at 416-699-5577.

Bleeding

A small amount of red-coloured fluid mixed with saliva is normal after surgery. Smoking should be avoided. If you have a flow of blood or if bleeding persists, look in the mirror to determine the source of the bleeding and then place a gauze pad or a fresh, moist teabag wrapped in gauze over the bleeding spot. Bite on this, or apply pressure with your finger.

Eat soft substances like Jell-O, mashed potatoes, ice cream and bananas.

If there is still a flow of blood, please contact our office at 416-699-5577

Spitting/Smoking

Avoid sucking (e.g., through straws), spitting, blowing your nose and sneezing.  Positive or negative pressure could dislodge the healing tissue and blood. If you have a cold, allergies or anything that may cause you to want to blow your nose or sneeze, take appropriate medications to treat these.

Try not to smoke for as long as possible afterwards, but at the very least for the rest of the day. Smoking can interfere with the healing process, and the sucking motion could dislodge the blood clot.  Patients who smoke have more complications with healing than patients who do not smoke.

Oral Hygiene

Rinsing of the mouth should be started very gently on the day after surgery as vigorous rinsing could disturb the healing process. Rinsing can become more vigorous as healing progresses.

Rinse either with 1/2 teaspoon of salt in one 1/2 glass of water or the prescribed rinse for one week. Begin brushing your teeth when comfortable enough to do so.

If you notice dry or chapped lips, lubricate your lips with Vaseline or any bland ointment.

Diet

Refrain from eating, drinking or rinsing for three hours after surgery. Your jaw may be stiff, or your throat sore, so it may be difficult to eat following oral surgery.

You will be able to drink and may be able to eat soft foods. Drinking should begin on the same day as your surgery. Drink soups, such as chicken or beef broths, water, fruit and vegetable juices, and powdered food supplements.  Drink as much as you can in order to prevent dehydration.

Avoid hot liquids on the first day. Small amounts of liquid should be taken frequently. A regular diet can be resumed as soon as it can be comfortably managed. Do not use a straw to drink as the sucking action may cause bleeding.

Medications

Take the medication prescribed as directed. Your pain medicine should keep you reasonably comfortable and is best taken with fluid or food in your stomach.

For mild pain, Aspirin, Advil, Tylenol or 222’s may be used. Pain medicine may cause some dizziness; do not drive. Antibiotics should be taken until the full prescription is finished.

For nausea or stomach upset, Gravol can be taken with your medication. If a rash, severe stomach cramps or diarrhea occur, stop taking your medicine and call our office.

Females who are taking birth control pills and antibiotics at the same time should know that the combination of these two drugs might cause birth control pills to become ineffective as a contraceptive method. Pregnancy may occur if alternative methods of birth control are not used.

The codeine in pain medicine can be constipating. If this occurs, a mild laxative such as Milk of Magnesia may be taken.