1. Bite on gauze packs for 30-45 minutes, if oozing persists, replace gauze packs for another 45-60 minutes. If bleeding persists or becomes heavy you may substitute a tea bag (soaked in cool water, squeezed damp-dry and wrapped in a moist gauze) for 20-30 minutes. If bleeding remains uncontrolled, please call our office.
  2. Ice may be used over the surgical area (cheek and jaw) 40 minutes of each hour (20 minutes on, 20 minutes off) while awake for the first 24 hours and then discontinue. Protect the skin from excessive cold by placing a damp cloth between the skin and ice pack. A bag of frozen peas or cosmetic eye-gel pack conforms nicely to the shape of your face.
  3. Elevate your head and back using several pillows. This is important for the first week after surgery. This reduces the amount of swelling and discomfort you will experience.
  4. Begin oral hygiene the day after surgery. Use a salt-water rinse to keep the suture lines and wound clean. Use 1/4 tsp. salt dissolved in an 8-ounce glass of warm water, rinse gently with a mouthful of this solution 4-5 times a day. Do not use peroxide or any mouthwash for the first 7 days.
  5. Diet – First day: a clear liquid (see-through) diet is recommended, nothing hot. If you can “see-through” it, you can have it (clear juices, sports drinks, jello, freeze pops, popsicles, broth). Eat any nourishing food that can be taken with comfort. On the day following surgery advance your diet to soft, blenderized foods (mashed potatoes, smoothies, milkshakes, scrambled eggs, oatmeal, poi) then to a regular diet as tolerated.
  6. Medications – Depending on the nature of your surgery you may be given the following prescription(s):
    • Pain medication (Darvocet, Vicodin, etc.) if necessary; take one tablet when you arrive at home. Additional tablets may be take one every 4-6 hours as needed for pain. CAUTION: do not drive or operate machinery while taking pain medications.
    • Ibuprofen (Motrin, Advil) may be taken (with food) every 6 hours as needed. Stop taking this if you begin to feel any discomfort in your stomach.
    • Antibiotics You may be given a prescription for antibiotics. Depending upon the type of antibiotics prescribed, you will be taking one tablet 2, 3, or 4 times a day. The important point is that you must take them until they are gone.
  7. Activity
    • During your first post-operative day, stay up as much as possible. You should sit, stand, or walk around rather than remain in bed. However, you should rest when tired.
    • Avoid bending over or lifting more than 15 pounds during the first week.
    • Take extra precautions to protect your face and neck from bumps, hits or injuries for at least 2 weeks after your surgery.
    • Sports – No swimming, gym or strenuous activities for the first several days. No surfing or diving for the first week.

After extractions for the first week following surgery, DO NOT:

  • Blow your nose
  • Drink through a straw
  • Smoke
  • Drink carbonated beverages
  • Use peroxide or mouthwash
  • Sneeze – if you must do so sneeze with your mouth open

If you have any questions or problems, do not hesitate to contact our office for assistance.

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