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To insure your surgery is as
pleasant as possible, please, read the following
recommendations:
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GENERAL
PRE-OPERATIVE
INSTRUCTIONS |
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Eat
breakfast and lunch on the day of surgery.
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Take
all medications as directed that you would normally used
for other medical reasons.
Be sure Dr. Kaner is aware of all medications you
have taken in the preceeding 24 hours.
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Discontinue
taking aspirin, products containing aspirin, or vitamin E,
5-7 days prior to surgery unless prohibited from doing so by
your physician. If the latter situation arises, please, inform Dr. Kaner
immediately.
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Patients
taking Warfarin (Coumadin) must stop taking the medication
3-5 days in advance of surgery.
The discontinuation of this drug must be coordinated
closely with your physician and Dr. Kaner.
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Have
all prescriptions filled. Take the medications before
surgery as directed and bring them with you to your surgery
appointment.
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When
sedative drugs are used during surgery, you must have
someone pick you up to drive you home and stay with you for
several hours. The
effect of the sedative drugs lasts 2-6 hours following
surgery.
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Be
sure to wear comfortable, open collared, loose clothing to
the surgery appointment.
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Do
not ignore a head or chest cold when oral surgery is to be
performed. Please, call the office if you have any symptoms because we
may have to cancel your appointment.
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If
you have any questions or concerns, please, don’t hesitate
to call the office at 212-683-2066.
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GENERAL
POST-OPERATIVE INSTRUCTIONS |
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It
is not unusual for swelling to occur following surgery.
Apply an ice pack to the outside of your face, 15
minutes on and 15 minutes off for 6-8 hours after surgery.
This will help keep the swelling to a minimum but may
not completely eliminate it.
You may not notice any swelling until the next day.
Swelling often peaks 2-3 days after the procedure and
it may take 4-7 days to subside.
If this occurs, apply moist heat over the operated
area using a wet wash cloth warmed in a microwave oven
starting 48 hours after surgery.
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A
small amount of bleeding can be expected for the first few
hours after surgery. If
there is a considerable amount, apply pressure to the area
with a wet tea bag, wash cloth or gauze holding it in place
for 20 minutes until the bleeding stops.
Do not remove it during this period to examine the
surgical site. If
bleeding persists, call our office.
Do not try to stop the bleeding by rinsing. It is
recommended that you place a towel over your pillow the
first few nights after surgery to prevent possible staining.
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Following
surgery, a certain amount of discomfort can be expected.
To minimize discomfort in the surgery site, take your
pain reliever medication as directed.
Avoid taking pain reliever medications on an empty
stomach to prevent nausea.
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After
surgery, avoid rinsing your mouth for 24 hours if at all
possible.
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A
proper diet is essential to healing.
Soft foods are recommended for the first
post-operative days. Stay
away from sharp brittle foods (no popcorn, potato chips,
etc.) Try to
chew on the non-operated side of your mouth.
Avoid citrus fruits, fruit juices, highly spiced
foods and alcohol; these will cause pain.
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Do
not smoke. The heat and smoke will irritate your gums and
delay healing. If at all possible, use this opportunity to give up smoking.
There is a strong correlation between smoking and
progressive periodontal bone loss.
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You
may experience a slight feeling of weakness or chills during
the first 24 hours. This
is not a cause for alarm but should be reported at the next
visit. Follow
your regular daily activities, but avoid excessive exertion
of any type. Golf, tennis, skiing, bowling, swimming or sun
bathing should be postponed for a few days after surgery.
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The
first post-operative appointment following a surgical
procedure will be made at the time of surgery.
Post-operative appointments are important to ensure
proper healing regardless of how the surgery area looks or
feels.
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If
you have any questions or concerns, please, don’t hesitate
to call the office at 212-683-2066.
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ADDITIONAL INSTRUCTIONS
AFTER PERIODONTAL SURGERY |
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A
periodontal dressing may have to be placed in your mouth.
It is comparable to the surgical dressing used in
other types of operations and should not be disturbed.
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The
periodontal pack will become semi-rigid within a few hours.
It can then withstand some of the forces of chewing
without breaking.
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The
dressing should be permitted to remain in place until it is
removed in the office at your next appointment.
If particles of the pack should fall off during the
week, do not be concerned as long as you do not have pain.
Should a sizable piece fall off or if a rough edge
irritates you, please, call our office.
The packing can be replaced if necessary.
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Do
not brush over the pack.
Brush or floss normally the areas of the mouth not
covered by the dressing.
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If
given a prescription for Chlorhexidine (Peridex), bathe the
area of surgery without rinsing for 2 minutes after
breakfast and before bedtime using a ½ of a capful of
Peridex.
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ADDITIONAL
INSTRUCTIONS FOR DENTAL IMPLANT SURGERY |
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Do
not rinse your mouth vigorously during the first 24 hours
after surgery.
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If
given a prescription for Chlorhexidine (Peridex), bathe
the area of surgery without rinsing for 2 minutes after breakfast and before bedtime
with ½ of a
capful of Peridex.
Continue its use until Dr. Kaner tells you to stop.
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If nose bleeding occurs,
do not blow your nose vigorously.
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Maintain a soft diet for
the first 5 days after the operation and if possible, eat on
the side of your mouth that did not have surgery.
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Use
an elevated headrest or an extra pillow for the first 2
nights after the operation.
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Do
not use your prosthesis until it has been relined.
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ADDITIONAL
INSTRUCTIONS FOR SINUS SURGERY |
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The
prescribed antibiotic should be started the night before and
I hour prior to surgery.
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Afrin
(Oxymetazolene 0.05%) nasal drops should be applied while
in a supine position
with your head hanging over the edge and turned to one side. The nose drops should be applied to that side of the nose.
Remaining in this position for a few minutes, allows the solution
to reach all the areas of the
sinus. Apply the night before and 1 hour prior to
surgery.
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Start
taking 400mg. of Ibuprofen (Advil) the night before and 1
hour before surgery.
Start rinsing your mouth
with Chlorhexidine (Peridex) the day before and morning
of surgery for 2
minutes after breakfast and before bedtime. Continue
gently rinsing the surgical site twice a day until
Dr. Kaner tells you to stop.
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After
surgery, avoid smoking, blowing your nose, and creating a
negative pressure
while sucking through a straw or cigarette for 1 week.
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Coughing
should be done with the mouth open to relieve pressure
within the sinus.
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Expect
swelling. Apply an ice pack to the outside of your face 15
minutes on and 15 minutes off for 6-8 hours after surgery.
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Do
not wear your removable prosthesis over the surgical site
for at least 2 weeks.
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A
small amount of bleeding can be expected. If there is a
considerable amount,
apply pressure to the area with a wet tea bag, a wash cloth
or gauze holding
it in place for 20 minutes until the bleeding stops.
Do not remove it
during this period to examine the surgery.
If bleeding persists, call our office.
Do not try to stop the bleeding by vigorous rinsing.
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Use
an elevated headrest or an extra pillow for the first 2
nights after the operation.
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© Copyright 2003 - 2008 Dr. Charles Kaner, D.D.S.
Last Updated: 12/10/08.
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