Pre-Op/Post-Op Instructions
PRE-OPERATIVE CARE
- You may NOT have anything to eat or drink (including water) for 8 hours prior to the appointment.
- If under 18yrs old, a parent or legal guardian must accompany the patient to the office and able to drive the patient home.
- The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
- Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low heeled shoes. Hard contact lenses, jewelry, and dentures must be removed at the time of surgery.
- Prior to appointment apply Chap Stick to minimize cracking of the corners of your mouth.
- Your surgical visit is generally 45 minutes to an hour and a half.
- If you take high blood pressure medication take your Blood PRESSURE medication before surgery. DO NOT take Diabetes medication before surgery. Please stop Aspirin and any other blood thine -r medication prior to your appointment. Check with your physician prior to stopping.
- If you have an illness such as Covid, cold, sore throat, stomach or bowel upset, please notify t e office.
- Do not wear any perfume or cologne.
- Please remove da lc NAIL POLISH and or ACRYLIC NAILS prior to your appointment in order fo us to be able to monitor you during the procedure.
- If you have not given us a copy of your insurance card please provide us with a copy of your MEDICAL and DENTAL insurance cards.
- A $250 deposit wi I be taken to secure your procedure appointment that is NON-REFUNDABLE if the cancellation has been done less than 48 hours prior to scheduled appointment.
- There will be a $50 duplicate prescription fee.
Women please note: Some antibiotics may interfere with the effectiveness of your birth control pills. lease check with your pharmacist or physician.
Post-Op Instructions
- First antibiotic Afterwards, follow instructions on the label.
- First pain medication - Take with food
THINGS TO AVOID AFTER SINUS SURGERY
- BLOWING YOUR NOSE OR PLAYING WIND INSTRUMENTS Its best to wipe away nasal secretions carefully. After 2 weeks, you can gently blow through both sides at the same time; do not blow just one side at a time.
- SNEEZING If you need, keep your mouth open and do not pinch your nose closed.
- SUCKING Do not drink through a straw. Smoking Do not smoke for at least 2 weeks.
- PUSHING OR LIFTING Do no push or lift objects weighing more than 20 pounds.
- BENDING OVER Keep you head above the level of your heart, Sleep with your head slightly raise
MEDICATION
- Take medication as prescribed by your doctor.
- Purchase a nasal spray (such as Afrin or Flonase) from your local pharmacy. Spray once in each nostril per day for up to 3 days.
- Use nasal spray as needed.
- If you experience nasal congestion, use an over the counter nasal decongestant such as Sudafcd, Claritin, flullase.
Please notify your oral surgeon or surgical assistant if you are unable to take any of your medication prescribed.
WHAT TO EXPECT AFTER ORAL SURGERY
If you had general anesthesia or I.V. sedation, you may experience: light- headedness, dizziness and sleepiness following surgery. We recommended an adult stay with you for the first 12 hours after your procedure. Do not drive for at least 24 hours.
BLEEDING
- Slight bleeding after surgery is normal and to be expected.
- When you leave the office, you will be biting on a gauze to control bleeding.
- Keep slight pressure on this gauze for at least an hour and do not change the gauze during this time.
After an hour the gauze may be removed; change the gauze every hour until the bleeding stops. If you experience heavy bleeding, a moistened tea bag will aid in clotting and should be changed every hour until the clot forms. - Small amounts of blood in saliva can make your saliva appear red; this is normal and you may notice this during the first few days following the procedure.
SWELLING
- Swelling is to be expected; place an ice pack to the affected area(s) immediately upon arriving home. “Hold the ice on the affected area for 15 min and then remove for 5 min; repeated for the first 24 hours after surgery. ‘After the first 24 hours, heat may be applied to aid in reducing swelling. ‘Swelling will peak within 72 hours and then slowly decrease.
PAIN
- Pain is to be expected after surgery.
- To control pain, take your medications as soon as possible and before the local anesthesia wears off.
- If prescription pain medications are prescribed. take them as instructed on the label; do not exceed the dose as prescribed.
- Taking food will help reduce upset stomach.
BRUISING
- Bruising often shows 3-5 days following surgery and is normal. This will improve on its own.
- Bruising may occur either above or below the location that your oral surgery took place and extend down your neck.
SUTURES
- Sutures (stitches) are placed to help control bleeding and promote healing. ‘Some sutures will dissolve and do not need to be removed while others will be removed at your follow —up appointment; please see the back of this booklet where your surgeon has identified the type of sutures you have. if any. ‘Do not be alarmed if the stitches come out on their own at any time.
NASAL CONGESTION
- Nasal Congestion is common after upper wisdom teeth removal.
- You may use over the counter nasal sprays such as Afrin and Flonase or over the counter decongestants such as Sudafed.
REMOVABLE APPLIANCES
- If you currently wear a retainer, full or partial denture, or a single tooth prosthesis (a “flipper”) you can wear your appliance immediately after surgery unless your oral surgeon instructs otherwise.
- Some appliances may require adjustment after surgery.
- If you are in pain due to unusual pressure from your appliance, take the appliance out.
WHAT TO DO
- Once you are at home, it is important that you rest a minimum 24 hours following surgery.
- For the first 24-48 hours, you should maintain a diet of soft, cool/room temperature foods such as Jell-0, pudding, yogurt, mashed potatoes, soup or anything that can be cut with a fork.
WHAT TO AVOID
- Do not spit or suck through a straw for 24 hours.
- Avoid all rinsing after surgery.
- Smoking should be stopped following surgery for 1 week. Smoking dries out the oral tissue and can hinder healing and success of surgery.
- For the first 24 hours, your activity should be limited. Increased activity can lead to increased bleeding. Avoid bending over and lifting anything over 10 pounds until follow – up appointment. Do not play any wind instruments for up to 7 days.
- Do not disturb the wound. By doing so, you can cause irritation, infection, and/or bleeding.
ADDITIONAL NORMAL SYMPTOMS YOU MAY EXPERIENCE
- Trismus (tightness) of the muscles may cause some difficulty in opening your mouth and may persist for 1 week.
- You may experience a slight earache.
- You may develop a sore throat ‘Numbness may occur at the corner of your mouth or chin on the side where you had surgery.
- Other teeth may ache or become sensitive; that is a temporary condition. “Your temperature might be elevated for 48 to 72 hours but please contact us if above 101 degrees.
- If you were sedated, a bruise may appear around your injection site(s); this is normal and will disappear within a few days.
PLEASE REMEMBER
You are our most important concern. We strive to make your experience as comfortable as possible. If you have any questions or concerns, please feel free to call our office and Dr. Rostami will take great care of you.
