It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.
Root Canal Therapy
You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.
Crowns and Bridges
Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.
When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.
Scaling and Root Planing
After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. You are likely to experience bleeding after brushing and flossing, but it is VERY important to you not avoid brushing or flossing due to bleeding. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.
After the surgery you will need to rest. Some swelling and discomfort is likely for the first few days, and you can expect for the extraction site to bleed for up to 24 hours after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it at least one time after you arrive home. If bleeding continues for longer than 24 hours you should call your dentist. If necessary, we will prescribe you pain medication, and you may take that as directed when necessary. Over the counter ibuprofen is also an excellent way to help with discomfort and inflammation, and often can be taken in addition to prescribed medications when needed (but check with us first!).
You will likely be limited to soft foods for a few days after your surgery, but nutrition is very important in the healing process so make sure you are eating! Some recommended foods are:
- Mashed Potatoes
- Ice Cream
- Thin Soups
- ...and other food you can comfortably eat
Some foods to avoid are small granular foods that can get stuck in an extraction site, such as rice, ground meat, and fruit with large seeds (eg raspberries).
When drinking, make sure you do not use a straw. The sucking motion can interrupt the clotting process and result in a dry socket. Other things that can disrupt the clotting/healing process are smoking and heavy excercise/heavy lifting. Dry sockets are very uncomfortable and delay the healing process, so please follow these instructions to avoid them! If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call us for a follow up.