Pre -Operative Instructions for Tooth Removal:

• Eat regular meal before appointment.

• If you are given X-rays or any investigation reports, please bring them to your appointment.

• Please do not apply make-up or lip stick on day of surgery

• Please brush your teeth and rinse thoroughly before surgery

• If prescribed medication at consultation, please take as directed prior to appointment.

• Please have ice packs available at home after surgery to reduce swelling

• Alcoholic beverages should be avoided 24 hours before and 7 days after surgery

• Smoking must be avoided 24 hours before surgery and 24 hours after surgery

• Any patients under 18 years of age must be accompanied by a parent or guardian at the time of surgery.

• If you have any below mention condition, please inform us before your appointment date

• If you have an illness such as a cold, sore throat, stomach or bowel upset

• If you take routine oral medications

• If you have any medical history such as valve prolapse, heart murmur, hip, knee, cardiac or other prosthesis, rheumatic heart disease, seizures (Fits), etc.

• For female only: If you think you might be pregnant

(All are standard instructions, may vary from patient to patient based on their other health complications.)

Post -Operative Instructions Tooth Removal:

First hour:

Do’s:

Bite on gauze:

• Bite on gauze for 30-45 minutes with moderate pressure

• If bleeding persists, replace the gauze with folded and dampened clean gauze

Numbness:

• Numbness of the lip, tongue & cheeks are common following surgery and is usually temporary

Bleeding:

• Expect the oozing to continue for most of the day

• If you have excessive oozing, contact us. (Remember: a little blood mixed with a lot of saliva – looks like a lot of bleeding.)

Ice Cream:

• You can have plain ice cream or any cold liquid after removal of the cotton or gauze.

Medication:

• Take prescribed medication by your dentist

Don’ts:

• Do not chew gauze pack or anything; until the anesthesia has worn off (you may bite your cheek, lip, or tongue.

• Do not forcibly spit

• Do not rinse with mouthwash or water

• Do not use a straw to drink

• Don not take foods at extremes of temperature (very hot or cold)

First 24 hours:

• Do not forcibly spit or rinse with mouthwash or water for 24 hours.

• Do not smoke or Drink alcohol for 7 days.

• Do not eat hard, hot & spicy foods for 3 days

• Swelling occurs in the area of surgery

• Use ice packs on the jaws for 20 minutes on – 20 minutes off

• Keep your head elevated when possible, it helps to reduce swelling and bleeding.

• Stay hydrated: drink plenty of liquids and eat soft, nutritious foods (mashed rice or curd rice or potatoes , scrambled eggs, etc.)

• You are encouraged to move your jaw through chewing motions

• Some discoloration around the injection site is normal and the extent will depend on your complexion and skin tone.

• There may be a slight elevation of temperature (fever) for 24-48 hours. If it persists, call the office.

• Limit strenuous activities for 24 hours

After 24 hours:

• Start rinsing with a mixture of 1-teaspoon salt in 8 oz of warm water. Rinse with this mixture several times a day. Use mouth wash as recommended by dentist

• Only brush the chewing surface of these teeth (avoid brushing the gums) with a manual toothbrush. Do not use an electric toothbrush at the surgical site for the first 4 weeks.

• Do not do any forceful chewing for 7 days. (tough food)

• Swelling may become quite large, peaking 2-3 days after surgery.

• Apply extra oral hot pack on surgical side

• You may start with liquids and advance your diet to more solid foods as you progress.

• You may chew on the opposite side of your mouth while the surgery site heals then resume chewing on both sides as soon as it becomes more comfortable to do so.

• Avoid Very hot/cold foods, alcoholic drinks, acidic drinks/foods (orange juice), crunchy foods

Sutures:

• Your surgeon may use sutures, if so they will dissolve in 7 days otherwise, they have to be removed after7days

• If pain persists or increases after 5 days, contact us at the earliest

(All are standard instructions, may vary from patient to patient based on their other health complications.)