Post-Op Instructions

 

Bleeding: It is normal to have some slight bleeding and the taste of blood in your mouth for the first 24 hours after surgery. On the first day, DO NOT spit, gargle, or rinse vigorously. These activities can start a bleeding problem. DO drink plenty of cool liquids.

 

Swelling: Do use cold packs during the first 24 hours after surgery to prevent swelling, 10 minutes on and 10 minutes off. Warm packing can start on the 2nd day after surgery. Occasionally swelling and/or bruising will peak by the 3rd-5th day after surgery. If you experience severe swelling, which feels like it is interfering with breathing or makes you feel like your eyes are closing, please call us immediately.

 

Activity: Avoid strenuous exercise such as jogging, heavy lifting, and other activities that increase heart rate and blood pressure for 3-5 days following surgery.

 

Food: Avoid chewing until anesthetic has worn off and do not consume anything hot in temperature, salty, spicy and citrus type of foods for 3-5 days following surgical procedure. You may eat a soft, balanced diet of food such as scramble eggs, cottage cheese, cooked cereal, cooked vegetables, mashed potatoes, soups, etc. Alcohol can cause increased bleeding or swelling.

 

Brushing: Avoid brushing surgical area during first 24 hours following surgery, but continue to brush all other areas as usual. At 1 week, you may brush very gently the tops of your teeth and soft tissue on the surgical area with a soft toothbrush. There will be some bleeding when brushing. Good oral hygiene will help the healing process. Avoid your electric toothbrush for 4 weeks after surgery around the surgical area.

 

Rinsing: Avoid rinsing with mouthwash for the first 24 hours following surgery. After 24 hours, you can rinse with lukewarm salt water.

 

Discomfort: Take 600mg ibuprofen and one pill of extra strength Tylenol (500mg) every 6 hours for comfort. If you are unable to take these medications, please take the prescribed pain medication by Dr. Hong as directed.

 

Smoking: Smoking and tobacco use is particularly detrimental to healing results as well as creates high risk for developing healing complications and unsuccessful treatment.

 

Sinus Surgery: After sinus augmentation, please refrain from sneezing or blowing your nose. It is common to have some bloody noses for couple of days.

In case of emergency, please contact our office:

 

OLYMPIC PENINSULA IMPLANTS & PERIODONTICS

Sul Ki Hong, DDS

Cell: 425-785-8902

624 E. 8th Street, Port Angeles, WA 98362      1303 Washington St. Port Townsend, WA 98368

                         360-452-7482                                                           360-385-51211

Post-Op Instructions After LANAP® Treatment

  1. Do not be alarmed with any color changes or appearance of gum tissue (gray, yellow, red, blue, etc.) following laser therapy.

  2. Do not be alarmed if one of the following occurs: light bleeding, slight swelling, soreness or tooth sensitivity.

  3. Do not apply excessive tongue or cheek pressure to the treated area.

  4. Swelling: to keep this at a minimum, gently place an ice pack on the outside of the face for 20 minutes each hour until you retire for sleep that night. Do not continue using the ice bag beyond the day of the periodontal surgery.  

  5. Please call the office if any of the following occurs: prolonged or severe pain, prolonged or excessive bleeding, or fever. 

  6. If medication has been prescribed, please take exactly as directed. Antibiotics, pain medication and mouth rinse.

  7. Rinse your mouth gently 3 times a day with Peridex or Perioguard. In between Peridex/Perioguard rinses, rinse your mouth gently 3 times a day with warm salt water (1/2 teaspoon of salt dissolved in an 8oz. glass of warm water).

  8. Reduce physical activity for 2-3 days following the surgery to maximize healing.

  9. Try to keep your mouth as clean as possible in order to help the healing process. Only brush and floss the untreated area of your mouth. Do not brush or floss the treated area for 7-10 days or as directed by your doctor.

  10. Resume oral hygiene of treated area with manual brush at 7 days, floss and proxibrush at 3 weeks (only above the gum tissue), electrical toothbrush at 2 months and oral irrigators at 3 to 6 months (only above the gum tissue). The tissue needs to be mature and strong enough for flossing and electrical toothbrush.

  11. You will be on a liquid diet for 3 days, then a diet of “mushy”/soft foods for 4 days. Try to eat soft but nutritious food such as eggs, yogurt, cottage cheese, malts, ice cream, etc., until you can comfortably return to a normal diet.

  12. Do not chew on the side of your mouth which has been treated for 7 days. Avoid spicy or excessively hot foods during the initial 3 day liquid diet period. 

  13. “Spaces” between your teeth can result from reduction of inflammation, swelling, and the removal of diseased tissue after the LANAP® treatment. These spaces usually fill in over time, and again, bite adjustment is critical to making sure the teeth and the “papilla” is not traumatized and can regrow.

  14. After you complete the laser treatment, follow up care and periodontal maintenance visits are extremely important to preserve the work that has been done.

 

                                                                                                            

Smokers/Tobacco Users Warning

Tobacco has a very large effect on your gums and the disease you have in them. Tobacco is associated with an increased disease rate in terms of loss of the bone and gums that are holding your teeth. Tobacco is a major factor for chronic gum disease.

 

Any type of smoking and/or chewing tobacco will have an adverse effect on the progress of your healing and may cause the gum disease to re-occur after treatment. we highly recommend not to do so while you are healing or anytime after that (at least 8 weeks).

 

Post LANAP® Treatment Diet Instructions

 

The first three days following Laser Therapy, follow only a liquid- like diet to allow healing. Anything that could be put into a blender to drink is ideal. The purpose of this is to protect the clot that is acting as a “band-aid” between the gums and the teeth. Do not drink through a straw, as this creates a vacuum in your mouth that can disturb the “band-aid”. Take daily vitamins.

 

Next four days after treatment, foods with a “mushy” consistency such as those listed below are recommended.*see below

 

Starting seven to ten days after treatment, soft foods may be allowable as soon as the “white material” around your teeth heals naturally and disappear.

 

Soft foods have the consistency of pasta, fish, chicken or steamed vegetables. You may then, gradually add back your regular diet choices.

 

Please remember that even after ten days, healing is not complete. The first month following treatment you should continue to make smart food choices. Softer foods are better.

“Mushy” Diet Suggestions

  • DAILY VITAMINS!

  • Anything put through a food blender

  • Cream of wheat, Oatmeal, Malt O Meal

  • Mashed Avocado, Applesauce, Mashed Potatoes or Baked Potatoes

  • Mashed Banana or any mashed/blended fruit except berries with seeds

  • Mashed steamed vegetables, Mashed Yams, or Baked Sweet Potato.

  • Cottage cheese Cream or Soft cheese, Creamy peanut butter without solid pieces

  • Eggs any style, with or without melted cheese

  • Omelets can have cheese and avocado

  • Jell-O, Pudding, Ice Cream, Yogurt, Broth or Creamed Soup

  • Milk shake/smoothies – DO NOT blend with berries containing seeds

  • Ensure, Slim Fast -nutritional drinks

 

DON’T...

Chew gum, candy, cookies, chips, nuts, anything hard or crunchy, anything that has seeds or hard pieces, meat that shreds and can lodge under the gum and between teeth, raw vegetables/salad.