Northeast Oral & Maxillofacial Surgeons, Inc.
Oral Surgery
Euclid, OH
(216) 261-1010
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    • Introduction
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    • Contact Information / Office Map
  • Procedures
    • Overview
    • Wisdom Teeth
    • Anesthesia
      • What is Anesthesia?
      • What is General Anesthesia?
      • What is Twilight Anesthesia?
      • What is Local Anesthesia?
      • How Safe is IV Anesthesia?
    • Dental Implants
      • Are you a Candidate for Dental Implants?
      • Dental Implants vs. Conventional Dentures
      • Dental Implants are a Team Effort
    • Oral Pathology
    • Pre-prosthetic Surgery
    • TMJ Disorders
  • Meet Us
    • Meet Dr. Donald P. Lewis
    • Meet Amanda - Office Administrator
    • Meet Sandy - Surgical Assistant
    • Meet Lauren - Surigical Assitant
    • Meet Nancy - CRNA
    • Meet Judy - CRNA
  • Surgical Instructions
    • What to Expect with Surgery
    • Prior to Your Oral Surgery
    • Before Anesthesia
    • Wisdom Tooth Removal
    • Extractions
    • Multiple Extractions
    • Exposure of an Impacted Tooth
    • Dental Implant Surgery
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Seminars
  • Office Location

Surgical Instructions

  • What to Expect with Surgery
  • Prior to Your Oral Surgery
  • Before Anesthesia
  • Wisdom Tooth Removal
  • Extractions
  • Multiple Extractions
  • Exposure of an Impacted Tooth
  • Dental Implant Surgery

After Placement of Dental Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There may be a metal healing abutment protruding through the gingival (gum) tissue.  If there is a healing abutment showing through the gums, make sure to check that it is tight on a daily basis.  Should this healing abutment become loose or dislodged from the implant, there is no need to panic?  Just save the abutment and contact Dr. Lewis to have the healing abutment placed back into the implant.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Bleeding  can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes.  You may also place a teabag directly over the surgical area to control the oozing from the site.  If bleeding continues please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection.

Oral Hygiene

Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Wearing your Prosthesis

Partial dentures, flippers, or full dentures should not be used immediately after surgery and for at least 10 days. This was discussed in the pre-operative consultation.

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Address: 26300 Euclid Avenue, Suite 410 • Euclid, OH 44132 • Phone: (216) 261-1010


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