02 Dec Postoperative Advices
A healthy and successful recovery is only possible with a right and meticulous postoperative care by a surgeon. Postoperative advices are relayed in detail to our patients, but forgotten advices can cause our patients some distress during recovery in some circumstances.
Things to do after an operation are as follows:
Do not spit or gargle: In order to stop the bleeding and ensure a healthy recovery, a blood clot must occur on the wound. You should not gargle which could apply pressure on the wound or spit after the first 24 hours of the surgery. Following the operation, bite on the tampon placed on the wound for 30 minutes.
Do not smoke: Along with other harmful effects, smoking spoils the clot forming on the wound and negatively effects the healing process, causing serious problems. Do not consume alcohol or smoke for the first 24 hours.
Bleeding: Apply gauze tampon on the operation area, and apply pressure by biting for 30 minutes. A small bleeding – leakage – will occur within the first 48 hours after the operation. This is normal. A warm environment, taking a hot shower or bath, consuming warm foods, and overexertion may increase the bleeding. If the bleeding doesn’t decrease within 2 – 3 hours, a sterile tampon should be applied on the wound. If the bleeding still continues, please consult with your doctor immediately.
Aching: You may experience ache during the first 2 days. You should take the prescribed antibiotics, painkillers and antiseptic mouthwash in doses and in frequencies specified by your doctor for you. Painkillers should be taken immediately before the doziness subsides. The most intense pain will be experienced on the day after the operation. If the pain gradually increases even though you are taking your medication, you should consult with your doctor after the third day. Antibiotics should be taken as prescribed until they are finished. Some ache may be experienced on other teeth. This is temporary, and happens because of the pain from the operation. A rise in the body temperature within 24 – 48 hours may be experienced. If the body temperature does not return to normal, you should consult with your doctor immediately. Aspirin should not be used as a painkiller.
Swelling: Swelling (edema) may be experienced within the first 3 days of the operation on the operated area, cheeks, lips and the neck. After 3 days the swelling should diminish and disappear. Applying an ice pack on your face after the first 4 – 8 hours of the operation may partially prevent this swelling. In order to do that, put some ice in a waterproof bag and wrap the bag with a towel, then apply it to your face with 10 minute intervals. Do not apply anything on the second day after the operation. The swelling will reach its peak within 36-48 hours and will last a few days.
Constraint at mouth opening: Depending on the size of the formed edema (swelling) you may experience difficulty opening your mouth. This will subside within 7 – 10 days as the edema disappears. After the second day, opening-closing exercises will support the stupe application that will accompany the said exercises on the fifth or sixth day.
Bruises: Due to the accumulation of blood under the skin tissue in the surrounding area of the operation, you may experience some bruises on your facial skin. This does not pose any danger. It does not add up to the pain, and is not a sign of infection. It will subside, change color and disappear within 7 – 10 days.
Nutrition: Nothing should be consumed within the first 2 hours. Must be fed with aqueous, soft and warm foods such as puree, bananas, grainless soup, etc. for the first 2 days. Must steer clear of hot, rough, and grainy foods, milk and dairy products. Milk and dairy products will create a medium for the bacteria inside the extraction socket, and may trigger an infection. Milk will turn into a microbial feast with the blood in the extraction socket because of its protein-rich structure.
Oral Care: You may brush your teeth except the operated area as usual. You should start brushing your teeth on the same day of the operation. Do not use any mouthwash or antiseptic solutions until the next day if your doctor did not recommend any. The stitches may loosen a bit, causing minimal bleeding during the brushing process, so brush carefully around the wound without touching the wound. You must use the water that accumulates during brushing without building any pressure in your mouth.
Stitches: The stitches should be removed 1- 2 weeks after the operation. You must get an appointment from your doctor for this procedure.
Sinus Advices: If sinuses had to be breached during the procedure; The patient must not blow his/her nose, and play brass instruments for 1 week. The patient must avoid excessive coughing and sneezing. Your doctor will prescribe necessary medication and will give you relevant advice.
Other Advices: Please consult with your doctor if you experience excessive bleeding, excessive swelling, serious pain (unresponsive to painkillers) and fever. You may prevent bleeding by placing your head higher than your body during sleeping for the first 2 days.
Dentists in Lotus Dental Clinic provide good treatments to all patients.