1. Pressure should be placed on the gauze pad that has been placed on the extraction site for one hour. If the bleeding continues new gauze should be placed and pressed on for another 45 minutes.
2. If you are supervising children who have had extraction done, make sure they don’t bite on their numb lips or tongue (it can cause serious injury to their soft tissue).
3. Avoid eating or drinking anything hot on the day of your extraction. Also, do not rinse your mouth, do not use a straw for drinking. Do not spit and do not drink carbonated beverages. Do not brush on the day of the surgery; you can resume your brushing and flossing the day after, gently.
4. You may experience some pain, bruising around your lips and/or some swelling, especially after extraction of impacted wisdom teeth. Ice bag application and medication prescribed for you will help to minimize your discomfort.
5. Please take all the medication you have received based on the instructions given to you.
6. During the first 2-3 days after the surgery a diet of soft food and liquids is recommended (soup, yogurt, milk shake and juice).
7. For more complex Surgical Procedures including Impacted Wisdom Tooth Extraction, Implant Surgical Procedures, etc; you will receive an ice wrap which should be worn for the rest of the day and until you go to bed on the day of surgery only (10 minutes on and 5 minutes off). Individual instructions for various surgical treatments will have some unique directions which will be supplied to you at the time of your treatment.
8. Call our office if you experience excessive bleeding, severe pain or swelling or if you have any questions or concerns. In case of serious emergencies call 911.

1. Do not eat on your new filling for one hour and until your numbness is gone.
2. If you are supervising children who had fillings done, make sure they don’t bite on their numb lips or tongue (it can cause serious injury to their soft tissue).
3. You may experience cold and heat sensitivity and some soreness on your gum, this usually subsides in few days.
4. Call our office if you experience pain or discomfort for more than a few days after the fillings, or if you have any questions.

1. Crown and bridges usually take 2 to 3 appointments to complete. On the first appointment the tooth/teeth are prepared, impressions are taken, and a temporary crown is placed on your tooth/teeth.
2. You may experience sensitivity, gum soreness and slight discomfort on the tooth/teeth it was applied to. These symptoms should subside after the placement of the permanent crown.
3. Whenever anesthesia is used, avoid chewing on your teeth until the numbness has worn off.
4. Temporary crowns are usually made out of plastic based materials, or soft metals. If too much pressure is placed on the crown it may come off or break. If it comes off, save the crown and call our office. The temporary crown is placed to protect the tooth and prevent other teeth from moving. If it comes off it should be replaced.
5. To avoid losing your temporary crown, avoid chewing on sticky or hard foods such as (chewing gum, candy or ice cubes). Chew on the opposite side of your mouth from the treatment as much as possible.
6. After the permanent restoration is placed, you may feel slight pressure for a few days. The bite may also feel different for a few days. However, If the bite feels uneven, or if you feel discomfort on chewing on the tooth after 2 to 3 days, Please call our office immediately. Delaying necessary adjustments may damage the tooth permanently.
7. Continue your normal brushing routine but be extremely careful while flossing around the temporaries. (Remove the floss gently from the side).
8. Call our office if you are in pain or if you have any questions.

1. You may experience moderate pain, and sensitivity when pressure is applied on your tooth. You may also feel gum soreness for a few days after your treatment. The healing process may take several days, but pain and discomfort should subside gradually.
2. Take any medication that was prescribed to you according to the instructions.
3. For a temporary filling, do not bite on the tooth until your numbness has subsided, and at least an hour has passed since leaving our office.
4. Until the permanent restoration is placed, be very gentle with the tooth. Chew on the opposite side of your mouth as much as possible.
5. Gently Continue your brushing and flossing routine.
6. Follow up with the placement of your permanent restoration as you have been advised. Any unnecessary delay on placement of final restoration may damage the tooth permanently.
7. Call our office if you experience swelling, severe pain, or if you have any questions.

1. You may experience some cold and heat sensitivity.
2. If you have received anesthesia do not eat anything until the numbness has worn off.
3. Continue your regular brushing and flossing routine.
4. Some bleeding for a day or two after cleaning is common however.
5. Call our office if you experience any pain, excessive bleeding, swelling, or if you have any questions.

1. You may experience some pain, swelling and bleeding after the surgery.
2. Take all the prescribed medications based on the given instructions.
3. Apply an ice bag to your face over the surgical site on the day of surgery for 10 minutes on and 5 minutes off.
4. It is important to keep your scheduled post operation appointment for suture removal (Stitch removal) and follow up visits.
5. Do Not Raise your lips with your fingers to inspect the treated area.
6. Do Not Brush any teeth near the surgical site. You may brush the rest of your teeth that are away from the surgical site.
7. Temporary loss of feeling in the operated area and the feeling of the tooth being loose is common.
8. Do Not Smoke, Spit or use a Straw on the day of the surgery (avoid smoking for a few days after the surgery).
9. If any difficulties occur, or you have any questions feel free to call our office. In case of an extreme urgency call 911.

1. You may experience some discomfort and bleeding the day of the surgery.
2. Take all the prescribed medications based on your given instructions.
3. Apply an ice bag to your face over the surgical site on the day of surgery for 10 minutes on and 5 minutes off.
4. It is important to keep your scheduled post-op appointment for suture removal and follow up visits.
5. Do Not Raise your lips with your fingers to inspect the treated area.
6. Do Not Brush teeth near the surgical site. You may brush the rest of your teeth away from the surgical site.
7. Temporary loss of feeling in the operated area and the feeling of the tooth being loose is common.
8. Do not Smoke, Spit or use a Straw on the day of the surgery (avoid smoking for a few days after the surgery).
9. If any difficulties occur, or you have any questions feel free to call our office. In case of an extreme urgency call 911 Immediately.

1. You will experience some discomfort with any new denture for a few days. All new dentures need several adjustments to completely and comfortably fit your mouth.
2. You should take the dentures out every night, and keep them in a clean container filled with water, or denture cleaning solution.
3. During the day, remove your denture for thirty minutes to an hour to allow the gums to rest. Do this at least once, every day.
4. Clean dentures thoroughly with a brush and water before putting them back in your mouth.
5. It may be difficult to talk normally with the new denture for a few days. A good way to work towards speaking normally again is to read a book or newspaper out loud for a period of time everyday. Your tongue and muscles will get used to the new denture and once they are fully adjusted you will be able to talk in your normal manner again.
6. Call our office if you are experiencing any pain, discomfort, or if you have any questions.

1. Swelling, minor pain, and/or skin discoloration may be experienced following the surgical procedure. This is temporary.
2. In order to keep the swelling to a minimum, use an ice pack for the first few hours (on for 10 minutes and off for 5 minutes).
3. The day after the surgery, use lukewarm water rinses for the treated area following each meal. This should continue for the first 3 days following the surgical procedure.
4. Avoid eating hard, and chewy foods.
5. Get plenty of rest, and ensure normal intake of food, especially liquids such as fruit juices, soup, and milk. Use a vitamin supplement if desired. Try not to sleep on the operated area for 2-3 days.
6. Do Not Raise your lips with your fingers to inspect the treated area.
7. Do Not Brush teeth near the surgical site. You may brush the rest of your teeth away from the surgical site.
8. Temporary loss of feeling in the operated area and the feeling of the tooth being loose is common.
9. Take medications according to the instructions.
10. Should any difficulties occur, please call our office. In case of an extreme urgency call 911 Immediately.

You have just had surgery completed for the reduction of periodontal pocketing, and/or for replacement of bone in an area where pathology existed; or in conjunction with endosseous dental implant surgical placement with, or without platelet addition to the bone graft. You will be advised of the particular procedures and pertinent directions relative to your treatment modality. Whether you were put to sleep for this procedure, or if you were only given local anesthesia, the post operative directions remain the same.

You will have several sutures (stitches) placed at the surgical site. These sutures may or may not be resorbable. If you have been told that you have received external silk sutures, they have to be removed by us. The sutures will cause a pulling of your tissue over the bone grafting site. Since the bone graft site will have approximately 15 % more bone fill than what was naturally there, it is imperative that you do not pull up your lips or cheeks to show or examine the surgery area. This pressure will cause the sutures to widen away from the surgical site, exposing bone, creating more pain, and delaying the healing process dramatically. This delay can lead to the need for the area to be sutured again when you are seen for your 1 week post surgical evaluation. The sutures will remain in place for 14 to 21 days depending on the size of the graft, the severity of the pathology, and the condition of the tissue being sutured.

Your doctor will tell you what time period to expect. Remember that this is subject to change, and that the doctor may extend the time before your sutures are removed to assure adequate healing and to avoid surgical regression.

You also may have a periodontal pack placed over the surgical site. The pack is pink in color, impregnated with antibiotic. This pack will protect the surgical site from infection and any wash out of the particulate bone utilized to restore your jaw. The pack should be left in place for as long as possible. If a pack is placed the doctor will remove the packing on your 1 week follow up and decide if the packing should be replaced, or kept off. Usually the packing is kept on for 7 to 10 days minimally. You must return to the office if your pack falls off before you are seen for your 1 week follow up.

Your maintenance during healing has to be completed carefully. You can only brush in areas where the periodontal pack is not placed. Do Not Use Anything Astringent such as mouth wash, or antiseptic solutions during the healing period of your bone graft. Listerine, Viadent Oral Rinse, and any other potentially caustic agent can ruin your bone grafting procedure if contaminated, and will require a replacement bone graft. Our staff will reiterate this with you at, during, and after your bone graft surgical procedure. After the first stages of healing is satisfactory, we will deliver and instruct you on how to use normal saline (with or without the addition of salt), and irrigation syringes for cleaning of the surgical site.

Because bones grow slowly, heal slowly, and require conditions conducive to a proper environment and blood supply, it is imperative that immediately after your bone graft you alter your diet. Do Not Eat anything that is too large, too hot, or too sticky. Your food should be lukewarm, or colder. Any food too hot will have a detrimental affect on your surgical procedure. Common sense must be used in determining what should be done, or not done. If you have any questions about anything post surgery, please call our office and we will inform you of the proper action to take.

Do Not Smoke After Surgery. Smoking after any Oral Surgical procedure will ALWAYS delay or badly disrupt the normal healing process due to a decrease in oxygenation of the tissue that is healing. Smoking should therefore be stopped for the first 7 to 10 days to allow for adequate initial tissue closure. Complete epithilization (closure), and wound healing normally takes a minimal of 21 days from the day the surgery was completed under ideal healing conditions, and no other underlying systemic causes such as Diabetes Melitus.

Bone grafting is a very predictable surgical procedure when done correctly, and when patient cooperation is adhered to. Please try to be reasonable in understanding that this procedure has inherent risks associated with it as stated in your informed consents. Some of these risks are also pertinent to your post operative care.

We want nothing more than a perfect outcome with the surgical procedures that you are having done to rehabilitate your bone. This can only be attainable with proper cooperation from you. Please feel free to communicate with us at any time to make sure that the procedures that you are having completed are properly maintained. No question is ever perceived by our office as being silly, or unreasonable. We would rather have questions answered immediately than to have a chance that the procedure will not go as planned, especially from omissions that are preventable.

Please also remember, as stated above, and as outlined on your informed consents, that there are some occasions where no matter what is done, that the outcome is not perfect. There are also infrequent instances when a surgery may have to be redone that is neither the fault of the doctors or the patients.

Thank you!