If you develop nausea (vomiting) it is most likely due
to a pain medication that contains a narcotic such as Vicodin (hydrocodone). Do not take pain medication
If you are having issues with persistent oozing or trouble
on an empty stomach. Try drinking some fl at Coca-Cola
with pain managment please fi rst go to our website.
(stir out the carbonated bubbles). If you continue to have nausea, discontinue taking this medication and
begin taking Motrin® (Ibuprofren) 600 mg every 6 hours. Make sure you eat before taking any pain medication.
If you have an implant or graft placed you should rinse
with Peridex or Perioguard (chlorhexidine) oral rinses
twice a day until you are instructed to discontinue this by the doctor. This is in addition to the warm
saline rinses that you must do four times a day.
Pediatric and Adult Oral and Maxillofacial Surgery
If you can please avoid fl ying in an airplane for 2
weeks following extractions in the upper jaw.
• No blowing nose or blowing up balloons or anything that might create pressure in your mouth
as per your physician’s instructions or the instructions given to you by Dr. Orden. If you feel light headed, or
Bite with continuous pressure on gauze for
It is normal to experience discomfort over the
your blood sugar drops below 100mg% then you must
fi rst four days that requires pain medication.
immediately takes steps to correct your hypoglycemia
or immediately go to the nearest emergency room. USE ICE PACKS (FROZEN PEAS OR CORN WORK) ONLY FOR THE FIRST 4 HOURS .20 MINUTES ON / 20 MINUTES OFF.
Take the medication prescribed for you and continue
If you develop hives, wheezing, or a rash please
taking it “by the clock”. Do not wait for the pain to recur
call the on call doctor for instructions.
before taking your next dose. The initial dose will take 45 minutes to become eff ective. For mild discomfort you
No rinsing or spitting for the fi rst 24 hours.
may switch to Tylenol® or Motrin® or Naproxen(Alleve®).
It is normal to have some minimal bleeding, pink or
No exercise. No driving or hazardous tasks for 24
When taking the tablets or capsules be sure
red saliva, or clot formation during the fi rst 24 hours.
hours if you have had general or IV anesthesia.
to drink at least a full 8-oz. glass of water
Do not be alarmed. Maintain pressure over the site
with a moistened gauze pad for one hour. If bleeding
No sucking through straws, blowing nose,
is excessive, place a thumb size roll of sterile gauze or a
or creating any nasal or mouth pressure for
moistened tea bag over the wound and bite fi rmly for
2 weeks following upper extractions.
30 minutes with constant pressure. Repeat if necessary;
If you are still in pain you may add Motrin® (Ibuprofen)
if bleeding remains uncontrolled call the offi
or Alleve® or a Tylenol ® to your dose of prescription
pain medication. These are over-the-counter
medications that you can obtain at any drugstore.
Beginning the day after surgery.do not use any ice !
Following any surgical procedure, you can expect
swelling to develop. It will usually become
No need to worry. If one or two stitches break do not call
us. It is not an emergency and you will heal up just fi ne.
Following any surgical procedure bruising may result
from the accumulation of blood in the tissue. It is
normal, but will be more prominent in thin or fair
Rinse with warm salt water 4 to 6 times a day for 2
skinned individuals. It may extend from the surgical site
weeks. Use 1/2 tsp of salt in a glass of warm water.
downward and will resolve spontaneously in about 10
You will likely develop an infection, “dry
days. You may apply moist heat to the aff ected area for
If you were given a plastic syringe, you should fi ll it
socket”, or worse. Don’t call us for more pain
about 20 minutes every hour to hasten its removal.
with salt water and use it to fl ush out any food/debris
medication if you smoke even one cigarette.
from extractions done in your lower jaw. The idea is
simply to fl ush out any food left after eating. Only
do this in the LOWER jaw extraction sites. Just place
A soft diet, avoiding hot liquids, is recommended
the tip of the syringe over the area and squirt hard
It is IMPORTANT that you eat meals immediately
for the fi rst 24 hours after surgery. Try not to skip a
enough to fl ush out the debris. Do this four to six
following surgery and monitor your blood sugar every
meal. Resume your normal diet when possible.
times a day until the sockets are completely healed.
few hours following surgery. Adjust your insulin regimen
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Drug Quantity Limits—2011 Quantity limits on medications are established to maximize the dosing regimen and decrease cost. Quantity limits are commonly placed on once daily drugs available in multiple strengths. The limit allows for titration to an effective dose, but requires long-term use with an appropriate strength of the medication. Taking medications less often (10mg once dai