PST POST-OP INSTURCTIONS FOR 6 WEEKS

1. NO BRUSHING OVER SURGICAL SITE(S) (Do not use cotton swabs, cloth or any soft or hard object to clean area).


2. NO FLOSSING (Water-Pik ONLY from tongue-side on low setting).


3. NO TOUCHING:  with finger or any other device or object. DO NOT LICK SURGICAL AREA.


4. Do not sleep with hands under the cheek where surgery was done.


5. No facial massages for 3 weeks or massage that area of the face for any reason.


6. NO LOOKING: Do not obsess over or question Doctor about appearance of gums for 6 weeks. You cannot look without pulling cheek.


7. RINSE ONLY WITH LIPS APART: SLOSHING ONLY (no chipmunk cheeks when you rinse).


8. Do not play wind instruments for 3 weeks.


9. No sucking on foods/objects or spitting.


10. Do not blow balloons.


11. No mints over surgical area.


12. No smoking, chewing tobacco, cigar, pipe or recreational marijuana. Please consult doctor if you use marijuana for medical purposes.


13. Wear 24-hour appliance or night guard as prescribed (if recommended by the doctor). Failure to wear appliance may cause relapse. Check with your doctor if you wear any other appliances (e.g., retainers, Invisalign, Perio-Protect, etc.)


14. No clenching or grinding of the teeth. (no heavy lifting/weight lifting that require clenching of the teeth).


15. No heavy aerobics, vigorous exercising/dancing or physical activity for 3 weeks. (walking or non-strenuous activities are ok).


16. No Snorkeling for 6 months.


17. ICE OVER AREA at 10 minute intervals for the first 48 hours to minimize swelling.


18. DO NOT BE ALARMED ABOUT SOFT SWELLING OR BRUISING FOR THE FIRST WEEK.


19. DO NOT EAT crunchy or sticky food (like bread) that can get stuck on or in between your teeth.


20. No scalding hot drinks (tea, coffee, water or hot soups).


21. No triclosan, hydrogen peroxide, bleach or any non FDA approved concoctions (coconut oil (oil pulling), holistic mouth rinses, or homeopathic remedies).


22. EXPECT cold sensitivity for 6 weeks or longer. DO REPORT sensitivity during check-up appointments.


23. PAIN CONTROL - take one each of Acetaminophen (Tylenol) and NSAID (Motrin or Advil) at the same time, subject to other instructions by your dentist.


24. CALL DOCTOR IMMEDIATELY IF YOU HAVE UNEXPECTED PAIN, CONTINUOUS BLEEDING, OR HEAT FROM SURGICAL SITE.


25. Patient MUST return to our office 24 hours after surgery, 1 week after surgery, 3 weeks after surgery, and 6 weeks after surgery.


26. After the 6th week you may brush surgical area with special extra, extra soft brush dispensed or ordered by this office for 6 MONTHS.

HYGIENE CARE 6 WEEKS AFTER PST

(ON SURGICAL SITE)

1. Brush surgical site using soft toothbrush.


2. Use roll technique when brushing surgical site (from bottom up) - 10 strokes per tooth


3. Water pik using lowest mode from the tongue side of the teeth.


4. Do not use electronic toothbrush for 6 months.


5. Electric tooth brush should be held like a flute.


6. Floss through teeth without touching gum. Don't "rope-burn" gum.


7. After 6 months it is recommended you use a hand brush. If you use an electric tooth brush use the finger-hold, like holding a flute.