COMISKEY ORAL SURGERY

Matthew T. Comiskey, D. D. S

5325 Vining Street NW Suite 203 Concord, NC 28027

704 -785-8060

www.drcomiskey.com

“A Reputation Built on Caring”

INSTRUCTIONS FOLLOWING ORAL SURGERY

  DIET

  Please remove any gauze before eating or drinking. A soft, non-chew diet is advised for the first couple of days after the procedure. A nutritionally balanced diet is essential for proper healing. Please refer to the suggested foods sheet provided in your aftercare bag.

  PAIN

  Pain from surgical procedures can be controlled by taking the prescribed medications as directed. Please also use over the counter products (2-3 tabs of 200mg ibuprofen every 6 hours) if needed. Unless otherwise instructed, begin the first dose immediately so that the pain medication can be in full effect before the local anesthesia wears off.

  BLEEDING

  Mild bleeding is expected and is normal. If it becomes excessive please place the provided gauze directly on the bleeding area and apply pressure. Replace the gauze every 20 to 30 minutes until the bleeding has been controlled. A moistened tea bag may be used if gauze is not available. If bleeding continues please call Dr. Comiskey.

  ICE PACKS AND MOIST HEAT 

  Swelling is not uncommon. To help minimize swelling, apply the ice packs provided to the outside of the face 20-30 minutes on and 20-30 minutes off and continuing until bedtime. Use moist heat from day 3 to 4.Swelling typically worsens 2 to 3 days following surgery. Follow the cold/heat packs instructions provided in the after care bag for further direction.

  ORAL HYGIENE

  Vigorous use of a mouthwash may cause bleeding. Refrain from rinsing  the mouth for the first 24 hours.  After that time, gently rinse with warm salt water (1/4 teaspoon of salt in a 4 oz. glass of warm water) 3-4 times per day for a week. Do not use alcohol based mouthwashes for 1 week.  Resume gentle brushing and oral care within a day while being careful to avoid the surgery site for 1 week.

  ACTIVITY

  Rest is a very important factor in healing. Over exertion the first 3-5 days may lead to increased pain, bleeding, or delay healing. You should refrain from exercise for 7 days.

 

PLEASE CALL Concord Office Phone Number 704-785-8060 WITH ANY QUESTIONS OR CONCERNS.

  IF AFTER HOURS, PLEASE PRESS “8” WHEN PROPMPTED TO BE

  FORWARDED TO DR. COMISKEY’S CELL PHONE.

NO SMOKING. IT IS HIGHLY  RECOMMENDED THAT PATIENTS REFRAIN

  FROM SMOKING OR TOBACCO USE FOR ONE WEEK.

POSSIBLE COMPLICATIONS or CONCERNS

OTHER TEETH WILL POSSIBLY ACHE TEMPORARILY

This should resolve in approximately 7 days.

 

CONSTIPATION FROM NARCOTIC MEDICATION

A mild laxative or stool softener is suggested (colace/senokot).

 

TEMPERATURE

There may be an elevation of temperature for the first 48 hours.

This should not exceed 101 degrees.  If temperature is higher or

continues, notify our office.

 

BRUISING AND SWELLING

Should there be bleeding under the tissue, a purplish-black discoloration

or bruising may result. This discoloration often changes from a greenish to a

yellowish tint and may appear under the jaw or on the neck as it improves.

Bruising is not an uncommon occurrence, and you should not be worried if it

happens in your particular case. It will resolve over 7-10 days.  

 

NUMBNESS

This may occur at the corner of the mouth, the lower lip or the edge of

the tongue.  This is usually a temporary condition and is rarely

permanent.

 

STIFFNESS (TRIMUS) OF THE JAW

May appear after surgery and usually improves over the first week.

Moist heat can be used to alleviate the stiffness.

 

SHARP BONY PROJECTIONS

During the healing process, small sharp fragments may be felt in the gums.

These are not part of the tooth, but are small pieces of bone and often work

Themselves out over 4-7 days. Return to the office for an evaluation if they

become particularly bothersome.

 

SUTURES

Used in most of the procedures and are removed at the

follow up appointment if still present.

 

NAUSEA AND/OR VOMITING (usually from narcotic medication)

Notify the office and discontinue the prescription pain medication.

Recommend taking 3 tabs of 200mg ibuprofen or 2 tabs of 500mg

Tylenol every 6 hours.