Kurt Van Winkle, D.D.S., M.S.D., P.C.

Extraction, Bone Grafting & Regeneration – Instructions

Brushing / Flossing

  • Do not brush or floss the treated area(s) for 1 week.
  • You may brush and floss all other teeth normally.
  • You will be scheduled for a follow-up appointment in 7-10 days and proper brushing and flossing of the area(s) will be reviewed at that time.

Eating

  • Softer foods will be desired for the first few days. Avoid crunchy, hard, spicy, salty foods (pretzels, nuts, chips) as they will irritate the treated area(s).
  • Avoid hot foods for the 1st day (hot soups, coffe, tea) as they will increase swelling to the treated area(s). Warm foods can be consumed on the 2nd day.
  • Cut food into small pieces and chew on the untreated side of your mouth.
  • Avoid drinking with a straw for 3 days as this can create bleeding.

Discomfort and Swelling

  • It is normal to experience pain, throbbing or discomfort. Typically the first 2-3 days is when the most soreness occurs. The discomfort can last up to one week and possibly into the 2nd day.
  • “Delayed discomfort” is possible. This means that you may feel little to no discomfort the 1st week but do experience some the 2nd week.
  • Swelling of the gum and cheek is normal. A cold pack can be gently placed on the outside of the cheek for up to 20 minutes every 2 to 4 hours. his is most effective the first 24 to 72 hours following surgery.
  • Minimize talking as much as possible the first day in attempt to help with discomfort and swelling.

Bleeding

  • It is normal to experience slight bleeding for the first 2-3 days.
  • Gauze will be sent home with you to bite on if the area bleeds. Fold 2 pieces of lightly moistened gauze into a small square; place it in the extraction site and bite. Change the gauze about every 5 minutes until you no longer see any blood.
  • Some medications can increase the amount of bleeding such as aspirin, Plavix, Coumadin.
  • If the area continues to bleed with the gauze in place, remove the gauze and replace with a moist tea bag. The tannic acid in the tea will help to control the bleeding. Unfortunately the taste will not be pleasant.
  • If excessive bleeding occurs after attempting the above procedures, call the office number (317) 844-2792, or after hours Emergency number (317) 691-4169.

Sutures

  • Sutures (stitches) are absorbable and will come out within 5-10 days. They may untie and become loose. Do NOT attempt to pull or remove the sutures. If they are long and bothersome, you can trim them with small scissors.

Working

  • It is not advised to return to work the same day of surgery due to possible discomfort and bleeding.
  • You likely will be able to return to work the following day.
  • If you elect to be sedated for the procedure, you are NOT to return to work the same day but may return the following day.

Exercising

  • Avoid exercising or heavy lifting for 2 days.

Smoking

  • It is best not to smoke during the 1st week following the surgery as it will delay the healing process.

Prescription Mouth Rinse

  • Rinse twice daily (after breakfast and before bedtime) for 1 week.

Antibiotic

  • Take as directed until gone.

Pain Medication

  • Take as needed.
  • Ibuprofen, Tylenol, Advil, or prescribed medication.

1 Week Follow-Up Appointment

  • An appointment will be scheduled for you to return 7-10 days following the surgery to evaluate the healing of the treated areas.
  • At this time, your next follow-up appointment will be determined.

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