Mouth Care following Periodontal Surgery

It is not unusual to have some discomfort for a few days following your surgical procedure. In many instances, two (2-3) Advil and/or (2) extra-strength Tylenol, taken every six hours will be sufficient. You may be given a prescription for a more potent medication to be taken only if necessary to minimize your discomfort. A liquid bandage material is sometimes placed over the surgical area. It is expected that liquid bandage will chip off during the week.

1) Do not disturb the wound: In doing so you may invite irritation, infection and/or bleeding. Keep your fingers and tongue away from this area. In the case of bone grafting was used, expect some bone granule particles to slip out from the surgical site (s). When that happen, you will feel crunchiness in your mouth. DO NOT SPIT OR SUCK THROUGH A STRAW.

2) Do not smoke or use tobacco products or alcohol for 72 hours after the tooth/teeth have been extracted: because smoke can interfere with the healing process (bone growth), promote bleeding and can cause a very painful situation known as “dry socket”.

3) Swelling: Swelling may or may not occur, depending on the nature of the procedure. Swelling can be minimized by using ICE PACKS against the cheeks 20 minutes on and off for the first 24 hours following surgery. 

4) Bleeding: You can use the gauze if you need to but make sure the gauze is DAMPENED. If you are still experiencing bleeding you can place a DAMP tea bag to the area and apply pressure for about 30 minutes. Applying PRESSURE, PRESSURE, PRESSURE is very important. 

5) Diet: Should consist of nourishing foods of a soft and liquid consistency. NO crunchy foods such as nuts, popcorns, pretzels, chips, etc. Avoid foods that are exceptionally hot. Gradually change to a normal diet over the next seven to ten days.

 6) Brushing: For several days after surgery, it is important to keep this area as clean as possible to prevent infection and promote healing. DO NOT BRUSH, FLOSS, OR USING WATERPIK DIRECTLY ON EXTRACTION SITE (S) TWO WEEKS AFTER SURGERY.

 7) Mouthwash: Avoid all rinsing for 24 hours after surgery. This is to ensure the formation of a blood clot. Disturbance of this clot can lead to increased bleeding or the loss of the blood clot. After the first 24 hours, you should VERY GENTLY RINSE (HOLD IT IN PLACE) the area 2 times a day using warm salt water or any kind of mouth rinse.