Contact

To contact a doctor after hours, please call the office, (231) 946-3512, for special instructions.   In case of a malfunction of our answering machine, please follow instructions listed below in the last paragraph.

Bleeding

Normally slight oozing lasting 6 to 24 hours will mix with saliva and give a red tinged appearance.   However, if bright red, coagulated “jelly-like” clots are constantly forming several hours after surgery and does not decrease with time, the above number should be called.   Slight bleeding may also occur from the nose if the implant was placed near the sinus.

Swelling

If extensive oral surgery has been performed, swelling and possible bruising will occur.  Swelling will reach its peak 2-3 days after surgery, then gradually will decrease.   Elevating the upper body and ice packs the first day may minimize swelling.   Apply ice for twenty minutes and remove for twenty minutes, then repeat.  Muscle stiffness may also develop, which may limit opening.   Moist heat applied to the face after the first day may improve this condition.

Diet

A minimum of six glasses of fluids is recommended the first day.   Patients are encouraged to resume a normal diet the following day to overcome muscle stiffness.  Moist heat applied to the face after the third day may also improve this condition.

Medication

Usually ibuprofen 200-600 mg every 4 hours is very effective in controlling post-operative pain and swelling.   Side effects are minimal and it can be safely used while driving or working.   For difficult oral surgical procedures, narcotic pain medications may be prescribed to control discomfort.  The narcotic medication is best utilized between the scheduled dosages of ibuprofen, minimizing the total amount of narcotic required.   Do not operate cars or dangerous machinery if narcotic pain medications are being used.   Driving is not allowed until the next day if intravenous sedation has been utilized.  It is recommended you be monitored by a responsible adult at home the day of surgery.   If you are a woman on oral birth control medication, you must consider the fact that antibiotics, if prescribed, might make oral birth control less effective.    

Antibiotics

Be sure to take any prescribed antibiotics (if prescribed) as directed to help prevent infection.

Hygiene

Avoid vigorous sucking, spitting, and foods containing hard particles for six hours after surgery.   Careful brushing of the adjacent teeth is strongly advised to remove plaque and associated bacteria.   If an antibacterial rinse has been prescribed, gently oral rinsing can be done the day of surgery to cleanse the mouth.  Any stitches should be gently brushed with the same antibacterial rinse to remove food debris the following day.

Activity

Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking in normal nourishment. This may weaken you and further limit your ability to exercise.

Emergencies

If there is an emergency that cannot wait until the next day, you may contact the doctor who treated you by calling Dr. Fountain at 231-392-5810, Dr. Madion at 231-881-2100, or Dr. Olsen at 734-883-6288.   If there is no answer, you may call Munson Medical Center at 231-935-5000 and have the switchboard operator page the doctor who treated you.  There may be times when the doctor who treated you is not available for calls.  Please contact one of the other oral surgeons if there is no response after approximately one hour.