Bonding Post Op

INSTRUCTIONS FOLLOWING BONDING

  1. You may notice a small wire protruding from the wound. Do not disturb this wire. It is connected to the bonded tooth. If lip or gum tissue becomes irritated, call the office for an appointment to have the wire adjusted.
  2. Do not rinse for 24 hours. Do not swish too vigorously as you may disturb the blood clot which is vital to healing. Mouthwash should be used 24 hours after surgery to aid healing or you can make your own by dissolving 1/2 teaspoonful of table salt in a glass of warm water.  If possible, the mouth should be rinsed 6 times a day for the following 4 days. If bleeding is excessive, thoroughly rinse the mouth and remove all masses of clotted blood. These hanging clots tend to increase the bleeding. Remain quiet and Keep head elevated.
  3. Use Vaseline or any bland ointment 3 times daily if necessary for dry lips.
  4. Take medication as directed. Over exertion for the first 2-3 days can cause throbbing pain as well as bleeding.
  5. Do not drink through a straw for 24 hours. Start with a soft food diet (pasta, mashed potatoes, ice cream, yogurt, pudding, etc.) and work toward a regular diet as soon as possible. You can chew on your good side and avoid sticky foods around the bracket/bonding area. Eat warm to cool temperature foods the first 24 hours.
  6. Following your oral surgery, you can apply an ice bag or cold packs to your jaw for 20 minutes and remove for 20 minutes as frequently as possible for the next 24 hours. We strongly suggest elevating the head by resting in a recliner chair or placing at least 2 pillows under the head during sleeping or waking hours. The swelling peaks in 48 hours and then slowly recedes.
  7. No smoking for at least 48 hours.
  8. Call the office if excessive swelling, bleeding, pain, nausea or a temperature rise occurs day or night.

(513) 521-0110 Finneytown, (513) 755-3500 Liberty Township, (513) 771-4080 Springdale

CALL FOR POST OP APPT:  5-10 DAYS OR AS NEEDED

Post Operative Pain Management

To decrease the number of narcotics our patients are being exposed to, we advise our patients to alternate Ibuprofen and Acetaminophen. Ibuprofen, Advil, and Motrin are all the same medication as are Acetaminophen and Tylenol.

We have our adult patients take 800 mg of Ibuprofen every 6 hours and 1000 mg of Acetaminophen in between doses of Ibuprofen. Patients are not to exceed 3200 mg in a 24-hour period of Ibuprofen or 3000 mg in a 24-hour period of Acetaminophen. Patients under the age of 12 should be given age and weight appropriate doses of Ibuprofen & Acetaminophen.

If you are unable to control pain with this regimen, we suggest adding the narcotic pain medication if one was prescribed. If you decide to take the narcotic, please stop taking the over-the counter Acetaminophen dosing. Most narcotics already have Acetaminophen in them. However, you should continue the Ibuprofen as this will help with the pain management and inflammation.

While taking the narcotic pain medication, patients cannot drive, operate heavy machinery, or sign legal documents. Please be sure to eat before taking any medication.

If you are on a blood thinner (excluding aspirin) DO NOT take Ibuprofen.

Avoid alcoholic beverages.

If you have any questions, please do not hesitate to call.

www.cincinnati-oralsurgeons.com

Prescriptions

Antibiotic: ____________________________________

Pain Medication: _______________________________

Steroid: ______________________________________