toothbr2.wmf (6006 bytes)hollispg.JPG (107431 bytes)

undercon.gif (293 bytes)facebook logo

My FaceBook
Sports Dentistry

Post-Op Instructions

Michael D. Kurtz, DDS

88-34 195th Pl ace, Hollis Park Gardens, NY 11423

Office 718-465-7854   Cell 646-221-3366 

E-mail:  Website: 


 PLEASE READ AND FOLLOW THESE INSTRUCTIONS CAREFULLY. The after-effects of oral surgery vary per individual, so not all of these instructions may apply. Please feel free to call our office any time should you have any questions, or are experiencing any unusual symptoms following your treatment. In case you lose this paper these same instructions are posted on the website at


 IMMEDIATELY AFTER SURGERY. Patients usually do not receive a general anesthetic in our office but it is usually a good idea to return home from the office immediately upon discharge, lie down with the head elevated until you are feeling better. If you have been prescribed pain medication it may make you drowsy while you are taking it. You should not operate any mechanical equipment, drive a motor vehicle or stand too near train tracks while you are taking this medication. Having a trusted friend observe and accompany you is always a good idea, especially to and from the office. They may be able to chauffeur you and help pick-up medications at the pharmacy as well.

ORAL HYGIENE AND CARE. DO NOT drink with a straw and DO NOT RINSE or brush your teeth or probe the area with the tongue, any objects or your fingers. DO NOT SMOKE for at least 48 hours, since it is detrimental to the healing process.

You may start normal tooth brushing the day after the surgery or after bleeding is controlled. Start rinsing your mouth with a warm saltwater rinse (1/2 tsp. salt with 1 cup water) every 2-3 hours. Continue this for several days, then rinse 3-4 times a day for the next 2 weeks. It is imperative to keep your mouth clean, since an accumulation of food or debris may promote infection.

BLEEDING. Do not disturb the surgical area today. Bite down gently but firmly on the gauze pack that we have initially placed over the surgical area, making sure that they remain in place. The gauze may be changed when necessary and/or repositioned for comfort. This is important to allow blood clot formation on the surgery site. This may be controlled by placing fresh gauze over the surgical area and biting down firmly for 30-60 minutes. Some bleeding is normal, and blood-tinged saliva may be present for 24 hours. Do not eat or go to sleep with gauze in your mouth.

STEADY BLEEDING. Bleeding should not be severe. If bleeding persists, this may be due to the gauze pads being clenched between the teeth rather than exerting pressure on the surgery site. Try repositioning the gauze. If bleeding persists or becomes heavy, substitute a moist tea bag (first moistened in water, squeezed dry and wrapped in a moist gauze) on the area for 20-30 minutes. If bleeding continues, please call our office.

SWELLING OR BRUISING. Swelling is to be expected, and usually reaches its maximum in 48 hours. To minimize swelling, cold packs or ice bag wrapped in a towel should be applied to the face adjacent to the surgical area. This should be applied 20 minutes on then removed for 20 minutes during the first 12-24 hours after surgery. If you were prescribed medicine for the control of swelling, be sure to take it as directed. After 24 hours, it is usually best to switch from using the cold pack to applying moist heat or heating pad to the same area, until swelling has receded. Bruising may also occur, but should disappear soon. Tightness of the jaw muscles may cause difficulty in opening the mouth. This should disappear within 7 days. Keep lips moist with cream or Vaseline to prevent cracking or chapping.

DIET. Eat any nourishing food that can be taken with comfort that is on your normal diet. It is advisable to confine the first day�s food intake to bland liquids or pureed or soft foods. Avoid foods like nuts, sunflower seeds or popcorn, which may get lodged in the socket areas. Over the next several days, you may progress to more solid foods. Proper nourishment aids in the healing process. If you are a diabetic, maintain your normal diet as much as possible and follow your physician�s instructions regarding adjusting your insulin schedule. If you eat less or fast taking the regular amount of insulin may be too much. Monitor your blood sugar level.

 PAIN AND MEDICATIONS. Unfortunately, most oral surgery is accompanied by some degree of discomfort. Take the pain medication prescribed as directed. The local anesthetic administered during your surgery normally has a 3-hour duration, and it may be difficult to control the pain once the anesthetic wears off. We therefore, advise you to take the pain medication 2 hours immediately after your surgery. If you do not achieve adequate pain relief, you may supplement each pill with an analgesic such as ibuprofen or acetaminophen. Taking the pain medication with soft food and a large volume of water will lessen any side effects of nausea or stomach upset.

If you were prescribed an antibiotic and are currently taking oral contraceptives, you should use an alternate method of birth control for the remainder of this cycle.

 ORTHODONTIC APPLIANCES. If you wear removable orthodontic appliances, replace them immediately after surgery unless otherwise instructed. If these appliances are left out of the mouth for any length of time, it is often difficult or impossible to reinsert them.


 ORAL HYGIENE. Keeping your mouth clean after oral surgery is essential. Begin your normal tooth brushing routine the day after surgery. Soreness and swelling may prevent rigorous brushing of all areas, but make every effort to clean your teeth within your comfort level. Keep using warm saltwater rinses to rinse your mouth at least 3-4 times daily for the next five days.

.CARE OF SURGICAL AREA. Apply warm compresses to the skin overlying areas of swelling for 20 minutes on and 20 minutes off to help soothe these tender areas. This will also aid in reducing swelling and stiffness.


 DRY SOCKETS. The blood clot on the surgical site may be lost causing a dry socket (usually on the 3rd to 5th day). There will be a noticeable, distinct, persistent pain in the jaw area, often radiating toward the ear and forward along the jaw which may cause other teeth to ache. If you do not see steady improvement during the first few days after surgery or if severe pain persists, please call the office to report these symptoms.

SKIN DISCOLORATION. This may be expected, and is usually limited to the neck or cheek area near the surgical site. This is caused by bleeding through the mucous membranes of the mouth beneath the skin and appears as a bruise. If discoloration occurs, it often takes a week for this to completely disappear.

NUMBNESS. Loss of sensation of the lip and chin may occur, usually following lower wisdom teeth removal. This is usually temporary and disappears within a few days or weeks. Occasionally, some numbness may persist for months, due to the close association of the roots of the teeth to the nerve that supplies sensation to these areas described.

It is our desire that your recovery be as smooth and pleasant as possible. If you have any questions about your progress or any symptoms you are experiencing, please call our office at 718-465-7854 or 718-465-1500. After office hours, you may call our cell phone at 646-221-3366

Home ] Up ]

websites counters
Send mail to with questions or comments about this web site.
Copyright 2016 Michael D. Kurtz, DDS