Teeth Whitening Ingotmation / Inform Consent

Philip Norman Ralph Estes, DDS Appointments: (972) 335-4145 Reemon Yousif Ashoty, DDS Fax: (972) 335-1019 6311 Hillcrest Rd., Suite 200 [email protected] Frisco, TX 75035 www.oakdentalfrisco.com

Post-Operative Instructions Following Dental Surgery

THINGS TO EXPECT:

Bleeding: Bleeding or “oozing” for the first 6 to 12 hours.

Swelling & This is normal following a surgical procedure in the mouth. It should reach its maximum Discoloration: in 2 to 3 days and should begin to diminish by 5th post-operative day.

Discomfort: The most discomfort that you may experience may occur for a few hours after the sensation returns to your mouth. It may gradually increase again for 2 to 3 days, and then begin to diminish over the next few days. Take medications as soon as possible as directed to avoid extreme discomfort.

THINGS TO DO IMMEDIATELY FOLLOWING SURGERY:

Bleeding: Place gauze over extraction sites and maintain pressure by biting for at least 1 hour. Repeat as needed. Keep head elevated, and rest. Do not suck or spit excessively. (Also, please refrain from blowing into musical instruments.) Note: Some “oozing” and discoloration of saliva is normal. If bleeding persists, replace gauze with a clean folded gauze over the extraction site, and maintain the pressure until the bleeding stops. Bite on a damp tea bag if bleeding seems excessive.

Swelling: Place ice or cold compress in the region of surgery for 10 to 15 minutes every half-hour for the first 12 to 18 hours. Note: Ice bags or cold compresses should be used only on the day of surgery. Switch to heat after 24 hours until back to normal.

Smoking: Avoid smoking during the healing period of 5 to 7 days. Seeking smoking cessation prior to surgery is highly advisable!

Discomfort: Take medication as directed for PAIN. Mild-to-moderate pain can be relieved by over the counter (OTC) Aleve, Advil, or Tylenol. For more severe pain, take the prescription pain medication as directed. Remember that these medications can take up to 30 minutes to 1 hour to take effect. Narcotic medication must not be taken while working, operating machinery, driving automobiles, or drinking alcohol.

Diet: A nutritious room temperature to cool liquid or soft diet rich in protein and vitamins will be necessary for the first weeks after surgery. Healing will occur in weekly increments; therefore, it is best to gradually (in weekly increments) return the diet and/or other mouth/oral activities back to normal. Page 2 Post Operative Instructions

Physical For the first 24 to 48 hours, one should REST. Use narcotic pain relief at bedtime and Activity: refrain from work activities including use of automobiles, cooking, or other activities requiring mental alertness. Do not lift objects heavier than a phone book, or bend over. Work letter to excuse patient is available upon request.

THE DAY AFTER SURGERY:

1. Avoid surgical site entirely for 48 hours. Do not brush area. 2. Beginning 48 hours after surgery, rinse mouth with WARM SALT WATER (or prescription mouth rinse). Continue rinsing 3 to 5 times per day for 7 days, and then begin irrigating per dentist’s instructions (see #7 below). 3. If ANTIBIOTICS are prescribed, be SURE to take ALL that have been prescribed at interval indicated, until all pills are gone. Women on oral birth control pills must use additional birth control methods to avoid pregnancy for the next 2 to 3 menstrual cycles. 4. Use WARM MOIST HEAT on face for swelling. Continue until swelling subsides. A warm, wet washcloth or heating pad will suffice. 5. If STITCHES were used, they will dissolve on their own. 6. DRY SOCKET is a poor healing response, which may occur during the second to fourth post- operative day. It is associated with throbbing pain on the side of the face, which may seem to be directed up toward the ear. In mild cases, simply increasing the pain medication can control the symptoms. If this is unsuccessful, please call us. 7. RETURN TO OUR OFFICE 5 to 7 days after surgery for irrigation instructions and post operative evaluation if directed to do so.

CONTACT US IF:

1. Bleeding is excessive and cannot be controlled. 2. Discomfort is poorly controlled by medications that have had an hour to work. 3. Swelling is excessive, spreading, or continuing to enlarge after 60 hours. 4. Rashes occur that may be an allergic reaction to medications. In such a case, stop taking medication and contact office. 5. GI problems develop such as constipation, excessive diarrhea, or painful abdominal cramping.

CONTACT EMERGENCY MEDICAL SERVICES (“EMS”) OR CALL “911” IF:

1. Patient loses or has lost consciousness, and is incapable of arousal. 2. Feels very ill, or in doom. (Psychological depression or anxiety) 3. Is having trouble breathing. 4. Has a rash larger than a fist. 5. Develops a temperature over 101°F 6. Bleeding increases after 6 hours.