S. Kirk Vincent, D.D.S.

Oral and Maxillofacial surgery office in Lawrence, KS. Dr. Vincent has been serving the community since 1987, offering tooth removal, wisdom tooth extraction, implants, oral pathology and bone grafting.

Instructions are listed below, but can also be downloaded here:

To download follow the link to the Google Document Viewer .

Preoperative Instructions

Postoperative Instructions

Preoperative Instructions 

For Patient’s Choosing General Anesthesia or Conscious Sedation

  • The night before your procedure you should eat a light easily digestible meal and do not consume any alcoholic beverages.

  • Please plan to retire early so you will be well rested for you procedure.

  • Take two tablets of over the counter strength Aleve® (naproxen sodium) at 10:00PM the night prior to your procedure. Following your procedure take one tablet of Aleve® twice daily and continue for 4 additional days.

  • Do not have anything to eat or drink for 8 hours prior to your procedure. This means NO FOOD, NO LIQUIDS, NOT EVEN WATER.

  • You MUST arrange to have someone accompany you to the surgical appointment and drive home afterwards.

  • All patients under the age of 18 MUST be accompanied by a legal guardian.

  • Wear loose comfortable clothing and be sure sleeves can be easily drawn up past the elbow. Do NOT wear flip-flop shoes, do NOT wear fingernail polish and please leave all jewelry at home.

  • If you have been given a prescription for Peridex® rinse you should begin rinsing with it approximately 2 days prior to your appointment. Brush your teeth and tongue and rinse with warm water as you normally do, then rinse with the Peridex® rinse twice daily in the AM and the PM. You will need to refrain from eating or drinking for approximately 20-30 minutes after rinsing with the Peridex®. Continue rinsing with the Peridex® rinse for 2 weeks following your procedure.

  • Please call us immediately if you have any symptoms of a head or chest cold.  Your surgery may have to be rescheduled.

    Failure to comply with the above instructions may result in your surgery being cancelled or require the surgery to be performed using a local anesthetic.

 

For Patient’s Choosing Local Anesthesia or Local with Nitrous Oxide Analgesia (laughing gas)

  • If you have been given a prescription for Peridex® rinse you should begin rinsing with it approximately 2 days prior to your appointment. Brush your teeth and tongue and rinse with warm water as you normally do, then rinse with the Peridex® rinse twice daily in the AM and the PM. You will need to refrain from eating or drinking for approximately 20-30 minutes after rinsing with the Peridex®. Continue rinsing with the Peridex® rinse for 2 weeks following your procedure.

  • Plan to start the anti-inflammatory medication of your choosing approximately 1 hour prior to your scheduled appointment:

  • For patient’s using Aleve®

Take two tablets of Aleve® at lunch time and then 1 tablet again at bedtime the day of surgery.  The following day take 1 tablet of Aleve twice daily and continue for 4 additional day’s duration.

  • For patient’s using Advil®

Take two tablets of Advil® at lunch time then repeat the dose again every 4-6 hours with a full glass of water for up to 4 days duration.  Do not exceed a total dose of 1800 mg. /day.

  • All patients under the age of 18 MUST be accompanied by a legal guardian.

     

* Advil® and Aleve® should not be used in conjunction with other NSAIDs such as Advil®, Aleve®, Motrin®, or aspirin.  Pain medications within the narcotics group are compatible with Advil® or Aleve® as long as they do not contain any NSAIDs.  If  you elect to take a narcotic pain medication while you are taking Aleve® or Advil® do not exceed 1 narcotic pain pill every 6 hours as they contain acetaminophen, without consulting your doctor.

Instructions for After Surgery

(Please take time to read carefully)

Diet

Day 1

Begin with water, at least 6-8oz every 45-60 minutes. You may progress to juices such as cranberry juice, apple juice, grape juice, Hawaiian Punch, Gatorade, Kool-aid, etc.  Milk based products such as Carnation Instant Breakfast, milkshakes, and frozen yogurt can be added later on in the day.  Soups are also a good source of nutrition.

Day 2

Today you will be ready to progress to soft solids that don’t require much chewing such as mashed potatoes and gravy, oatmeal, Jell-O, applesauce, pudding, pineapple sauce, yogurt or blenderized foods. You should begin gently rinsing with warm water or warm salt water (1/2 tsp. per 8oz. of water) 24 hours after your surgery and should continue for a week. You may also begin brushing your teeth today.

Day 3

By now you should be able to consume most of your regular foods such as hamburger patties, chicken nuggets, macaroni and cheese, fish, and cooked vegetables. However, you may need to cut it into smaller pieces and it may take longer to consume. You should continue to avoid eating foods such as nuts, chips and popcorn.

Bleeding

Following your surgical procedure, oozing of blood may occur for several hours. Blood will fill in your surgical site where the tooth or teeth were extracted and a clot will form.  The blood clot provides protection for the healing tissue as it begins to cover the bone and will remain in place for several days.

*The pigment in blood is very concentrated and when mixed with saliva may give the illusion of profuse bleeding even though only a very small amount is actually occurring.

 Control of oozing may be accomplished by the following:

1.   After you teeth were extracted a gauze compress was placed on the surgical site and you were asked to keep your jaws closed tightly for 60 minutes.  This is to assist your body in forming a stable blood clot.  The actual process may take several hours and require you to replace the gauze compresses at various times throughout the day.

2.   About an hour after your procedure you should plan to replace your gauze with a fresh clean gauze compress. Place gauze compress directly over the surgical site making sure that the compress is thick enough (typically two (2) pieces of gauze) to maintain adequate pressure when the teeth are brought together.  The compress should be held in place for 45 minutes. If the oozing has not subsided then the process may be repeated 3-4 times.

3.   If the bleeding continues following step #2, make a small amount of strong tea, boiling it for 5 minutes, soak a gauze compress in the tea, and then place over the surgical site as instructed in step #2.  Repeat as necessary.

4.   Other measures which may assist in controlling oozing would include keeping the patient quiet, elevating the patient's head, and adequate control of pain.  Remember that the bleeding may appear to be more of a problem than it actually is because of dilution in saliva

Swelling

Swelling is caused by micro leakage by the capillaries in the area of the surgical site and is usually quite noticeable the next day.  Swelling will continue to increase until it peaks at approximately 48-72 hours and then it will begin to disappear. Swelling can be minimized with the use of an ice pack placed on the cheek alternately 20 minutes on and 20 minutes off throughout the first day.  DO NOT USE ICE PACKS AFTER THE FIRST DAY.  Keep your head elevated either in a recliner or on pillows to help reduce the swelling during the first evening after surgery.

Nausea

Some patients may experience nausea following oral surgical procedures and it usually can be treated by withholding all fluids for a short period of time, calming and reassuring the patient and having the patient lie quietly.  When the nausea has passed begin rehydrating the patient slowly with clear fluids. You may use a small amount of warm7-up or ginger ale to help settle the stomach.  Dehydration, swallowing blood, and pain pills can all be reasons for nausea to occur, and determining the exact cause of the nausea will help to prevent a second episode.

Dry Sockets

Sometimes the blood clot you formed during the first few days of healing can be dissolved or washed away exposing the bone and causing constant throbbing pain 3-4 days after surgery.This is known as a "dry socket". This condition is painful but not serious. If you experience these symptom, contact the office for treatment. The placement of a sedative dressing will bring prompt relief.

Exact causes of dry sockets are not known, however, observing the following instructions seems to decrease their incidence:

1.   AVOID carbonated beverages for 7 days.

2.   AVOID using straws to consume liquids for 7 days.

3.   AVOID rinsing your mouth during the first 24 hours

4.   AVOID expectorating (spitting) your saliva during the first 24 hours as this discourages the formation of a stable blood clot.

5.   AVOID smoking cigarettes, cigars, or pipes during the first 4-5 days post-operatively.  However, if you feel you absolutely cannot quit entirely, limit yourself to 3-4 cigarettes per day and place gauze over the surgical site each time you smoke.  The gauze must form a tight seal to be effective.

Medication

Follow your doctor's instructions very carefully when taking any medications.  ALL ANTIBIOTICS PRESCRIBED TO A PATIENT SHOULD BE TAKEN UNTIL THEY ARE GONE, unless an allergic reaction occurs. Allergic reactions include the following:

MILD- itching, hives, rash

MODERATE TO SEVERE- flushing, swelling of lips, tongue, or throat

SEVERE- loss of consciousness, drop in blood pressure, difficulty in breathing

IF YOU FEEL AN ALLERGIC REACTION IS OCCURRING, CALL YOUR ORAL SURGEON IMMEDIATELY,  AND IF A MODERATE TO SEVERE REACTION IS OCCURRING, CALL 911.

 

Explanation of symptoms that may occur

1.   Swelling and an elevated temperature of some extent follows nearly every surgical procedure.  This is nature's way of beginning the healing process.  It does not mean an infection is present unless these symptoms persist.

2.   After the removal of impacted teeth, swelling is often quite pronounced and is most noticeable on the 2nd or 3rd  day following your surgical procedure.  Stiffness of the jaws is also nature's way of resting the part that needs to be repaired, and usually relaxes about the 4th to 6th day.

3.   Black and blue marks on the face are caused by bleeding internally into the cheeks or chin.  This appears first as swelling, but after the 2nd or 3rd day it may discolor the face yellow, black, or blue.  It will gradually disappear in a week to ten days.   A hot towel may be applied for ten minutes, three times a day to speed up the fading process and will also be comforting.

4.   Slight numbness of the lip or tongue may occur as was previously explained.  Your oral surgeon who performed your surgical procedure is entitled to be consulted first in any case of numbness and will appreciate the courtesy.

5.   If intravenous medications were administered, a slight redness or tenderness may occur in the region of the vein.  Apply a warm, moist towel to the area and call your doctor the next day.

6.   After sedation, drowsiness may persist for up to 24 to 36 hours following your procedure, therefore, do not attempt to operate a motor vehicle, operate any machinery, or make any important decisions during this period of time.

7.   Your prescriptions should be taken as directed and alcohol or any other non-prescription drugs should be avoided as they may potentiate your medication's effects.

It is our sincere desire that your recovery will be as pleasant as possible. Please do not hesitate to call in the event of an emergency.