BEFORE YOUR BONE GRAFTING
To prepare for your bone grafting surgery and to ensure your comfort
and the best possible result, please follow the recommendations
of your oral surgeon:
- Inform your surgeon of any medications or
natural products you are taking.
- If you have been prescribed antibiotics,
take them according to the instructions.
- Women who are using birth control pills
and taking antibiotics, are advised to use an additional method
of birth control as antibiotics will lessen the effectiveness
of the oral contraceptives.
- Do not use aspirin or tablets containing
aspirin during the week before your surgery.
- If you will be receiving intravenous medication
or “sedation” to help you relax and ease any discomfort.
- You should eat a light meal consisting
of broth, tea or Jell-O which should be taken at least
than six hours before your appointment.
- If your surgeon has asked you to take
medication before your surgery, take it with a small quantity
of water one hour before your appointment.
- DO NOT take any other medications
on the day of your surgery without first consulting with your
- Wear loose-fitting clothing to make you more
comfortable. Short sleeve shirts or blouses are preferred.
- Plan to have a responsible adult accompany
and drive you home, as you should not drive for 12-24 hours following
your bone graft surgery.
AFTER YOUR BONE
If your bone graft procedure was performed under general anesthesia
you may be required to stay in hospital overnight. If you received
local or intravenous sedation, you may rest for short while in the
office following your bone graft surgery and then return home. If
you were given a medication to make you sleepy you must not drive
for 12 to 24 hours afterwards. You should bring someone with you
to take you home. Please follow the instructions below regarding
what to eat and how to care for your mouth after the procedure:
- If you have been prescribed antibiotics and
pain medication take them as recommended. Antibiotics are not
routinely given and their use is limited to particular situations.
Please follow the instructions given on the bottle carefully.
Start you pain medication as soon as you return home before the
freezing completely wears off. If your surgeon anticipates that
you will experience a significant amount of discomfort after a
surgery, he or she will recommend that you take the pain medication
at regular 6-hour intervals regardless of whether you are in discomfort
for the first 24 hours. After this time, you should take pain
medication as needed.
- Some pain medication will make your feel
sleepy, so it is advised that you do not drive or operate machinery.
- If possible, use an extra pillow for the
first two nights after your surgery to help reduce swelling.
- You can expect some bleeding in the 24-48
hours after you surgery. Place gauze squares folded in four on
the bleeding area and bite down, applying firm pressure for 20
minutes. Change the gauze as it becomes soaked with blood. Avoid
splitting and this may promote bleeding.
- After bone grafting surgery, there is often
swelling of the face and at times, bruising of the skin. Be assured
that this is a normal part of the recovery process.
- Hold an ice pack to your face (30 minutes
on and 30 minutes off) for the first 48 hours to reduce the swelling.
You can expect the swelling be greatest within 24-48 hours after
surgery. Swelling can last for 7-10 days. If the swelling disappears
and then returns a few days later, please contact your surgeon
immediately. This may be an indication of an infection.
- Eat a light diet including soft foods such
as yogurt, soup, milk products and Jell-O for the first few days.
- Avoid hot food and do not use a straw as
this may lead to bleeding.
- After you get home on the day of your bone
grafting surgery, it is essential that you drink a lot of fluids.
Take a sip of any non-alcoholic beverage every 15-20 minutes.
Examples of appropriate fluid include dairy products, fruit or
vegetable juices and mineral water.
- Patient should be advised that smoking immediately
before or within one month of a bone graft surgery may significantly
increase the risk of wound infection of the graft.
- Optimal healing after your implant surgery
requires that you keep your teeth and mouth clean. This also diminishes
the chance of infection.
- You may brush your teeth as usual EXCEPT
the area of the bone grafting surgery. You will be instructed
to use a special mouth wash to keep healing area clean. Brushing
of a bone graft site within the first week of surgery may induce
bleeding and discomfort. Avoid commercial mouthwashes as they
contain alcohol and can initate the surgical site.
- Gentle toothbrushing of the teeth and surgical
site can be resumed within 7-10 days after surgery using a soft
- Starting the day after surgery, a salt water
rinse (1 teaspoon of salt in one glass of warm water) should be
used after meals and before bedtime.
- Try not to put pressure on your jaw.
- Dissolving stitches are used for most operations.
These normally begin to fall out after three to four days.
Dentures or Prosthesis
- It is important that you do not wear your
old dentures or temporary prosthesis until your surgeon advises
you to do so. They may require adjustment or relining. If they
are inserted too early this could interfere with the healing process.
- Avoid any activities or sports in which you
could receive an injury to your mouth or jaw.
- Our office coordinator will set up an appointment
for you within 10 to 14 after your surgery for you so that your
surgeon can check on how you are healing.
Contact our office immediately at 514-931-7077 if you experience:
- A lot of swelling under the tongue or around
the face and neck
- Continuous bleeding
- Jaw or mouth pain that does not stop after
you take the pain medication you have been given.
- Fever (greater than 38.5°C)
- Numbness after the anesthetic has worn off.
- If you have any questions or problems, call
our office (514) 931-7707 and we will be pleased to help you.
- In emergency situations, you may reach Dr.
Chehade, Dr. Shenouda or one of the members of their team directly by calling
the office number (514) 931-7707 and following the instructions
provided by the answering service.