John a Carroll DDS, Oral & Maxillofacial John A. Carroll DDS Colorado Oral & Maxillofacial Surgery

John A. Carroll, DDS
Colorado Oral & Maxillofacial Surgery

26 West Dry Creek Circle, Suite 740
Littleton, CO 80120
303 224 0500 PH
303 224 0606 FX


After Multiple Extractions and Immediate Dentures

DENTURES: Except as described under the HYGIENE section of these post-operative instructions, you should leave your new dentures in your mouth without interruption for at least 48 hours following your surgery. Doing so will help limit post-operative bleeding, confine and limit oral swelling, as well as cover and protect the surgical site. After 48 hours, you may remove your dentures and leave them out as you wish. Whenever you remove your dentures, clean them as described below. If you won’t be putting them back into your mouth immediately, keep them moist in a water bath. Use of Efferdent® or other denture soaking agents is OK. Beginning three days after your surgery, follow the instructions of your prosthetic dentist regarding denture wearing.

BLEEDING: Bleeding is rarely a problem following dental extractions and immediate denture placement. If you seem to be bleeding excessively following your surgery, contact my office immediately.

PAIN: You will experience some discomfort following oral surgery. Your discomfort should be tolerable if you use prescribed or OTC analgesics as directed. If your pain seems excessive, or if your pain worsens several days following your surgery, call our office.

SWELLING AND BRUISING: You will experience some facial swelling after your surgery. Applying ice packs intermittently to your face the day of your surgery may help to decrease post-operative swelling. If your surgery was done with a local anesthetic only, your swelling should peak within 12 to 24 hours, and subside over the next two to three days. If you had an intravenous anesthetic or sedation, your swelling will peak 48 to 72 hours later. Swelling should then resolve over the next five to seven days. Swelling that develops and/or increases several days after your surgery may indicate infection. Call our office if you experience late or excessive post-operative swelling. Bruising can occur on your cheeks, below your jaw line and extend downward into your neck, especially if you had lower teeth removed.

DIET: Remain on a liquid diet for the first 48 hours following your surgery. Acceptable foods include juices and other non non-carbonated beverages, soups, ice cream, Jell-O®, pudding, yogurt, etc. Dietary supplements including Ensure® and Sustacal® are beneficial. Beginning on post-op day three, you can advance to a pureed diet. Avoid chewing with your new dentures until directed to do so by Dr. Carroll.

MEDICATIONS: Take your prescribed and/or dispensed pain medication as directed. Do not drive a motor vehicle, operate machinery or perform any functions requiring intact reflex and/or cognitive capabilities for at least 12 hours following your last dose of prescription narcotic pain relievers. Take any other prescribed or dispensed medications as directed.

ACTIVITY: Rest and remain relatively inactive the day of your surgery. Keep your head elevated. Light physical activity may be initiated the following day. By post-op day three, you may resume a more normal level of physical activity. If you received intravenous anesthesia or intravenous sedation for your surgery, do not drive a motor vehicle, operate machinery or perform any functions requiring intact reflex and/or cognitive capabilities for a period of at least 24 hours following your surgery.

DRUG ALLERGY: Allergic reactions to injected anesthetic medications and prescribed oral pain relievers and antibiotics are rare. Mild allergies will elicit itching, rash and possibly hives. Anaphylaxis is a severe allergic reaction that causes swelling of the throat and constriction of the windpipe interfering with breathing. If you think you are experiencing anaphylaxis, call 911 immediately. If you experience any signs or symptoms of a mild drug allergy, discontinue taking the medication and call our office. If there is any delay in reaching Dr. Carroll or the doctor on call, and your reaction to medications is worsening, go to your closest hospital emergency room or telephone 911. An upset stomach is not a symptom of a drug allergy.

UPSET STOMACH: Many patients experience nausea and one or more episodes of vomiting following oral surgery. Swallowing blood irritates the stomach lining. Post-surgical pain medicines may also upset your stomach. Nausea and vomiting are generally self-limiting. If you experience persistent nausea and/or more than two episodes of vomiting, call our office.

SMOKING: Do not smoke for at least five days following your surgery.

ORAL HYGIENE: Before going to bed the night of your surgery, remove your dentures. Rinse them with warm tap water to remove any blood and food debris. Gently swish and spit with warm salt water. Reinsert your dentures immediately. Repeat this procedure the next morning when you awaken, and twice more that same day. Continue this hygiene protocol until you see Dr. Carroll for your post-operative evaluation.  

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