Oral and Maxillofacial Surgery services in Mechanicsville, Walter K. Murphy, DDS Patient Forms Meet Dr Walter K Murphy, DDS Oral and Maxillofacial Surgery Post-Operative Instructions for patients of Dr Walter K Murphy Back to homepage

For Patients Following Procedures Under Sedation or General Anesthesia:

• Followup Appointments – You will need to be seen in approximately one week from the date of surgery.

• Bleeding - Leave gauze in place for 30 minutes after surgery, then remove. Replace with additional gauze every hour until bleeding has stopped. Do not rinse mouth with water. If bleeding persists, lightly wet additional gauze, place over the surgical area, close tightly to put pressure on the site(s), and leave in place for 45 minutes. In addition, a moistened tea bag may be placed between the surgical site and the gauze. It is normal for the saliva to be lightly streaked with blood for one to two days. If profuse or continuous bleeding persists, call the office.

• Foods - Eat cold, soft foods for 24 hours following surgery. (Examples: Ice cream, milkshakes, applesauce, yogurt, Jell-O, pudding, etc.) Hot foods tend to stimulate bleeding. Do not drink using a straw.

• Medications – Take medications as prescribed. Following removal of 3rd molars, this will generally include an antibiotic and Motrin 600-mg. These medications are to be taken after the surgery (unless otherwise instructed by Dr. Murphy). Start medications after the patient has eaten. Medications are to be taken four times a day in its entirety. You will also be given a prescription for a pain medication. Take the medication as needed in addition to other medications if the Motrin is not sufficient to control the discomfort. (Do not exceed one tablet every four hours). If you develop any problems while on the medications, please contact the office. Remember that the effectiveness of birth control pills is reduced when taken with antibiotics.

• Swelling – Apply ice to the facial region over the surgical area for 30 minutes at a time, during waking hours for 24-36 hours following surgery. Post-surgical swelling tends to peak on the third day, and resolves over the next four to five days.

• Day After Surgery – Begin gentle rinsing of your mouth with warm salt water (one half teaspoon in a glass of lukewarm water) after meals and several times a day. Continue to brush your teeth with regular toothpaste, being careful to avoid the operative site. Cleanliness of the mouth is essential for rapid healing and to prevent or control infections.

• Pain – Occasionally, a sharp pain will develop 3-5 days after surgery. This is usually caused if the blood clot dislodges and the bone is exposed. This is called a "dry socket". Call our office for treatment if this should occur.

• Rest – It is not necessary to go to bed but rest is important the first 24 hours following general anesthesia. You may experience light-headedness, dizziness or sleepiness following surgery. We suggest that a responsible adult be with the patient the day of surgery and during the night.

• Experience Difficulty – If you experience difficulty in breathing, bleeding that you feel is excessive, persistent nausea or vomiting, any pain that is unusual, or fever of 101 degrees or higher, please contact Dr. Murphy at the office or Dr.'s Exchange at 228-6396 or at home at 754-3114.

First 24 hours – DO NOT:

Drink alcoholic beverages. Alcohol increases the effect of anesthesia and sedation.
Drive a motor vehicle, operate machinery or power tools.
Make important decisions or sign important papers.
Smoke

Note: Dr. Murphy will contact the patient the evening of his or her surgery to follow-up on the patient's progress.

For Patients Following Procedures Under Local Anesthesia:

• Followup Appointments – You will need to be seen in approximately one week from the date of surgery.

• Bleeding - Leave gauze in place for 30 minutes after surgery, then remove. Replace with additional gauze every hour until bleeding has stopped. Do not rinse mouth with water. If bleeding persists, lightly wet additional gauze, place over the surgical area, close tightly to put pressure on the site(s), and leave in place for 45 minutes. In addition, a moistened tea bag may be placed between the surgical site and the gauze. It is normal for the saliva to be lightly streaked with blood for one to two days. If profuse or continuous bleeding persists, call the office.

• Foods - Eat cold, soft foods for 24 hours following surgery. (Examples: Ice cream, milkshakes, applesauce, yogurt, Jell-O, pudding, etc.) Hot foods tend to stimulate bleeding. Do not drink using a straw.

• Medications – Take medications as prescribed. This will generally include an antibiotic, which you must take in its entirety, and a pain medication. The pain medication can be taken on an as needed basis. If you develop any problems while on the medications, please contact the office. Remember that the effectiveness of birth control pills is reduced when taken with antibiotics.

• Swelling – Apply ice to the facial region over the surgical area for 30 minutes at a time, during waking hours for 24-36 hours following surgery.

• Day After Surgery – Begin gentle rinsing of your mouth with warm salt water (one half teaspoon in a glass of lukewarm water) after meals and several times a day. Continue to brush your teeth with regular toothpaste, being careful to avoid the operative site. Cleanliness of the mouth is essential for rapid healing and to prevent or control infections.

• Pain – Occasionally, a sharp pain will develop 3-5 days after surgery. This is usually caused if the blood clot dislodges and the bone is exposed. This is called a "dry socket". Call our office for treatment if this should occur.

• Experience Difficulty – If you experience difficulty relating to the healing of your procedure, please contact Dr. Murphy at the office or Dr.'s Exchange at 228-6396 or at home at 754-3114.

• Smokers – Do not smoke for 48 hours following the procedure.


© Walter K Murphy DDS  Oral and Maxillofacial Surgery
7009 Lee Park Road, Mechanicsville, VA  (804) 746-1864

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