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Click to Read and Download The Following Forms That Pertain to Your Treatment:

Please download and read the following patient information forms as they pertain to the procedure you will be having here in the office.

New Patient Paperwork

Pre-Operative Instructions

In general, it is always a good idea to maintain a healthy diet. This is especially important prior to your surgery. In addition, try to get adequate sleep the night before your procedure. Do not smoke 1 week before and after your surgery. Do not consume alcohol before or after your surgery.

Here are some links for specific pre-operative appointment instructions if you are going to be sedated during the procedure:

Oral Sedation

If you were prescribed medication to be taken by mouth to reduce anxiety before your dental appointment:

  • Take the medication as directed by Dr. Thousand.
  • With oral sedation medications there is generally no need to fast prior to the appointment.
  • Do not drive to your appointment, this medication may reduce your ability to function normally.  Have someone drive you to and from your appointment.

IV Sedation

If you were treatment planned to have Moderate/Conscious IV Sedation during surgery:

  • Do not eat or drink anything (with the exception of clear water) 8 hours before your appointment.  Small amounts of water may be consumed up to 3 hours prior to your appointment.
  • Do not drive to your appointment, your ability to function normally will be impaired after your appointment.  Have someone drive you to and from your appointment.

Post-Operative Instructions

General Instructions Following Any Surgery

  1. As you leave the office and when you arrive home, use a cold pack on your face next to the operated area to keep down the swelling. Keep the cold pack on for 10 minutes, then off for 10 minutes.  Repeat this sequence for 2-4 hours. You will probably have swelling in the area tomorrow and the next day. It usually goes down in the first 3-4 days. Please call if the swelling becomes worse or if it affects your swallowing or breathing.
  1. Drink plenty of cool fluids, such as water or juice. Avoid hot foods and drinks for at the first 7 days.
  1. Do not smoke or consume alcoholic beverages for at least 2 days. Both of these items are best avoided altogether as they interfere with blood clotting and healing.
  1. Please limit your physical activities following surgery. Do not clean the house, mow the lawn, shovel snow, jog, do aerobics, play tennis, etc. for at least 3 day after surgery. You should be able to go to work (light physical activity) in a day or two. Try to take it easy and get a lot of rest the day of the surgery. Keep your head elevated by relaxing in a chair or using an extra pillow on your bed or couch.
  1. Take all of the medication given or prescribed for you as directed. You may have started some of them just before the surgery. The only type of medicine that you do not have to take all of is the pain medication. Take all the medications with food unless otherwise stated.
  1. You probably will have pain in the surgery area today and tonight, possibly longer. To minimize the pain, take the stronger pain pills according to directions. Take pain medications when you arrive home, at bedtime the first night, then as needed according to directions. If the pain persists or becomes severe, please call.
  1. You will probably have slight bleeding and a pink color to your saliva the rest of the day. Holding small amounts of ice water in your mouth will usually stop any slight oozing. However, if there is excessive bleeding the day of or continual bleeding the day after the day of surgery, call for instructions.
  1. Starting the day AFTER surgery, brush and floss your other teeth as usual (not the operated area). Do not use the Water-pik or water-flossing devices, they are traumatic to the healing process. Rinsing with the prescription mouthwash, Listerine or warm salt water will help to clean the treated area. To make the salt water rinse; mix one teaspoon of salt with half a glass of very warm tap water. Do not use water hot enough to burn your mouth. CAUTION: do NOT rinse vigorously. Instead, place the mouthwash in your mouth and gently rock your head from side to side, bathing the surgical site in the mouthrinse.
  1. You may eat most foods, but common sense suggest that you eat softer foods, take smaller bites and chew only in the areas where there is no dressing or sutures. Avoid highly seasoned foods and sharp foods such as nuts, popcorn and chips. Food supplements such as Ensure, Boost or a nutritional supplement drink may be helpful but a strictly liquid diet should not be required after the first day or two.

Diet Instructions Following Surgery

The daily intake of a multi-vitamin is recommended.

It is important that you maintain a nutritious diet during the weeks of healing. The patient who maintains a good diet of soft foods generally feels better, has less discomfort and heals faster. The foods listed below are planned to provide the body with adequate vitamins and minerals. Foods containing tomatoes, onions, peppers or spices of any kind will be irritation and should be avoided.

BREAKFAST (blender may be used to liquefy foods)

Apple juice, orange juice, milk, tea, or coffee. Stewed fruits, prunes or similar fruits should be well mashed or sieved. Cooked cereals such as oatmeal or cream of wheat. Eggs; soft boiled, soft scrambled, poached or soft fried. Bread should be softened with gravy or vegetable juices. Milk toast. Donuts softened in milk or coffee. Liquid supplements as above.

LUNCH AND DINNER

Home cooked broth, bouillon, soups. Ground beef. Baked or broiled fish (or fried with crust removed). Finely chopped broiled or stewed chicken. Chicken noodle soup, macaroni and cheese, eggs as above, bread as above. Milkshakes and ice cream. Baked or whipped potatoes.   MASHED asparagus, peas, carrots, lima beans or sting beans. Cottage cheese, cream cheese, cheese soufflé, canned pears, baked apples. Cooked vegetable and meat juices, puddings, Jell-O, custards, stewed fruits, pound cake. Liquid supplements as above.

REMEMBER: You may eat any soft foods that do not irritate. You may chew if it is not too uncomfortable to do so. Use common sense.

FINAL NOTE: You may eat most foods, but common sense would suggest that you eat softer foods, take smaller bites and chew only in the areas where there is no dressing or sutures. Avoid highly seasoned foods and sharp foods such as nuts, popcorn and chips. Food supplements such as Ensure, Boost or a nutritional supplement drink may be helpful but a strictly liquid diet should not be required after the first day or two (Unless Dr. Thousand instructed you otherwise!). Blender processed foods may be indicated for 2-3 weeks depending on the type and extent of your surgery.

Additional Instructions Specific to Gingival Grafts

This page of information should be provided in combination with the “Instructions following surgery” and “Diet after surgery instructions. Make sure you read both of those in addition to this.

The gum graft placed over the tooth or implant is very delicate and requires close attention to detail after the surgery for proper healing. Please keep the following in mind after your gum graft surgery:

Avoid pulling out your lip and continually checking the area. There are sutures to hold the graft in place and these will need to be removed in 10-14 days at your post-operative appointment.

Your oral hygiene is critical to the proper healing of the graft. It is very important that you follow the oral hygiene instructions outlined below.

  • For the first two weeks you will not brush or floss in the area where the gum graft was placed. Instead you should rinse with either the prescription mouthwash, Listerine or warm salt water.
  • After your 2-week post-operative appointment you will use a modified Stillman brushing technique (“Roll brushing” technique) for the next 6 weeks with only and ULTRA-SOFT TOOTHBRUSH and NO TOOTHPASTE.
    1. Ultra-soft is SOFTER than SOFT and may be labeled as post-surgery toothbrush.
  • After using the modified Stillman (“Roll-brushing”) technique without toothpaste for another 6 weeks it may be safe to resume a modified Bass brushing technique using toothpaste.

Instructions for the modified Stillman brushing technique: First the toothbrush is placed with the bristle ends on the gingiva at a 45 degree angle to the long axis of the teeth with the sides of the bristles resting against the teeth. Next, use small circular or jiggling movements and gently move the toothbrush from the gums to the teeth.

Instructions for the modified Bass brushing technique: First the toothbrush is placed with the bristle ends of the toothbrush are inserted into the sulci at a 45 degree angle to the long axis of the tooth. The bristles should bend slightly with light pressure. Next perform short circular vibratory movements slowly from the gums to the teeth.

Additional Instructions Specific to Sinus Lifts

This page of information should be provided in combination with the “Instructions following surgery” and “Diet after surgery instructions. Make sure you read both of those in addition to this.

Because of the close relationship between the upper teeth and the sinus, an opening is sometimes left after surgery or sinus lift with graft. In order to avoid rupture of the sinus membrane and loss of the graft please adhere strictly to instructions below:

  1. Take prescriptions as directed (additional nasal and oral decongestants may be recommended after sinus surgery)
  2. Do not spit for several days.
  3. Do not smoke for several days.
  4. Do not use a straw for several days.
  5. Do not forcefully blow your nose for at least two weeks
  6. Try not to sneeze; it will cause pressure. If you must, sneeze with your mouth open.
  7. Eat soft foods for several days. Try to chew on the opposite side as much as possible.
  8. Do not rinse vigorously for several days.

Additional Instructions for Sinus Surgery (Use only if specifically recommended by Dr. Thousand):

  1. If recommended by Dr. Thousand, use oxymetazoline nasal spray (Afrin) twice per day for the first three days after your surgery. Do not inhale forcefully.
  2. If recommended by Dr. Thousand, consume a decongestant containing pseudoephedrine once or twice (follow manufacturers guidelines) per day for the first seven days after your surgery.

Slight bleeding from the nose for several days is not uncommon.

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