Auburn Oral Surgery & ImplanT Center​

Monday - Friday 8:30am -4:00pm

Wednesday 8:30am-5:00pm

​838 Southbridge Street, Auburn ,MA 01501

Surgical Instructions ​

Preoperative Instructions

If you plan to be awake for your procedure, you may have a light meal prior to your appointment.  If you are over 18, you may drive yourself home.

The following instructions are for those patients having sedation or general anesthesia:

*Failure to adhere to any/all of the pre-op instruction will result in rescheduling*

1. 1. Do NOT eat or drink anything AT LEAST 6 hours prior to your surgery if having sedation. *This includes water*
2. 2. Wear comfortable loose clothes. Short sleeves underneath.
3. 3. NO lotions, oils, etc on face, hands and arms.
4. 4. NOTHING on nails. This includes polish, gel, acrylic, etc. Bare nails ONLY.
5. 5. Have a responsible adult with you to drive you home. NO Uber, Lyft, Taxi, etc. Your ride should be prepared to remain         at the office until you are ready to leave. We will also go over all the post-operative instructions with them. *If patient is a       minor, parent or legal guardian MUST be present*
6. 6. Avoid alcohol and smoking AT LEAST 24 hours prior to your surgery.
7. 7. Be prepared to wait! Although we do our best to stay on time, delays are not uncommon.
8. 8. Marijuana can affect the type and amount of anesthesia. The way(s) you use marijuana can affect how your body              responds to anesthesia. Since marijuana and anesthesia both affect the central nervous system, the doctor needs to                know ahead.
9. 9. We are here to serve your needs. Please notify this office AT LEAST 48 hours in advance if you are unable to keep your      appointment so that we may make appropriate changes in our schedule. *Failure to do so may result in loss of deposit*

*I have read the above instructions and understand that my failure to comply
may result in the delay or postponement of my surgery*

​​

Postoperative Instructions

CARE OF THE MOUTH AFTER ORAL SURGERYIF YOU HAD SEDATION NO DRIVING FOR 24 HOURS
First Hour - make sure all gauze remains in place. Don't chewon it, just apply firm pressure for about 45 minutes.

First 24 Hours - It is important not to disturb the surgical site for thefirst 24 hours while the blood clot is stabilizing, therefore:
Do Not rinse mouth - Do Not brush area
Do Not forcefully spit blood from mouth
Do Not smoke or use straw for 7 days

After 24 Hours - Rinse the area with warm salt water and/or mouthwash. Rinse after meals especially, and a couple of times in between, and then again at bedtime. Brush remaining teeth normally and surgical area lightly. Rinsing and brushing will keep the mouth clean and stimulate healing. Following extractions, the jaw may become quite stiff, sore and difficult to open for next 2-3 days.
begin to slowly stretch the jaw while applying warm moist heat.

Pain - Following routine extractions, take 2 Advil or Motrin every four hours, with Extra strength Tylenol is usually adequate. If you have been given a prescription for pain medication, follow the directions closely. The pain medication prescribed will not take all the pain and discomfort away, it will just take the edge off.

Nausea - Nausea is not an uncommon event after surgery, and it is sometimes caused by stronger Nar medicines. Preceding each pill with a small amount of food, then taking the pill with a large volume of water may reduce nausea. Try to keep taking fluids and minimize the pain medication, but call if you do not feel better or if repeated vomiting is a problem.

Bleeding - A small amount of oozing is normal during the first day. If simple bleeding continues after you have removed the gauze it can be controlled by simple pressure. Roll a piece of gauze thick enough so you can apply firm pressure to the area when the mouth is closed Leave in place approximately 40 minutes and repeat if necessary. If bleeding is persistent, bite on a moistened tea bag for 40 minutes. Be sure the pressure is directly against the wound. If necessary repeat 2-3 times.

​Swelling - Following routine extractions of a few teeth, there is usually little swelling. Swelling should be expected following removal of multiple teeth and especially wisdom teeth. Swelling can be expected to increase for 72 hours. The Fourth Day Swelling begins to go down. Following extractions, a chipmunk - like appearances is not unusual. Ice is especially useful during the first 48 hours. It should be applied 20 minutes on and 20 minutes off until bedtime.

Stiff Jaw - Following extractions, the jaw may become quite stiff and difficult to open for 2-3 days. After 2 days begin to slowly stretch the jaw while applying warm moist heat.

Sinus Precautions - Do Not blow nose.
Do Not do activities that increase sinus pressure. (Ex. blow up balloons)
Do Not exhale with the nose and mouth blocked.

Sharp Bony Edges - If you feel something hard when you place your tongue on the surgical site, you may think it's part of a tooth. This is usually the hard bony socket wall which supported the tooth. Leave it alone and it will heal. Small fragments of bone may come from the surgical area.

Dry Socket - This is a relatively common complication following removal of impacted teeth. If 2-4 days after surgery you have persistent discomfort in the area, or an car-ache on that side, you may have a dry socket. Call the office, they are simply treated.

Diet - During the first 1-2 days (Soft Food) eat pasta, eggs pancakes, potatoes which are easily chewed and swallowed. Take
plenty of fluids.
Gradually progress to solid foods. Don't skip meals. If you take nourishment regularly you'll feel better, gain strength, have less discomfort and heal faster.

If you received sedation or narcotics: FOLLOW INSTRUCTIONS
Do Not drive a vehicle or operate machinery
Do Not undertake any responsible business matters
Do Not drink any alcoholic beverages the same day.
For any complications, or questions, please call 508-832-0919 OR
AFTER HOURS CALL 617-990-5979 OR 508-802-5004​