The following instructions may be helpful when preparing for your upcoming surgery. Please do not hesitate to call if you have any last minute questions. We can be reached at 910-256-8486 during regular business hours.
You should receive your pre/post-operative prescriptions with this instruction sheet. For your convenience, please have them filled prior to your scheduled surgery, unless they have been previously phoned in to the pharmacy of your choice. Please bring your filled prescriptions with you to your appointment.
It may be important to stop taking Aspirin and non-steroidals such as Motrin and Advil, 7-10 days prior to your surgery. If you are taking Coumadin or another blood thinner, remember to discontinue them as directed. If you take antibiotic premed, please take it as directed before your surgery. You will feel better if you have eaten prior to surgery. We keep the office cool, so dress warmly. You may bring your iPod or MP3 player with you if you would like.
In order to evaluate your progress and healing, we will see you for weekly post-operative checks during the first 1 – 5 weeks. After surgery, in most cases, we will also look forward to seeing you back for a periodontal maintenance cleaning and an examination of tissue maturation about 10-12 weeks following the surgery.
If you elect to use one of the following oral sedatives you must have a ride to and from the office. Please bring your remaining tablets with you. Remember, we encourage you to eat prior to your surgery.
It is not unusual to have discomfort for at least the first week following your surgical procedure. You will be given a prescription for medication to help you tolerate the post-surgical recovery period. Please take your medications as directed. If necessary, you may take your pain medication more frequently than every 4-6 hours to stay ahead of the soreness. It is advisable to not take pain medication on an empty stomach, as nausea may result.
As an alternative to prescription medications, some patients have found taking a combination of over the counter Ibuprofen and Tylenol to be effective. You may take the combination in either of the following dosages: 3 Advil Liqui-Gels and 2 Regular Strength Tylenol or 3 Advil Liqui-Gels and 1 Extra Strength Tylenol, every 4-6 hours as needed.
Note: When taking any prescribed medication containing Acetaminophen (Tylenol), i.e.; Percocet, Hydrocodone, Vicoden or Tylenol with Codeine, you should not take additional Tylenol so as not to exceed the safety level of Acetaminophen. Please contact the office with any questions you may have.
An antibiotic may be prescribed following your surgical procedure. Take as directed until gone. It is advisable not to take these medications on an empty stomach, as nausea may result. For women taking birth control pills, be advised that antibiotics may interfere with their effectiveness.
Swelling may occur following your surgical procedure and will typically increase 2-3 days after the procedure. To minimize the swelling, place an ice pack over the outside cheek area for 20 minutes on and 20 minutes off. Continue using ice for 2-3 days following the procedure as often as possible.
A small amount of bleeding is normal. If excessive or continuous bleeding occurs: Do not rinse your mouth. Elevate your head when lying down. Apply moistened gauze to the immediate area with moderate pressure for 20 minutes, repeat if necessary. Enclose a moistened tea bag in a gauze square and apply pressure for 20 minutes. Call the office if bleeding persists.
Until comfortable, avoid chewing on the side where surgery was completed. Avoid hot foods and liquids for approximately 1 hour following the surgery so as not to soften the dressing. A soft diet is recommended. Foods such as cottage cheese, oatmeal, soup, eggs, yogurt, pasta, mashed potatoes, casseroles, and fruits are more easily eaten. Remember, adequate nutrition is essential for feeling better as well as for healing.
When preparing a post-op menu, please consider some of the following choices:
Jell-O Bananas Yogurt Pasta Milk Shakes Casseroles Eggs Fish Cottage Cheese Ensure/Slim Fast Soups Pudding Rice Apple Sauce Oatmeal Macaroni & Cheese Mashed Potatoes
You may notice increased discomfort 3-4 days after the surgical procedure. As the tissues begin to heal, they may pull against the sutures and dressing. You may choose to take some form of pain medication one hour prior to your suture removal appointment to minimize tenderness. ***If you are a patient for whom Antibiotic Pre-Medication is required, take the prescribed antibiotics 1 hour prior to your suture removal appointment.***
We are accepting new patients in both our Wilmington and Leland offices!
Dr. Deana Cook, located in Wilmington and Leland, NC, is an experienced periodontist who serves patients from Castle Hayne, Porters Neck, Odgen, Leland, Wrightsville Beach, Carolina Beach, Southport, and Hampstead. Dr. Cook, along with our entire team, is looking forward to welcoming you to our office and encourage you to schedule your appointment today!