AFTER CARE INSTRUCTIONS: INCISION AND DRAINAGE

Your treatment today involved making an incision, either with a scalpel or with an electrical device, in order to enable fluid to drain from the infected area.

 

Anaesthetic

  • If an anesthetic was administered for your treatment, your lips, teeth and tongue may be numb for several hours after the appointment.  Avoid any chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb. 

  • It is recommended that you take some Ibuprofen (Motrin or Advil) before the anesthetic completely wears off.  This will help with any swelling or pain at the injection sites where your anesthetic was administered. 

 

Bleeding

  • Bleeding should be minimal after the procedure. However, a small amount of oozing would not be unusual. Avoid vigorous rinsing, spitting, smoking and drinking through a straw for the first day after surgery, as all of these will disturb the wound and reinitiate bleeding. Assume a semi-upright position, use two pillows in bed. If bleeding occurs, apply constant pressure with a gauze pad over the surgical site. If significant bleeding still continues, call the office for advice.

 

Pain & Discomfort

  • After the procedure you may feel some pain and experience some swelling. Swelling and bruising are normal reactions to surgery, and vary from patient to patient and from one surgery to another. Because you already have swelling due to infection, this can become worse after a drainage procedure. Swelling usually reaches its maximum about 48 - 72 hours after surgery. 

  • Take pain medications as prescribed. Do not take medications that you are allergic to.  If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone.

  • If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, please call our office immediately.  

  • This procedure was done to drain an infection which is currently present. It is important to take the prescribed antibiotics and follow the directions on the label and take the medication until it is completely gone. An antibiotic oral rinse may also be prescribed. If you develop hives or a rash, discontinue all medication and contact the office immediately.

  • There may be a slight elevation in temperature for 24 to 48 hours after surgery. This is a normal body response to the surgery. If the temperature persists or is greatly elevated, please notify the office.

 

Diet

  • Your lips, teeth and tongue may be numb for several hours after the appointment because of the anesthetic.  Avoid chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb. 

  • Drink lots of fluids and eat nutritious soft food on the day of the procedure. Avoid foods and drinks that are hot in temperature for 48 hours. You can eat normally as soon as you are comfortable. 

 

Oral Hygiene

  • It is important to resume your normal dental routine after 24 hours. This should include gentle brushing with an ultra soft brush and flossing your teeth at least twice a day. This will speed healing and help keep your mouth fresh and clean. 

  • Do not rinse vigorously or brush teeth next to the implant site for 24 hours.

  • After 24 hours, rinse with warm salt water (1 teaspoon of salt in 1 cup of warm water) 2-3 times a day. The use of commercial mouthwashes during the healing period is not recommended, as the high alcohol content tends to chemically burn the site. 

  • Some procedures require stitches that dissolve on their own within a week.  If you do have stitches, avoid vigorous rinsing and flossing in that area until the stitches have dissolved.  Some stitches may feel long and hard, but will start to soften and dissolve within 24 hours.

 

Activities

  • Avoid smoking for at least 4 days.  This is very important, since nicotine will penetrate the socket and cause an infection called dry socket, which is very painful and requires additional treatment. If you do need to smoke, please cover the extraction site with gauze.  When done smoking, remove the gauze and replace it with clean gauze.

  • Avoid alcohol for 4 days.  Alcohol is a blood thinner, which will prevent the blood from clotting and will slow the healing process. 

 

Follow Up Treatment

  • The success of your treatment depends on keeping all of your scheduled appointments and maintaining your home care as explained by your Dentist.  

Following most dental procedures there may or may not be pain, depending on your threshold of pain.  You will be provided with a prescription for appropriate medication for discomfort.  In most cases, a non-narcotic pain regimen will be given consisting of acetaminophen (Tylenol) and ibuprofen (Motrin).  If a narcotic has been prescribed, follow the directions carefully.  If you have any questions about these medications interacting with other medications you are presently taking, please call our office, your physician and/or your pharmacist.

 

IF FOR ANY REASON YOU ARE CONCERNED ABOUT YOUR CONDITION, NOTIFY DR MORRIS OR A MEMBER OF OUR OFFICE STAFF IMMEDIATELY BY CALLING THE NUMBERS BELOW IN THE ORDER LISTED.

 

Office (780) 962-3414

The cell number provided by your primary dentist at our office

WestView Health Centre (780) 968-3600 or your nearest hospital