Home » Surgical Instructions » Facial Trauma
Facial Trauma Instructions
Bleeding
Slight bleeding after surgery is normal and may last for several hours. If bleeding is excessive then put pressure directly over bleeding. Sit up or semi-recline. Avoid spitting, strenuous activity, bending over, sucking through a straw for 48 hours. No smoking for 48 hours.
Rinsing
For the first 24 hours after surgery: very gently rinse twice with chlorhexidine rinse. Vigorous rinsing may dislodge the blood clot and interrupt the normal process of healing, so be gentle. From one day after surgery until healing is complete rinse 3 times per day with chlorhexidine rinse. Use salt water rinses between doses of chlorhexidine rinse. Also brush and floss (if possible) just prior to each dose of chlorhexidine.
Swelling / Fever
An ice pack placed on face will be beneficial to help control swelling and bleeding. If extreme swelling occurs or a temperature above 101.5, contact our office.
No Smoking or Alcohol
Do not smoke or drink alcohol for 48 hours following oral surgery. This may cause the disruption of healing and increase in complications such as wound breakdown and post-operative infections.
Diet
No Chewing No hot liquids/acidic foods/drinks
Eat something when you feel ready. Cool liquids are best to start but avoid sucking through straws. Then, when the numbness starts to wear off, progress to a pureed (mashed potato consistency or softer) diet.
Care of teeth / Cleanliness and healing
The teeth should be given their usual care. Brush three times a day. A clean mouth will heal faster. Be careful around the operative site, but still clean there.
If the maxilla (upper jaw) was fractured
The maxillary sinus may be affected. If so, then do not blow your nose until further notice. Gentle sniffing in is okay. Use sinus and nasal medications as directed.
Nausea
Nausea is a normal side effect of narcotic pain medications. If you have severe nausea or vomiting you may need to stop the pain medications or to take an additional anti-nausea medication.
Pain
Some discomfort is normal following oral surgery. If pain medication is prescribed, take only as directed. Often it is beneficial to take the medication after eating to help prevent nausea. Do not drive while using narcotic pain medications.
Injection site
After having intravenous anesthesia, the arm vein may become hardened and tender. Apply moist heat over the area for one hour three times a day for three days. Contact Dr Reynolds if there is no improvement.
Antibiotics and Contraception
Take antibiotic as prescribed until finished. Contraceptives may be ineffective while taking an antibiotic. Use extra protection.