Oral Steroid

If you have been prescribed an oral steroid, it is for anti-inflammatory purposes. Take as directed.


You have been instructed to bite on a gauze pack to stop the bleeding.  Remove this pack 60 minutes after leaving the office.  Slight bleeding is expected for the next 48 hours.  Repeat this as many times as necessary to control the bleeding.  Keep head elevated for the first 7 days. Get plenty of rest.  Prop pillows next to head to keep from rolling over and displacing the graft. You may have some bleeding from your nose. This is not uncommon.

Rinsing Mouth

DO NOT rinse your mouth or brush your teeth today.   Please avoid blowing your nose for two weeks after surgery. Coughing or sneezing should be done with an open mouth.


Take 3 Advil, Motrin or Ibuprofen (total of 600 mg.) if tolerated, every 4 hours for the first 48 hours to reduce inflammation. (NOT TO EXCEED 3200 mg in a 24 HR PERIOD.) If you have been given a prescription for pain medication, have it filled and take as directed. These medications can be taken together. If this stronger medication causes nausea or a rash, discontinue use and call our office.

WARNING:  Do not drive or operate mechanical equipment while taking pain medication.  If you experience severe pain even after taking medication, call our office for instructions. 


Do expect some swelling or bruising to occur after surgery.  Apply an ice pack to the side of the mouth operated on for 20 minutes on and off for the first two days.  If you experience an increase in swelling accompanied by fever and redness call the office right away. Keep your head elevated at all times. Thirty six (36) hours following surgery the application of moist heat to the side of the face may help in reducing the size of any swelling. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. Soft, puffy swelling that you can indent with your finger after oral surgery is very normal.


A soft or liquid diet is recommended for at least the first 24 hours.  Drink as much fluids as you can for the next 3 days. Resume your normal diet as soon as possible. 


DO NOT SMOKE FOR AT LEAST 2 WEEKS FOLLOWING SURGERY.  It can compromise healing and contribute to infection.


This may be caused by swallowing blood or taking pain pills on an empty stomach.  For relief, Coke, Ginger Ale, 7-UP, etc. may be sipped slowly every hour for 6 hours.  If these are tolerated, tea, clear soup, crackers or bland foods may then be taken.  If nausea persists discontinue the pain medication prescribed and substitute plain Tylenol or Aspirin.  Also avoid taking medication without having some food in your stomach.

Oral Hygiene

Keeping your mouth clean after surgery is essential to reduce the risk of infection. Start salt water rinses the day following your procedure. Use one teaspoon of salt dissolved in an 8oz glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least four or five times daily and always after eating for the next five days. Do not brush your teeth in the area of surgery for 48 hours. When brushing, be very gentle. When expectorating, also be gentle. Listerine mouth rinse should be used 4 times a day (hold in mouth for one minute then spit) for 10 days to reduce the chance of infection.


Maximum effectiveness of prophylactic antibiotics occurs when the antibiotic is in the bloodstream prior to surgery. Therefore, an antibiotic may be prescribed for you to take prior to the procedure. Take the prescribed antibiotic 2 hours prior to your procedure with the smallest amount of water as possible.


Start oral decongestant (Sudafed) 2 hours prior to your procedure and continue 4 times a day for 10-14 days.  (30-60mg). Start nasal spray decongestant (Afrin) 2 hours prior to your procedure (2 squirts in nostril) twice a day for 10-14 days. Expect “rebound” nasal stuffiness after the 3 day regimen is complete. You may use saline nasal spray (Ocean Nasal Spray) to help relieve your symptoms.


Most sutures are dissolvable and will last between 2 to 7 days.

Wearing Your Prosthesis

Partial dentures, flippers, or full dentures should not be used immediately after surgery until your post-operative appointment unless specifically instructed otherwise. When it is placed it should not touch the gums in the area of the surgery. If it does, this can cause ulcerations of the wound edges and breakdown of the suture margins. This can lead to loss of the graft. If you have questions about the fit of your flipper, partial or complete denture, do not wear it until your general dentist or our office can see you.

*Please note small granules may come out through incisions or nostrils*