NO BRUSHING over surgical site(s) (do not use cotton swabs, cloth or any soft or hard object to clean area).
NO FLOSSING (Water-Pik ONLY from tongue-side or low setting).
NO TOUCHING; with finger or any other device or object.
Do not lick surgical area.
Do not sleep with hands under the cheek where surgery was done.
No facial massages for 3 weeks or massage that area of the face for any reason.
NO LOOKING: Do not obsess over or question Dr. Salama about the appearance of gums for 6 weeks. You can not look without pulling the cheek.
RINSE ONLY WITH LIPS APART: SLOSHING ONLY ( no chipmunk cheeks when you rinse).
Do not play wind instruments for 3 weeks.
No sucking on foods/objects or spitting.
Do not blow balloons.
No mints over the surgical area.
No smoking, chewing tobacco, cigar, pipe or recreational marijuana for at least 6 months. Please consult Dr Salama if you use marijuana for medical purposes.
Wear 24 hour appliance or night guard as prescribed (if recommended by Dr. Salama) Failure to wear appliance may cause relapse. Check with Dr. Salama if you wear any other appliances (e.g. retainers or Invisalign).
No Clenching or grinding of the teeth. (No heavy lifting/weight lifting that require clenching of the teeth).
No heavy aerobics, vigorous exercising/ dancing or physical activity for 3 weeks. (walking or non-strenuous activities are OK).
No facial devices such as snorkeling or CPAP for 2 months.
ICE OVER AREA at 10 minute intervals for the first 48 hours to minimize swelling.
DO NOT BE ALARMED ABOUT SOFT SWELLING OR BRUISING FOR THE FIRST WEEK.
DO NOT EAT crunchy or sticky foods (like bread) that can get stuck on or in between your teeth.
No scalding hot drinks (tea, coffee, water or hot soups).
No Triclosan, hydrogen peroxide, bleach or any non FDA approved concoctions [coconut oil (oil pulling), holistic mouth rinses, or homeopathic remedies].
EXPECT cold sensitivity for 6 weeks or longer. DO REPORT sensitivity during check-up appointments.
PAIN CONTROL- take one each of Acetaminophen (Tylenol) and NSAID (Motrin or Advil) at the same time subject to other instructions by Dr Salama.
CALL DR. SALAMA IMMEDIATELY IF YOU HAVE UNEXPECTED PAIN, CONTINUOUS BLEEDING, OR HEAT FROM SURGICAL SITE.
Patient MUST return to our office 24 hours after surgery, 3 days after surgery, 1 week after surgery, 3 weeks after surgery and 6 weeks after surgery.
After the 6th week you may brush surgical area with special extra, extra soft brush dispensed or ordered by this office for 6 MONTHS.
No alcohol for at least 1 week.
No smoking marijuana for at least 6 months.
It is suggested to take Arnica natural supplement after the surgery and to use it as directed on the bottle to help the body heal by stimulating the body’s natural mechanisms that reduce pain and swelling rather than using prescription drugs.