Implant Post Op Instructions
Extraction and Bone Graft Post Op Instructions
Extractions Post Op Instructions
Graft Post Op Instructions
Osseous Surgery Post Op Instructions
Scaling and Root Planing Post Op Instructions
SinusLift and or Bone Graft Post Op Instructions
Sugical Periodontal Therapy Post Op Instructions
Implant Placement & Osteotome Post Op Instructions
Post LANAP Diet Instructions
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 910-860-8486 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.
Please alert the office to any allergies or sensitivities that you might have to antibiotics. You will be prescribed an antibiotic if our doctor determines it to be necessary.
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.
These instructions apply to the surgical procedure just completed. They are designed to help you minimize post-surgical discomfort and inform you of any situation that may require special attention.
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.
The dressing (which acts as a bandage) is used to protect the surgical site and help reduce discomfort. If the dressing comes off or is uncomfortable, please call the office for direction.
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:
Do not smoke for at least 2 weeks following your surgical procedure. It will significantly slow healing and can compromise results.
Do not drink alcohol while taking prescription pain medications.
Do not rinse for the first 24 hours. After that, you may use a mild, diluted mouthwash. Repeat as necessary to help keep the dressing clean.
Do not brush the surgical site. You may resume normal brushing/flossing in other areas the following day.
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.***
Should you have any questions or concerns during regular office hours, please do not hesitate to contact us at 910-860-8486
“A fantastic experience for over two years of treatment. Friendly and professional -listens to your ideas about what you would like, doesn’t dive in with a one plan fits all approach. Treats the whole mouth and its functions, not just an individual tooth. Highly recommend her to anyone that needs her expertise.”
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“I found Dr. Phillis Cook to be a personable and knowledgable periodontist. She genuinely cares about her patients and their well being.”
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“I was a big chicken when it comes to dental work and was very apprehensive about an implant. Words cannot describe how well it went. I was (am) most pleasantly surprised The staff was professional, caring, and understanding. From the evaluation through the procedure and follow-up, I was treated with respect. The staff was very helpful and the experience was wonderful! I would not hesitate to encourage someone to have the procedure and would highly recommend Dr. Cook and her staff.”
“I don’t know if I can fully express just how positive an experience I’ve undergone with Dr. Cook and her AWESOME staff. From the beginning, everyone has been so friendly and very professional – something that I find refreshing compared to different experiences I’ve had in the professional environment. I’ve always wanted to have my particilar procedure done and finally addressed it. That was what I considered the easy part: I’m a big weenie when it comes to needles and the such. I am pleasantly surprised at how painless the actual surgery and recovery time was. As far as the results – phenomenal!!! Immediate improvement, and it will only get better from here! No question about it, I will recommend Dr. Cook and her top-notch staff to anyone with any periodontal/implant concerns.”
“My experience with having an implant is a good one! The surgery was painless and the temporary crown was practically flawless. I work closely with 6 ment at work and I don’t believe any of them realized that I had an implant placed. The staff and Dr. Cook are the best. No kidding. You rarely see this kind of hospitality these days. Thanks a million!”
“I have spent several years with missing teeth and lots of aggravation and frustration; these no longer exist! Now I can smile with the best of em’. For high satisfaction, you don’t mind paying the extra dollar. This was money well spent. I would say if you want skill, experience, and a professional setting, then Dr. Cook is the best choice.”
“You will never regret it. Wow, already everyone that sees me tries to figure out what has changed. They guess weight loss, hair cut, even one person thought I had some type of face lift. How can you compare money to happiness and health. It’s worth every penny. She’s an angel and a miracle worker in one person.”
“My apprehension of the scaling and root planing procedure was greatly relieved following the first treatment – completely professional with the utmost patient sensitivity. The entire approach to treatment has been candid and comprehensive enabling complete understanding of “where are we going” to better tooth and gum health. The entire office staff has been wonderful to deal with and I am glad that I ended up here.”
“Wow, I never expected it to be this easy! I was really nervous and was afraid I would have to wear a temporary tooth that could possibly fall out. I am not a vain person “but” this was my front tooth! I was also nervous about the surgery itself – I’m not into pain! Dr. Cook and her staff were excellent. They made me so comfortable and took really good care of me. I don’t remember much of the procedure itself and did not have much pain afterwards, just a little uncomfortable. I really appreciated the call from Dr. Cook that afternoon just checking to make sure I was okay. I highly recommend this procedure! You are in good hands with Dr. Cook and her wonderful staff!”
During your first visit, your periodontist will review your complete medical and dental history with you. It’s extremely important for your periodontist to know if you are taking any medications or being treated for any condition that can affect your periodontal care.
You will be given a complete oral and periodontal exam. Your periodontist will examine your gums, check to see if there is any gum line recession, assess how your teeth fit together when you bite and check your teeth to see if any are loose. Your periodontist will also take a small measuring instrument and place it between your teeth and gums to determine the depth of those spaces, known as periodontal pockets. This helps your periodontist assess the health of your gums. Radiographs (x-rays) may be used to show bone levels between teeth and check for bone loss and cavities.
Please assist us at the time of your initial visit to the office by providing the following information: Your referral slip and x-rays from your referring dentist. Of course, we always welcome self-referrals!
A list of medications you are currently taking (please note that you can fill out your patient registration and medical history form on our website.) If you have dental insurance, please bring any forms or insurance cards with you to the appointment. Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension). We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.
We will be as gentle as possible. The periodontal exam can be completed with little or no discomfort.
We will need current periodontal x-rays in order to see disease not otherwise visible. If your referring dentist has taken x-rays, you may request that they be forwarded to us.
Doctor Cook will do an oral cancer screening and check your blood pressure and pulse at your initial visit. Since all patients are different, the doctors must complete your examination before establishing your treatment plan and the fee for care. The fee for periodontal treatment can vary considerably depending on the type of problems and the complexity and length of treatment. An approximate fee can usually be determined at the initial visit; but on occasion, some initial treatment or further diagnostics must be completed before the final treatment plan can be established. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.
Periodontal procedures and implants may be covered, the insurance company will determine coverage according to your policy guidelines/limitations. As a courtesy to our patients with dental insurance, we will be happy to file your insurance if we are supplied with the necessary information for your plan.
Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual situation. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.
The recent advances in periodontal treatment allow us to successfully treat most teeth.
Our office and your dentist will work closely together. If crowns and fillings are needed your dentist will provide them. Regular visits to your dentist are an important part of periodontal maintenance.
Periodontal disease is a progressive, painless infection. Delay can cause you further bone loss and more expense. If your teeth are lost, dentures are never as effective as your own teeth.
Any dentist with a diploma can legally place an implant. A specialist with surgical training has taken three additional years of training to learn proper surgical skills.
The dental specialty boards require high standards of training and performance and ensure them by rigid oral and written examinations. Successful applicants receive diplomas in their specialty. To become “board-certified” and receive “Diplomate” status in their particular specialties, additional rigorous testing must be passed before the specialty board. Periodontal specialists take three years of residency training after four years of dental school. The recognized standard-setting organization for Periodontists is the. is a board certified Diplomate of the American Academy of Periodontology.