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Geoffrey R. Bauman, DMD, MS | Frenectomy in Newark

Geoffrey R. Bauman, DMD, MS / Board Certified,  American Board of Periodontology
Fellow, Midwest Implant Institute




Loss of the surgical dressing:  If a dressing was placed, be careful not to disturb it.  The dressing will hold the gums in the correct position during early healing.  Do not try to take the dressing off as it may be tangled in the stitches; however, if it falls off by itself do not be concerned.  Just do not disturb the area with your tongue. 

Pain:  Some discomfort should be expected post-surgically; however, the dentist will have given you prescriptions or recommended non-prescription medications to control pain.  Take the medication as directed.  Even a doubling of the recommended dose can cause severe problems.  Take your first dose of ibuprofen or Tylenol before the numbness wears off.  If the Ibuprofen is not adequate, then start taking the narcotic in addition to the ibuprofen (don’t stop taking the ibuprofen).  Do not take Tylenol in addition to the narcotic as there is already Tylenol in the narcotic pill).   If a narcotic (Percocet, Synalgos, Vicodin, Tylenol #3) was prescribed and ou find that you do not need to take it, the FDA identifies these as "dangerous drugs" and recommends expedient return to a take-back facility (Google for one near you) or flush the remaining pill down the toilet.  Expedience if of essence for dangerous drugs.  Narcotics can be detected by blood or urine test and you may be prosecuted for taking the drug without a current prescription.  Most pain medications have the potential to cause nausea and vomiting.  This effect is decreased by taking the medications with 8 oz of fluid. With narcotics, it helps to remain still (even walking around can be a problem) to prevent nausea.  If nausea ensues with narcotics, you must stop taking them. It will only get worse otherwise.

Bleeding: It is recommended that you change bed linens to some that you will not be concerned if they are stained because there is often a little oozing at night during sleep.  You will experience some slight oozing of blood around the surgical areas and it is rarely a problem.  However, if you notice faster bleeding, place moderate pressure with your finger or cold compress over the lip.  Apply pressure for at least 15 minutes.  Don’t pull the lip up afterwards, it will break the clot.  Do not create suction in your mouth to try to gather the blood to spit.  That will make the area bleed faster.  Just spit out and apply pressure as described above.  If it still doesn’t stop, then just apply pressure and call Dr. Bauman.  

Home care:  Do not perform any brushing or flossing until the second day after the surgery.  On the second day, you may begin brushing and flossing all the areas of the mouth not involved with the surgery.  You will be given a mouthwash (Peridex or Listerine) to use in the surgical area in the morning and evening after you have brushed and flossed the non-surgical areas.  However, do not vigorously rinse with this or any other liquid.  Just allow it to pool over the surgical site for about 1-2 minutes and then spit out. 

Diet:  You must be on a liquid diet for 1 day (the consistency may be that of a milk shake or pudding).  You should drink the equivalent of at least 8 glasses of water (any liquids except for soft drinks or alcohol) per day for the first 2-3 days.  Do not use a straw for drinking for the first two weeks as the suction may disrupt the surgical site.  Beginning on the second day through the first two weeks, you may eat a softer  diet such as baked potatoes, ground beef particles, and soft vegetables carefully in very small bites. Just make sure to chew only in the back of the mouth.  You will not be able to eat crispy or very chewy foods or bite into food with your front teeth for about 2 weeks.  Try to keep your nutrition up since healing is dependent upon adequate nutrients in the diet.  Vitamin C which is present in fruits and fruit juices is essential to healing as is protein which is found in animal products.  There are protein supplements on the market if you  want to assure adequate protein intake (Ensure, Boost, etc).  

Exercise:  No heavy exercise the day of surgery.  The day after, you may do pretty much what ever activity you would like except no contact sports or activities that require excessive lip movement and try to keep lip activity to a minimum for about 14 days after the surgery.       

FOR COMPLICATIONS:    DR. BAUMAN  (74) 366-3559 (home phone # is on answering machine)