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Geoffrey R. Bauman, DMD, MS | Sinus Elevation Graft in Newark

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



Sinus Elevation Graft

A bone grafting procedure(s) has just been completed for you. Sutures (stitches) have been placed to hold the tissues together during healing. Two weeks after surgery the sutures will be removed and you will be examined by the doctor. Every consideration must be given to keep the surgical site clean and free of food particles. The following are instructions for your mouth care after surgery:

1. You must not be physically active during the first two weeks. No exercising other than an easy walk after the first 3 days. Minimize speaking, particularly during the first week but even into the second week.

2. Smoking is to be avoided entirely for at least the first two weeks.

3. Avoid alcohol, commercial mouth rinses and very hot fluids and foods for 30 hours following surgery. Liquids/soft foods that are room temperature or cold are preferable. Cooked foods must be allowed to cool.

4. Rinsing: Do not vigorously swish but gently move the antibiotic mouthwash around your mouth at least morning and evening for the first two weeks after surgery. Frequent gentle movement of salt water rinse may be used during the day. However, do not exceed ½ teaspoon of salt in a cup of water when mixing. Otherwise the high salt concentration can be harmful. Do not use a Water Pic during the first month.

5. Antibiotics: You should take your antibiotic starting immediately when you arrive home after the surgery if you did not take it prior to the surgery. Then continue taking the antibiotic as directed on the prescription (written on the bottle label)

6. Avoid blowing your nose, snuffling hard, sucking on a straw, or gargling for the first week. Try to wipe your nose rather than blowing. If you must blow your nose, do it very gently with both nostrils open. If you have to sneeze, don’t hold it in but sneeze with your mouth open. Minimize talking for the first week after your surgery. Avoid clenching your teeth or bringing them together forcefully for the first week. Try to avoid sleeping on the side where the graft was done if it was only done on one side.

7. Pain: Pain must be expected with any surgery. Please take your pain medication according to the instructions. Do not drive if you take the strong pain medication (Vicodin, Hydrocodone, Oxycodone, Percocet). If only Ibuprofen, Motrin, Advil, or Tylenol are taken, then you may drive without a problem.

8. Use the Neo-Synephrine nose spray as directed. 2-3 sprays per nostril every 12 hours for the next 4 days.

9. Swelling: Swelling and bruising may be expected and is not unusual. During the first two days, ice packs applied to the surgical area 20 minutes on and 20 minutes off periodically a few times per day may help reduce the amount of swelling. If swelling becomes worse after 3 days, please call Dr. Bauman.

10. Bleeding: A small amount of bleeding following the surgery should not alarm you. If the bleeding is excessive or continuous, please call Dr. Bauman. Vigorous rinsing or any sucking activity in an effort to clear blood may actually increase bleeding. So if there is bleeding in the mouth, do not create suction to clear the blood or spit. Try to see exactly where the bleeding is coming from and place a folded damp gauze with a little pressure on that area for at least 10 minutes without removing pressure. Then remove the gauze very gently. Nose bleeding off and on for 2 days after the surgery may be expected. If it continues beyond that, please call Dr. Bauman.

11. Diet: Liquids the first day, then soft foods in tiny bites chewed on the opposite side of the mouth from the surgery. Do not let any food hit the surgical area(s). If you cannot keep the food away from the surgical site during the first few weeks, then go back to a diet similar to the 1st day. Understand that almost any type of food can be placed into a blender or food processor with milk, water, or juice to produce a milkshake or "smoothie". You could also pick up some of the "milkshake" type nutrition drinks at the grocery store such as Ensure. There are some nutrition drinks for Diabetics (please consult your physician/dietition regarding these) so you shouldn't have to lose weight or fall behind on nutrition during healing

Geoffrey R. Bauman, D.M.D., M.S.
Phone: (740) 366-7207