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Post-Operative Dental Surgery Instructions

1. Things to expect following surgery:
2. >Bleeding: Bleeding or oozing for the first 12-24 hours is common. Mild to moderate bruising/discoloration can also be present.
3. >Swelling: Swelling may begin within the first 24 hours but should reach its maximum by 48-72hours. Swelling should diminish by the 5th day.
4. >Discomfort: Discomfort may begin as early as when the anesthetic wears off. Typically discomfort will increase as swelling increases, with peak levels occurring within the first 48hours and gradually tapering thereafter.
5. Things to do following surgery:
6. >Refrain from: Smoking, vaping, vigorous swishing, and drinking through a straw for a minimum of the first 72 hours. Ideally to prevent infections and delays in the healing process, this should be avoided until the tissue completely heals up or your dentist advises you otherwise. Please also refrain from disturbing any stitches that were placed.
7. >Bleeding:
8. >>Bite on gauze for 30 min - 1 hour with constant, firm pressure over the surgical site. If bleeding continues, replace gauze and continue to apply pressure until bleeding stops.Some oozing and discoloration of saliva is normal, so place an old towel on your pillow before going to sleep the first night. Keep head elevated.
9. >Swelling:
10. >>Apply an ice pack to the outside of the face over the surgical area--20 minutes on, 20minutes off. Repeat for the first 24 hours following surgery as needed.
11. >>After first day use warm, moist heat on face for swelling.
12. >Discomfort:
13. >>Take medications as directed for pain. See provided Pain Management sheet.
14. >Diet:
15. >>Avoid crunchy, crumbly, hot, or spicy foods for at least the first 72 hours following surgery or as directed by your dentist. Soup (room temperature or cold), oatmeal, milkshakes (without seeds), and mashed potatoes are all examples of acceptable soft foods. Do not skip meals as adequate nutrition is important for the healing process.
16. >>Diet can be supplemented with high protein or meal replacement shakes such asEnsure or Boost. Protein is an essential nutrient in the recovery process.
17. >Physical Activity:
18. >>Avoid heavy lifting, sports, or strenuous exercises for the first 5-7 days or as directed by your dentist. Walking is a great way to maintain physical activity while healing.
19. >Hygiene:
20. >>Do not brush teeth in area of surgery for the first 48 hours. Other areas of the mouth may be brushed paying special attention to avoid area of surgery.
21. >>Use warm salt water rinses (¼ teaspoon of salt to 1 cup of water) 3-5 times daily after meals for the first 2 days following surgery (very gentle swishing).
22. >>If periodontal surgery was completed, including crown lengthening, do not brush the site for the first week. Use Peridex mouth rinse twice daily, swishing for 30 seconds and spitting.
23. >Medication:
24. >>Take all medications as instructed. If antibiotics were prescribed, be sure to take ALLas directed.
25. Contact the office at (512) 717-5315 or seek emergency care if:
26. >Bleeding is excessive, swelling continues to enlarge after 72 hours, difficulty swallowing or breathing, temperature rises over 100°F.

Dental emergencies can cause a lot of pain and discomfort; they can even potentially lead to long-term complications. But how do you define a dental emergency? When should you rush to the dentist, and when it is reasonable to wait until your next scheduled appointment? 

For your health and comfort, it’s important to understand the difference between an urgent issue that should be seen right away, and a non-urgent dental concern that can wait. Here are some tips to help you recognize when you need immediate attention. 

[Breakout section in its own block: If you’re having a dental emergency, we’re here to help. Call or visit your closest Enamel Dentistry location or contact us after hours at (512) 710-1045.]

Identifying Urgent Dental Emergencies

Dental emergencies are surprisingly common; according to American Family Physician, approximately 22% of Americans reported having oral pain within the past 6 months. 

However, not every dental concern demands urgent attention. We consider a dental emergency to be any issue that needs immediate treatment to stop bleeding and pain, save a tooth, or clear up an infection. Here are some examples of common dental emergencies that should be seen right away:

• Persistent or severe toothaches
• Swollen or bleeding gums
• Swollen mouth or jaw
• Exposed nerves
• Knocked-out or partially dislodged tooth 
• Loose teeth
• Dental infections 
• Abscesses

If you’re having trouble deciding whether your concern would be considered a dental emergency, ask yourself the following questions:

• Is the pain severe?
• Are you experiencing a fair amount of bleeding?
• Did you lose a tooth?
• Are your teeth loose?
• Are you having difficulty speaking or eating due to the issue? 
• Is there significant swelling in your face, jaw, or around the affected area? 
• Have you noticed any unusual discharge or pus around your gums or teeth? 
• Have you sustained a recent injury to your mouth or face? 
• Are you feeling generally unwell or experiencing fever along with the dental problem? 
• Have you recently undergone dental surgery or treatment that could be related to the current issue?

If you answered yes to any of these questions, you should receive emergency attention. If you're still uncertain about the severity of a dental situation, give us a call or stop by the office, and we can provide guidance on which steps to take next. 

Examples of Non-Urgent Dental Concerns

Non-urgent dental concerns should still be dealt with as soon as possible, but they don’t necessarily require immediate treatment; they can generally be seen the next day during normal office hours. Some examples of non-urgent dental emergencies include:

• Dull toothaches
• A lost filling, crown, or bridge
• Food lodged between the teeth 
• Broken or cracked teeth without severe pain
• Chipped teeth 
• Mild gum discomfort

Why is it Important to Get Prompt Treatment for Dental Emergencies?

Addressing dental emergencies promptly is important for several reasons. Many dental emergencies are painful; seeking immediate treatment helps us alleviate your pain as soon as possible and prevent it from getting worse. 

Beyond pain relief, receiving immediate care is essential for preserving your overall oral health. Left unaddressed for too long, some issues can lead to further damage, potential complications, or infections. In instances where a tooth is knocked out or dislodged, immediate treatment significantly increases the chances of successfully saving it. 

At Enamel Dentistry, your oral health and comfort are our top priorities. Whether you have a dental emergency or a non-urgent concern, our experienced dentists are committed to providing high-quality dental care in any situation. 

If your gums start bleeding while you’re flossing, should you keep flossing? Absolutely!

Bleeding while flossing is often a sign that you need to be flossing your gums more thoroughly or frequently—not that they should be left alone. It might sound counterintuitive, but the more you floss, the less your gums will bleed, unless the bleeding is related to physical damage to your gum tissue or a systemic issue. Many patients will stop flossing an area that bleeds, but the best thing to do is to give that area more attention!

Other Reasons Why Your Gums Might Bleed During Flossing

For most patients, simply flossing more often is enough to stop bleeding gums. However, there are several other reasons why your gums could bleed while flossing, including:

• You could be using poor flossing techniques
• You may not be brushing your gums properly while brushing your teeth
• You may have an accumulation of plaque and tartar on your teeth
• You may have had your teeth cleaned recently and had a lot of build-up removed
• You may have gingivitis, the early stage of gum disease

If the bleeding hasn’t gone away within 3-10 days, schedule an appointment to have your dentist check it out. We’ll evaluate your flossing technique and determine whether you may need a cleaning or periodontal care. Gingivitis and gum disease are both very common, but the good news is that they can be reversed in the early stages.

How Often Should You Floss Your Teeth?

Flossing is very important because it can get into areas that your toothbrush bristles can’t. No matter how well you brush your teeth, if you’re not flossing, you’re essentially only cleaning about 50% of your mouth. If you only floss occasionally, your gums will probably bleed because the tissue isn’t used to the stimulation; regular flossing helps the gum tissue become more resilient.

Although some patients floss after every meal, simply flossing once a day will do wonders for your oral health! The best time to floss is typically before you brush your teeth at the end of the day. This will allow the fluoride to make the most contact with your teeth. If you have questions about how to floss your teeth properly, we’d be happy to give you a demonstration!

The bottom line: your gums may bleed from time to time, and generally, it’s not serious. Start flossing more often, and it should go away. But if your gums bleed regularly, it’s time to schedule an appointment with your dentist! Contact your closest Enamel location or book an appointment online.