Post Operational Instructions
Post Extraction Instruction
1. BLEEDING-To control bleeding from the surgical area, keep biting pressure on the gauze for
at least 30minutes. After 30 minutes remove gauze and take some cold or chilled fresh juice
or ice cream.
2. DO NOT DISTURB THE AREA-Avoid swishing, sucking through straw, frequent spitting and
smoking this can dislodge the clot
3. SMOKING -Avoid smoking following surgery as it may irritate/ dislodge healing socket
4. PAIN -Discomfort is normal after surgery, to minimize pain and discomfort take prescribed
medicine both antibiotics and anti-inflammatory (pain killer) as instructed by doctor.
5. ALCOHOL -Avoid alcohol while taking prescribed medication .
6. SWELLING -Apply an ice pack to the face over the operated area to minimize swelling apply it
1-2 minutes on and off for every 1 hour for the first day.
7. NUMBNESS -Local anesthetic cause numbness for several hours, avoid biting, chewing,
pinching/ scratching the numb area.
8. BRUSHING -Do not brush your teeth for the first 8 hours after surgery, but avoid area of
surgery for 3 days.
9. DIET -Avoid spicy, hot, hard food and be only on soft diet like rice, bread , custard, idli, dosa
etc for 48 hours
10. FOLLOW UP APPOINTMENT -You need to return to the clinic to have sutures/stitches
removed or just for a brief follow up on healing check after 7 days.
Instructions to Orthodontic Patients
As a rule excellent orthodontic results can be achieved with informed & cooperative patients.
The following information is routinely supplied to anyone considering orthodontic treatment in our office.
While recognizing the benefits of a pleasing smile& healthy teeth you should also be aware that orthodontic
treatment, like any treatment of the body, has some inherent risks & limitations.
Decalcification (permanent markings), decay, gum disease can occur if patients do not brush their teeth
properly & thoroughly during the treatment period. Excellent oral hygiene & plaque removal is a must.
Sugars & between meal snacks should be eliminated.
Avoid hard, sticky & fibrous food. Although you can eat or drink many foods while in orthodontic treatment,
certain eating habits are known to cause breakage of appliances & braces that can increase risk of dental
problems & delay treatment.
The following is a list of only some of foods you should avoid. You should use your own good judgment while
eating anything. No matter what you eat, remember to clean the teeth & gum tissue thoroughly after eating
any food especially before bed time.
Hard foods: popcorn, nuts, ice hard candy, hard chips, crisps, corn.
Be careful with: carrots- grate into tiny pieces, apples- cut into wedges, do not bite … hard, crispy bread, burgers
& pizza crusts. Tear into small pieces and eat.
Sticky foods: bubble gum, toffees, caramel, biscuits, pastries, chocolates Limit foods with high sugar contents:
the acids produced by foods with high sugar content can attack the teeth leading to tooth decay.
Aerated drinks: drinking sodas & carbonated drinks may cause permanent damage to your teeth.
Other orthodontic “No-’s : lip biting, pushing your tongue against your teeth, chewing on pencils or pens,
tearing things with your teeth, biting your finger nails.
Teeth have a tendency to rebound towards their original position after orthodontic treatment. This is called “relapse”.
Very severe problems have a higher tendency to relapse & the most common area for relapse the lower front
teeth. After band removal a positioner or retainers may be placed to minimize relapse.
Full cooperation in wearing these appliances is vital. We will make our correction to the highest standards
& in many cases over-correct in order to accommodate the rebound tendencies. When retention is discontinued some
relapse is still possible.
Invisible retainers can be made on patient’s request at an extra charge. Wear retainers for 24 hours for 8 months
& next 4 months only during night time. Remove them while eating & brushing. A non vital or dead tooth is a possibility. A tooth that has been traumatized from a deep filling or even a minor blow can die over
a long period of time with or without orthodontic treatment. An undetected non-vital tooth may flare up
during orthodontic movement requiring root canal treatment to maintain it.
In some cases the root ends of the teeth are shortened during treatment. This is called root resorption.
Under healthy circumstances the shortened roots are no disadvantage. However, in the event of gum disease
in later life the root resorption could reduce the longevity of the affected tooth. It should be noted
that not all root resorption arises from orthodontic treatment. Trauma, cuts, impaction, endocrine disorders or
idiopathic reasons can also cause root resorption.
There is also a risk that problems may occur in the temporo mandibular joints (TMJ). Although this is rare,
it is a possibility. Tooth alignment or bite correction can improve tooth related causes of TMJ pain but not in all cases.
Tension appears to play a role in the frequency & severity of joint pains.
The total time for treatment can be delayed beyond our estimate. Lack of facial growth, poor elastic wear or head gear
cooperation, broken appliances & missed appointments are all important factors which could lengthen treatment time &
affect the quality of result.
Head gear instructions must be followed carefully. A head gear that is pulled outward while the elastic force is attached
can snap back & poke into the face or eyes. Be sure to release the elastic force before removing the head gear from the
In case you develop ulcers in relation to lips &cheek because of brackets use Dologel for topical application 2-3 times a day with clean finger.
Brush your teeth twice daily with ortho soft bristle brush. Insert inter dental brush underneath the arch wire to clean.
Mix approximately 10ml of mouthwash with equal amount of water and rinse twice daily after breakfast and after dinner.
so please, let’s make every effort to do it right. This takes cooperation from everyone, orthodontist, the staff,
your family & patient.