3. Post-Operative Instructions

Question 1

Post-op pain (3)

Answer 1

Should be expected (after LA wears off)
Should settle over the next few days
Take painkillers

Question 2

Post-op pain drug regime (3)

Answer 2

Regular analgesia for 1-3 days
Then use as required
NSAIDs (ibuprofen), acetaminophen (paracetamol)

Question 3

Paracetamol cautions (3)

Answer 3

Hepatic impairment
Renal impairment
Alcohol dependence

Question 4

Ibuprofen cautions (8)

Answer 4

GORD/PUD
Elderly
Pregnancy, lactation
Renal, cardiac, hepatic impairment
Aspirin/NSAID hypersensitivity
Asthma
Other NSAIDs
Long-term systemic steroids

Question 5

Post-op bleeding (5)

Answer 5

Unlikely but possible
Do not explore socket
Avoid anything that causes an increase in BP
Avoid hot/hard foods
Avoid alcohol

Question 6

Post-op bleeding prevention (4)

Answer 6

Avoid rinsing until next day
Rinse with warm salt water after that (4x daily)
Continue to clean teeth as normal
Keep mouth as clean as possible
Avoid smoking

Question 7

If bleeding occurs (3)

Answer 7

Roll up damp tissue/gauze, apply for 20-30mins
If persists, replace and repeat
If continues, seek dentist/A&E

Question 8

Other expected symptoms

Answer 8

Adjacent tooth sensitivity
Pain and stiffness associated with TMJ/muscles of mastication
Swelling (some more than others, more common in surgical procedures)
Bruising (some more than others)

Question 9

Antiseptic mouthwash advice (3)

Answer 9

Capful 2-3x daily
Not straight after tooth brushing
If nippy, dilute with some water