Bleeding, Discomfort, & Swelling
Bleeding -- Controlling bleeding after an extraction or surgery is a
matter of applying undisturbed pressure over the bleeding area for an
extended period of time (usually about an hour). This is best accomplished
by following the following steps: Carefully place 1-2 pads of 2"x2"
gauze over the bleeding area. (It is helpful if you have someone to assist
you in this process.) Use a flashlight to see the area better. Use a spoon
to help pull back the cheek. Visualize the area that is the source of
the bleeding. Wipe away the saliva and blood to get a good look at the
surgical site. Place the gauze pads over this area. Bite down firmly and
consistently for at least one hour. After this time has elapsed gently
remove the gauze from the surgical site. If there is still bleeding, repeat
this process until bleeding has stopped.
Problems: If you notice that there is still bleeding while the gauze
is over the area you may not have the gauze positioned correctly in order
to apply adequate pressure. Re-position the gauze and apply pressure again.
If this does not help take 1-2 additional gauze pads and add them to the
gauze you are currently using to make a thicker pad. Position this over
the area and apply pressure again. Carefully position so that the gauze
is directly over the source of the bleeding. If you are not able to get
the bleeding to stop despite all attempts you should contact Dr. Roberts.
Discomfort & Swelling -- Discomfort & Swelling are normal parts
of a postoperative healing. The incidence and intensity of each are difficult
to predict. It is however normal for both of these symptoms to increase
in size or intensity during the second and third postoperative day. While
beginning on the fourth day they both should begin to resolve. You can
help decrease both of the symptoms by being very gentle to the surgical
area.
For mild discomfort Ibuprofen or Advil is recommended. 200-800 mg. every
four (4) hours. Be cautious with the amount as the more you take the more
likely it will cause stomach upset.
The prescription pain medication is to be used only for higher levels
of discomfort. Take 1-2 every four hours as directed on the bottle. It
is all right to combine your pain medication with the Ibuprofen in small
amounts. However, the risk of nausea is increased.
Ice Packs: It is helpful to apply ice packs to the area of the surgery
only during the first 8-12 hours. Never leave the ice packs in place for
more than 10-15 minutes at a time.
In rare cases, during the first few hours following the surgery intense
pain may be experienced which isn't relieved by pain medication. This
is usually a very short-term side effect, present when the local anesthetic
is wearing off. It is best for the patient to be aware of the short-term
nature (30 min. -- 1.5 hrs.) of this condition. Pain medication may be
increased at this time if the maximum dose has not been taken in the last
4 hours.
It is normal for swelling to appear and become worse during the first
3 days following surgery. However, if you experience an increase in swelling
or discomfort after the fourth day, you should contact Dr. Roberts.
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