Periodontal Surgery

Periodontal Surgery FAQs

Pre-Surgery Instructions

Before any oral surgical procedure you should:

  • Eat a light and easily digestible meal the night before your appointment
  • If you are going to be sedated, DO NOT eat or drink anything on the day of your appointment
  • Wear short sleeves and loose-fitting clothing
  • Arrange for a relative or friend to stay in the office with you and be ready to drive you home
  • You may NOT drive a car on the day of the surgery if you are to be sedated!

Do I need to avoid certain medications?

It is important to discuss all medication with Clarke V. Filippi, DDS during your pre-surgical consultation. In most cases medication should be continued unless specifically instructed to withhold them. Typically Plavix, Aspirin, Coumadin and other types of blood thinners will be stopped pre-op. When necessary Clarke V. Filippi, DDS will consult with your physician to safely manage your medications.

How is the anesthesia administered?

Depending upon your treatment we may administer a local anesthesia such as lidocaine. For a more involved treatment we may recommend an oral sedation or intravenous sedation.

How long will I be off of work/out of school?

Depending on the extent of the procedure and type of sedation you may resume work and a normal life style anywhere from a few hours to a few days. It is important to resume your normal dental routine in non-treated areas. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Is there a food and drink restriction prior to surgery?

If treatment calls for the patient to be sedated then yes there are food and/or drink restrictions. The patient must not consume anything, including water for 6-8 hours prior to surgery, except as directed by our office.

What do I need to be aware of before intravenous sedation?

You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment. No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery. A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home. The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience. Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes. Contact lenses, jewelry, and dentures must be removed at the time of surgery. Do not wear lipstick, excessive makeup, or nail polish on the day of surgery. If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office. If you take routine oral medications, please check with Clarke V. Filippi, DDS prior to your surgical date for instructions.

Will anesthesia be used?

Clarke V. Filippi, DDS will discuss your anesthesia options. Our goal is to provide minimal discomfort as possible.

Will antibiotics be prescribed prior to surgery?

Antibiotics are used to kill bacteria found in the mouth, which will also prevent infection after treatment, particularly with the placement of dental implants immediately after extracted teeth. The specific drug used depends on the medical profile and well being of the patient and the type of treatment.

Will my vital signs be monitored during and after treatment?

Clarke V. Filippi, DDS and/or one of their highly trained surgical assistants continuously monitor the vital signs of all sedated patients.

Will There Be A Lot Of Bleeding?

It's important for a blood clot to form to stop the bleeding after treatment. You may be asked to bite on a gauze pad for 30-45 minutes immediately after treatment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times. After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the surgical site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 72 hours as this will increase blood pressure and may cause more bleeding from the treatment site.

Will there be swelling or facial bruising?

After treatment, you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours. In some treatments there may be some minor bruising. For teeth removal or jaw procedures, women and/or very light skinned patients may experience slight bruising. Taking blood thinners may promote bruising. It is not uncommon to have a black eye or discolored cheek or neck following extensive procedures. Clarke V. Filippi, DDS will discuss what bruising if any would be related to your procedure treatment.

Will you prescribe antibiotics and pain medication?

Procedure and patient health are determining factors of what antibiotic and/or medication will be prescribed. Call the office if the medication does not seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone.

Request An Appointment

If you are ready to have a bright and healthy smile, feel free stop by our office Monday through Thursday. You can also request an appointment or simply give us a call.


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