Post-Op Instructions Following Crown, Bridge, Inlay/Onlay


Do not touch the surgical site. Avoid rinsing, spitting, or touching the wound on the day of surgery.

Bleeding:

  • Gauze was placed over the surgical site so that it serves as a pressure bandage when you bite down. We recommend leaving it in place until brisk oozing does not occur when gauze is removed. Replace the gauze, by lightly moistening the gauze with cold water and replace hourly if needed. Remove the gauze when eating or taking medications. A small amount of oozing is normal. Pink or blood-tinged saliva may be present for 24-48 hours. You may wish to cover your pillow with a towel to avoid staining. Rest with head elevated on 2 or more pillows for the first day. Excessive bleeding can be controlled by placing a moistened tea bag over the surgical site for one hour while applying pressure. If bleeding continues please call for further instructions.

Swelling:

  • Some swelling after surgery is normal; don’t be alarmed. It takes 3 days for surgical swelling to reach a peak before subsiding. Ice packs can be used to reduce swelling and produce a local numbness immediately after surgery. Apply the ice, (on for 10 minutes then off for 10 minutes, as much as practical while awake for the first 24 hours.

Diet:

  • No straws for seven days, cold soft foods for the first 24 hours. Suggestions: ice cream, jello, puddings, yogurt, cottage cheese, apple sauce. For the next four days follow a soft diet (eggs, mashed potatoes, pastas) Drink plenty of fluids. Avoid hot liquids or spicy food. Soft foods and liquids should be eaten on the day of the surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain:

  • You should begin taking pain medication prior to the local anesthetic wearing off. For moderate pain, Tylenol or Ibuprofen (Motrin/Advil) may be taken. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take. It is also advisable not to take Aspirin products.

Antibiotics:

  • May cause diarrhea or stomach upset. Eating active culture yogurt may help decrease the incidence by restoring normal gastrointestinal flora. Be sure to take the prescribed antibiotics as directed to help prevent infection. Should you experience an allergic-like reaction, stop the medication and contact us.

Oral Hygiene:

  • Good oral hygiene is essential for proper healing. Be gentle; do not brush the surgical area for 7 days.

Smoking:

  • Smoking can increase pain and lead to poor healing. The longer you refrain from smoking the less chance you have of postoperative problems. We strongly encourage you not to smoke at all during this time.

Activity:

  • Keep physical activities to a minimum following surgery for the first 5-7 days. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising.

Sutures/Dessings:

  • A variety of sutures and dressings may have been used as part of your treatment and you may feel them with your tongue. The sutures will either dissolve on their own or be removed at the appropriate post-operative appointment.

Please call our office if you are in pain or have any questions regarding your treatment.