Dr. Blalock - Oral and Maxil ofacial Surgeon
POST- OPER ATIVE INSTRUC TIONS No rinsing or spit ting for the f ir st day following surger y. Do not use drinking straws or smoke 7 to 10 days following surger y. No alcoholic beverage s (including mouthwash) for 3 days or while t aking any pain medications. Tomorrow, st ar t rinsing with warm salt water 36 to 4 time s a day for a week or until tenderne ss is gone. No carbonated drink s or sof t drink s one week following surger y. Pre ssure : Helps control bleeding, swelling and holds the gum tissue against the bone to
promote proper and rapid healing. Bite on gauze for 2- 6 hour s then remove. When a lit tle
blood mixes with saliva in the mouth it may appear to be a lot. If bleeding continues af ter
several hours apply gauze or a moist tea bag (t annic acid) to the area to control the bleeding. If
bleeding still continues call the doc tor. Diet : Nourishment for the f irst day is ver y impor t ant. Af ter the gauze is removed, a sof t diet is
recommended for the f ir st day (example: Jell- O, pudding, mashed pot atoes, fruit smoothies with
a spoon, no straw, etc.) and normal diet should be resumed as soon as possible. A lot of liquids
should be t aken, but nothing hot on the f ir st day, due to numbness. Note : Medic ations should not be t aken on an empt y stomach. Pain : The f irst 24 to 48 hours af ter surger y are usually the most dif f icult. Take a pain pill
af ter removing the gauze and before the anesthetic wear s of f. From there on, please follow the
Ice : Controls swelling and pain. Should be used for 48 hours continuously with shor t break s
ever y 20 minutes. Elevations of the head (20 degrees, about 2 pillows) for 48 hours will help
control swelling. Maximum swelling usually occurs 24 to 72 hours following surger y. Nausea : May occur especially af ter general anesthesia. Clear liquids should be t aken such as
broth, f lat 7-up, Jell- O, or tea until nausea subsides, af ter which a normal diet may be resumed.
Dramamine or Meclizine (Bonine) are both over the counter medications that are advisable for
Brushing : You may brush and f loss the f irst day af ter surger y. Brush lightly in the area of the Misc . : Pain in the ear, dif f icult y in swallowing, opening and closing of your mouth and some
local discoloration of the skin are additional f indings which occur with var ying frequenc y. Any
symptoms lasting longer than 5 days should be check by the doc tor. IN C A SE OF AN EMERGENC Y, C ALL (760) 724 -8891 MON – THUR 8AM – 5PM, FR I 7AM – 3PM IN C A SE OF AN EMERGENC Y AF TER HOUR S (760) 720 -8151 Pager
Dr. Blalock - 145 Cedar Road - Vist a, C A 92083 - (760) 724 -8891 - OralSurgeonVist a.com
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Effect of Rosiglitazone on the Risk of Myocardial Infarction Steven E. Nissen, M.D., and Kathy Wolski, M.P.H. Background Rosiglitazone is widely used to treat patients with type 2 diabetes mellitus, but its From the Cleveland Clinic, Cleveland. Ad effect on cardiovascular morbidity and mortality has not been determined. the Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Eu