Following detailed examination and thorough discussion of all options, a customized treatment plan detailing aims of treatment, step-by-step procedures, number and duration of visits and a binding estimate of costs is provided. The patient is taken through this plan with a thorough explanation and then asked to sign his or her acceptance. – see ‘Consent Form’ under ‘Patient Forms’
Before the surgery:
- On the day before the surgery rinse 3x with chlorohexidine digluconate solution (brands e.g.:Paroex, Cariax, Cordosyl) to reduce the amount of bacteria in your mouth.
- Prepare an ice pack (e.g. hot and Cold pack 3M).
- For your own wellbeing and to optimize the efficacy of anaesthetic drugs it is advisable for you to have had something light to eat and that you wear comfortable clothes on the day of surgery.
On the day of surgery:
- In order to maintain a sterile field you will receive a gown to put over your clothing. We will also place a covering over your head with a slit that you can see out through.
- For longer surgeries you may bring a portable CD or MP3 player with you.
- It is necessary to drill (and/or tap during the surgery (or implant placement) which you will notice as vibrations or noise.
- It is advisable to visit the toilet before the surgery.
- Before the surgery you may receive an antibiotic (e.g. Amoxicillin, Augmentin) and a pain medication (e.g. Ibuprofen, Mefenamic acid, Paracetamol). When you have had an allergic reaction to an antibiotic in the past, please inform your dentist. You will take the antibiotic over the next 3-10 days, corresponding to the received medication prescription.
- Female patients must be aware that oral penicillin (antibiotics) can affect and severely reduce the effectiveness of oral contraceptives.
- In addition, you will receive analgesic (pain) medication (e.g. Ibuprofen, Mefanamic acid, Paracetamol). These should be taken at 6 hour intervals and after the 2nd day only if needed. You must consider that your driving ability may be impaired.
- After the surgery it is strongly recommended not to use tobacco in any form cigarettes, cigars, pipes; or to drink alcohol, coffee and tea in order not to negatively influence blood circulation and wound healing. Nicotine use 1 week prior and 8 weeks after surgery is not advised.
- When a slight bleeding occurs it can usually easily be stopped by biting on a clean handkerchief for 20 minutes. Compression is the best method to stop bleeding. Rinsing is forbidden!
- You should not eat before the effect of local anaesthetic has disappeared. Start off with soft food (not too hot). Hard food can irritate the surgical structure site.
- Normal toothbrushing can injure the surgical area during the first week. After the second day you can begin by rinsing after meals with chlorohexidine solution and only brushing in the unaffected areas.
- In order to reduce swelling during the first 3 days it is advisable to use an ice pack or a cold wet wash cloth on the outer facial areas. Please prepare an ice pack at home.
- Post-operative swelling and/or hematoma can reach the neck or eye areas depending upon whether the upper or lower jaw is operated on.
- During the first days after surgery you should try to sleep with a slightly raised head (add pillow).
- As a result of the surgery your driving abilities may be impaired, therefore we we’ll be glad to either order you a taxi or call somebody to take you home.
After the surgery:
- Whether you should work during the days following surgery or not depends upon the extent of the surgery and should be discussed with the treating dentist/surgeon.
- In order to protect the wound area during the first 10 days it is advisable not to wear removable prostheses.
- After 7-10 days the sutures will be removed and the removable prosthesis will be readapted with a soft lining.
- Refrain from doing any sports during the first 1-2 weeks.
If a complication arises please call the emergency number you will have been given when your treatment is completed.. See also our main contact numbers.