INSTRUCTIONS FOR PATIENTS FOLLOWING SURGERY T (780) 482-6551 YOU ARE LEGALLY IMPAIRED FOR 24 HOURS FOLLOWING A GENERAL ANESTHETIC. DO NOT DRIVE OR OPERATE HAZARDOUS MACHINERY. T (780) 482-6551 T (780) 482-6551 1. Bleeding Some bleeding is normal following your surgery. To control bleeding, place a tightly rolled gauze over the surgical site and apply firm, constant biting pressure for one hour after your procedure. If bleeding does NOT stop or suddenly starts again, it is usually due to irritation of the wound by mouth or gauze movement, frequent gauze changes, or failure to limit your activity and rest. Recurrent bleeding can be managed by direct biting pressure over the bleeding site using gauze or a cold damp tea bag for 20-30 minutes. 2. Swelling Some swelling is almost always present following dental surgery and is caused by bleeding on the tissues. Ice packs will help reduce the swelling, but should not be placed directly on exposed skin. Rather, wrap an ice pack in a damp towel and place on the sides of your faces for 20 minutes on, 20 minutes off while awake. Swelling typically reaches its maximum in 48 hours. Pain may vary from non-existent to severe, depending on the extent of your procedure, but some discomfort should be expected. Painkillers are meant to reduce discomfort, but will NOT always eliminate it. Dental anesthesia/freezing will last about 4 hours on the top jaw and at least 8 hours on the bottom. Do not wait for discomfort or pain before taking medication. Start taking your recommended painkillers before the freezing wears off. Approximate time for first post-surgical dose _____________. Avoid smoking, spitting or sucking through a straw. These activities may dislodge or dissolve the blood clots, increasing both your discomfort and your healing time. 4. Oral Hygiene Do not rinse your mouth or attempt to clean around the surgery site the first day. The following day you may brush the teeth away from the surgical site. Thereafter, gently brush and floss all your teeth, increasing to normal thoroughness. If a cleaning syringe has been provided, use no sooner than 7 days after your procedure. 5. Diet/Activity Rest and nutrition are important components of healing. Begin drinking cool, clear fluids as soon as possible to prevent dehydration and increase to a soft diet as tolerated. Gravol may be used for nausea. Avoid hot drinks and hot soup for 2 days. A soft diet for the first few days following the surgery will help minimize pain and reduce the risk of damage to sutured areas. You may feel tired and achy after a general anesthetic. Avoid strenuous exercise. A quiet evening of rest will allow your body to begin to heal. If you have any questions or concerns, please contact the office at 780-482-6551 | After hours: 780-974-2121
w w w . m a r k b o c h i n s k i d e n t a l . c a 6. Sutures/Fillings Stitches are dissolvable. They take approximately one week to dissolve, but may fall out after a few days. While stitches are in place they will feel like a thread in your mouth. T (780) 482-6551 If you had fillings placed, your bite may require adjusting. This procedure takes 5-10 minutes T (780) 482-6551 and does not require any anesthetic. Please call the office if your bite feels high following your T (780) 482-6551 It is very important that our office is notified of any unexpected admissions to the hospital within 10 days of your dental procedure. If you have any questions or concerns, please contact the office at 780-482-6551 | After hours: 780-974-2121
w w w . m a r k b o c h i n s k i d e n t a l . c a INSTRUCTIONS FOR CHILDREN FOLLOWING GENERAL ANESTHESIA T (780) 482-6551 YOUR CHILD IS LEGALLY IMPAIRED FOR 24 HOURS FOLLOWING GENERAL ANESTHETIC. DO NOT LEAVE THE CHILD UNATTENDED OR ALLOW THEM TO PLAY T (780) 482-6551 T (780) 482-6551 1. Bleeding If your child has had extractions, some bleeding from the site is normal and will usually stop within a few hours. If stainless steel crowns were inserted, some bleeding from the is normal for up to a week. Your child may have pain and discomfort ranging in severity from none to moderate. Time of next analgesic dose: • Motrin or Advil at __________________ then give every 6 hours as needed • Tylenol at __________________ then give every 4 hours as needed Freezing id only used for children where teeth have been extracted and should last no longer than one hour. This time should allow for the painkillers you child received during surgery to take effect. 3. Oral Hygiene Brush and floss your child’s teeth normally after the first day. If teeth have been removed, avoid these sites for 3 days. 4.Diet/Activity Rest and nutrition are important components of healing. Begin offering your child cool, clear fluids as soon as possible. Your child should only have CLEAR FLUIDS for the first 2 hours. If tolerated, then progress to a soft diet. Your child may not feel hungry after surgery, as long as they are able to drink fluids, that is acceptable. Your child may feel tired, achy and irritable after anesthetic. They should avoid strenuous activity. A quiet period of rest will allow their body time to heal. 5.Crowns If your child had stainless steel crowns fitted you should AVOID sticky candy such as toffee as these may pull crowns off the teeth. Crowns are fitted over your child’s baby teeth and will fall out with the tooth when it is lost naturally. Sometimes your child’s bite may feel different at first, however they will quickly adapt to the new feeling. PLEASE NOTIFY OUR OFFICE OF ANY UNEXPECTED ADMISSION OF YOUR CHILD TO THE HOSPITAL WITHIN 10 DAYS OF HIS/HER DENTAL SURGERY If you have any questions or concerns, please contact the office at 780-482-6551 | After hours: 780-974-2121
w w w . m a r k b o c h i n s k i d e n t a l . c a ADULT ROOT CANAL & RESTORATIVE DISCHARGE INSTRUCTION T (780) 482-6551 YOU ARE LEGALLY IMPARIED FOR 24 HOURS FOLLOWING A GENERAL ANESTHETIC. T (780) 482-6551 DO NOT OPERATE HAZARDOUS MACHINERY. T (780) 482-6551 1. Oral Hygiene You may start rinsing gently with warm salt water. Gently brush and floss all teeth increasing to normal thoroughness over the next week. 2. Diet/Activity Rest and nutrition are important components of healing. Begin drinking clear fluids shortly after your procedure (Gatorade® and Powerade® are ideal). If tolerated, progress to a bland diet the first day. You may eat a normal diet the next day. You may feel tired and achy after a general anesthetic. Avoid strenuous exercise. A quiet evening of rest will allow your body to begin to heal. 3. Fillings and Root Canals If you had fillings placed, avoid chewing on the new fillings for 24 hours to allow them to harden. Your bite may require adjusting. This procedure takes 5-10 minutes and does not require any anesthetic. You may be sensitive to hot and cold but this typically subsides in 2-4 weeks. Please call the office if your bites feels high following surgery. It is not uncommon to experience discomfort after a root canal procedure, this may last a week or longer. If Dr. Bochinski has prescribed painkillers please take these as directed to minimize pain. Approximate time of your first post-operative painkiller ____________. 5. Infection If Dr. Bochinski has prescribed antibiotics to reduce the risk of dental infection, it is important that you take these as directed until they are finished. IT IS VERY IMPORTANT THAT OUR OFFICE IS NOTIFIED OF ANY UNEXPECTED ADMISSIONS TO THE HOSPITAL WITHIN 10 DAYS OF YOUR DENTAL PROCEDURE. If you have any questions or concerns, please contact the office at 780-482-6551 | After hours: 780-974-2121
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Sarah K. Easley, Ph.D., P.E. Senior Engineer Professional Profile Dr. Sarah Easley is a Senior Engineer in Exponent’s Mechanical Engineering practice. Dr. Easley specializes in solid mechanics, biomechanics, finite element analysis (FEA), and mechanics of materials. Dr. Easley has extensive experience performing numerical analyses of consumer electronics and medical devices. He
Chapter 9 – Medical management of drug dependence: reducing secondary health harms Provision of healthcare and identification of drug use as a health issue This chapter considers the scope of medical practitioners’ involvement in the reductionof drug-related harm, through the provision of healthcare to people using drugs, andthe identification of users, provision of information, and mon