541-389-6953     1893 NE Neff Rd.    541-382-7981

Before and After Surgery Instructions

Pre-Surgery Instructions for Anesthesia/Sedation

  • You must have a responsible adult (over the age of 18) accompany the patient to the appointment and take the patient home. A responsible adult should remain with the patient for several hours following the procedure.
  • No eating or drinking within 8 hours of the scheduled procedure (see below).
  • Wear a short sleeved shirt.
  • Do not wear lipstick, excessive makeup, or fingernail polish.
  • Remove all jewelry, including ear, nose, and tongue piercings.
  • If you develop a cough, cold, or flu symptoms, then please inform us before your scheduled procedure.
  • If you use an albuterol inhaler for asthma, please bring it.

Patients may take prescription medicines with clear liquids (sip of water) before the procedure.

Do not drink alcohol or smoke prior to surgery.

Diabetic patients who take long-acting insulin should take only half their long-acting insulin dose prior to the day of surgery.

For children under 12 years old or patients with diabetes

Prior to surgery involving sedation / IV anesthesia, the patient must follow these requirements:

Last meal and drink to be taken 8 hours prior to surgery

Last clear fluids to be taken 2 hours prior to surgery

Clear fluids are:

Water
Apple juice or white grape juice (no orange juice)
Black coffee or tea (no milk, cream or creamer)
Gatorade®
Infant electrolyte solutions (Pedialyte®)
Carbonated drinks (Coke®, 7-Up®)

Remember: Clear fluids cannot be hazy or cloudy. They cannot have pulp or fats.

Diabetic patients should take a clear liquid (see above) 2 hours prior to surgery to avoid low blood glucose levels. Diabetic patients who take long-acting insulin should take only half their insulin dose prior to the day of surgery.

Pre-Surgery Instructions for Non-Sedated Patients

  • Continue all regular medications unless directed otherwise.
  • Bring any dentures or partial dentures that you wear.
  • If you regularly use an inhaler or glucose monitor please have those with you on surgery day.
  • Dress comfortably and wear loose clothing, including short sleeves.

After Surgery Recovery Instructions

  • Bleeding on the first day is normal. Bite firmly (avoid talking) on the provided gauze for 30 minutes after surgery, then remove. Repeat as needed if bleeding persists.
  • Facial swelling and bruising are common. To reduce swelling, apply ice 20 minutes on – 20 minutes off and keep the head elevated for the first few nights.
  • Eat soft foods such as: soup, pancakes, scrambled eggs, mashed potatoes, pasta, ice cream, yogurt, smoothies, and milkshakes. Return to normal foods over a few days and try to avoid chewing on the surgery areas.
  • Brush your teeth normally to keep your mouth clean and be gentle around the surgical areas. Use the provided mouthrinse (if prescribed) or use salt water (about 1/4 teaspoon of salt in 8 oz of warm water).

 

Please call us If you have any questions at 541-382-7981. When calling after hours, listen to the complete message to connect directly with your surgeon.

After Surgery Medications

You may be prescribed some of the following medications after your surgery. Please use the descriptions as guidance on how to take the medicine and let us know if you have any questions. If you develop a reaction (nausea, vomiting, diarrhea, itching, hives, swelling) to one of the medicines, please stop taking them and call us for advice.

  • Opioid pain medication: (for example: hydrocodone, oxycodone, or tramadol)
    Take these pain medicines every 4-6 hours to prevent or treat pain after your procedure. We recommend taking these medicines with food take with food. We recommend also taking an anti-nausea medication (if prescribed). Another common side effect besides nausea is constipation and if you are taking these medicines we recommend using a stool softener such as Miralax or Senna.
  • Anti-inflammatory: (for example: ibuprofen/Motrin)
    This will be the most effective medicine for pain control after surgery. Take 1 tablet 3 times daily with meals to avoid stomach upset. Most patients will need to take this medicine for at least 3 days after surgery. this medicine is also available over-the-counter at a lower strength. If you develop stomach upset when taking these medicines, be sure to take an antiacid medication such as omeprazole (Prilosec). We also highly recommend taking acetaminophen/Tylenol as well as an anti-inflammatory as these medicines work better together than either one of them does individually. You can take the acetaminophen/Tylenol (1 extra strength tablet, 3 times daily with meals) at the same time as taking ibuprofen/Motrin
  • Anti-septic mouth rinse: (for example: chlorhexidine)
    Begin using chlorhexidine mouth rinse (swish and spit) the day after surgery; once in the morning and once before bed for 10 days. To allow the medicine to work well, do not drink or eat for 30 minutes after using this medicine. For some patients who develop a reaction to this mouth rinse, instead swish with salt water (1/4 teaspoon of salt dissolved in an 8 ounce of warm water) after eating & drinking.
  • Antibiotic: (for example: penicillin, amoxicillin, clindamycin)
    Take as prescribed until all pills are finished. If you develop stomach upset, nausea, vomiting, or diarrhea, please let the office know so that we can change your antibiotic to a different type if needed. If you are using oral contraceptive pills (birth control), it is advisable an additional method of birth control as antibiotics will lessen the effectiveness of some contraceptives.