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Oregon City Dentist, Dentist in Oregon City, OR

Alexander C.Y. Lin, D.D.S., P.C.


Cosmetic & Familly Dentistry
Including Snoring & Sleep Apnea Solutions


Patient Information

General Information:

the most critical time for successful healing after a gum graft is the initial 4 weeks after the surgery. Therefore, please follow these directions carefully.

Discomfort. For mild discomfort, use a non-aspirin painkiller sich as Tylenol, Advil or Nuprin. Avoid asprin postoperativelyto prevent bleeding problems. For moderate discomfort, you have been prescribed a stronger analgestic, high- dose ibuprofen, and a powerful anti-inflammatory agent. Take______ tabs of________________ every _______hours by the clock for_______days after the surgery. Then, take_________tabs every 4-6 hours as needed for discomfort thereafter. We gave you ibuprofen just prior/ after today's surgery, so your next dose is at o'clock.

Swelling. You may experience some swelling, but to minimize it, we've suggest a cold pack be applyed on your face over the surgical area for the first 3 to 4 hours after surgery. apply the cold continuosly for the first 45 minutes, then "15 minutes on and 15 minutes off" intermittenly, to allow blood flow at regular intevals back into the surgical site. If possible, use an extra pillow duringt he first two nights to elevate your head and help keep the blood from pooling in the surgical site. During the second and third day, warm salt water "holds" work nicely to keep the swelling down.

Bleeding. You have just had minor surgery, so expect some oozing for the next day or two. When you have a little oozing of blood mix with lots of saliva, it may appear to have lots of bleeding. Do not be alarmed. As you might do following any surgerym plan your day of evening so you are aboe to get a little more rest than usual. Avoid strenuous physical activities for the first 48 hours. If and only if, bright red colored bleeding should occur, the following steps can help:

  1. Apply direct pressure by placing folded gauze pads of the area and biting down or pressing against the bleeding site firmly, for 20 minutes. Repeat if necessary.
  2. Avoid hot or cold liquids. Keep fingers and tongue away form the surgical area.
  3. If the above steps failes, open up a piece of gauze into a full sheet and wrap tea bag of your choice. Bite down or press against the bleeding site firmly for 20 minutes.
  4. If bright red colored bleeding persist, call Dr. Lin.

Oral Hygiene. Continue to clean the rest of your mouth as you normally would, but avoid the surgical area with a toothbrush during the first 4 weeks. Instead, rinse gently for one minute morning and evening with the prescribed mouthwash. Please avoid pulling your lip away to look at the graft; you may tear the delicate stiches out. After 4 weeks you can start mechanically cleaning the graft site with a soft toothbrush. We'll show you how to do it when the time comes. If you were given a prescription for an antibiotic, be sire to take it in times as prescribed, as that will aid healing.

Surgical Dressing. The surgical dressing of "Pack" was placed in your mouth for several important reasons. The most important ones are to assist healingand provide comfort for eating. This dressing takes several hours to harden. Care must be taken by not to disturb the dressing until this time. You should avoid smoking, talking, eating, or drinking and or warm fluids for at least 2 hours. Do not rub the face in the are of the surgery. Do not "play" with the dressing with the tongue, Do not lie down wirh any pressure pressing against the face taht is on te same side as the dressing. Occasionally, small pieces of the dressing break off in the days following the gum surgery. If the uncovered area is small and feels fine, then, it is perfectly safe to wait until your next appointment. However, if a large piece should break off, or if the dressing feels loose, please call Dr. Lin's office, (503) 656-8799 to have the dressing be replaced. In the mean time, avoid food that is too hot, spicy, or hard to chew bofore the dressing is replaced.

Surgical Stent. Following the surgery you may have a plastic healing stent on the roof of your mouth. The stent is there to protect the graft donor area so you'll have minimal bleeding or discomfort. Leave the stent in place until at least the day after surgery, removing it only to rinse it off. If bleeding starts after you've removed the stent, and you're out of gauze, use a caffeinated tea bag to bite on for 30 minutes. If bleeding persist, call Dr. Lin at the numbers listed above. After three days, you may choose to leave the stent in place if it feels more comfortable to do so. If we are doing multiple grafts, save the stent for future surguries; otherwise throw it away when you're done with it.

Nutrition. Drink 6 to 8 glasses of liquids the first 2 or 3 days after surgery. ( This type of surgery tends to dehydrate you, so your body needs extra fluids to heal quickly.) Avoid smoking and alcoholic beverages during the first week . If possible, as these will slow your healing considerably. We suggest the following soft foods for the first week:

  • Liquid Diet Supplements, such as Ensure, Enrich or instant Breakfast
  • Broth & soups
  • Eggs, custards and puddings
  • Ice cream or milk shakes
  • Chopped or ground meat
  • Vitamin Supplements (especially Vitamins A, C, and E)

It's especially important that you avoid hard or abrasive foods, such as carrots, celery, chips, hard bread or pop- corn during the four weeks, because these may tear the delicate tissues of the healing graft and/ or may lodge within the surgical sites to cause further complications/infections.


Heavy bleeding occurs and fills up your mouth with blood or the gauze sponges is still being saturated with blood for more than 3 hours after surgery.

Severe nagging or "gnawing" pain from the surgical site after 24 hours.

Elevation of your temperature over 101 F.

Delayed swelling after 2 or 3 days accomplained by a foul tast in your mouth.