Our Treatments and Procedures
Specialist Surgery of the Mouth, Face & Jaws
Here at AOMS, we provide a comprehensive range of surgical procedures and treatments for patients with oral and maxillofacial conditions, which include:
Here at AOMS, we provide a comprehensive range of surgical procedures and treatments for patients with oral and maxillofacial conditions, which include:
dentoalveolar surgery
- Removal of teeth
- Removal of wisdom teeth
An impacted wisdom tooth can damage neighbouring teeth or become infected. It can also invite bacteria that lead to gum disease.
Untimely removal of impacted wisdom teeth can lead to problems such as infection, decay, crowding, damage to adjacent teeth, cysts and line of weakness in the jaw bone. As it is in an area that’s hard to clean, it can also invite bacteria that can lead to gum disease. Oral bacteria can also lead to more severe conditions. As it can travel through your bloodstream and lead to infections and illnesses, it can affect your heart, kidneys and other organs.
Removal of wisdom teeth is routine in most cases. Usually, you can return to work 5-7 days after surgery. A follow-up appointment is unnecessary for most people.
Why remove them?
Mainly, wisdom teeth should be surgically removed due to:- infection,
- decay
- food-trapping
- cyst formation
- to assist orthodontics
- to avoid likely future problems
- to avoid more difficult tooth removal when older
- Exposure of teeth
- Apicectomy
- Transplantation of teeth
- Fibrotomy (Precision)
Fibrotomy is a minor procedure which helps to reduce the incidence of rotated teeth returning to their original position after the braces are removed. During orthodontic treatment, the fibres holding the teeth are stretched, and when the braces are removed, they may pull the tooth back around again. The fibrotomy disrupts these fibres and reduces the likelihood of this occurring. - Frenectomy
Frenectomy is a minor procedure to remove a band of skin and fibres that can pass down from the lip between the two upper front teeth resulting in spacing between these teeth. This space can open up again after being closed by orthodontic treatment. Commonly 3-4 dissolving stitches will be used, which dissolve in 7-10 days.
These procedures are carried out with a local anaesthetic used by your Dentist or School Dental Nurse for fillings. The numbing paste is placed on the gums beforehand to make it more comfortable. You must remember not to bite or chew on your lip if it is numb, as it will be very painful afterwards!
Healing after the surgery is quick. However, you may notice a fine red line on the gum for 1-2 days. To help to heal, start bathing the mouth the next day with warm saltwater. You can put a half teaspoon of table salt in a glass of warm water, holding in the mouth for 1 minute and repeating three times a day for a week.
You should try to keep your teeth as clean as possible. Continue wearing your orthodontic elastics and any appliance(s) that you were before the procedure. Orthodontic plates should be left out on the day of the procedure but should be worn again that evening.
maxillofacial trauma
- Fractured teeth
- Fractures of the mandible, maxilla, zygomatic complex, orbit, frontal sinus
- Soft tissue trauma
Maxillofacial trauma is any injury to the face or jaws. It may present with skin lacerations, burns, obstruction to the nasal cavity or sinuses, damage to the orbital (eye) sockets, fracture to the jawbone, and missing or broken teeth. The most common causes of this type of trauma are sports, accidents (automobile and workplace), penetrating injuries, and violence.
The treatment for maxillofacial trauma varies and depends upon the type and severity of the injury. Part of the procedure is a careful and systematic evaluation of structure and systems and includes a comprehensive physical exam and x-rays. In some cases, the diagnosis and treatment must be postponed until the swelling subsides or until more severe injuries are resolved.
The knowledge of how jaws come together (dental occlusion) is vital when repairing complex facial fractures. Here at AOMS, we are Oral and Maxillofacial Surgeons with expertise in treating and repairing facial injury and trauma, which include fractures of the upper and lower jaws and the orbits surrounding the eyes, and facial lacerations.
The treatment for maxillofacial trauma varies and depends upon the type and severity of the injury. Part of the procedure is a careful and systematic evaluation of structure and systems and includes a comprehensive physical exam and x-rays. In some cases, the diagnosis and treatment must be postponed until the swelling subsides or until more severe injuries are resolved.
The knowledge of how jaws come together (dental occlusion) is vital when repairing complex facial fractures. Here at AOMS, we are Oral and Maxillofacial Surgeons with expertise in treating and repairing facial injury and trauma, which include fractures of the upper and lower jaws and the orbits surrounding the eyes, and facial lacerations.
dental implants
Dental Implants
Dental implants are a long term solution to replace missing teeth, support a fixed bridge (and eliminate the need for a removable partial denture) or anchor a full denture. Advancements in implant materials and techniques continue to improve the success rate of implants, which more and more patients are enjoying its benefits.
Who provides dental implant treatment?
The placement of dental implants requires specialized knowledge, training, skills and facilities. Oral and Maxillofacial Surgeons best do the surgery. They are specialists with advanced education and training in the complexities of the bone, skin, muscles and nerves involved, ensuring you get the best possible results. Your dentist can often provide the crowns, bridges and dentures which attach to the implants. For more complex cases, this work is provided by a specialist restorative dentist (prosthodontist).
Dental implants are a long term solution to replace missing teeth, support a fixed bridge (and eliminate the need for a removable partial denture) or anchor a full denture. Advancements in implant materials and techniques continue to improve the success rate of implants, which more and more patients are enjoying its benefits.
Who provides dental implant treatment?
The placement of dental implants requires specialized knowledge, training, skills and facilities. Oral and Maxillofacial Surgeons best do the surgery. They are specialists with advanced education and training in the complexities of the bone, skin, muscles and nerves involved, ensuring you get the best possible results. Your dentist can often provide the crowns, bridges and dentures which attach to the implants. For more complex cases, this work is provided by a specialist restorative dentist (prosthodontist).
Orthognathic surgery
- Abnormalities of the jaw & face
- Chin & jaw reconstruction
Orthognathic surgery refers to "straightening of the jaw(s) using surgery" [ortho – straight, gnathic – jaw(s)]. Whereas orthodontic treatment corrects the position of the teeth, orthognathic surgery, on the other hand, positions the bones of the jaws (maxilla/mandible).
Orthognathic surgery is performed to correct a wide range of minor and major skeletal and dental irregularities such as misalignment of jaws and teeth. This type of surgery can improve chewing, speaking and breathing. Although the surgery can dramatically enhance the patient's appearance, orthognathic surgery is performed to correct functional problems.
One or both jaws may be surgically repositioned during the one operation. The procedure involves making cuts (osteotomies) in the bones and moving the cut segments into their predetermined position under a general anaesthetic. The surgery is usually preceded by a period of orthodontic treatment. This ensures both the teeth and the bones will be in their correct position after the surgery. Finally, a short period of orthodontic treatment is then usually required to complete the alignment of the teeth.
Any surgery carries potential risks. With orthognathic surgery, the significant risks include bleeding, reduced blood supply to the osteotomised jaw segments, infection, unfavourable bone cuts/splits, permanent numbness/tingling to lips, cheeks, and teeth, incorrect positioning of the jaws/segments, jaw joint problems, and damage to teeth. Your Surgeon will discuss these with you in more detail during your consultation appointments in the Rooms. Please remember, however, that in most cases, any associated problems are minor and can be quickly attended.
A positive approach is critical both before and after jaw surgery. Various studies support the fact that positive thinking can assist the body during the process of healing. The support of your family in the days and weeks following your surgery will also aid your recovery.
Orthognathic surgery is performed to correct a wide range of minor and major skeletal and dental irregularities such as misalignment of jaws and teeth. This type of surgery can improve chewing, speaking and breathing. Although the surgery can dramatically enhance the patient's appearance, orthognathic surgery is performed to correct functional problems.
One or both jaws may be surgically repositioned during the one operation. The procedure involves making cuts (osteotomies) in the bones and moving the cut segments into their predetermined position under a general anaesthetic. The surgery is usually preceded by a period of orthodontic treatment. This ensures both the teeth and the bones will be in their correct position after the surgery. Finally, a short period of orthodontic treatment is then usually required to complete the alignment of the teeth.
Any surgery carries potential risks. With orthognathic surgery, the significant risks include bleeding, reduced blood supply to the osteotomised jaw segments, infection, unfavourable bone cuts/splits, permanent numbness/tingling to lips, cheeks, and teeth, incorrect positioning of the jaws/segments, jaw joint problems, and damage to teeth. Your Surgeon will discuss these with you in more detail during your consultation appointments in the Rooms. Please remember, however, that in most cases, any associated problems are minor and can be quickly attended.
A positive approach is critical both before and after jaw surgery. Various studies support the fact that positive thinking can assist the body during the process of healing. The support of your family in the days and weeks following your surgery will also aid your recovery.
Before Surgery
A pre-anaesthetic consultation and examination, coupled with investigations such as blood tests, may be required before surgery. Your admission to Quay Park Surgical Centre or Ormiston Hospital usually is on the day of surgery. The necessary anaesthetic and hospital forms need to be completed and returned before this.
If you wish to talk with the anaesthetist before your admission, this can easily be arranged. The anaesthetist may want to meet with you beforehand if any issues are arising from your anaesthetic questionnaire or your pre-operative investigations.
You must not have anything to eat or drink for 6 hours before your surgery. If you are a smoker, you are advised to stop two weeks before your operation. On the day of surgery, you should take all your usual medication (unless otherwise instructed) with a small sip of water.
NOTE: If you are diabetic and/or are taking blood-thinning medicines (e.g. Aspirin) you will need to discuss this with your surgeon or anaesthetist. Normally, Aspirin should be stopped 10 days before your operation. All herbal remedies, including St. Johns Wort, Arnica and Garlic, should be discontinued 1 week beforehand.
After surgery
Your doctor will provide you with instructions to help with your healing and recovery, and advice which include:
Follow-Up Appointments
A review appointment will be made, usually 1 week after the surgery. This is typically followed by appointments at approximately 1 month, 3 months and 1 year postoperatively, at which time further facial x-rays are taken. Initial jaw healing generally takes about six weeks after surgery, but complete healing can take up to 12 weeks.
You will also continue to see your orthodontist afterwards, and they will usually take more study models and photographs after 3 months. Your orthodontist finishes aligning your teeth with braces after the initial jaw healing. The entire orthodontic process, including surgery and braces, may take several years. Once the braces are removed, retainers to hold tooth position may be used.
A pre-anaesthetic consultation and examination, coupled with investigations such as blood tests, may be required before surgery. Your admission to Quay Park Surgical Centre or Ormiston Hospital usually is on the day of surgery. The necessary anaesthetic and hospital forms need to be completed and returned before this.
If you wish to talk with the anaesthetist before your admission, this can easily be arranged. The anaesthetist may want to meet with you beforehand if any issues are arising from your anaesthetic questionnaire or your pre-operative investigations.
You must not have anything to eat or drink for 6 hours before your surgery. If you are a smoker, you are advised to stop two weeks before your operation. On the day of surgery, you should take all your usual medication (unless otherwise instructed) with a small sip of water.
NOTE: If you are diabetic and/or are taking blood-thinning medicines (e.g. Aspirin) you will need to discuss this with your surgeon or anaesthetist. Normally, Aspirin should be stopped 10 days before your operation. All herbal remedies, including St. Johns Wort, Arnica and Garlic, should be discontinued 1 week beforehand.
After surgery
Your doctor will provide you with instructions to help with your healing and recovery, and advice which include:
- Diet - You will be provided with detailed dietary information.
- Oral hygiene - A mouthwash will usually be prescribed.
- What should be avoided, such as tobacco and strenuous activities
- Medication prescriptions such as pain relievers, antibiotics, and a nasal spray if needed.
- When to return to work or school, which usually takes one to three weeks
Follow-Up Appointments
A review appointment will be made, usually 1 week after the surgery. This is typically followed by appointments at approximately 1 month, 3 months and 1 year postoperatively, at which time further facial x-rays are taken. Initial jaw healing generally takes about six weeks after surgery, but complete healing can take up to 12 weeks.
You will also continue to see your orthodontist afterwards, and they will usually take more study models and photographs after 3 months. Your orthodontist finishes aligning your teeth with braces after the initial jaw healing. The entire orthodontic process, including surgery and braces, may take several years. Once the braces are removed, retainers to hold tooth position may be used.
TEMPOROMANDIBULAR JOINT
- Functional disorders
- Internal derangement
The small joint located in front of the ear where the skull and lower jaw meet is called the temporomandibular joint (TMJ). This joint allows the lower jaw to move and function.
Problems with the TMJ and the nearby soft tissues and muscles can cause a variety of symptoms including earache, headache, jaw stiffness, clicking and grating noises, pain on chewing, and an abnormal bite.
When symptoms of TMJ trouble appear, you should consult an oral and maxillofacial surgeon (OMS). As specialists in the areas of the mouth, teeth and jaws, your OMS can correctly diagnose the problem.
Diagnosing TMJ disorders can be diagnosed from the history and clinical examination. Diagnosis can be complex and may require further investigations using different diagnostic procedures, such as:
Individual imaging studies of the joints may be ordered, and appropriate referral to other dental or medical specialists or a physical therapist may be made.
Overview of the Treatment of TMJ problems
TMJ disorders and their associated structures are common and do not result in ongoing or chronic issues. The majority of TMJ problems do not require surgery.
Internal disorder and myofascial pain occur most commonly. Management should be kept as simple (and reversible) as possible. Symptoms associated with these disorders tend to come and go and often resolve spontaneously. Simply resting the joints by avoiding harmful habits such as gum chewing or grinding of the teeth, adopting a soft diet and eating small portions can help. The application of localised heat (by way of a wheat bag or warm flannel) and the use of short-term anti-inflammatory pain-relief medication such as Nurofen can relieve symptoms. A custom made bite-splint, worn at night over the top teeth, will unload the joint and can aid recovery. Physiotherapy may also be recommended. TMJ arthrocentesis (joint wash-out) is a common procedure used to reduce pain and improve mouth opening for patients with the internal disorder.
Depending on the diagnosis, treatment may range from conservative dental and medical care to complex surgery and may be short-term non-steroidal anti-inflammatory drugs for pain and muscle relaxation, bite plate or splint therapy, and even stress management counselling. If non-surgical treatment is unsuccessful or if there is apparent joint damage, such as a torn disc or significant degenerative arthritis, open surgery may be required. Inflammatory forms of TMJ arthritis are often managed jointly by an Oral and Maxillofacial Surgeon and a Rheumatologist.
Dislocation, trauma, condylar hyperplasia, and ankylosis involving the TMJ usually require more complex surgical management.
Surgery procedure can either be arthroscopy, the method identical to the orthopaedic procedures used to inspect and treat larger joints such as the knee, or repair of damaged tissue by a direct surgical approach.
Once your TMJ disorder is correctly diagnosed, your OMS can provide the best treatment to relieve the problem.
Problems with the TMJ and the nearby soft tissues and muscles can cause a variety of symptoms including earache, headache, jaw stiffness, clicking and grating noises, pain on chewing, and an abnormal bite.
When symptoms of TMJ trouble appear, you should consult an oral and maxillofacial surgeon (OMS). As specialists in the areas of the mouth, teeth and jaws, your OMS can correctly diagnose the problem.
Diagnosing TMJ disorders can be diagnosed from the history and clinical examination. Diagnosis can be complex and may require further investigations using different diagnostic procedures, such as:
- Plain x-rays
- Blood tests
- Arthrography
- Arthroscopy
- CT scan
- MRI scan
- Bone scan
Individual imaging studies of the joints may be ordered, and appropriate referral to other dental or medical specialists or a physical therapist may be made.
Overview of the Treatment of TMJ problems
TMJ disorders and their associated structures are common and do not result in ongoing or chronic issues. The majority of TMJ problems do not require surgery.
Internal disorder and myofascial pain occur most commonly. Management should be kept as simple (and reversible) as possible. Symptoms associated with these disorders tend to come and go and often resolve spontaneously. Simply resting the joints by avoiding harmful habits such as gum chewing or grinding of the teeth, adopting a soft diet and eating small portions can help. The application of localised heat (by way of a wheat bag or warm flannel) and the use of short-term anti-inflammatory pain-relief medication such as Nurofen can relieve symptoms. A custom made bite-splint, worn at night over the top teeth, will unload the joint and can aid recovery. Physiotherapy may also be recommended. TMJ arthrocentesis (joint wash-out) is a common procedure used to reduce pain and improve mouth opening for patients with the internal disorder.
Depending on the diagnosis, treatment may range from conservative dental and medical care to complex surgery and may be short-term non-steroidal anti-inflammatory drugs for pain and muscle relaxation, bite plate or splint therapy, and even stress management counselling. If non-surgical treatment is unsuccessful or if there is apparent joint damage, such as a torn disc or significant degenerative arthritis, open surgery may be required. Inflammatory forms of TMJ arthritis are often managed jointly by an Oral and Maxillofacial Surgeon and a Rheumatologist.
Dislocation, trauma, condylar hyperplasia, and ankylosis involving the TMJ usually require more complex surgical management.
Surgery procedure can either be arthroscopy, the method identical to the orthopaedic procedures used to inspect and treat larger joints such as the knee, or repair of damaged tissue by a direct surgical approach.
Once your TMJ disorder is correctly diagnosed, your OMS can provide the best treatment to relieve the problem.
Other procedures
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Patient Information
surgery at qpSc
Surgery at Quay Park Surgical Centre (QPSC)Quay Park Surgical Centre is a purpose-built surgical facility located on the 2nd floor of the Quay Park Health building. It has 3 operating theatres and a ward for overnight stay if required.
Street Address: 2nd Floor, Quay Park Health, 68 Beach Road, Auckland Central
Phone: +64 9 919 2500
Website: www.quayparksurgical.co.nz
Please note:
Please remember:
General Information About Your OperationAn oral surgery procedure including the removal of impacted or unerupted teeth is a more significant operation than simple extraction of teeth. You may notice some or all of the following changes after the procedure. These are common and do not necessarily indicate complications.
Street Address: 2nd Floor, Quay Park Health, 68 Beach Road, Auckland Central
Phone: +64 9 919 2500
Website: www.quayparksurgical.co.nz
Please note:
- The time will be confirmed close to your date of surgery.
- You may be required to arrive earlier on the day.
- If you need to change your date of surgery please ensure that you contact us as soon as possible.
Please remember:
- If you are having a general anaesthetic or intravenous sedation you must not have anything to eat or drink (including water) for six hours prior to your surgery.
- It is preferable not to smoke for at least 24 hours before your operation.
- Take all your usual medication (unless otherwise instructed) with a small sip of water. If you are diabetic and/or are taking blood-thinning medicines (e.g. warfarin, aspirin, persantin) you will need to discuss this with your surgeon or anaesthetist.
- All herbal remedies, including St. Johns Wort, Arnica and Garlic, should be discontinued 1 week prior to your surgery.
General Information About Your OperationAn oral surgery procedure including the removal of impacted or unerupted teeth is a more significant operation than simple extraction of teeth. You may notice some or all of the following changes after the procedure. These are common and do not necessarily indicate complications.
- Your saliva will usually be tainted with blood for a short time following surgery.
- Your face on the operated side may swell considerably. Some bruising may also develop.
- There may be stiffness of the jaw muscles making it difficult to open your mouth, and eat normally.
- A sore throat may develop.
- Teeth adjacent to the operation may be tender to bite on for a short time.
- If the corners of your mouth have been stretched, they may dry out and crack. The application of a cream or normal cosmetics to lips will make them more comfortable.
- There may be a cavity where the tooth was removed. This should be kept as clean as possible with the mouth rinse prescribed or alternatively, with warm salt water mouth rinses. The cavity will fill in gradually.
- Numbness or tingling of the lower lip and the tongue, from the local anaesthetic, can last overnight. This may interfere with speech and eating/drinking. In some cases these changes may last longer but can usually be expected to resolve with time. Avoid biting or burning the lip and tongue while they are numb.
surgery at ormiston hospital
Surgery at Ormiston Hospital
Ormiston Hospital is a purpose-built private surgical hospital situated at Botany Junction in Manukau. It opened in June 2009 and has 6 operating theatres and a ward for overnight stay if required.
Street Address: 125 Ormiston Road, Botany Junction, Manukau City, Auckland
Phone: +64 9 250 1157
Website: www.ormistonhospital.co.nz
Please note:
Please remember:
General Information About Your OperationAn oral surgery procedure including the removal of impacted or unerupted teeth is a more significant operation than simple extraction of teeth. You may notice some or all of the following changes after the procedure. These are common and do not necessarily indicate complications.
Ormiston Hospital is a purpose-built private surgical hospital situated at Botany Junction in Manukau. It opened in June 2009 and has 6 operating theatres and a ward for overnight stay if required.
Street Address: 125 Ormiston Road, Botany Junction, Manukau City, Auckland
Phone: +64 9 250 1157
Website: www.ormistonhospital.co.nz
Please note:
- The time will be confirmed close to your date of surgery.
- You may be required to arrive earlier on the day.
- If you need to change your date of surgery please ensure that you contact us as soon as possible.
Please remember:
- If you are having a general anaesthetic or intravenous sedation you must not have anything
- to eat or drink (including water) for six hours prior to your surgery.
- It is preferable not to smoke for at least 24 hours before your operation.
- Take all your usual medication (unless otherwise instructed) with a small sip of water.
- If you are diabetic and/or are taking blood-thinning medicines (e.g. warfarin, aspirin, persantin) you will need to discuss this with your surgeon or anaesthetist.
- All herbal remedies, including St. Johns Wort, Arnica and Garlic, should be discontinued
- 1 week prior to your surgery.
General Information About Your OperationAn oral surgery procedure including the removal of impacted or unerupted teeth is a more significant operation than simple extraction of teeth. You may notice some or all of the following changes after the procedure. These are common and do not necessarily indicate complications.
- Your saliva will usually be tainted with blood for a short time following surgery.
- Your face on the operated side may swell considerably. Some bruising may also develop.
- There may be stiffness of the jaw muscles making it difficult to open your mouth, and eat normally.
- A sore throat may develop.
- Teeth adjacent to the operation may be tender to bite on for a short time.
- If the corners of your mouth have been stretched, they may dry out and crack. The application of a cream or normal cosmetics to lips will make them more comfortable.
- There may be a cavity where the tooth was removed. This should be kept as clean as possible with the mouth rinse prescribed or alternatively, with warm salt water mouth rinses. The cavity will fill in gradually.
- Numbness or tingling of the lower lip and the tongue, from the local anaesthetic, can last overnight. This may interfere with speech and eating/drinking. In some cases these changes may last longer but can usually be expected to resolve with time. Avoid biting or burning the lip and tongue while they are numb.
surgery with intravenous sedation
The Sedation
Before Surgery with Sedation
You must not eat or drink anything (including water), or chew gum, for six hours before your sedation and surgery.
You must arrive with a responsible adult who agrees to drive you home and remain with you for 24 hours.
You should wear loose comfortable clothing.
After Surgery with Sedation
When you have recovered sufficiently from the sedation and surgery, you will be discharged into the care of your accompanying adult.
Your judgment and co-ordination will be affected temporarily. Therefore you must not be alone or assume positions of responsibility for 24 hours. You must not drive a car, drink alcohol, make important decisions, work with machinery, exercise, cook, or look after children.
Numbness or tingling of the lower lip and the tongue, from the local anaesthetic, can last several hours. This may interfere with speech and eating/drinking. In some cases these changes may last longer but can usually be expected to resolve with time. Avoid biting or burning the lip and tongue while they are still numb.
After an extensive or lengthy procedure it is best to rest by sitting in a comfortable chair or by retiring to bed and resting with your head and shoulders elevated on 2 pillows.
- Intravenous sedation will help to relax you during your surgery.
- It does not put you to sleep or result in loss of consciousness.
- The sedation medication will be administered into a vein in your arm.
- Your blood pressure, pulse rate and oxygen level will be monitored throughout.
- Local anaesthetic injections will be given in your mouth to numb the surgical site(s) once you are sedated.
- Further sedation will be administered as necessary.
Before Surgery with Sedation
You must not eat or drink anything (including water), or chew gum, for six hours before your sedation and surgery.
You must arrive with a responsible adult who agrees to drive you home and remain with you for 24 hours.
You should wear loose comfortable clothing.
After Surgery with Sedation
When you have recovered sufficiently from the sedation and surgery, you will be discharged into the care of your accompanying adult.
Your judgment and co-ordination will be affected temporarily. Therefore you must not be alone or assume positions of responsibility for 24 hours. You must not drive a car, drink alcohol, make important decisions, work with machinery, exercise, cook, or look after children.
Numbness or tingling of the lower lip and the tongue, from the local anaesthetic, can last several hours. This may interfere with speech and eating/drinking. In some cases these changes may last longer but can usually be expected to resolve with time. Avoid biting or burning the lip and tongue while they are still numb.
After an extensive or lengthy procedure it is best to rest by sitting in a comfortable chair or by retiring to bed and resting with your head and shoulders elevated on 2 pillows.
surgery with local anaesthetic
Dentoalveolar Surgery with Local Anaesthetic
Your mouth will be numb for several hours after.
You should avoid hot food and drinks at this time, and take care to avoid biting a numb lip and tongue. It is best to eat soft or pureed food for the first week or more, and if possible, to favour the other side of your mouth.
You should avoid alcohol or excessive physical activity for the remainder of the day.
After an extensive or lengthy procedure it is best to rest by sitting in a comfortable chair or by retiring to bed and resting with your head and shoulders elevated on 2 pillows.
You should not rinse your mouth out on the day of the operation.
Starting the following day, you should gently bathe your mouth with the mouth rinse prescribed or with a glass of warm water containing half a teaspoon of table salt 3 times a day for 2 weeks. Clean your teeth normally but avoid the surgical site(s). Any stitches should dissolve in approximately 7-10 days.
You may notice blood-stained saliva for the first day or so.
If there is frank bleeding or bleeding is persistent, apply pressure to the wound by biting firmly on a clean rolled damp handkerchief or sterile gauze (not cotton wool) for at least 20 minutes by the clock. Rest in a sitting position and avoid spitting out. If the bleeding continues please contact your surgeon.
Swelling of the face is common after oral surgery.
It develops over the first 24-48 hours and will then gradually improve. Cold packs (e.g. ice cubes or frozen peas wrapped in a damp towel) applied to the face overlying the surgical site(s) during the first few hours, will help minimise the swelling. Bruising on the face may also appear and may take 1-2 weeks to fully resolve. You may also have limited mouth opening for a few days after surgery.
Pain-relief medications will be prescribed and will need to be collected from a pharmacy.
Generally, Panadeine and an anti-inflammatory medicine are used, in combination, to good effect. Stronger pain-relief medications are sometimes required. Antibiotics will be prescribed, if necessary. It is important that your medications are taken as directed.
CoePak Dressing (if applicable)
This material protects the area and should not be disturbed. It will be hard within 2 hours. Small particles may chip off over time. This should not be a problem unless it causes discomfort. The dressing will be removed at your next appointment here or with your orthodontist. You will be advised if this applies to you.
By following these instructions you will hasten your recovery and reduce complications.
You should avoid hot food and drinks at this time, and take care to avoid biting a numb lip and tongue. It is best to eat soft or pureed food for the first week or more, and if possible, to favour the other side of your mouth.
You should avoid alcohol or excessive physical activity for the remainder of the day.
After an extensive or lengthy procedure it is best to rest by sitting in a comfortable chair or by retiring to bed and resting with your head and shoulders elevated on 2 pillows.
You should not rinse your mouth out on the day of the operation.
Starting the following day, you should gently bathe your mouth with the mouth rinse prescribed or with a glass of warm water containing half a teaspoon of table salt 3 times a day for 2 weeks. Clean your teeth normally but avoid the surgical site(s). Any stitches should dissolve in approximately 7-10 days.
You may notice blood-stained saliva for the first day or so.
If there is frank bleeding or bleeding is persistent, apply pressure to the wound by biting firmly on a clean rolled damp handkerchief or sterile gauze (not cotton wool) for at least 20 minutes by the clock. Rest in a sitting position and avoid spitting out. If the bleeding continues please contact your surgeon.
Swelling of the face is common after oral surgery.
It develops over the first 24-48 hours and will then gradually improve. Cold packs (e.g. ice cubes or frozen peas wrapped in a damp towel) applied to the face overlying the surgical site(s) during the first few hours, will help minimise the swelling. Bruising on the face may also appear and may take 1-2 weeks to fully resolve. You may also have limited mouth opening for a few days after surgery.
Pain-relief medications will be prescribed and will need to be collected from a pharmacy.
Generally, Panadeine and an anti-inflammatory medicine are used, in combination, to good effect. Stronger pain-relief medications are sometimes required. Antibiotics will be prescribed, if necessary. It is important that your medications are taken as directed.
CoePak Dressing (if applicable)
This material protects the area and should not be disturbed. It will be hard within 2 hours. Small particles may chip off over time. This should not be a problem unless it causes discomfort. The dressing will be removed at your next appointment here or with your orthodontist. You will be advised if this applies to you.
By following these instructions you will hasten your recovery and reduce complications.
biopsy surgery
Post Operative Instructions
Your mouth will be numb for several hours after.
You should avoid hot food and drinks at this time, and take care to avoid biting a numb lip and tongue. It is best to eat soft or pureed food for the first week, and if possible, to favour the other side of your mouth.
You should avoid alcohol or excessive physical activity for the remainder of the day.
You should not rinse your mouth out on the day of the operation.
Starting the following day, you should gently bathe your mouth with the mouth rinse prescribed or with a glass of warm water containing half a teaspoon of table salt 3 times a day for the first week. Clean your teeth normally but avoid the wound(s). Any stitches should dissolve in approximately 5-7 days.
You may notice blood-stained saliva for the first day or so.
If there is frank bleeding or bleeding is persistent, apply pressure to the wound with a clean rolled damp handkerchief or sterile gauze (not cotton wool) for at least 20 minutes by the clock. Rest in a sitting position and avoid spitting out. If the bleeding continues please contact your surgeon
Mild swelling around the wound is common afterwards.
It develops over the first 24-48 hours and will then gradually improve. Bruising may also appear and may take 1-2 weeks to fully resolve.
Pain-relief medications will be prescribed and will need to be collected from a pharmacy.
Generally, Panadeine and an anti-inflammatory medicine are used, in combination, to good effect. Antibiotics are rarely necessary. It is important that your medications are taken as directed.
You should avoid hot food and drinks at this time, and take care to avoid biting a numb lip and tongue. It is best to eat soft or pureed food for the first week, and if possible, to favour the other side of your mouth.
You should avoid alcohol or excessive physical activity for the remainder of the day.
You should not rinse your mouth out on the day of the operation.
Starting the following day, you should gently bathe your mouth with the mouth rinse prescribed or with a glass of warm water containing half a teaspoon of table salt 3 times a day for the first week. Clean your teeth normally but avoid the wound(s). Any stitches should dissolve in approximately 5-7 days.
You may notice blood-stained saliva for the first day or so.
If there is frank bleeding or bleeding is persistent, apply pressure to the wound with a clean rolled damp handkerchief or sterile gauze (not cotton wool) for at least 20 minutes by the clock. Rest in a sitting position and avoid spitting out. If the bleeding continues please contact your surgeon
Mild swelling around the wound is common afterwards.
It develops over the first 24-48 hours and will then gradually improve. Bruising may also appear and may take 1-2 weeks to fully resolve.
Pain-relief medications will be prescribed and will need to be collected from a pharmacy.
Generally, Panadeine and an anti-inflammatory medicine are used, in combination, to good effect. Antibiotics are rarely necessary. It is important that your medications are taken as directed.
warfarin and sugery
Pre-operative Information
Warfarin is an anticoagulant medicine (blood thinner) which works by reducing the clotting ability of the blood. The effectiveness of Warfarin and therefore, the ability of the blood to clot, is measured by a blood test known as an INR. Normally, an up-to-date INR is required before surgery to assess whether the Warfarin dose needs to be adjusted.
General Instructions
Tranexamic Acid Mouth Rinse
Tranexamic acid inhibits the breakdown of blood clots and can reduce the risk of post-operative bleeding. For oral surgery, it is effective as a mouth rinse. One Tranexamic acid tablet should be dissolved in 10mls of water (1 tablespoon). This will take 5-10 minutes.
Gently rinse this solution around the mouth and over the surgical site(s) for 2 minutes, and then spit out.
On the day of surgery do your first Tranexamic acid mouth rinse in the evening at 6pm, and then again as late as possible (immediately before going to bed).
The following day and over the next 7 days, use the mouth rinse 4 times a day:
- First thing in the morning when you get up
- 12:00pm (midday)
- 6:00pm (evening)
- As late as possible (immediately before going to bed)
Do not eat or drink for half an hour after using the mouth rinse.
Warfarin is an anticoagulant medicine (blood thinner) which works by reducing the clotting ability of the blood. The effectiveness of Warfarin and therefore, the ability of the blood to clot, is measured by a blood test known as an INR. Normally, an up-to-date INR is required before surgery to assess whether the Warfarin dose needs to be adjusted.
General Instructions
- Take your Warfarin as directed by your doctor.
- Please arrange an INR the day before your surgery.
- Eat only soft or pureed food for the first week or more following the procedure, and if possible, favour the other side of your mouth.
- You may use Paracetamol, Panadeine or Digesic for pain relief as directed. Do not use Aspirin or any other NSAID's (non-steroidal anti-inflammatory drugs) such as Nurofen or Voltaren, as these may cause serious bleeding.
- Apart from using Tranexamic acid mouth rinse, do not rinse the mouth out for 12 hours after your surgery.
Tranexamic Acid Mouth Rinse
Tranexamic acid inhibits the breakdown of blood clots and can reduce the risk of post-operative bleeding. For oral surgery, it is effective as a mouth rinse. One Tranexamic acid tablet should be dissolved in 10mls of water (1 tablespoon). This will take 5-10 minutes.
Gently rinse this solution around the mouth and over the surgical site(s) for 2 minutes, and then spit out.
On the day of surgery do your first Tranexamic acid mouth rinse in the evening at 6pm, and then again as late as possible (immediately before going to bed).
The following day and over the next 7 days, use the mouth rinse 4 times a day:
- First thing in the morning when you get up
- 12:00pm (midday)
- 6:00pm (evening)
- As late as possible (immediately before going to bed)
Do not eat or drink for half an hour after using the mouth rinse.
tmj bite splints
Patient Information
A bite splint is a hard plastic wafer designed to fit over the upper teeth. It has metal clasps that attach to your teeth and help it stay in place.
How can it help you?
The purpose of the bite splint is to change the way your teeth bite together. It will reduce the wear on your teeth if you have a tendency to clench or a grind. Because it is softer than your teeth it will wear in preference to them.
A bite splint also decreases the pressure in the jaw joints or TMJ (temporomandibular joints), reduces the load on the jaw muscles and helps to reduce pain from the jaw joints and the muscles that move your jaws.
Wearing your bite splint
When you first wear the bite splint it will feel unusual in your mouth, particularly for the first few nights. Don’t be concerned as you will quickly become used to it. It may take a week or so to notice a difference in your symptoms so it is important to use the bite splint continually for at least 6 weeks.
Subsequent use is usually tailored to your presenting symptoms and response to therapy.
You should wear your splint at night when you go to bed (unless advised otherwise) as this is when most grinding and clenching occurs. If improvement is demonstrated, with time, you may consider wearing your splint on alternate nights.
If your bite splint is not worn for a long period (weeks to months) it may feel a little tight or not fit your mouth at all. Try wearing the splint for a few consecutive nights to allow it to fit comfortably in your mouth.
Review appointments:
Cleaning and care
A bite splint is a hard plastic wafer designed to fit over the upper teeth. It has metal clasps that attach to your teeth and help it stay in place.
How can it help you?
The purpose of the bite splint is to change the way your teeth bite together. It will reduce the wear on your teeth if you have a tendency to clench or a grind. Because it is softer than your teeth it will wear in preference to them.
A bite splint also decreases the pressure in the jaw joints or TMJ (temporomandibular joints), reduces the load on the jaw muscles and helps to reduce pain from the jaw joints and the muscles that move your jaws.
Wearing your bite splint
When you first wear the bite splint it will feel unusual in your mouth, particularly for the first few nights. Don’t be concerned as you will quickly become used to it. It may take a week or so to notice a difference in your symptoms so it is important to use the bite splint continually for at least 6 weeks.
Subsequent use is usually tailored to your presenting symptoms and response to therapy.
You should wear your splint at night when you go to bed (unless advised otherwise) as this is when most grinding and clenching occurs. If improvement is demonstrated, with time, you may consider wearing your splint on alternate nights.
If your bite splint is not worn for a long period (weeks to months) it may feel a little tight or not fit your mouth at all. Try wearing the splint for a few consecutive nights to allow it to fit comfortably in your mouth.
Review appointments:
- You will need to have the splint checked on a regular basis.
- The first review appointment is normally 6 weeks after fitting.
- Subsequent review appointments depend on your progress.
- Please don’t forget to bring your bite splint to these appointments.
Cleaning and care
- When you are not wearing your bite splint, keep it in the container provided with a little cold water to stop it drying out. Avoid hot water as this can cause the splint to bend and distort!
- Before or after use, the splint should be cleaned with a toothbrush.
- Each week, your splint can be soaked in ½ strength Milton’s solution to prevent staining.
- If metal clips become loose they can usually be tightened.
- A bite splint will usually last 1-5 years before breaking or becoming worn.
use of irrigation syringes
Food-trapping after tooth removal
Following tooth removal, it will usually take 4-6 weeks for the gum to heal completely. Until then, food-trapping in the open tooth socket(s) is common.
Irrigating the extraction socket(s)
Following tooth removal, it will usually take 4-6 weeks for the gum to heal completely. Until then, food-trapping in the open tooth socket(s) is common.
- The sockets of lower molar teeth, including those of lower wisdom teeth, are most commonly affected.
- The trapping of food may delay healing and cause bad breath and a bad taste to develop.
- Despite this, it is rarely a serious problem, but may be associated with pain and/or swelling.
- You can reduce the chance of food collecting in the socket(s) by pureeing your food for the first 1-2 weeks and if appropriate, by favouring the other side of your mouth whilst eating.
- If food-trapping is a problem, your Surgeon may recommend the use of an irrigation syringe.
Irrigating the extraction socket(s)
- Add half a teaspoon of table salt or a capful of the mouthwash prescribed, to a glass of warm water and draw this up into the syringe.
- While looking in the mirror, place the tip of the syringe over the socket and irrigate. Any food trapped in the socket should be flushed out.
- Repeat as required.