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Post-Operative Care
Patients who have had total arthroplasty and require dental intervention
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Recommandations

This information was created by the Canadian Orthopedic Association (COA), the Canadian Dental Association (CDA), and the Association of Medical Microbiology and Infectious Disease (AMMI) Canada.

As a result of this work, the COA, CDA, and AMMI Canada provide the following guidance concerning the management of dental patients with orthopedic devices (2017):

  • Patients should not be exposed to the adverse effects of antibiotics when there is no evidence that such prophylaxis is of any benefit.
  • Routine antibiotic prophylaxis is not indicated for dental patients with total joint replacements, nor for patients with orthopedic pins, plates and screws.
  • Patients should be in optimal oral health prior to having total joint replacement and should maintain good oral hygiene and oral health following surgery. Orofacial infections in all patients, including those with total joint prostheses, should be treated to eliminate the source of infection and prevent its spread.

Link to CDA

Antibiotic prophylaxis for endocarditis

Link to the official ODQ.qc.ca website

Extraction for an adult
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IMMEDIATELY AFTER SURGERY:

Bite on the gauze (cotton) compress for 15 to 30 minutes and take the prescribed medications immediately afterwards.

 

FOR THE REST OF THE DAY:
  • DO NOT SPIT. DO NOT RINSE. DO NOT SMOKE, DO NOT DRINK WITH A STRAW. DO NOt DRINK ALCOHOL.
  • Avoid drinking or eating 2 hours after surgery. Then avoid hot food and drinks. Eat cold and soft foods.
  • To reduce swelling, apply an ice pack to the affected area for about 15 minutes at 15 minute intervals for the rest of the day. The application of ice should be stopped 24 hours after surgery.
  • If bleeding persists, replace gauze (cotton) or lightly moistened tea bag on the bleeding spot. Maintain a firm pressure by tightening the teeth for at least 30 minutes repeat if necessary.
  • You can brush your teeth by brushing very gently near the area of ​​the surgery. Do not spit.
  • Avoid physical activity.
  • Apply petroleum jelly (Vaseline) to the lips as needed.
  • It is best to sleep the raised head with 2 pillows and placing a linen on the pillows.
THE DAYS FOLLOWING THE SURGERY:
  • Some swelling is likely, it is a normal reaction following surgery and not a sign of infection.
  • Bruises (blue or yellow spots) sometimes appear on the skin. They will disappear within 5 to 7 days.
  • Put ½ teaspoon of salt in a glass of warm water (6 to 8oz) and use as a mouthwash to bathe the place of surgery. If you have been prescribed a mouthwash, rinse morning and evening and in the day with the saline solution as described above.
  • You may have trouble opening your mouth. This problem should subside after 4 to 5 days.
  • Eat well. If it is impossible to chew, take nutritious liquids.
  • For extractions of lower wisdom teeth, four days after extraction, rinse after each meal with the irrigation syringe.
Extraction for a child
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IMMEDIATELY AFTER SURGERY:

Bite on the gauze (cotton) compress for 15 to 30 minutes and take the prescribed medications immediately afterwards.

 

FOR THE REST OF THE DAY:
  • DO NOT SPIT. DO NOT RINSE. DO NOT DRINK WITH A STRAW.
  • You can brush your teeth by brushing very gently near the area of the surgery.
  • Avoid physical activity the same day.
  • Be careful not to bite the cheeks or tongue because with the effect of anesthesia the children tend to nibble and as a result they may have lesions.
Gum graft
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Day of surgery:
  • Possible bleeding may persist in the palate for the first 24 hours. If it becomes important, place one or two compresses or a damp tea bag directly on the spot that bleeds and hold a firm pressure for 15 minutes. If there is still persistent bleeding call the dentist or come and consult us.
  • Avoid rinsing the mouth during the day of the procedure.
  • Avoid any suction movements, exploration of the wound with tongue or fingers. Avoid peeling the dressing.
  • It is important not to smoke, consume alcoholic beverages or hot liquids for the first 2 days.
THE DAYS FOLLOWING THE SURGERY:
  • You should start rinsing the next day with the product prescribed on your prescription or with warm salt water.
  • Brush your teeth and gums as usual with the brush you were given, carefully avoiding the location of the procedure.
  • Eat energetic foods of soft consistency for a few days, avoiding intervention sites.
  • Avoid boiling and spicy foods and liquids.
  • If anti-inflammatory drugs have been prescribed before the procedure, you should continue taking them as prescribed.
  • The temporary dressing may fall after a few days. This is normal, there is nothing to worry about. Avoid only brushing in this area.
PINHOLE gum graft
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SAME DAY OF SURGERY:
  • To prevent swelling: Place ice 10 minutes per hour for the first 24 hours. (except at night)
  • Do not brush or floss the area for 6 weeks, this is the main cause of surgery failure. You can brush the area on the side of the tongue or palate.
  • Do Not use an electric brush on the same area of the inner side of the mouth.
  • Do not stretch the lip and cheek or put your fingers on the area being treated. Dr. Ménard takes photos of the treated area and he will be happy to show them to you!
  • It is important not to smoke or consume alcoholic beverages or drink liquids that are too hot or cold for the first 2 days.
  • Do not rinse with mouthwash on the evening of surgery.
THE DAYS FOLLOWING SURGERY:
  • You should start rinsing the next day with the product prescribed on your prescription twice a day, morning and evening. During the day you can rinse with warm water and salt.
  • Eat energetic foods of soft consistency for a few days, avoiding intervention sites.
  • Avoid boiling, spicy, sticky, crunchy foods or liquids.
  • It is obligatory to come to the office one day / one week / 3 weeks and 6 weeks after the surgery.
POSSIBLE SIDE EFFECTS OF SURGERY
  • Swelling
  • Bruising
  • Transient cold / hot sensitivity of the teeth that received the graft.
Bone Graft Surgery
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IMMEDIATELY AFTER SURGERY:
  • Bite on the gauze (cotton) compress for 15 to 30 minutes and take the prescribed medications immediately afterwards.
FOR THE REST OF THE DAY:
  • DO NOT SPIT. DO NOT RINSE. DO NOT SMOKE, DO NOT DRINK WITH A STRAW. DO NOT DRINK ALCOHOL.
  • Avoid drinking or eating 2 hours after surgery. Then avoid hot food and drinks. Eat cold and soft foods.
  • To reduce swelling, apply an ice pack to the affected area for about 15 minutes at 15 minute intervals for the rest of the day.
  • The application of ice should be stopped 24 hours after surgery.
  • If bleeding persists, replace gauze (cotton) or lightly moistened tea bag on the bleeding spot.
  • Maintain a firm pressure by tightening the teeth for at least 30 minutes repeat if necessary.
  • Ne pas brosser le site de l’extraction jusqu’au prochain contrôle.
  • Do not brush the extraction site until the next inspection.
  • Do not explore the area with the tongue.
  • Avoid physical activity.
  • It is best to sleep with the head raised on 2 pillows, with a cloth covering pillows.
THE DAYS FOLLOWING SURGERY:
  • Some swelling is likely, it is a normal reaction following surgery and not a sign of infection.
  • Bruises (blue or yellow spots) sometimes appear on the skin. They will disappear in 5 to 7 days.
  • Gargle very slightly the first week.
  • You may have trouble opening your mouth. This problem should subside after 4 to 5 days.
  • Eat energizing foods. If it is impossible to chew, take nutritious liquids.

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CONTACT US AT 450-671-7267.