central alberta maxillofacial centre

Pathology/Biopsy

There are two techniques used to acquire a biopsy. First is Electro-surgery where the surgeon uses a cautery to cut and coagulate the site simultaneously. The tissue will appear white directly following the procedure and will feel like a pizza burn. This whitened area wills lough off with time.

The second is Excision and suture where the surgeon uses a scalpel to remove the tissue to be biopsied and then uses dissolvable sutures (stiches) to close the site. These sutures are dissolvable and can last up to 14 days. If at any time the sutures dissolve and the site opens up call our office to arrange an appointment.

Biopsy results typically take two weeks for our office to receive them. If you haven't heard from us in two week with the result please call.

PAIN

Post-operative discomfort is a normal response to any surgical procedure. The local anaesthetic or freezing administered during your surgery will probably last from two-six hours and may last up to twelve hours. Ketorolac is most effective if taken every 6 hours. Please continue the ketorolac for 5 days even if you are experiencing no discomfort. Tylenol #3 /Tramacet is to be taken as prescribed ONLY if the ketorolac is not controlling the pain. The discomfort usually peaks after the first 72 hours. If in fact the pain is increasing after this period of time, please contact our office for further instructions

Please note: pain medications taken on an empty stomach often results in an unsettled feeling and or nausea and vomiting. Please attempt to take food or fluids either with your pain tablet or as soon after as possible. If vomiting persists, discontinue use of the Tylenol #3 and replace with regular Tylenol and the use of Gravol can help with the nausea.

DIET

Initially you may feel comfortable with a softer diet (i.e. mashed potatoes, Jell-O, pudding, pasta, scrambled eggs, boost/ensure etc.). Proper nourishment aids in the healing process; if you are having difficulty eating please take a multivitamin.

*NOTE: Please avoid any hot fluids until the dental freezing has worn off*

ORAL HYGIENE

Keeping your mouth clean after surgery is essential to reduce pain and lesson the incidence of infection. The day of surgery you should begin gently rinsing with the Chlorhexidine rinse twice a day and salt water after each meal. Avoid using any commercial mouth rinses as alcohol contained within them slows the healing process. Avoid poking the site with your fingers or tongue.

*NOTE: No smoking for at least one week; smoking significantly lowers the body's ability to heal. *

General anesthetic and intravenous sedation

1. Do NOT leave the patient alone for the remainder of the surgical day. Accompany the patient home where he or she is to rest.

2. ABSOLUTLEY NO driving or operating machinery for the first 24 hours following your surgery.

After a general anesthetic, you may experience an irritated nose and throat because of the breathing tube that was inserted while you were asleep. This will resolve over the next couple of days.

If you have any questions or concerns, do not hesitate to contact our office at 403 347 4440 or 1800 662 7175. There is an after-hours contact number on the answering machine.

For post-operative concerns, please call our office rather than your own dentist or family doctor. If, however, this is a life - threatening emergency, do not delay: dial 9-1-1

If you are admitted to the hospital for any reason within 10 days of surgery, please notify us immediately