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<div class="entry-content"> <div class="et-l et-l--post"> <div class="et_builder_inner_content et_pb_gutters3"> <div class="et_pb_section et_pb_section_0 internal-intro-section et_pb_with_background et_section_regular" > <div id="internal-menu-container" class="et_pb_row et_pb_row_0"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_0 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_post_title et_pb_post_title_0 page-title et_pb_bg_layout_light et_pb_text_align_left" > <div class="et_pb_title_container"> <h1 class="entry-title">Surgical Endodontics</h1> </div> </div> </div> </div><div class="et_pb_row et_pb_row_1"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_1 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_center et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>Jump to a Section</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_2 on-page-internal-navigation"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_2 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_button_module_wrapper et_pb_button_0_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_0 internal-navigation-btn et_pb_bg_layout_light" href="#content-after-intro">What is Surgical Endodontic Treatment?</a> </div><div class="et_pb_button_module_wrapper et_pb_button_1_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_1 internal-navigation-btn et_pb_bg_layout_light" href="#surgical-access">Surgical Access and Apicoectomy</a> </div><div class="et_pb_button_module_wrapper et_pb_button_2_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_2 internal-navigation-btn et_pb_bg_layout_light" href="#post-op-instructions">Post Operative Instructions</a> </div><div class="et_pb_button_module_wrapper et_pb_button_3_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_3 internal-navigation-btn et_pb_bg_layout_light" href="#prognosis">Prognosis</a> </div><div class="et_pb_button_module_wrapper et_pb_button_4_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_4 internal-navigation-btn et_pb_bg_layout_light" href="#alt-to-surgery">Alternatives to Surgery</a> </div><div class="et_pb_button_module_wrapper et_pb_button_5_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_5 internal-navigation-btn et_pb_bg_layout_light" href="#post-operative-instructions">After Your Surgery</a> </div> </div> </div><div class="et_pb_row et_pb_row_3"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_3 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_image et_pb_image_0"> <a href="#content-after-intro"><span class="et_pb_image_wrap "><img width="37" height="75" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%2037%2075'%3E%3C/svg%3E" alt="" title="Arrow-Down" class="wp-image-1033" data-lazy-src="https://endoexperience.com/wp-content/uploads/2020/12/Arrow-Down.png" /><noscript><img width="37" height="75" src="https://endoexperience.com/wp-content/uploads/2020/12/Arrow-Down.png" alt="" title="Arrow-Down" class="wp-image-1033" /></noscript></span></a> </div> </div> </div> </div><div id="content-after-intro" class="et_pb_section et_pb_section_1 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_4"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_4 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_1 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2 style="text-align: center;"><span class="style3">What is Surgical Endodontic Treatment and Why would it be necessary?</span></h2> <p><span>Surgical Endodontic treatment is performed when inflammation or infection persists in the bony area around the end of the root after conventional Endodontic treatment. It is also sometimes recommended when there is no other way to access the area because of blockages in the canal, or when we need to visually inspect and treat the end of the root.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_5"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_5 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_divider_0 et_pb_space et_pb_divider_hidden"><div class="et_pb_divider_internal"></div></div><div class="et_pb_module et_pb_text et_pb_text_2 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>Benefits</h3> <ul> <li>The tooth is retained, resulting in a more healthy oral condition.</li> <li>Eliminates the need for more expensive prosthetic (artificial) replacement.</li> <li>Can prevent Disassembly of existing restoration and need for remake of crowns or bridges.</li> </ul></div> </div><div class="et_pb_module et_pb_text et_pb_text_3 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>Surgical Treatment</h3> <p>Surgical Endodontic treatment can be performed on any tooth as long as the tooth is periodontally sound (the gum condition is healthy) and restorable (there is enough remaining healthy tooth structure to warrant reconstruction of the tooth).</p></div> </div><div class="et_pb_module et_pb_text et_pb_text_4 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>How Long Will it Take?</h3> <p>Treatment is generally performed in a single appointment of approximately 90 minutes.</div> </div><div class="et_pb_module et_pb_text et_pb_text_5 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>Diagnosis/Pretreatment</h3> <p>Diagnostic procedures consist of multiple images or and/or cbCT imaging ( taken to better locate and visualize the roots), examination of the periodontal tissues and evaluation of suitability of the tooth for treatment. The existing restoration will be examined and alternatives to surgery will be explained in detail.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_6 figure-image-right et_pb_equal_columns"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_6 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_image et_pb_image_1"> <span class="et_pb_image_wrap "><img width="300" height="233" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20233'%3E%3C/svg%3E" alt="" title="endodontic-surgery-explained" class="wp-image-34476" data-lazy-src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-explained.jpg" /><noscript><img width="300" height="233" src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-explained.jpg" alt="" title="endodontic-surgery-explained" class="wp-image-34476" /></noscript></span> </div><div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_6 figure-image-right-text et_pb_text_align_left et_pb_text_align_center-tablet et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h5>Figure 1</h5> <p><span>Maxillary (Upper) Incisor –聽</span><span>Cross Section View</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_7"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_7 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_divider et_pb_divider_1 et_pb_divider_position_center et_pb_space"><div class="et_pb_divider_internal"></div></div> </div> </div> </div><div id="surgical-access" class="et_pb_section et_pb_section_2 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_8"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_8 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_7 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><span class="style3">Surgical Access and Apicoectomy</span></h2> <p><span>With the use of modern anesthetics, endodontic surgery involves very little discomfort. An incision is made and the gum tissue is retracted. This allows for good visualization of the surgical area. Any inflamed or infected tissue is removed. If there is sufficient material, a specimen will be sent to laboratory for analysis (Biopsy). The tip of the root is then resected (removed). This is called an Apicoectomy.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_9 figure-image-left reorder-row et_pb_equal_columns"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_9 reorder-item second reorder-item-last et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_8 figure-image-left-text et_pb_text_align_right et_pb_text_align_center-tablet et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h5>Figure 2</h5> <p><span>Surgical Access and Apicoectomy</span></p></div> </div><div class="et_pb_module et_pb_image et_pb_image_2"> <span class="et_pb_image_wrap "><img width="300" height="236" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20236'%3E%3C/svg%3E" alt="" title="apicoectomy" class="wp-image-34478" data-lazy-src="https://endoexperience.com/wp-content/uploads/2021/01/apicoectomy.jpg" /><noscript><img width="300" height="236" src="https://endoexperience.com/wp-content/uploads/2021/01/apicoectomy.jpg" alt="" title="apicoectomy" class="wp-image-34478" /></noscript></span> </div> </div> </div><div class="et_pb_row et_pb_row_10"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_10 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_9 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><span class="style3">Sealing of the Apex</span></h3> <p><span>The end of the root is meticulously examined and a small cement filling(s) may be placed to seal the end of the root canal. A few stitches are placed in the gum to help the tissue heal properly.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_11"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_11 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_divider et_pb_divider_2 et_pb_divider_position_center et_pb_space"><div class="et_pb_divider_internal"></div></div> </div> </div><div class="et_pb_row et_pb_row_12 figure-image-right et_pb_equal_columns"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_12 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_image et_pb_image_3"> <span class="et_pb_image_wrap "><img width="300" height="232" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20232'%3E%3C/svg%3E" alt="" title="endodontic-surgery-root-end-filling" class="wp-image-34479" data-lazy-src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-root-end-filling.jpg" /><noscript><img width="300" height="232" src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-root-end-filling.jpg" alt="" title="endodontic-surgery-root-end-filling" class="wp-image-34479" /></noscript></span> </div><div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_10 figure-image-right-text et_pb_text_align_left et_pb_text_align_center-tablet et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h5>Figure 3</h5> <p><span>Maxillary (Upper) Incisor –聽</span><span>Cross Section View</span></p></div> </div> </div> </div> </div><div id="post-op-instructions" class="et_pb_section et_pb_section_3 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_13"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_13 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_11 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><span class="style3">Post Operative Instructions</span></h2> <p>In most situations, post-operative discomfort is minimal. Patients are given a聽<a href="#post-operative-instructions" class="style4">specific set of instructions</a>聽regarding surgical post-operative care. This mostly involves icing the area and mild analgesics. We generally recommend that you rest for remaining portion of the day. The stitches are removed within a few days.</p></div> </div><div class="et_pb_button_module_wrapper et_pb_button_6_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_6 et_pb_bg_layout_light" href="#post-operative-instructions">After Surgery Instructions</a> </div><div class="et_pb_module et_pb_text et_pb_text_12 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>Follow-Up Examination</h3> <p><span class="style1">Patients are recalled at 6 month intervals to examine for proper healing.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_14 figure-image-left reorder-row et_pb_equal_columns"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_14 reorder-item second reorder-item-last et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_13 figure-image-left-text et_pb_text_align_right et_pb_text_align_center-tablet et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h5>Figure 4</h5> <p><span>Healed Surgery.</span></p></div> </div><div class="et_pb_module et_pb_image et_pb_image_4"> <span class="et_pb_image_wrap "><img width="300" height="242" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20242'%3E%3C/svg%3E" alt="" title="endodontic-surgery-healed" class="wp-image-34480" data-lazy-src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-healed.jpg" /><noscript><img width="300" height="242" src="https://endoexperience.com/wp-content/uploads/2021/01/endodontic-surgery-healed.jpg" alt="" title="endodontic-surgery-healed" class="wp-image-34480" /></noscript></span> </div> </div> </div><div class="et_pb_row et_pb_row_15"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_15 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_14 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3>Cost</h3> <p>The cost of endodontic surgery varies according to the severity of the problem, the location of the tooth and the number of fillings placed at the root end. Dr. Kaufmann recommends a consultation appointment in order to provide you with an estimate and detailed explanation. <br />Insurance plans generally cover surgical treatment to the same extent as conventional endodontics. As with any insurance plan, it is a good idea to have a preauthorization performed before the procedure.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_16"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_16 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_divider et_pb_divider_3 et_pb_divider_position_center et_pb_space"><div class="et_pb_divider_internal"></div></div> </div> </div> </div><div id="prognosis" class="et_pb_section et_pb_section_4 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_17"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_17 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_15 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><span class="style3">Prognosis</span></h2> <p>The rate of success for surgical treatment varies with the tooth, position in the mouth, periodontal condition, previous treatment and other factors particular to the case. Dr. Kaufmann will address the prognosis during your consultation appointment.</p> <p>Sometimes surgery exposes an impossible treatment situation. This is most often the case with聽<a href="/for-patients/endodontics/cracked-tooth/#prognosis-verti">Vertical Root Fractures</a>聽or聽<a href="/for-patients/endodontics/cracked-tooth/#prognosis-split">Split Tooth</a>. Extraction is often necessary in that case.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_18"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_18 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_divider et_pb_divider_4 et_pb_divider_position_center et_pb_space"><div class="et_pb_divider_internal"></div></div> </div> </div> </div><div id="alt-to-surgery" class="et_pb_section et_pb_section_5 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_19"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_19 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_16 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><span class="style3">Alternatives to Surgery</span></h2> <p><span>Extraction of the tooth and prosthetic (artificial) replacement is the usual alternative. Unfortunately, this can often be more expensive and difficult than surgical treatment. Even with bridgework or an implant, there is no true substitute for your own tooth. That is why surgery may be a better option in many cases.</span></p></div> </div><div class="et_pb_module et_pb_divider et_pb_divider_5 et_pb_divider_position_center et_pb_space"><div class="et_pb_divider_internal"></div></div> </div> </div> </div><div id="post-operative-instructions" class="et_pb_section et_pb_section_6 et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_20"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_20 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_17 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2>After Your Surgery</h2> <p><span>You have just undergone an Endodontic Surgical procedure. By following these instructions you will assist the area in its recovery and prevent complications.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_21"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_21 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_18 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>1</p></div> </div><div class="et_pb_module et_pb_text et_pb_text_19 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span>1. You will be asked to apply pressure to the surgical area with your hand for 5 minutes following the procedure. This will assist clotting and proper tissue adaptation. Apply steady but moderate pressure. You will be shown how to do this.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_22"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_22 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_20 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>2</p></div> </div><div class="et_pb_module et_pb_text et_pb_text_21 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span>2. Under the surgical area, clots are now forming. These are important for proper healing.聽</span><strong><em><u>Do not rinse or spit today.</u></em></strong><span>聽 Rinsing can dislodge the clot and result in bleeding. If necessary, wipe into a Kleenex as shown.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_23"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_23 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_22 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>3</p></div> </div><div class="et_pb_module et_pb_text et_pb_text_23 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">3. It is important to ice the area immediately to prevent swelling. A certain amount of swelling is normal and varies from patient to patient. Swelling will peak at 48 hrs after the procedure. Use crushed ice or gel packs. Apply at 15 minute intervals, alternating ON and OFF for the rest of the day. The more you ice the area today, the less swelling there will be tomorrow.</div> </div> </div> </div><div class="et_pb_row et_pb_row_24"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_24 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_24 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">4</div> </div><div class="et_pb_module et_pb_text et_pb_text_25 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">4. Elevate the head for the first 24 hrs. When sleeping, use an extra pillow. Try not to bend over as this increases blood pressure in the head and can cause bleeding. Limit physical activity that day.</div> </div> </div> </div><div class="et_pb_row et_pb_row_25"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_25 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_26 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">5</div> </div><div class="et_pb_module et_pb_text et_pb_text_27 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">5. There may be some bruising and discoloration in the surgical area. This is not of concern and will fade.</div> </div> </div> </div><div class="et_pb_row et_pb_row_26"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_26 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_28 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">6</div> </div><div class="et_pb_module et_pb_text et_pb_text_29 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>6. Several sutures have been placed to keep the incision closed. It is important that the area be left alone for 48 hrs to allow closure of the wound. Do not attempt to look at the area because this can cause stretching and tearing of the sutures. An appointment will be made in a few days to remove the stitches. Occasionally one or more of the stitches may fall out a few days after the surgery. This is normal.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_27"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_27 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_30 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">7</div> </div><div class="et_pb_module et_pb_text et_pb_text_31 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span>7. The following day, brush other areas of the mouth normally.聽</span><em><u><strong>Do not brush in the surgical area until the stitches are removed.</strong></u></em><span>聽Instead, use a warm saline rinse made of a teaspoon of salt in a tall glass of warm water. Rinse gently, allowing the water to flow over the surgical area. Should you wish to use mouthwash instead, use heavy dilution with water since these solutions can burn the area if they are used straight out of the bottle.</span></p></div> </div> </div> </div><div class="et_pb_row et_pb_row_28"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_28 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_32 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">8</div> </div><div class="et_pb_module et_pb_text et_pb_text_33 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">8. Nutrition is an important part of post-operative healing. Patients should try to eat normally with a few exceptions:</p> <blockquote><p>(a) Eat relatively soft foods for the first day or so. Pasta, eggs, sandwiches, lukewarm soup, stew, salads and other similar foods are acceptable.</p> <p>(b) Avoid hard or sharp foods such as chips, pretzels, crusty bread, crackers, granola bars etc.</p> <p>(c) Dr. Kaufmann recommends cold foods (such as milkshakes) immediately after the procedure since these are soothing to the area and can be eaten with a straw.</p></blockquote></div> </div> </div> </div><div class="et_pb_row et_pb_row_29"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_29 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_34 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">9</div> </div><div class="et_pb_module et_pb_text et_pb_text_35 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>9. You may be provided with instructions regarding medication to help with any discomfort. We suggest that you start on the medication before the freezing is gone.聽 Most patients do very well with聽 Ibuprofen alone or alternating with Tylenol extra strength. <em>(Tylenol #3 (with Codeine) is rarely necessary.)</em>聽 If you are like most patients, you will only require Ibuprofen on the day of the procedure. The following day, you will have swelling but very minimal discomfort.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_30"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_30 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_36 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">10</div> </div><div class="et_pb_module et_pb_text et_pb_text_37 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>10. Smokers are urged to cease smoking until the sutures are removed. Nicotine has been shown to delay wound healing. Should you be unable to stop, try to cut down by at least half. Consumption of alcohol should be avoided.</p></div> </div> </div> </div><div class="et_pb_row et_pb_row_31"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_31 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_38 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p>Surgical procedures performed in this office have an extremely high rate of success. Your cooperation is important in obtaining the best possible result. Should you have any questions, please call Dr. Kaufmann at the regular office number <a href="tel:1-204-783-2971">(204) 783-2971</a>. 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