• Please review our general post operative care instructions in addition to the following information. 
      You have had a Sinus Lift Augmentation procedure in your upper jaw. This procedure replaces deficient bone height in the area of your first and second molars and occasionally second premolar. Without this important procedure, there would be insufficient bone height to support implants due to an enlarged sinus.
      The bone that has been grafted is most commonly a combination freeze-dried cadaver bone, occasionally bovine bone or artificial synthetic bone and your own bone. Because of this you may have two surgical wounds: the donor site and the recipient site.

      DO NOT UNDER ANY CIRCUMSTANCES BLOW YOUR NOSE FOR THE NEXT FOUR (4) WEEKS. This may be longer if indicated. You may sniff all you like but no blowing.
      Do not blow your nose or sneeze holding your nose. Scuba diving and flying in pressured aircraft may also increase sinus pressure and should be avoided. Decongestants such as Drixoral, Dimetapp or Sudafed will help reduce pressure in the sinuses. You may also be given a prescription for antibiotics. Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided. Avoid bearing down as when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. Smoking must be stopped.



      Antibiotics

      Be sure to take the prescribed antibiotics as directed to help prevent infection.



      Oral Hygiene

      Do not rinse vigorously on the day of your surgery. This tends to disturb the blood clot, open the wound and can prolong bleeding. You should not have significant amount of blood in the mouth. Saliva can be swallowed even if slightly blood tinged.
      It is important to keep your mouth clean after surgery to reduce the risk of infection and promote rapid healing. Start salt water rinses the day following your procedure. Use one-half teaspoon of salt dissolved in an 8 ounce glass of water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like but rinse at least four to five times daily and always after eating for the next five days.
      Begin careful tooth brushing on the first post-operative day and continue at least twice a day. Please brush very gently, particularly near the surgical area. When expectorating, also be gentle.
      Our doctor may prescribe an antibiotic rinse (Chlorhexadine, Periogard, Peridex) for certain procedures. This rinse should be used in the morning and at bedtime after routine mouth care. Rinse in the mouth for one minute then spit out twice a day after brushing. Do not eat, drink or rinse your mouth immediately after using the medicated rinse. 



      Diet

      Drink plenty of liquids. Eat soft foods for the first several days after surgery. Advance to a regular diet as swelling diminishes and you become more comfortable. Please avoid chewing or creating pressure on the bone graft site. Creating pressure on the graft site at any time during the six month healing process can interfere with bone graft healing and compromise the outcome or result in bone graft failure.



      Smoking

      DO NOT SMOKE for at least two weeks following surgery. As discussed at your consultation, smoking increases the risk of bone graft failure.



      Wearing your Prosthesis

      We understand how important it is for our patients to be able to wear their temporary teeth as soon as possible. All removable appliances including partial dentures, flippers and full dentures must be checked for proper fit by your general dentist before they are worn. These appliances can transmit pressure to the bone graft site which can interfere with bone graft healing and result in bone graft failure. In some cases it may be necessary to go without wearing the temporary teeth for a few days until swelling resolves and some healing takes place. In most cases, partial dentures, flippers, or full dentures should only be used for cosmetic purposes, not for chewing. They should be used only in public when required and removed in the privacy of your own home. This was discussed during the pre-operative consultation.



      Post Operative Complications

      As with any procedure, unexpected post-operative problems can occur. If you notice an unexpected flow of air or liquids between your mouth and nose, please let us know immediately.
      If you are aware of several small particles of graft material being discharged from your nose, let us know as well.
      If you experience sinus or nasal congestion on the side your surgery was performed let us know.
      If there is an increase in pain and swelling in your mouth, cheek or under your eye after 3 days, please let us know.

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