lec 5 - post op management

Question 1

Done for the first 24-48 hours to minimize swelling and discomfort.

Answer 1

Cold compress / therapy

Question 2

Swelling often peaks at ______ hours after surgery.

Answer 2

48-72 hours

Question 3

Gently brush teeth, avoiding the surgical area for the first 24 hours. After that, the patient can begin rinsing with ______?

Answer 3

Saltwater solution (1/2 tsp salt, 8 oz water)

Question 4

Dissolvable stitches typically disappear within _______ days.

Answer 4

7-10 days

Question 5

Avoid smoking for at least _______ hours.

Answer 5

72 hrs

Question 6

Avoid alcohol for at least _______ hours.

Answer 6

24-48 hrs

Question 7

The most effective way to stop post-operative bleeding is by?

Answer 7

Applying direct pressure (bite firmly on a gauze pad for 30-60 mins)

Question 8

If bleeding persists, using a moistened black tea bag, which contains _______, a natural vasoconstrictor, wrapped in gauze can help promote clotting.

Answer 8

Tannic acid

Question 9

Placed into the socket or wound to aid in clot formation.

Answer 9

Gelfoam (gelatin sponge)

Question 10

Acts as a scaffold to support clotting.

Answer 10

Surgical (oxidized cellulose)

Question 11

Promotes clotting by converting fibrinogen to fibrin.

Answer 11

Topical thrombin

Question 12

Used in tooth sockets to help stabilize the clot and promote hemostasis.

Answer 12

Collagen plugs

Question 13

Suture that can help compress the socket and stabilize the clot.

Answer 13

Figure-of-8 Suture

Question 14

In cases of persistent bleeding, it can be used as a mouth rinse or administer systematically. It works by inhibiting fibrinolysis.

Answer 14

Tranexamic acid

Question 15

If patient is not hypertensive, it can be used locally to reduce blood flow and encourage clot formation.

Answer 15

Vasoconstrictors (epinephrine)

Question 16

Commonly prescribed for mild to moderate pain.

Answer 16

NSAIDS

Question 17

Dosage for Ibuprofen

Answer 17

400-800mg for q6-8h

Question 18

Dosage for Acetaminophen

Answer 18

500-1000mg for q4-6h

Question 19

Prescribed for more severe pain.

Answer 19

Opioid analgesics (hydrocodone, oxycodone)

Question 20

These are opioid analgesics combined with NSAIDS.

Answer 20

Percocet, Vicodin

Question 21

Dosage for Codein

Answer 21

15-60mg

Question 22

Dosage for Hydrocodone

Answer 22

5-10mg

Question 23

Dosage for Oxycodone

Answer 23

2.5-10mg

Question 24

Done after 45 hours to relieve stiffness and promote blood circulation.

Answer 24

Warm compress

Question 25

Prescribed to reduce inflammation and swelling in patients that underwent more extensive surgical procedures.

Answer 25

Steroids (corticosteroids, dexamethasone)

Question 26

Sedation options if patient is ancious.

Answer 26

Benzodiazepines or nitrous oxide

Question 27

Avoid commercial mouthwash for _________?

Answer 27

1 week

Question 28

Normal flossing can be resumed after ______ hours, except around surgical site.

Answer 28

24-48 hours

Question 29

Oral irrigators are avoided for _______ to prevent dislodging the clot.

Answer 29

1 week

Question 30

Also known as Swelling, it is a common occurrence after oral surgery that can cause discomfort, delayed healing, and complications.

Answer 30

Edema

Question 31

Cold compress is done at ______-minute intervals.

Answer 31

20-minute

Question 32

May be done to promote lymphatic drainage and help solve edema.

Answer 32

Gentle massage

Question 33

* It is the restricted ability to open the mouth. * Usually after procedures involving the wisdom teeth, jaw, or TMJ. * Can result from inflammation, muscle spasms, trauma to jaw muscles, or proximity to the TMJ.

Answer 33

Trismus

Question 34

4 main causes of trismus

Answer 34

1. Muscle trauma 2. Surgical trauma 3. Inflammation 4. Infection

Question 35

May be prescribed on a short-term basis to alleviate muscle tension.

Answer 35

Muscle relaxants (diazepam, cyclobenzaprine)

Question 36

* Also known as Bruising * Common in procedures that involve significant manipulation of soft tissues. * Results from bleeding under the skin and can cause discoloration and mild discomfort.

Answer 36

Ecchymosis

Question 37

4 Causes of post-op ecchymosis?

Answer 37

Trauma to blood vessels Aging Medications Extent of surgery

Question 38

A natural remedy to reduce bruising and swelling.

Answer 38

Arnica (Arnica montana)

Question 39

Found in pineapple, an enzyme that may help reduce bruising and swelling.

Answer 39

Bromelain

Question 40

Analgesics that are AVOIDED in the first 48 hours as they can thin the blood and potentially worsen bruising.

Answer 40

NSAIDS (ibuprofen, warfarin)

Question 41

Normal progression of bruising changes color from red/purple to blue, green, or yellow and fading away over the course of ______ days.

Answer 41

7-14 days

Question 42

Diet rich in vitamin ___ and K help for tissue repair and blood clotting.

Answer 42

C and K

Question 43

Concealers with a _________ tint can neutralize purple tones of bruises.

Answer 43

Greenish