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Location

23450 Lyons Avenue #A
Santa Clarita, CA 91321

Newhall Oral Surgery and Maxillofacial Group

Schedule an Appointment

(661) 254-0390

Newhall Oral & Maxillofacial Surgery Group

Surgical Instruction

Before Intravenous Anesthesia Sedation

You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment.

  • No cannabis/marijuana products 24-36 hours prior to surgery (ie: smoking, edibles, vaping)
  • No smoking at least 24 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
  • A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
  • The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
  • Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.
  • Jewelry, and dentures must be removed at the time of surgery.
  • Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
  • If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.
  • If you take routine oral medications, please check with the doctor prior to your surgical date for instructions.

 

After Placement of Dental Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

Bleeding
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 36 hours.

Diet
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain
You should begin taking pain medication as soon possible. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

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

Oral Hygiene
Good oral hygiene is essential to good healing. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 3-4 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.

Activity
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Wearing your Prosthesis
Partial dentures, flippers, or full dentures should not be used immediately after surgery and for at least 10 days. This was discussed in the pre-operative consultation.

After Wisdom Tooth Removal

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded.
  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided for the first 24 hours. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for explanation. We will provide a head wrap to take home.

Bleeding
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first wiping any old clots from your mouth, then placing a moistened gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.

Swelling
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain
For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours or Ibuprofen, (Motrin or Advil) two-four 200 mg tablets may be taken every 3-4 hours.
For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

Diet
After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away form the surgical sites. High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat. Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.

Keep the mouth clean
No rinsing or brushing for the first 24 hours after surgery. The day after surgery you should begin rinsing at least 3-4 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt.

Discoloration
In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics
If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions.

Nausea and Vomiting
In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on clear soda, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications

  • If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call the office if you have any questions.
  • Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
  • You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up.
  • Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Drs. Landa, Mizin, Scaramella and Marechek.
  • If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as vaseline.
  • Sore throat and pain when swallowing are not uncommon. The muscles get swollen and the normal act of swallowing can then become painful. This will subside in 2-3 days.
  • Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally
Sutures are placed in the area of surgery to minimize post-operative bleeding and to help healing. Most sutures are dissolvable and will fall out on their own.
The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur call the office for instructions.
There will be a cavity where the tooth was removed. The cavity will gradually fill in with the new tissue over the next month. In the mean time, the area should be kept clean especially after meals with salt water rinses.
Your case is individual, no two mouths are alike. Do not accept well intended advice from friends. Discuss your problem with the persons best able to effectively help you: Drs. Landa, Mizin, Scaramella and Marechek, or your family dentist.
Brushing your teeth is okay – just be gentle at the surgical sites.
A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of severe pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs.
If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.
Should you have any concerns following surgery, please call the office at 661-254-0390. We will be happy to assist you. If you should call outside of office hours, leave a message on the emergency line and one of the doctors will return your call. (Remember to leave your name and phone number.)

After Socket Bone Grafting

The following information applies when grafting material has been placed into extraction sites to help preserve your jawbone in preparation for possible implant replacement of the extracted tooth.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. Its normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:

  • Do not disturb or touch the wound.
  • Avoid rinsing or spitting for 2 days to allow blood clot and graft material stabilization.
  • Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
  • Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
  • Do not smoke.

Following the second day, gentle rinsing would be allowed but not too vigorously as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you may have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.

It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office. Please try to call during office hours; however, if you call after hours, leave a message on the emergency line and the doctor will call you back. (Be sure to leave your name and phone number)

After Exposure of an Impacted Tooth

Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Bleeding
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice pack or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.

Diet
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength. Tylenol may be taken every 3-4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.

Oral Hygiene
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) 3-4 times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

Activity
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

 

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for 1 week as this will increase blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

After Orthognathic or Jaw Corrective Surgery

After you have undergone a surgical procedure to correct the position of your upper jaw, lower jaw, or both, attention must be given to several aspects of postoperative care in order to help make the recovery as quick and easy as possible. Since surgery produces soreness in the muscles and bones of the jaw as well as the lips, nose and other areas of the face, some difficulty is encountered in performing such tasks as eating, drinking and cleaning your teeth. However, each of these things must be done continuously and carefully to avoid postoperative problems. This is a list of instructions which should help you in your postoperative recovery.

Medicine
You may be given several types of prescriptions.

  • Pain Medication: Should be taken only during the time that you feel significant discomfort. If the pain is severe the prescription medication can be used. However, if only mild discomfort is experienced, try to use a less potent, over the counter medication. Ibuprofen is recommended to aid with inflammation. A dose of 800 mg (4 tablets of Motrin® or Advil®) can be taken every 4-6 hours as needed. Ibuprofen can also be used to supplement the prescription pain medication, especially on the third day after surgery when the discomfort is the worst. The prescription pain medication and the Ibuprofen can be alternated every 3 hours, so that each medication is spaced out 6 hours. This will keep you comfortable longer on the third day.
  • Antibiotics: You may be given a prescription for an antibiotic such as Duricef, Penicillin, Cleocin, etc. This medicine should be taken at the appropriate interval as described on the bottle. Be sure not to miss any doses and take the medicine until it is gone. Note: Some types of antibiotics can reduce the contraceptive effects of birth control pills. Please contact your gynecologist if you have concerns.
  • Decongestants : Following orthognathic surgery, especially upper jaw surgery, there is considerable stuffiness of the nose and sinuses. If a decongestant such as Sudafed® is recommended take the medicine as indicated on the bottle for seven to ten days or as needed for congestion.
  • Nasal Spray : (Afrin, Neosynephrine or equivalent) can be used at six to eight hour intervals to help improve breathing through your nose. In order to prevent overuse of the nasal spray, this can be alternated with plain saline (salt water or ocean spray) nasal spray. These can be purchased from your pharmacy.
  • Lip Ointment: You will be given a tube of lip ointment at the hospital. Use this for the first two days. Keep enough ointment on the lips to keep them looking wet. After two days stop using the ointment and use plain Vaseline®.
  • In the first few days after surgery you may have some difficulty sleeping: If this becomes a problem, call the office and discuss this with the office staff or the doctor. We may prescribe medicine to help you sleep better. Usually you only need to take this medicine for two or three nights to help reestablish a good sleeping pattern.

Drinking
Taking in adequate amounts of fluid is essential following surgery. You need about 2 to 2.5 quarts per day.
Following jaw surgery there is frequently some numbness in the upper lip, lower lip, or both lips. When combined with facial swelling, a sore throat from the anesthesia, and soreness due to the incisions inside the mouth, a task as basic as drinking may seem somewhat difficult. Here are several tips which may help you:

  1. Initially after surgery you will be given a syringe and small tube to help you begin taking liquid by mouth. Do not use a straw for the first day or two since this can create more bleeding and may be difficult due to numbness in your lips.
  2. Attempt to drink from a cup as soon as possible. While some fluid may spill when drinking, a cup is still the most effective way for taking fluids. The use of a “sippy cup” like those used by toddlers may be helpful for the first few days.Place a towel under your chin and pour a small amount of liquid into the cup. Tip your head back slightly and attempt to open your mouth a tiny bit while pouring the fluid into your mouth. Pour slowly and take in a small amount of fluid. Take the cup away from your mouth. If necessary use slight finger pressure to place your lips together and attempt to swallow. This will be difficult at first, but you will find that it will become much easier in a day or two.
  3. If drinking from a cup seems to be impossible, continue using the syringe with the tubing attached. Another alternative is to obtain a squeeze bottle to squirt fluid into your mouth. This type of device can be obtained at most department stores, sporting goods, or bicycle shops.
  4. Do not drink cold milk products for two days after surgery. Cold milk adheres the incision areas and may promote infections. Processed milk products such as canned milk-based drinks.

Eating
Initially, it will be difficult to eat adequate amounts of food in only three meals per day. Try to eat five or six times a day, eating smaller portions each time. Remove the elastic bands during eating. Use the following guidelines for progressing from a liquid or blended diet to firmer foods.

WEEK 1:
During this time the diet should be a pureed or blenderized diet. While this can include soups, and food with baby food consistency, this type of diet does not necessarily mean foods that are of liquid consistency. You can also eat foods such as mashed potatoes, applesauce, oatmeal and pudding. It may be difficult to open your mouth wide enough to get a spoon inside. A small baby sized spoon may be helpful. Some sort of diet supplement such as Boost®, Ensure®. Sustacal, or similar substitutes may be used once or twice a day to increase calorie intake.

WEEK 2:
During this period your diet should include foods that are extremely soft in consistency and require only minimal chewing such as, very soft scrambled eggs and small pieces of pasta (for example, Franco-American SpaghettiOs®), refried beans, soft casseroles, pancakes and waffles.

WEEKS 3-6 :
At this point gentle chewing can be attempted but initially the food should continue to be of a soft consistency. We suggest food such as very soft ground meat cut into small pieces, soft flaky fish or shredded chicken. Avoid eating anything which requires a lot of pressure between your teeth or that you must chew for prolonged periods of time.

WEEKS 6-8:
At this time the splint has usually been removed and you will find it is much easier to eat. However, remember that it will be a few more weeks until the jaw is completed the initial phase of healing and common sense dictates that food still be somewhat soft and cut into small pieces. Foods such as pizza, apples, tough meat, etc. should be avoided until at least 10 weeks after surgery . Changes in your diet as well as the use of pain medicine may cause constipation. If you have not had a bowel movement within 2 or 3 days after surgery you should begin to add fiber to your diet. Start by taking Metamucil® (1 teaspoon mixed with 8 ounces of water 3 times per day). If this does not help within a day or two, call our office and we can suggest other medications.

Rubber Bands
Usually some types of elastics (small rubber bands) are used during the time immediately after surgery. These rubber bands are placed around small hooks on the braces or arch wires. The purpose of these small elastics is to help train you to bite into the new jaw position and to limit jaw function. Generally, there is a plastic splint wired either to the upper or lower jaw. This splint has small indentations for each tooth to bite into. With the elastics in place and your teeth together, you should see that the teeth fit together into the grooves in the splint.

  1. The elastics should be worn at all times except when eating. They should be placed in the manner shown to you during your last appointment.
  2. The elastics should be removed during eating, but should be replaced immediately after you clean your teeth.
  3. Elastics should be changed to new ones once or twice each day as they will become stretched after being worn.

Hygiene
It is extremely important for you to keep all areas inside your mouth clean after surgery. You should brush your teeth and rinse your mouth after eating. Since you will most likely be eating small meals five or six times a day you will need to clean your teeth at each of these intervals.
During the first week after surgery be careful while brushing your teeth to keep the bristles of the brush on or very near the teeth and braces. You may have some soreness and difficulty opening your mouth which may prevent you from brushing the tongue side of your teeth. However, this will improve in time, and you should be able to accomplish this without difficulty within the first week to ten days after surgery.

  1. Each time you brush your teeth place a small amount of toothpaste on the toothbrush and brush all areas of the braces on top and bottom. Also brush all around the splint as best as you can.
  2. Rinse your mouth thoroughly with warm salt water (8 oz. water to 1/4 tsp. salt) for 5-7 days after surgery. Do not use a water pik or electric toothbrush inside your mouth for the first week after surgery.
  3. At seven days after your surgery you can begin using a Waterpik if you have one. The importance of cleaning your teeth cannot be overemphasized. This must be done thoroughly, several times each day.

Dressings
In many cases there will be some type of pressure dressing or bandages that will be applied to help reduce swelling and bleeding.

  • Elastic facial dressing (jaw bra) : This elastic bandage should be kept in place as much as possible for the first 24 hours. After the first day this bandage is not essential but may help reduce swelling more quickly. Wearing this dressing at night will also help reduce swelling that may occur when lying down. Note: Keeping the head elevated on an extra pillow or two during the first several days will help prevent further swelling.
  • Sutures : If you had lower jaw surgery one suture may be placed on each side of your face. These will be replaced with a steri strip during your first visit to the office. These can be removed two or three days after surgery.
  • Tape : If you had chin surgery you may have some tape over the chin area. This can be removed three or four days after surgery.
  • Ice : Ice can be used for the first 24-48 hours after surgery to reduce swelling. To apply ice to the upper jaw (across cheeks and bridge of nose), you may find it is easier to use a frozen bag of peas or corn as it will mold to the face. For the lower jaw, ice packs can be applied 20 minutes on, 20 minutes off as needed.
  • On the third to fourth day after surgery: These are most often considered the worst days for discomfort. From this point on, warm moist heat and massage should be used as needed. Warm, moist compresses or towels can be used around the face with light, circular pressure or massage.

Physical Activity
Following surgery, you will find that your energy level is much lower. This will take some time to return to normal. When you attempt to return to normal physical activity start slowly and work up to your normal level. Physical exercise such as walking or running can begin 2 or 3 weeks after surgery. Begin by going shorter distances and at a slower pace than usual to be sure you feel up to the exercise. As your endurance and confidence increase gradually increase the level of exercise within a level of comfort.

  1. Immediately following surgery: Since surgery causes soreness in the muscles and bones of your jaw, movement may be difficult initially. We do not recommend any specific exercises during the first week to ten days after surgery. However, simply attempting to open your mouth and move your jaw side to side several times a day may help increase movement.
  2. Ten days to four weeks after surgery: Stand in front of a mirror and attempt to open and close your jaw as much as possible. At ten days after surgery you should be able to get one finger in between your teeth, and this should increase to two fingers by four weeks. Simply move your jaw forward and backward, side to side, and open and close, attempting to increase your mouth opening with your jaw muscles only. Moist heat placed on the side of your face before and during these exercises may make them more comfortable and more effective. Do not use finger pressure on your teeth to help stretch your jaw opening at this time.
  3. Four to eight weeks after surgery: During the fourth to eighth week after surgery you should be able to get two fingers in between your front teeth very comfortably and can begin using very gentle finger pressure between the back teeth on each side of your mouth to help gently stretch your jaw muscles. Again, doing these stretching exercises as well as moving your jaw side to side and forward and backward will help. Moist heat can also be used at this time. Use of a millimeter ruler to help measure jaw opening will help you monitor your progress and improvement. By the eighth week you should be able to place three fingers between your front teeth. It is also very important to move the muscles used for facial expressions.

As you can see, recovery from surgery requires a lot of effort on your part. We will be happy to answer any questions regarding diet, hygiene, elastics, exercise, or any problem which may be of concern to you. Remember, postsurgical progress is sometimes uncomfortable and may occur slowly. However, with some determination and attention to these instructions, you can maximize your healing process.
If you have any questions regarding your postoperative recovery, please do not hesitate to call us.