Directions
Post-Surgery
Guided Recovery and Long-Term Stability
A delicate and crucial phase of the treatment process is now beginning. Time, respect, and favorable conditions are essential for optimal healing. The following guidelines are an integral part of the treatment process; they are designed to protect the operated tissues, promote proper healing, and reduce the risk of complications.
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During the first 48–72 hours, it is important to limit physical activity and avoid strenuous exertion, sports, and heavy lifting. Excessive activity can increase swelling and bleeding.
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Eat soft, fresh foods for the first few days. It is essential to avoid chewing on the side where the surgery was performed until the site has fully healed and matured.
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In the first few hours, you may notice slight bleeding or pink-tinged saliva.
It is important to avoid rinsing your mouth during the first 24 hours, as this increases the risk of bleeding.
If bleeding occurs, apply firm pressure to the treated area with a clean, slightly dampened tissue for at least 20 consecutive minutes, without checking on it during that time.
Any sites where bone or gum tissue has been removed are more prone to bleeding: protecting the newly formed clot and applying gentle pressure for as long as necessary is all it takes to get through this initial phase.
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During the first 24 hours, you may brush your teeth away from the surgical site using only water and a manual toothbrush, without toothpaste. Avoid rinsing.
After the first 24 hours, you may resume normal oral hygiene, avoiding direct brushing of the surgical site for 15 days.
From the fifteenth day until two months after surgery, the surgical site should be gently cleaned with a soft manual toothbrush.
Only after the second month will it be possible to resume using an electric toothbrush and other oral hygiene devices as usual.
Starting 24 hours after surgery, begin very gentle rinses with undiluted 0.2% chlorhexidine mouthwash twice a day for 30 seconds, and continue for 15 days. -
The surgical site must be allowed to rest.
You must absolutely avoid:
pull on the lips or cheeks to examine the operated area
Press or squeeze the surgical site from the outside with your fingers
tap the area repeatedly to “see if it hurts”
Chew on the operated site until it has completely healed
Pulling or compressing the area can cause the stitches to come loose, lead to bleeding, increase swelling, and significantly compromise the success of the procedure.
If the reconstructive surgery involved the maxillary sinus, it is important to avoid blowing your nose forcefully for the first 10–15 days after surgery and, as much as possible, to try to prevent a cold from complicating the healing process during the first few weeks.
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In the first few days and weeks, the appearance of the operated area may vary significantly.
It is normal to observe initial swelling, followed by a gradual reduction, and changes in tissue color (white, red, purple, yellow, or brownish), similar to what occurs with bruises on other parts of the body.
Fragments of fibrin, which form the first layer of the healing process, may occasionally break off; this is no cause for concern.
The initial healing phase generally takes 2–3 months. It may take up to 6 months for the tissues to fully mature, and in some cases, even longer.
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The sutures used are absorbable and dissolve on their own over the course of about one month. It is not necessary to remove them, unless otherwise indicated.
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Appropriate, personalized medication can effectively control swelling and pain during the postoperative period. Strictly following this treatment plan is essential to ensure a high level of comfort, optimal healing, and a low risk of infection.
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