Scaling and root planing therapy includes removing tartar and bacterial plaque from the root surface below the gum line. This helps reduce inflammation and infection and improves the depth of periodontal pockets, therefore allowing more efficient flossing and brushing.

For the first 24 hours you may experience some cold and heat sensitivity.  Do not eat, drink, chew or consume hot foods or beverages until the numbness has worn off following anesthetic.  Avoid vigorous physical exercise and foods that are extremely hot or spicy for the first 24 hours and do not consume alcoholic beverages or smoke for at least 48 hours.  Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding please call our office.

You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by your doctor as needed.  A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful.  Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.

Follow any other instructions provided by our office on your visit.  Please take all medications as prescribed.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office a call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

As your anesthesia wears off, you may have some discomfort. The medication prescribed is for pain relief. Take this as prescribed. Do not substitute aspirin or other medication. If the prescribed medication makes you feel ill, STOP taking the medication and call the office immediately.

It is absolutely essential that you take all of the antibiotic pills exactly as stated on the prescription label.  Do not stop taking the pills until they are all gone. Avoid sunbathing or use liberal amounts of sunscreen while using an antibiotic.

Diet:  Please prepare for a softer diet the day of treatment, and possibly several days after treatment. If possible, eat on the opposite side of the area treated. Normally, you may gradually  resume your regular diet after your one-two week post-operative appointment.

Immediately following surgery, apply an ice pack to your face in the area where surgery was performed. Use 20 minute intervals (20 minutes on, 20 minutes off). To help prevent swelling and discomfort, this process should be continued for the rest of the day and on additional days, if necessary.

It is normal to notice slight swelling and/or bruising on the first or second day after surgery. The swelling and/or bruising may last up to a week.

Do not do any vigorous rinsing or unnecessary/forceful spitting today as it may initiate bleeding. It is expected and normal that there may be occasional blood stains in your saliva. Excessive bleeding is not normal nor expected. If excessive bleeding occurs, place gauze in the surgical area and apply pressure. If the bleeding persists, call Dr. Nakatani immediately.

Avoid brushing in the surgical area for at least one week or until further advised. It is important to clean the surgical area thoroughly twice a day with the prescribed chlorhexidine gluconate oral rinse ( i.e. PerioGuard® or Peridex®)- follow the labeled instructions.

BE AWARE:  Avoid the following until advised otherwise:

NO Smoking.
NO Drinking Alcohol.
NO Flossing in the surgical area.
NO Eating hard foods (i.e. nuts, popcorn, seeds).
NO Spicy or Acidic foods.
NO Exercising 1-2 days following surgery

You may be given a clear plastic guard to wear 24 hours a day, 7 days a week for a minimum of 6 weeks. We will inform you when you can stop wearing the guard. NOTE: The only time you are allowed to take the guard out of your mouth is to brush it. If you do not wear the guard, you will be 100% responsible for any implant failure.

Be aware:  There are certain types of foods that may stain your guard (i.e. spaghetti, orange juice, etc….); however, you will still need to wear the guard to protect the implant. Should the guard get discolored, you can soak it in bleach for a few minutes to see if it will remove the stain. Make sure you rinse the guard thoroughly prior to putting it back into your mouth.

Be aware:  Should you lose or damage the guard, there will be a $25 replacement charge. Should you choose not to replace the guard, you will be 100% responsible for any implant failure.

If a temporary crown was placed and it comes off or becomes loose, please notify the office immediately.  If you lose or swallow the temporary crown, please notify the office immediately. The temporary crown must be refabricated to preserve the tissue surrounding the implant. You will be charged the full fee to refabricate the temporary crown- so be careful.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office a call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

As your anesthesia wears off, you may have some discomfort. The medication prescribed is for pain relief. Take this as prescribed. Do not substitute aspirin or other medication. If the prescribed medication makes you feel ill, STOP taking the medication and call the office immediately.

If an antibiotic was prescribed, it is absolutely essential that you take all of the antibiotic pills exactly as stated on the prescription label.  Do not stop taking the pills until they are all gone. Avoid sunbathing or use liberal amounts of sunscreen while using an antibiotic.

Once the anesthetic has worn off, you may gradually resume your normal diet, starting with softer foods.

Immediately following surgery, apply an ice pack to your face in the area where surgery was performed. Use 20 minute intervals (20 minutes on, 20 minutes off). To help prevent swelling and discomfort, this process should be continued for the rest of the day and on additional days, if necessary.

It is normal to notice slight swelling and/or bruising on the first or second day after surgery. The swelling and/or bruising may last up to a week.

Do not do any vigorous rinsing or unnecessary/forceful spitting today as it may initiate bleeding. It is expected and normal that there may be occasional blood stains in your saliva. Excessive bleeding is not normal nor expected. If excessive bleeding occurs, place gauze in the surgical area and apply pressure. If the bleeding persists, call Dr. Nakatani immediately.

Avoid brushing in the surgical area for at least one week or until further advised. It is important to clean the surgical area thoroughly twice a day with the prescribed chlorhexidine gluconate oral rinse ( i.e. PerioGuard® or Peridex®)- follow the labeled instructions.

BE AWARE:  Avoid the following until advised otherwise:

NO Smoking.
NO Drinking Alcohol.
NO Flossing in the surgical area.
NO Eating hard foods (i.e. nuts, popcorn, seeds).
NO Spicy or Acidic foods.
NO Exercising 1-2 days following surgery

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the a office call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

As your anesthesia wears off, you may have some discomfort. The medication prescribed is for pain relief. Take this as prescribed. Do not substitute aspirin or other medication. If the prescribed medication makes you feel ill, STOP taking the medication and call the office immediately.

If an antibiotic was prescribed, it is absolutely essential that you take all of the antibiotic pills exactly as stated on the prescription label.  Do not stop taking the pills until they are all gone. Avoid sunbathing or use liberal amounts of sunscreen while using an antibiotic.

Once the anesthetic has worn off, you may gradually resume your normal diet, starting with softer foods.

Immediately following surgery, apply an ice pack to your face in the area where surgery was performed. Use 20 minute intervals (20 minutes on, 20 minutes off). To help prevent swelling and discomfort, this process should be continued for the rest of the day and on additional days, if necessary.

It is normal to notice slight swelling and/or bruising on the first or second day after surgery. The swelling and/or bruising may last up to a week.

Do not do any vigorous rinsing or unnecessary/forceful spitting today as it may initiate bleeding. It is expected and normal that there may be occasional blood stains in your saliva. Excessive bleeding is not normal nor expected. If excessive bleeding occurs, place gauze in the surgical area and apply pressure. If the bleeding persists, call Dr. Nakatani immediately.

Avoid brushing in the surgical area for at least one week or until further advised. It is important to clean the surgical area thoroughly twice a day with the prescribed chlorhexidine gluconate oral rinse ( i.e. PerioGuard® or Peridex®)- follow the labeled instructions.

BE AWARE:  Avoid the following until advised otherwise:

NO Smoking.
NO Drinking Alcohol.
NO Flossing in the surgical area.
NO Eating hard foods (i.e. nuts, popcorn, seeds).
NO Spicy or Acidic foods.
NO Exercising 1-2 days following surgery

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office a call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

As your anesthesia wears off, you may have some discomfort. The medication prescribed is for pain relief. Take this as prescribed. Do not substitute aspirin or other medication. If the prescribed medication makes you feel ill, STOP taking the medication and call the office immediately.

If an antibiotic was prescribed, it is absolutely essential that you take all of the antibiotic pills exactly as stated on the prescription label.  Do not stop taking the pills until they are all gone. Avoid sunbathing or use liberal amounts of sunscreen while using an antibiotic.

Once the anesthetic has worn off, you may gradually resume your normal diet, starting with softer foods.

Immediately following surgery, apply an ice pack to your face in the area where surgery was performed. Use 20 minute intervals (20 minutes on, 20 minutes off). To help prevent swelling and discomfort, this process should be continued for the rest of the day and on additional days, if necessary.

It is normal to notice slight swelling and/or bruising on the first or second day after surgery. The swelling and/or bruising may last up to a week.

Do NOT do any vigorous rinsing or unnecessary/forceful spitting today as it may initiate bleeding. It is expected and normal that there may be occasional blood stains in your saliva. Excessive bleeding is not normal nor expected. If excessive bleeding occurs, place gauze in the surgical area and apply pressure. If the bleeding persists, call Dr. Nakatani immediately.

Avoid brushing in the surgical area for at least one week or until further advised. It is important to clean the surgical area thoroughly twice a day with the prescribed chlorhexidine gluconate oral rinse ( i.e. PerioGuard® or Peridex®)- follow the labeled instructions.

BE AWARE:  Avoid the following until advised otherwise:

NO Smoking.
NO Drinking Alcohol.
NO Flossing in the surgical area.
NO Eating hard foods (i.e. nuts, popcorn, seeds).
NO Spicy or Acidic foods.
NO Exercising 1-2 days following surgery

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office a call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Please refrain from blowing your nose for up to four (4) weeks following your surgery.  Do not hold your nose when sneezing.  Please take all medications as prescribed, including decongestants as necessary.  Avoid flying in pressured aircraft, scuba diving, bearing down 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 for at least four weeks after surgery.

Avoid brushing in the surgical area for at least one week or until further advised. It is important to clean the surgical area thoroughly twice a day with the prescribed chlorhexidine gluconate oral rinse ( i.e. PerioGuard® or Peridex®)- follow the labeled instructions.

Drink plenty of liquids.  Eat soft foods for the first several days after surgery.  Advance to a regular diet as you become more comfortable.  Please avoid chewing or creating pressure on the bone graft site.  Please avoid drinking alcoholic beverages or smoking during the first one to two weeks following your surgery.

All removable appliances including partial dentures, flippers and full dentures must be checked for proper fit before they can be worn.

Swelling and bruising may occur.  The use of ice packs following your surgery will help diminish the swelling you may experience in the first 48-72 hours following surgery.  Applying ice for 15-20 minutes followed by resting the same amount of time works very well.

If you experience severe or persistent sinus or nasal congestion please let us know.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office a call and follow the instructions provided.  Your call will be returned as soon as possible.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.