Facial Bone Fracture Post-Op Instructions

After Maxillofacial Surgery

We sincerely hope that you have a smooth and easy recovery from your recent surgery. However, you may experience certain problems that may be alarming. The following is a list of instructions and explanation that will help you. Please read them completely since most questions and concerns are answered here.

1.  A metal arch bar or bone screws may be attached to your teeth or bone to keep the broken segments together and allow for wiring your mouth closed. It is very important to keep the wires , screws and/or bars clean. This can be done with a regular or electric toothbrush and toothpaste.

2.  Healing of bones can take between 3-6 weeks. Occasionally, additional treatment will be required.

3.  Swelling and tightness of the muscles is normal and may cause difficulty in opening the mouth for a short period of time.

4  You may experience some or all of the following symptoms which typically, improve with time:

• Earaches,
• Sore throat
• Numbness of the lips, gums or tongue
• Temperature elevation for the first 24-48 hours.
• Discomfort or tightness to or around the teeth

5.  After the wires are removed, tooth brushing and dental cleaning will bring the gums to normal tissue tone. You are advised to see your general dentist for a professional cleaning.

6.  If you are wired closed, a fully blenderized diet is necessary. We will be happy to give you suggestions for your diet, however, basically you can eat anything that can be put into a blender. A soft diet is recommended for patients that are not wired closed.

7.  Appropriate antibiotics and pain medication will be prescribed. Please take these medicines as directed on the bottle.

8.  If your upper and lower jaws are wired together, WIRE CUTTERS MUST BE CARRIED WITH YOU AT ALL TIMES. In case of severe vomiting, pull the check aside and cut the vertical wires. The horizontal bar cannot be cut.

If you are concerned at all about your recovery, please call us at 714-842-2521. If your call is an urgent after hours call, you can contact Dr. Levin directly by dialing 714-594-9741. You will be given an opportunity to leave a detailed message.  Dr. Peifer or Dr. Levin will call you back shortly afterward.  . You are encouraged to call as anytime as the situation dictates, however, for those “not such an emergency calls,” please be mindful of the time and make your after hour calls before 10 PM. Prescription renewals should be made during the day when most pharmacies are open. Please note: if you have any other questions, you can also try   FAQ’s (frequently asked questions).

Again, we wish you a speedy recovery and please do not hesitate to calls us with any of your concerns!

Please also view Surgical Instructions.

Drs. Peifer and Levin and Staff