General Post-Op Instructions

After Oral 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.  Expect moderate discomfort, nausea, swelling and oozing in the immediate 24-hour period after surgery. Often times, you may have no symptoms for the first 2-3 days and then develop pain. This is normal and represents only delayed onset inflammation.

2.  If bleeding is excessive, place a folded piece of gauze on the surgical area or socket(s), if you had an extraction and bite firmly with pressure for a minimum of 20 minutes without opening. Change the gauze as necessary. You may remove the gauze if there is no bleeding. If bleeding continues, fold a moistened tea bag and place it with firm pressure over the area. Remember a little bit of bleeding mixed with saliva looks like a lot of bleeding!

3.  Do not rinse your mouth or spit excessively for the next 24 hours after surgery. Spitting or rinsing disrupts the clot and causes more bleeding. You may start rinsing your mouth after 24 hours. Also remember to brush and keep your mouth as clean as possible.

4.  Please take all prescribed medicines as directed. The directions are clearly printed on the medicine bottle.

5.  Applications of ice packs to the outside of the face immediately after surgery will sometimes minimize swelling. Expect swelling to maximize in the first 48 hours and then taper off the next 5-7 days.

6.  Eat anything you desire and feel up to. Typically soft diets are preferable for the first 1-2 days and then advance it as your symptom resolve.

7.  The following post operative conditions may occur while the healing is progressing normally:

• Your temperature may be elevated for the first 24 hours after surgery
• You may experience numbness to your lips, gums and/or surgical area
• Tightness of the muscles may cause difficulty in opening your mouth.
• You may have a slight earache or sore throat. The skin may also become discolored for a few days after    the procedure.
• Pain and swelling typically can last for 7 to 10 days.

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. Peifer or Dr. Levin directly by dialing 714-594-9741. You will be given an opportunity to leave a detailed message.  Drs. Peifer or Levin will call you back shortly afterward.  You are encouraged to call at 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. We encourage you to visit our web site at for more useful information. Again, we wish you a speedy recovery and please do not hesitate to calls us with any of your concerns!

After Mandibular Repositioning Appliance (MRD) surgery instructions

After TMJ Occlusal Splint Appliance surgery instructions

Please also view Surgical Instructions in the Home and Patient Information Tab.

Drs. Peifer and Levin and Staff