Questions after apical surgery!
Hello, Doctor: I previously asked you some questions, and I have now completed my apicoectomy! I have a few questions I would like to consult you about:
1.
Today is the fourth day post-surgery, why is there still oozing blood from the wound?
2.
My doctor instructed me not to catch a cold, not to drink through a straw, not to blow my nose, not to sneeze, and to avoid places with significant temperature changes.
Why is that? I'm a bit confused! Moreover, sneezing is a reflex action that I can't control, right?
3.
On the day of the surgery, my face wasn't very swollen, and I was applying ice packs.
However, over the past two days, my face has become more swollen than before, but it doesn't hurt much—only the wound is a little painful.
How could this happen?
4.
I'm really unsure if I can brush my teeth right now.
Is it okay to brush only the side opposite to the surgery site?
5.
Is there a specific follow-up period required after the surgery? Thank you for taking the time to answer!
KOP, 20~29 year old female. Ask Date: 2004/08/30
Dr. Liu Tiancai reply Dentistry
Hello: 1.
Bleeding on the fourth postoperative day indicates high pressure within the wound or inflammation.
2.
The above phenomenon may be related to the connection between the dental root apex and the maxillary sinus.
3.
Ice packs can be applied on the first postoperative day; please avoid daily icing.
It is normal for swelling to be greater on days 2-3 compared to the first day.
4.
You may brush your teeth, but do not brush the surgical area; instead, use an antimicrobial mouthwash designed for periodontal disease.
5.
Postoperative observation should last for more than one year.
Sincerely, Dr.
Liu Tian-Cai, Dentistry.
Reply Date: 2004/08/30
More Info
Dear Patient,
Thank you for reaching out with your questions regarding your recovery after apex surgery. It’s great to hear that you are taking an active role in understanding your post-operative care. Let’s address your concerns one by one.
1. Post-Operative Bleeding: It is not uncommon to experience some bleeding or oozing from the surgical site a few days after the procedure. This can be due to several factors, including the body's natural healing process, the presence of blood vessels that may still be healing, or even minor trauma to the area. As long as the bleeding is minimal and does not increase significantly, it is usually not a cause for concern. However, if you notice a significant increase in bleeding or if it is accompanied by other symptoms like severe pain or swelling, you should contact your healthcare provider immediately.
2. Post-Operative Restrictions: Your doctor has advised you against certain activities to minimize the risk of complications during your recovery. Avoiding sneezing, coughing, or any actions that increase pressure in your mouth can help prevent stress on the surgical site, which could lead to bleeding or disrupt the healing process. While sneezing is indeed a reflex action, you can try to control it by keeping your mouth open when you feel a sneeze coming on, which can help reduce the pressure. Additionally, avoiding extreme temperature changes and using straws can prevent suction that might disturb the surgical area.
3. Swelling After Surgery: It’s not unusual for swelling to increase a few days post-surgery, even if you are applying ice packs. This can happen as part of the inflammatory response, which is a natural part of the healing process. The body sends fluids and cells to the area to promote healing, which can lead to increased swelling. If the swelling is not accompanied by severe pain or other concerning symptoms, it is generally not a cause for alarm. Continue to ice the area as directed and keep your head elevated to help reduce swelling.
4. Oral Hygiene: Maintaining oral hygiene is crucial after surgery, but you should be gentle around the surgical site. You can brush your teeth, but be careful not to disturb the area where the surgery was performed. It’s advisable to avoid brushing the surgical site directly for a few days, but you can brush the rest of your teeth. Rinsing with a warm saltwater solution can also help keep the area clean without causing irritation.
5. Follow-Up Appointments: The timeline for follow-up appointments can vary based on the specifics of your surgery and your healing progress. Typically, your dentist or oral surgeon will schedule a follow-up visit within a week or two after surgery to assess healing and address any concerns. It’s important to attend these appointments as they allow your healthcare provider to monitor your recovery and intervene if any issues arise.
In summary, while some discomfort and swelling are normal after apex surgery, it’s essential to follow your doctor’s instructions closely and keep an eye on your symptoms. If you have any concerns or if your symptoms worsen, don’t hesitate to reach out to your healthcare provider. They are there to support you through your recovery process.
Wishing you a smooth and speedy recovery!
Best regards,
Doctor Q&A Teams
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