Extraction
  • Antibiotics: {OMFS ABX:33800:n}
  • Analgesia per primary team, recommend Tylenol/Motrin for mild/moderate pain, Percocet or Tylenol #3 for breakthrough pain
  • Soft/puree diet, chew away from extraction sites if possible
  • Apply gauze pressure directly over extraction socket and keep in place with firm biting pressure, changing gauze every 20 min for 30-40min or until hemostasis has been achieved.
  • No Spitting, drinking with a straw, or smoking for 1 week
  • Maintain good oral hygiene, brush teeth BID, gently rinse with warm salt water after meals until gingiva has healed
  • Follow-up with General Dentistry as outpatient for regular dental care
  • OMFS to post-op check
  • Pt is clear from dental standpoint to ***
  • F/U on *** with {omfsattendings:23636} at {omfsclinics:23637}
Incision and Drainage
  • Antibiotics: {OMFS ABX:33800:n}
  • Analgesia per primary team, recommend Tylenol/Motrin for mild/moderate pain, Percocet or Tylenol #3 for breakthrough pain
  • Soft/puree diet, chew away from I&D sites if possible
  • No ice to face, can apply warm compressed to affected area
  • Maintain good oral hygiene, brush teeth BID, gently rinse with warm salt water after meals until gingiva has healed
  • Follow-up with General Dentistry as outpatient for regular dental care
  • OMFS to post-op check
  • F/U on *** with {omfsattendings:23636} at {omfsclinics:23637}
Ortho Sx
  • Antibiotics: {OMFS ABX:33800:n}
  • Analgesia Tylenol/Motrin for mild/moderate pain, Morphine for breakthrough pain
  • Sinus precautions: no nose blowing, try to sneeze with an open mouth, and avoid bearing down
  • Wire cutters bedside
  • Zofran 4mg Q8H prn nausea
  • Sudafed 30mg BID prn, Afrin 2 sprays into each nostril nightly for 2 days
  • Monitor for trial of void
  • Continue IVF until pt tolerating adequate PO intake
  • Wire cutters bedside
  • Head of bed elevated
  • Ice to face as needed
  • Yankaur suction at bedside
  • F/U on *** with {omfsattendings:23636} at {omfsclinics:23637}
Consult Note
  • Analgesia as per ED
  • Peridex 15mL swish and spit BID x7d
  • NPO/IVF for OR
  • Please obtain pre-op labs including CBC, BMP, coags, and COVID test)
  • DVT ppx: SCD, OOB; please hold pharmacologic AC for the OR, can start post-op
  • Please complete pre-operative medical assessment, medically optimize pt for treatment, and give any recommendations/modifications for extractions under general anesthesia
  • Soft, mild diet
  • Salt water rinses after meals
  • Encourage good oral hygiene
  • Head of bed elevated
  • Ice to face as needed
  • No ice to face, warm compress application prn
  • Yankaur suction at bedside
  • sinus precautions: 4 weeks: no nose blowing, avoid putting pressure on sinus area, avoid strenuous activity/straining, try to sneeze with mouth open. Use OTC Afrin BID 2 sprays/nostril 3 days maximum as needed, OTC decongestant (e.g. Sudafed) or Antihistamine (e.g. Claritin-D) as needed, and saline nasal spray as needed.
  • F/U for *** removal and necessary tooth extractions {DCDate:24940} at {omfsclinics:23637}: