Periodontics and Dental Implants in Rockville, MD
Please assist us at the time of your initial visit to the office by providing the following information:
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.
Please notify the office if you have a medical condition requiring antibiotic pre-medication (artificial heart valve, prosthetic joint or heart murmur).
We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
The following instructions may be helpful when preparing for your upcoming surgery. Please do not hesitate to call if you have any last minute questions. We can be reached at Shady Grove Periodontal Associates Phone Number301-869-5595 during regular business hours.
Please have your prescriptions filled prior to your scheduled surgery. Please bring your filled prescriptions with you to your appointment.
Please alert the office to any allergies or sensitivities that you might have to antibiotics. You will be prescribed an antibiotic if our doctor determines it to be necessary. Take as directed until gone. It is advisable not to take these medications on an empty stomach, as nausea may result. For women taking birth control pills, be advised that antibiotics may interfere with their effectiveness.
Please take your blood pressure medication as directed by your physician.
Blood thinner medication
If you are taking Coumadin or another blood thinner, remember to discontinue them as directed. Please call our office with any questions.
If oral or IV sedation is planned you must have a ride to and from the office. Remember, nothing to eat or drink for six hours prior to your surgery. No alcohol or heavy meals the night before.
These instructions apply to the surgical procedure just completed. They are designed to help you minimize post-surgical discomfort and inform you of any situation that may require special attention.
Please take your medications as directed. It is best to start the pain medication before local anesthesia wears off. It is advisable to take pain medication with food to avoid an upset stomach or nausea.
As an alternative to prescription medications, some patients have found taking a combination of over-the-counter Ibuprofen or Tylenol to be effective. You may take the combination in either of the following dosages:
3 Advil (600 mg) Liquid-Gels or 2 Extra Strength Tylenol (1000 mg) every 4-6 hours as needed.
or 2 Aleve (440 mg) every eight hours.
Note: When taking any prescribed medication containing Acetaminophen (Tylenol, APAP), i.e.; Percocet, Hydrocodone, Vicoden or Tylenol with Codeine, you should not take additional Tylenol so as not to exceed the safety level of Acetaminophen (4000mg/day for adults). Please contact the office with any questions you may have.
Please alert the office to any allergies or sensitivities that you might have to antibiotics. Take the antibiotic as directed until gone. We recommend taking antibiotics with food to avoid upset stomach. For women taking birth control pills, be advised that antibiotics may interfere with their effectiveness.
Swelling may occur following your surgical procedure and will typically increase 2-3 days after the procedure. Swelling should begin to go down after the third day. To minimize the swelling, place an ice pack over the outside cheek area for 10 minutes on and 10 minutes off. Continue using ice for two days following the procedure as often as possible. Avoid strenuous exercise for 48 hours.
A small amount of bleeding is normal. If excessive or continuous bleeding occurs:
If a dressing (pink putty bandage) was used clean the area with warm saline rinses. If the dressing comes off do not become alarmed. Please call the office for direction.
Do not use a straw. Do not chew on the side where surgery was completed. Avoid hot foods and liquids for 24 hours. A soft diet is recommended. Foods such as cottage cheese, oatmeal, soup, eggs, yogurt, pasta, mashed potatoes, casseroles, and fruits are more easily eaten. Remember, adequate nutrition is essential for feeling better as well as for healing.
Do not smoke for at least 2 weeks following your surgical procedure. Nicotine will constrict blood vessels and will significantly slow healing and can compromise results.
Do not drink alcohol while taking prescription pain medications.
Gently rinse after meals and at bedtime with dilute salt water. Repeat as necessary to help keep the area clean.
Do not brush the surgical site. You may resume normal brushing/flossing in the untreated areas that evening. Do not use an electric tooth brush as the vibrations may untie the sutures.
We will usually see you for a two week post operative visit to assess healing and to remove sutures. If dissolving sutures were used they are usually gone after 5 to 10 days. Nylon or Teflon sutures will be removed at the two week visit. If you are a patient for whom Antibiotic Pre-Medication is required, take the prescribed antibiotics one hour prior to your suture removal appointment.
Should you have any questions or concerns during regular office hours, please do not hesitate to contact us at Shady Grove Periodontal Associates Phone Number301-869-5595.