ABALOS DENTAL CLINIC/ Cellphone Number:

09163588988
7 Manuel L. Quezon st. Wiltor Hts. Subd. Brgy. Pasong
Tamo Q.C.
POST-OPERATIVE SURGICAL INSTRUCTIONS
WOUND CARE- bite firmly on the gauze, remove it gently
with clean fingers. (DO NOT SMOKE FOR 12HRS) because it
will interfere with healing.
BLEEDING- if bleeding begins again, place a small
cotton/gauze directly over the tooth socket and bite firmly for
30 minutes to prevent bleeding. Do not bite your
lips/cheeks/tongue if anethesia is still in effect.
DISCOMFORT- it is normal but it can be controlled but not
eliminated by taking the prescribed pain medication. Eat a
small amount of food before taking your pain medicine. Do
not drink alcohol while taking the medicine.
DIET- do not drink in straw and do not eat/drink hot
food/water(this may promote bleeding) .Eat normal regular
meals as soon as possible after the surgery. COLD AND SOFT
FOOD SUCH ICE CREAM.
ORAL HYGIENE- dont brush your teeth for 12 hrs after
surgery. After 12 hrs rinse gently with warm water and salt
every 4 hrs and brush your teeth gentle but avoid the area of
surgery.
SWELLING- swelling after surgery is normal body reaction, it
may happen for maximum of 48hrs or usually 5-7 days.
Applying ice pack over the area of surgery for the 1st (12 hrs)
helps to control swelling and it can be controlled by taking the
prescribed antibiotic medication.
REST- avoid activity for 12hrs after surgery it may increases
heart rate/blood flow and pressure that cause bleeding.
BRUISING- you may experience mild bruising in the area of
surgery/corner of the mouth. This is normal response in some
persons and should not be a cause of alarm. It will disappear
in 7-14 days. Apply betadine/hydrogen peroxide in the area
that has bruising.
STIFFNESS- after surgery, you may experience jaw muscle
stiffness and limited opening of your mouth. This is normal
and it will improve in 5-10 days disappear in 7-14 days.
PLEASE DO NOT HESITATE TO CALL OR TEXT THE
OFFICE IF ANY OF THE FF OCCURS: -excessive pain and
discomfort; -you cant control the bleeding; you experience
swelling for more than 7 days and you feel that you develop
fever
WE CARE TO SERVE! THANK YOU AND HAVE A NICE DAY
_________________________________________
__________________
Patients/Guardians Signature over Printed Name
Date
_______________________________________________________________
ABALOS DENTAL CLINIC / Cellphone Number:
09163588988
7 Manuel L. Quezon st. Wiltor Hts. Subd. Brgy. Pasong
Tamo Q.C.
POST-OPERATIVE SURGICAL INSTRUCTIONS
WOUND CARE- bite firmly on the gauze, remove it gently
with clean fingers. (DO NOT SMOKE FOR 12HRS) because it
will interfere with healing.
BLEEDING- if bleeding begins again, place a small
cotton/gauze directly over the tooth socket and bite firmly for
30 minutes to prevent bleeding. Do not bite your
lips/cheeks/tongue if anethesia is still in effect.
DISCOMFORT- it is normal but it can be controlled but not
eliminated by taking the prescribed pain medication. Eat a
small amount of food before taking your pain medicine. Do
not drink alcohol while taking the medicine.
DIET- do not drink in straw and do not eat/drink hot
food/water(this may promote bleeding) .Eat normal regular
meals as soon as possible after the surgery. COLD AND SOFT
FOOD SUCH ICE CREAM.
ORAL HYGIENE- dont brush your teeth for 12 hrs after
surgery. After 12 hrs rinse gently with warm water and salt
every 4 hrs and brush your teeth gentle but avoid the area of
surgery.
SWELLING- swelling after surgery is normal body reaction, it
may happen for maximum of 48hrs or usually 5-7 days.
Applying ice pack over the area of surgery for the 1st (12 hrs)

helps to control swelling and it can be controlled by taking the

prescribed antibiotic medication.
REST- avoid activity for 12hrs after surgery it may increases
heart rate/blood flow and pressure that cause bleeding.
BRUISING- you may experience mild bruising in the area of
surgery/corner of the mouth. This is normal response in some
persons and should not be a cause of alarm. It will disappear
in 7-14 days. Apply betadine/hydrogen peroxide in the area
that has bruising.
STIFFNESS- after surgery, you may experience jaw muscle
stiffness and limited opening of your mouth. This is normal
and it will improve in 5-10 days disappear in 7-14 days.
PLEASE DO NOT HESITATE TO CALL OR TEXT THE
OFFICE IF ANY OF THE FF OCCURS: -excessive pain and
discomfort; -you cant control the bleeding; you experience
swelling for more than 7 days and you feel that you develop
fever
WE CARE TO SERVE! THANK YOU AND HAVE A NICE DAY
_________________________________________
__________________
Patients/Guardians Signature over Printed Name
Date
ABALOS DENTAL CLINIC/ Cellphone Number:
09163588988
7 Manuel L. Quezon st. Wiltor Hts. Subd. Brgy. Pasong
Tamo Q.C.
POST-OPERATIVE SURGICAL INSTRUCTIONS
WOUND CARE- bite firmly on the gauze, remove it gently
with clean fingers. (DO NOT SMOKE FOR 12HRS) because it
will interfere with healing.
BLEEDING- if bleeding begins again, place a small
cotton/gauze directly over the tooth socket and bite firmly for
30 minutes to prevent bleeding. Do not bite your
lips/cheeks/tongue if anethesia is still in effect.
DISCOMFORT- it is normal but it can be controlled but not
eliminated by taking the prescribed pain medication. Eat a
small amount of food before taking your pain medicine. Do
not drink alcohol while taking the medicine.
DIET- do not drink in straw and do not eat/drink hot
food/water(this may promote bleeding) .Eat normal regular
meals as soon as possible after the surgery. COLD AND SOFT
FOOD SUCH ICE CREAM.
ORAL HYGIENE- dont brush your teeth for 12 hrs after
surgery. After 12 hrs rinse gently with warm water and salt
every 4 hrs and brush your teeth gentle but avoid the area of
surgery.
SWELLING- swelling after surgery is normal body reaction, it
may happen for maximum of 48hrs or usually 5-7 days.
Applying ice pack over the area of surgery for the 1st (12 hrs)
helps to control swelling and it can be controlled by taking the
prescribed antibiotic medication.
REST- avoid activity for 12hrs after surgery it may increases
heart rate/blood flow and pressure that cause bleeding.
BRUISING- you may experience mild bruising in the area of
surgery/corner of the mouth. This is normal response in some
persons and should not be a cause of alarm. It will disappear
in 7-14 days. Apply betadine/hydrogen peroxide in the area
that has bruising.
STIFFNESS- after surgery, you may experience jaw muscle
stiffness and limited opening of your mouth. This is normal
and it will improve in 5-10 days disappear in 7-14 days.
PLEASE DO NOT HESITATE TO CALL OR TEXT THE
OFFICE IF ANY OF THE FF OCCURS: -excessive pain and
discomfort; -you cant control the bleeding; you experience
swelling for more than 7 days and you feel that you develop
fever
WE CARE TO SERVE! THANK YOU AND HAVE A NICE DAY
_________________________________________
__________________
Patients/Guardians Signature over Printed Name
Date
_______________________________________________________________
ABALOS DENTAL CLINIC / Cellphone Number:
09163588988
7 Manuel L. Quezon st. Wiltor Hts. Subd. Brgy. Pasong
Tamo Q.C.
POST-OPERATIVE SURGICAL INSTRUCTIONS

WOUND CARE- bite firmly on the gauze, remove it gently

with clean fingers. (DO NOT SMOKE FOR 12HRS) because it
will interfere with healing.
BLEEDING- if bleeding begins again, place a small
cotton/gauze directly over the tooth socket and bite firmly for
30 minutes to prevent bleeding. Do not bite your
lips/cheeks/tongue if anethesia is still in effect.
DISCOMFORT- it is normal but it can be controlled but not
eliminated by taking the prescribed pain medication. Eat a
small amount of food before taking your pain medicine. Do
not drink alcohol while taking the medicine.
DIET- do not drink in straw and do not eat/drink hot
food/water(this may promote bleeding) .Eat normal regular
meals as soon as possible after the surgery. COLD AND SOFT
FOOD SUCH ICE CREAM.
ORAL HYGIENE- dont brush your teeth for 12 hrs after
surgery. After 12 hrs rinse gently with warm water and salt
every 4 hrs and brush your teeth gentle but avoid the area of
surgery.
SWELLING- swelling after surgery is normal body reaction, it
may happen for maximum of 48hrs or usually 5-7 days.
Applying ice pack over the area of surgery for the 1st (12 hrs)
helps to control swelling and it can be controlled by taking the
prescribed antibiotic medication.
REST- avoid activity for 12hrs after surgery it may increases
heart rate/blood flow and pressure that cause bleeding.
BRUISING- you may experience mild bruising in the area of
surgery/corner of the mouth. This is normal response in some
persons and should not be a cause of alarm. It will disappear
in 7-14 days. Apply betadine/hydrogen peroxide in the area
that has bruising.
STIFFNESS- after surgery, you may experience jaw muscle
stiffness and limited opening of your mouth. This is normal
and it will improve in 5-10 days disappear in 7-14 days.
PLEASE DO NOT HESITATE TO CALL OR TEXT THE
OFFICE IF ANY OF THE FF OCCURS: -excessive pain and
discomfort; -you cant control the bleeding; you experience
swelling for more than 7 days and you feel that you develop
fever
WE CARE TO SERVE! THANK YOU AND HAVE A NICE DAY
_________________________________________
__________________
Patients/Guardians Signature over Printed Name
Date

ABALOS DENTAL CLINIC

YES

NO

Please place check mark (/) uder YES or

NO
Is general health satisfactory?
Are you under the care of physician?
Have you ever told by a physician you have
had:
Heart trouble
High blood pressure
Low blood pressure
Diabetes
Rheumatic Fever
Tuberculosis
Hepatitis
Arthritis
Allergies
Asthma
Bleeding Problem
Sinus Trouble
H.I.V
Have you ever had reaction to: ( /) or ( X)
Penicillin:_______
Aspirin:_________
Anesthesia:______
Adrenalin:_______
Narctotics:_______
Antibiotic:_______
Are you subject to nervous disorder?
Headache
Dizziness
Fainting
Toothache
Bleeding areas in mouth/ bad breath
Swelling in mouth
Are you Pregnant?
Last Dental Examination was__________ Have you had any
unfavorable dental experiences?____________ Pls. Sign over
Printed Name___________