Surgery Instructions



Do not eat or drink anything after midnight the night before surgery (including water, coffee, juice, chewing

gum, or candy.)  VOMITING or aspiration of stomach contents into the lungs may result in pneumonia or death.


No alcoholic beverages 48 hours prior to surgery or following surgery.


A responsible adult must accompany you to drive you after surgery.


If you wear contact lenses, please remove them before surgery.





You can drink and eat a light breakfast and take 2 Ibuprofen prior to surgery.  (This applies to people not having IV sedation).




Bring your own music CD.  We will provide walkman/CD player.


Get a good night’s sleep prior to surgery.


Ibuprofen should be available to use for pain and swelling management (unless you have an allergy or are on blood thinner i.e. Coumadin, Plavix)


Prior to surgery go to the store and purchase soft foods (Jell-O, pudding, soups, mashed potatoes, applesauce, yogurt, popsicles, ice cream, soft dissolvable foods) and liquids such as Gatorade, ice tea, and soda.


Have your ice packs ready at home prior to surgery (frozen peas work well).



Medications your surgeon uses in routine oral surgery may interact with both prescription and illegal street drugs.  These reactions may result in SEVERE reactions under anesthesia which could cause harm or death.  It is extremely important that you inform your surgeon of any drug you currently use or may have taken so that this may be considered in our oral surgery planning.


This information will be held in strict confidence and will be used only for safe, appropriate surgical care.


The effectiveness of BIRTH CONTROL pills significantly decreases when taken with antibiotics.  If you are using birth control pills, and receive prescriptions for antibiotics from Dr. Kim, be sure to supplement your birth control pills with an alternative contraceptive.


  1. Bite on gauze pack with pressure for at least ½ hour. Take gauze out of your mouth 45 minutes after surgery.  If bleeding persists, continue biting on a moistened gauze or wash cloth, changing every 45 minutes for the duration of bleeding.
  1. Do not rinse your mouth today.  Beginning tomorrow, rinse your mouth with warm salt water twice a day for up to four days. (1 tsp salt/8 oz water).  You may use non-alcohol-based mouthwashes such as Crest Pro Health or Colgate Total.  Begin rinsing with the plastic rinsing syringe THREE days after surgery for lower teeth only.  Hold cheek out while rinsing and use warm water.
  1. Over the counter pain medication acetaminophen (Tylenol) or ibuprofen (Motrin or Advil) will work for pain relief. Take 2-3 tablets of 200mg ibuprofen every 6 hours, you may alternate with 2 tabs of 325mg acetaminophen every 6hours in between doses of ibuprofen for 2 days.  DO NOT exceed more than 12 tablets of ibuprofen or 8 tablets of acetaminophen in a 24-hour period.  DO NOT TAKE ASPRIN OR IBUPROFEN PRODUCTS IF YOU ARE ON BLOOD THINNERS OR ALLERGIC, YOU MAY ONLY TAKE 2 TABLETS OF 325MG ACETAMINOPHIN (TYLENOL) EVERY 6 HOURS.  If you receive a prescription for a pain medication follow the instructions on the bottle and do not take any additional Tylenol with the prescription pain medication.  If additional relief is needed with prescribed pain medication, you may take 2 ibuprofens in between doses for up to 2 days.  If you have any reaction to the medicine such as nausea, vomiting, rash, hives, itching, stomach cramping or bleeding stop your medication and call for further instructions.
If you have problems and you cannot reach Dr. Kim, call 911 or go to the emergency room. If the situation is non-life-threatening, you may call your dentist or physician.  
  1. Ice packs will aid in the prevention of swelling if applied 20 minutes each hour while awake to the face in the areas of surgery for the first 48 HOURS ONLY. If swelling persists AFTER 48 hours apply warm moist heat.  Contact our office if swelling is still increasing by day 3.
  1. While sleeping or resting the first 24 hours, use 2-3 pillows or recliner chair to raise head. Do not lie flat.
  1. No spitting, smoking, or using a straw for 24 hours. Sport bottles may be used to SQUIRT liquid into mouth.
  1. No alcoholic beverages with taking medications.
  1. If you had an IV and observe pain, redness, or swelling at the site contact our office.
  1. Contact us immediately or go to the emergency room if you experience an allergic reaction, such as rash, hives, difficulty breathing, shortness of breath, or difficulty swallowing related to sever swelling.
  1. If you have any concerns, problems, or residual numbness after 24 hours, call the office immediately.
    PLEASE CONTACT OUR OFFICE IF YOU HAVE ANY QUESTIONS   OFFICE: (269) 429-7122; AFTER HOURS (269) 930-2881   If you have problems, complications, or emergency situation and you cannot reach Dr. Kim, call your dentist, physician, or go to the emergency room at Lakeland Health Medical Center.  
Office hours by appointment
© 2018 John Kim, DMD | 3102 Niles Road St. Joseph, MI | 269-429-7122
Call Now