◈ Homepage — http://www.mtnvieworalsurgery.com/Skip to Main Content Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE INSTRUCTIONS AND VIDEOS REFERRING DOCTORS CONTACT US 1/5 Opening Hours: Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00am – 4:00pm 8:00am – 4:00pm 8:00 am-4:00pm 8:00am – 4:00pm 8:00am – 4:00pm By appointment only CLOSED Click to Make an Appointment You may register 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.  Click below to fill out the registration form! Our Services: General Anesthesia/ IV sedation Dental Implants All On 4, Full Mouth Rehab Extractions Wisdom Teeth Bone Grafting Facial Fillers, Botox Trauma, Facial Fracture Repair Orthognathic (Jaw Repositioning) Surgery Facial Pathology TMJ Surgery Facial (Cheek/Jaw) Implants Genioplasty/Chin Surgery Facial Reconstructive Surgery Sinus Lifting Cone Beam 3D Scanning Welcome Letter Notice of Privacy/HIPAA Your Opinion Matters To Us!  Click the icon above to leave us feedback and check out what our patients are saying! Click to expand map> Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 ◈ Interior Pages — 16 pages crawled--> POST OP INSTRUCTIONS-SPANISH | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Mountain View Oral Surgery 105 South Drive Suite 130. Mountain View, CA 94040 (Phone) 650-938-7703 (Fax) 650-938-7705 INSTRUCCIONES POST OPERATORIAS *** POR FAVOR LEACUIDADOSAMENTE AMBOS LADOS DE ESTAS INSTRUCCIONES*** A veces los efectos de la cirugía son mínimos, por lo tanto, no todas las instrucciones aplican. El sentido común dictará lo que usted debe hacer, sin embargo, cuando tenga dudas con alguna de estas instrucciones, llámenos para aclararlas. DIA DE LA CIRUGIA PRIMERA HORA; Muerda gentilmente y firmemente la gasa que se ha puesto sobre el área de la cirugía. No las cambie durante la primera hora, a menos que el sangrado no se haya controlado. Las gasas pueden ser removidas después de una hora. Si aun persiste un sangrado constante, coloque otra gasa nueva que mantenga presión en el área quirúrgica por 30 minutos. Después la gasa puede ser cambiada conforme se necesite (cada 30 a 45 minutos). Es preferible humedecer la gasa con agua y doblarla para que sea más cómodo posicionarla. CUIDADOS GENERALES; No toque el área de la cirugía el día de hoy. No se enjuague vigorosamente ni moleste el área con ningún objeto. Puede cepillar sus dientes gentilmente. POR FAVOR NO FUME por lo menos durante 48 horas, porque esto no ayuda a la cicatrización y puede causar un alveolo seco. SANGRADO; Sangrado intermitente en poca cantidad es normal durante el primer día o noche. El sangrado puede ser controlado colocando gasa nueva sobre las áreas quirúrgicas y mordiendo la gasa por 30 – 45 minutos cada vez. SANGRADO CONSTANTE; El sangrado nunca debe ser severo. Si lo hubiera, usualmente significa que la gasa esta siendo masticada entre los dientes solamente, sin poner presión en el área de la cirugía. Trate de colocar la gasa en el lugar correcto. Si aun después de esto el sangrado persiste o es severo, coloque una bolsa de té negro (remojada en agua muy caliente y luego exprimida y cubierta en una gasa húmeda) y muerda por 20 o 30 minutos. Si el sangrado severo persiste, por favor llámenos. INFLAMACION; La inflamación esta asociada con la cirugía, puede disminuirse usando una bolsa con hielos, compresa fría o una bolsita con frijoles o vegetales congelados envuelta en una toalla y poniéndola junto a la mejilla, esto se debe aplicar continuamente durante 20 minutos y removiéndola por otros 20 minutos, durante las primeras 24 horas. Si le han recetado alguna medicina para controlar la inflamación, asegúrese de tomársela como se le indicó. DOLOR Desafortunadamente la mayoría de las cirugías se acompañan de molestias. Usualmente recetamos un medicamento para el dolor. Si usted toma la primer pastilla antes de que la anestesia pierda su efecto, su molestia se podrá controlar mejor. Algunos medicamentos fuertes para el dolor pueden causar nausea, pero si come un poco antes de tomar la pastilla, la nausea se puede reducir. Los efectos del medicamento para el dolor varían mucho entre las personas.  Si el dolor no se controla, puede suplementar la pastilla para el dolor con un analgésico como aspirina o ibuprofen. Algunos pacientes requieren dos pastillas para el dolor juntas. Recuerde que el dolor más severo es dentro de las primeras 6 hrs. después de quitarse el efecto de la anestesia, después de este periodo requerirá menos medicamento para el dolor. Si usted esta tomando demasiada medicina para controlar su dolor en intervalos frecuentes, por favor llame a nuestra oficina. Si usted anticipa que necesitara mas medicamento para el dolor durante el fin de semana, debe llamarnos para solicitar la receta durante horas hábiles. NAUSEA: Nausea es común después de la cirugía. En ocasiones el medicamento para el dolor es la causa. Se puede reducir tomando una pequeña ración de alimentos blandos y mucha agua. Trate de tomar líquidos claros y tome la dosis mínima del medicamento para el dolor, pero llámenos si no se siente mejor. Coca cola clásica puede ayudar con la nausea. DIETA; Coma alimentos nutritivos blandos, evite comida extremadamente caliente. No use popote o pajilla los primeros días después de la cirugía. Es recomendable tomar solo líquidos y alimentos en puré el primer día (yogurt, pudín, sopas, batidos. Es preferible evitar comida como nueces o semillas que pudieran atorarse en el alveolo. Durante los próximos días, gradualmente puede progresar a dieta sólida. ¡Es importante no dejar de alimentarse!, Si usted se alimenta se sentirá mejor, ganará fuerza, tendrá menos molestias y sanará más rápido. Si usted es diabético, mantenga sus hábitos alimenticios normales o siga las instrucciones dadas por su doctor. FRAGMENTOS DE HUESO; Si usted siente zonas filosas o duras en el área de la cirugía, es probable que sienta las paredes del hueso que soportaban al diente extraído. Ocasionalmente pequeños fragmentos de hueso pueden exfoliarse durante la semana siguiente de la cirugía, si le causan molestias o preocupación, por favor llámenos. INSTRUCCIONES PARA EL SEGUNDO Y TERCER DIAS ENJUAGUES; Es esencial mantener su boca limpia después de la cirugía. Use ¼ de cucharadita de sal disuelta en un vaso de agua tibia y gentilmente enjuague su boca, tomándose 5 minutos para usar todo el vaso. Repita los enjuagues tan frecuentemente como pueda, por lo menos 2 o 3 veces al día. CEPILLADO; Comience su rutina normal de higiene oral tan pronto como sea posible después de la cirugía. La inflamación y molestias pueden no permitir cepillado vigoroso, pero haga todo lo posible por mantener su boca limpia. APLICACIÓN DE CALOR Puede aplicar compresas calientes a la piel sobre la zona inflamada (botella o bolsa con agua caliente, toallas húmedo-calientes, etc.) por 20 minutos intermitentes (poniéndolos durante 20 minutos y descansando otros 20), para mejorar las molestias. Esto también reducirá la inflamación y la contractura muscular. PROCESO DE REPARACION; El proceso de reparación después de la extracción dental debe ser el siguiente: Los 2 primeros días después de la operación son generalmente los más incómodos y generalmente hay inflamación. Durante el tercer día usted debe sentirse mejor y aunque tenga inflamación, usualmente puede empezar a comer una dieta más sustanciosa. Después del tercer día, su recuperación debe ser gradual y debe sentirse mejor. Si usted no siente mejoría por favor llame a nuestra oficina. Si le entregaron una jeringa de plástico para irrigaciones, NO LA USE durante los primeros cinco días. Después puede usarla de acuerdo a las instrucciones hasta que el alveolo haya cerrado completamente y no haya oportunidad de que la comida se atore en el alveolo.  Deseamos que su recuperación sea rápida y placen --> Mountain View Oral Surgery, Contact Us top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. CONTACT AND DIRECTIONS 8:00am – 4:00pm 8:00am – 4:00pm CLOSED 8:00am – 4:00pm 8:00am – 4:00pm CLOSED CLOSED Monday Tuesday Wednesday Thursday Friday Saturday Sunday Opening Hours: Appointments:   Contact us to schedule appointment today. Call us at (650) 938-7703   Or fill in the following form and one of our staff will get back to you to confirm an appointment: We are conveniently located by El Camino Hospital in Mountain View, CA. Submit Thanks for submitting! Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> PRE OP INSTRUCTIONS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. ALL APPOINTMENTS MUST BE CANCELED OR RESCHEDULDED TWO BUSINESS DAYS IN ADVANCE: NO EXCEPTIONS CANCELLATION FEE: $350 ​ Mountain View Oral Surgery 105 South Drive, Suite 130 Mountain View, CA 94040 (650) 938-7703   Pre-Anesthesia Instructions for Patients   Eating or Drinking: For general anesthesia it is extremely important that patients have an empty stomach.  For this reason, patients are not to have anything to eat or drink for eight (8) hours before their scheduled appointment, this includes no water.       Change in Health:   The doctor should be aware of all prescription medications the patient is currently taking.  They should be taken as scheduled unless previously indicated by the doctor.  If you have to take medication within the 8 hours prior to surgery please do so with a small sip of water. If there is any change in your health please let us know, as this may affect your ability to have surgery. ​ Clothing: A short sleeved shirt is necessary and you should bring a sweater with you.  It is also advised that you wear comfortable pants and shoes, do not wear shoes with a heel.  Do not wear makeup, false eyelashes, earrings or any jewelry including watches. Contact lenses must be removed; if you have glasses you may bring those instead.  Please leave all valuables at home.   Designated Driver: A responsible adult must accompany the patient to and from the office, please only bring one parent/guardian to the appointment.  Please note, only the patient is allowed in the surgery room, no exceptions! Do not plan to drive or operate any equipment for twenty-four hours after the anesthesia.  Do not take a taxi or bus home.  Arrange to have a responsible adult spend the rest of the day with you. If you are a minor your driver must be an adult able to make decisions on your behalf. Your appointment will only last one hour and your ride MUST be here on time to take you home immediately after the surgery. If your ride cannot be here on time make other arrangements.    Questions:  Prior to your appointment, Mountain View Oral Surgery will contact you one day prior to review these preoperative instructions and to answer any questions.  If you would like to discuss your appointment, please do so before your scheduled time for anesthesia.          *** Cancellations not made within the designated time frame are subject to the full anesthesia fee.      Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> INSTRUCTIONS AND VIDEOS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Please click on the appropriate tab from the drop-down menu to watch educational videos on procedures, or view pre-operative or post-operative instructions! Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> MEET THE DOCTORS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Sumit Nijhawan DDS, MD, FACS ​ Dr. Nijhawan was raised in Central California.  He maintained a strong academic record through high school, and graduated Summa Cum Laude (at the top of his class) in college, where he majored in Biology and Physiology.  Dr. Nijhawan completed his dental education at UCLA, where he again demonstrated commitment to his academics and started developing his passion for Oral Surgery. ​ During his time in dental school, Dr. Nijhawan performed several Oral and Maxillofacial Externships throughout the country.  After completion of his dental education, Dr. Nijhawan completed his medical school and surgical residency at Case Western Reserve University, and University Hospitals of Cleveland, Ohio.  During his rigorous training, Dr. Nijhawan completed rotations in Anesthesia, Trauma, General Surgery, ENT, Plastic Surgery, and of course, Oral and Maxillofacial Surgery.  He performed a variety of procedures, including orthognathic surgery, trauma surgery, dentoalveolar surgery, resections for pathology, reconstructive surgery, and TMJ surgery.  Dr. Nijhawan received his MD in 2013, and graduated from Case Western in 2015.  Dr. Nijhawan was also published as a co-author in a major text during this time.   ​ Dr. Nijhawan has been in the Bay Area since 2015.  He first associated in a practice, which he helped build and develop.  Dr. Nijhawan remained dedicated to didactics and the community.  He completed his Board Certification in 2018, and was a part of the team at Regional Medical Center in San Jose, CA that helped manage trauma patients.  In 2019, Dr. Nijhawan received designation as Fellow of American College of Surgery.   ​ Education and Training: 2002-2006:  Fresno City College, CSU Fresno Bachelors Degree, Biology and Anatomy Deans List 2002,2003,2004 at Fresno City College Graduated S umma Cum Laude with recognition from President of CSU Fresno Deans List, College of Science and Mathematics 2004,2005,2006 at CSU Fresno  Official commendation from State of CA Lieutenant Governor Cruz M. Bustamante Nomination for Smittcamp Family Honors College at CSU Fresno  ​ 2006-2010:  UCLA School of Dentistry Regents Scholarship Deans Scholarship DDS Conferred in 2010 ​ 2010-2015:  University Hospitals, Case Western Reserve University 2010 Completion of Oral and Maxillofacial Surgery Intern Year MD Conferred in 2013 from CWRU School of Medicine 2014 Completion of General Surgery Internship 2015 Completion of Oral and Maxillofacial Surgery Residency Program ​ Board Certification and Additional Certifications: Diplomate, American Board of Oral and Maxillofacial Surgery, 2018 ACLS, BLS, PALS Certified ​ Licenses: MD, State of CA-Active and in good standing DDS, State of CA-Active and in good standing GA Permit, State of CA-Active and in good standing ​ Fellowships and Memberships: Fellow, American College of Surgery:  October 2019 Fellow, American Association of Oral and Maxillofacial Surgeons Fellow, California Association of Oral and Maxillofacial Surgeons Memberships past/present:  AAOMS, AMA, ADA, CDA ​ Publications: Single-use  vs. Multi-use Implants-Is There a Benefit? Presented at 2013 AAOMS national meeting Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, May 2014, Volume 117, Issue 5, Page e332   Comparison of Two Methods of Predicting Maxillofacial Volumetric Bony Defects:  CBCT Used As A Valuable Preoperative Tool Presented at 2014 AAOMS national meeting   Facial Implants in Cosmetic Surgery, Chapter 26  Co-writer of chapter for Oral and Maxillofacial Surgery Textbook Published 2017  Oral and Maxillofacial Surgery, 3rd Edition, Ray Fonseca, April 2017 ​ Comparative Assessment of 3D Reconstruction Technique and Cavalieri's Principle in Predicting the Mandibular Bone Defect Volumes Eur Oral Res, 2018; 52: 105-110 ​ Affiliations/Hospital Staff Privileges: ​ El Camino Hospital, Mountain View Dental Board of California, Anesthesia Site Evaluat or ​ ​ ​ Arjun Kulandaivelu, DDS ​ Dr. Arjun Kulandaivelu is a proud native of Mountain View, California, and an alumnus of the local LASD elementary and intermediate schools as well as Mountain View High School. He went on to attend the University of Michigan in Ann Arbor, where he earned both his undergraduate degree and his Doctor of Dental Surgery (DDS) from the University of Michigan School of Dentistry. It was during this time that he discovered his passion for oral and maxillofacial surgery, committing himself to the field. ​ Following dental school, Dr. Kulandaivelu completed a highly regarded surgical internship at John Peter Smith (JPS) Hospital in Fort Worth, Texas, where he trained with the departments of Oral & Maxillofacial Surgery and Maxillofacial Oncology & Reconstructive Surgery. He then completed his residency in Oral & Maxillofacial Surgery at Christiana Care Health System and Nemours Children’s Hospital in Wilmington, Delaware, where he served as Chief Resident in his final year. His training encompassed the full scope of oral and maxillofacial surgery, including inpatient and outpatient anesthesia, third molar removal, pre-prosthetic dentoalveolar procedures, complex single and full-arch dental implant placement, facial trauma, TMJ disorders, benign and malignant pathology, reconstructive and microvascular surgery, cosmetic procedures and injectables, and corrective jaw (orthognathic) surgery. ​ He holds active licenses in dentistry and a general anesthesia permit in the state of California and is certified in ACLS, ATLS, and PALS. Dr. Kulandaivelu is also an active member of local, regional, and national professional organizations; holding various leadership roles in the past and giving lectures. After living and training across the country, Dr. Kulandaivelu is most excited to return to the Bay Area and begin serving the community he grew up in and holds dear. His primary focus is on patient comfort and education – enabling them to advocate for themselves and make their own decisions about clinical care. He prioritizes patient safety above anything else with personalized attention and care to each patient. ​ Outside of the office, Dr. Kulandaivelu enjoys spending time with his wife, exploring new travel destinations, hiking, discovering new food gems, as well as playing, and watching sports of all kinds – especially his beloved Golden State Warriors and Michigan Wolverines! Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> POST OP IMPLANT | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. ​ Post Operative Instructions after Implants:   1.  No smoking!  Smoking can increase your chances of complications.   2.  You may experience swelling.  You may even experience bruising.  This is normal!  In fact, swelling is expected to increase for 3 days after your procedure, peak at the 3rd to 4th day, and then start to decrease.  You may use ice packs for the first 24 hours to help with swelling.  You can apply these 20 mins on, 20 mins off over the area that was worked on.  Don't place ice directly on your face, as you may be numb in the area and may not feel how cold it actually gets!  If you have swelling that is increasing beyond the first week, or swelling that is returning to the site, please contact our office to make a post-operative appointment.   3.  Keep your post-operative appointments.  Your surgeon will check to make sure the surgical site is healing well.   ​ 4.  Keep pressure with gauze at the implant site initially to ensure it does not excessively bleed.   5.  You may rinse your mouth with salt water, or the medicated rinse prescribed by your doctor.  Do not spit it out.  Instead, gently swish and let it run out of your mouth over the sink. ​ 6.  Avoid any strenuous activity.  Usually, you will be able to return to school or work in 3-5 days.  No sports, running, or heavy activity for 2-3 weeks.   7.  You can clean the area by gently brushing.  You can purchase a baby tooth brush that has a small head and soft bristles to allow you to clean better.  You need not be aggressive, but gently swipe the area clean.  Continue to use the mouth rinse written by your doctor, or use salt water as directed above.     9.  If stitches were used, in most circumstances, they will dissolve on their own. ​ 10.  Pain is experienced differently by everyone.  We do expect some level of discomfort immediately after the procedure.  The pain should start decreasing by the 3rd post-operative day.  Your doctor may write you pain medication.  If a stronger pain medication is used, it may cause nausea/vomiting.  Additionally, it may cause you to become drowsy.  If you have to take a stronger pain medication, refrain from driving, or using heavy machinery.   11.  It is normal to experience some stiffness with limited jaw opening after surgery.  This will usually resolve in the first couple of weeks. ​ 12. Take medications as prescribed and directed by your doctor.  Remember, medications may have side effects.  These can include upset stomach with antibiotics, or drowsiness with stronger pain medication (in which case you should avoid driving, or the use of machinary).   13.  Immediately after the procedure, start with a liquid diet (water, or Gatorade is recommended).  Later that evening, advance to a pureed diet, and a soft diet as tolerated (the consistency of scrambled eggs, soups, mashed potatoes, Mac n Cheese, yogurt, or ice cream).  As tolerated, over the next few days, you can advance to a normal diet.  If it hurts to eat, go back to a softer diet.  Gently brush without being too aggressive to keep the surgical site clean.   14.  GIVE OUR OFFICE A CALL IF YOU EXPERIENCE ANY OF THE FOLLOWING: Persistent or heavy bleeding not controlled by pressure Swelling increasing after the first week Pain increasing beyond the first week Foul taste, foul smell, any sort of drainage from the area ​ Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> MEET THE STAFF | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Our Staff We know your surgical experience starts with the first phone call!  Our staff will help with your scheduling, paperwork, insurance claims, pre-operative and post-operative care, and just about anything else you can think of to make sure you have a desirable experience.    Our staff has years of experience working in the surgical setting.  Our goal is always to provide the best care with a human touch! Brenda M. Billing, Treatment Planning, Front Desk Sabrina B. Billing, Front Desk, Treatment Planning, Surgical Assistant Maria L. Receptionist Jocelyn C. Surgical Assistant Sam R. Receptionist, Insurance Liason Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> oral surgery, implants, dentist, doctor, mountain view california top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Please click on the appropriate tab from the drop-down menu to learn more about our doctors, meet our staff, find information on services we provide, or see which insurances we accept! Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> POST OP INSTRUCTIONS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Mountain View Oral Surgery 105 South Drive, Suite 130, Mountain View, CA 94040  Tel: (650) 938-7703   ALL APPOINTMENTS MUST BE CANCELED OR RESCHEDULDED TWO BUSINESS DAYS IN ADVANCE: NO EXCEPTIONS CANCELLATION FEE: $350    POST – PROCEDURE INSTRUCTIONS *** PLEASE READ BOTH SIDES OF THE INSTUCTIONS CAREFULLY, THEN IF YOU HAVE ANY QUESTIONS CALL OUR OFFICE***   Sometimes the after-effects of dental procedures are minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, when in doubt follow these guidelines or call our office for clarification.   FIRST HOUR: Bite down gently but firmly on the gauze packs that have been placed over the extraction areas, making sure they remain in place. Do not change them for the first hour of leaving our office. AFTER ONE HOUR, BE SURE TO REMOVE THE GAUZE. Then eat something and take the medication. Take one antibiotic pill and one Motrin (if prescribed). Then if active bleeding persists, which is a dark red color that keeps filling your mouth quickly, you put more gauze in your mouth for one hour. You want to avoid putting in new gauze if there is very little blood, meaning it is slowly bleeding, or if it is a light pink color. If bleeding still persists after the second hour call our office. Do not keep changing the gauze you could pull out the stitches.   PERSISTENT BLEEDING: Bleeding should never be severe, severe meaning that your mouth is completely filling up with blood. Remember if your mouth is filling up with a light pink color that means you are only bleeding a little bit, but it may look like a lot when it mixes in with your saliva. If bleeding is severe it usually means that the packs are being clenched between teeth only and are not exerting pressure on the extraction areas. Try repositioning the packs to make sure they are placed in the actual extraction area and are not sitting on top of the teeth. If bleeding persists after you’ve already changed the gauze once then, please call our office. Sporadic bleeding or oozing overnight is normal. Do not be alarmed by a little occasional bleeding throughout the first few days, especially when eating or drinking. Minimal talking is necessary to keep the gauze clenched between the teeth and in order to decrease blood flow. If bleeding does not stop after you have changed the gauze once, you can soak a tea bag in cold water, squeeze out the excess water, and place the tea bag in the extraction areas and bite down firmly for 30 minutes, if bleeding still persists after that make sure to call our office.   DIET: Be very careful when eating after the surgery, your mouth will be very numb so it may be hard for you to swallow.  Get fed slowly with a spoon, but it is important that you eat as much as possible. Some pain while eating is normal. Do not eat or drink anything while you have the gauze in your mouth.  You can remove the gauze to eat after one hour, and replace the gauze after eating if necessary. If you must eat/drink before it is time to change your gauze take the gauze out, eat/drink then replace it until the hour is up. Eat any nourishing food that can be taken with comfort, anything cold and soft is advisable. Avoid hot foods, as they tend to increase the bleeding. DO NOT USE A STRAW for 2 weeks after surgery; this can cause the blood clots to be sucked out. For the first day foods such as cold soup, puddings, Jell-O, ice cream, yogurt and milk shakes, are ideal. The second day you can progress to warm foods such as pastas, mashed potatoes and eggs, by the third day you can have more solid foods. You should avoid foods with citrus and things like nuts, sunflower seeds, popcorn and rice because they can get lodged in the socket areas, for at least 3 days. Over the next several days you may gradually progress to solid foods, as you feel comfortable doing so. It is important not to skip meals. If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.   MOUTH RINSES: DO NOT SPIT OR RINSE YOUR MOUTH DURING THE FIRST DAY OF SURGERY. Doing so will pull out the blood clots and you will continue to bleed. If you are lightly bleeding you can wipe the blood out of your mouth with a napkin or you can swallow it but do not forcefully spit. The second day, it is essential to keep your mouth clean after surgery. Use plain warm water, or ¼ teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution. If prescribed, you may also use the mouth rinse we prescribe at this time.  Repeat as often as you like, but at least after every meal.   SWELLING: Swelling if often associated with oral dental procedures, especially if drilling was done. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek outside the extraction area. This should be applied in ten minute intervals on each side the treatment was done on, during the first 24 hours after the surgery. Swelling tends to peak 3 days after the surgery before it will reduce. Do not apply anything hot to the area; it will increase the blood flow. If you have been prescribed Motrin, this is an anti-inflammatory which will help reduce the swelling, so be sure to take it for as long as you are swollen if you wish to reduce swelling more rapidly. It is normal to be swollen for up to a week, if swelling continues to increase after 4 days, then you should call our office.   SHARP EDGES: If you feel something hard or sharp in the extraction areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following week or so. If they cause concern or discomfort, call the office. Please also be advised that if you see stitches in your mouth do not pull or tug on any of the strings, they will dissolve within 1-2 weeks unless told otherwise.   NAUSEA: Nausea is not uncommon after treatment. Sometimes pain medications are the cause. Nausea can be reduced by preceding each pain pill with a small amount of soft food, and taking the pill with a large volume of water. Try to keep taking clear fluids and minimize dosage of pain medications.    BRUSHING: Begin your normal oral hygiene routine the day after the procedure. Soreness and swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort. Food may get lodged in the extraction sites, do your best to rinse it out after every meal. Remember to be gentle in the area that was worked on (no vigorous brushing), but do keep it clean with a gentle sweep.    EXERCISE CARE: Do not disturb the procedure area today. DO NOT RINSE vigorously or probe the area with any objects. Do not smoke for at least 48 hours, this is detrimental to healing to avoid causing very painful dry sockets. When returning home after the procedure, it is best to sit up with a pillow slightly propped behind your back to slow the blood flow. You may want to place a towel around the pillow incase you ooze blood. At night you can sleep regularly. Do not engage in any vigorous activity, it is best to sleep and rest for the remainder of t --> INSURANCE | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Mountain View Oral Surgery is dedicated to providing you with the highest quality, cost effective medical and dental care. We accept all major credit cards and offer payment installments.  We accept payment at the time of service. INSURANCE & PAYMENTS Insurance:    We accept most major insurance plans including: Delta Dental PPO MetLife PPO Cigna PPO Guardian PPO Aetna PPO Blue Cross/Anthem PPO United Concordia PPO United HealthCare PPO Principal PPO SunLife PPO Humana PPO For the most up-to-date information on our accepted private health insurance plans contact our clinic directly at (650)938-7703 Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> POST OP BONE GRAFTING | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... 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Post Operative Instructions after Bone Grafting:   1.  No smoking!  Smoking can increase your chances of a complications. ​ 2.  Refrain from using a straw.  If you need to drink, you can sip from a cup.  You can use a spoon for soups.   3.  You may experience significant swelling.  You may even experience facial bruising.  This is normal!  In fact, swelling is expected to increase for 3 days after your procedure, peak at the 3rd to 4th day, and then start to decrease.  You may use ice packs for the first 24 hours to help with swelling.  You can apply these 20 mins on, 20 mins off over the area that was worked on.  Don't place ice directly on your face, as you may be numb in the area and may not feel how cold it actually gets!  If you have swelling that is increasing beyond the first week, or swelling that is returning to the site, please contact our office to make a post-operative appointment. ​ 4.  You will leave with gauze in your mouth.  Bite down with pressure on the gauze, as this is in place to help control your bleeding.  Bite with pressure for 30 minutes.  After this, you can replace out the gauze pack (roll it up and place it directly over the extraction site), and place pressure by firmly biting.     5.  You may rinse your mouth with salt water, or the medicated rinse prescribed by your doctor.  Do not spit it out.  Instead, gently swish and let it run out of your mouth over the sink. ​ 6.  Avoid any strenuous activity.  Usually, you will be able to return to school or work in 3-5 days.  No sports, running, or heavy activity for 2-3 weeks.   8.  You can clean the area by gently brushing.  DO NOT USE AN ELECTRIC TOOTHBRUSH.  Instead, you can purchase a manual baby tooth brush that has a small head and soft bristles to allow you to clean better.  You need not be aggressive, but gently swipe the area clean.  Aggressive brushing can result in graft loss.  Continue to use the mouth rinse written by your doctor, or use salt water as directed above.     9.  If stitches were used, in most circumstances, they will dissolve on their own. ​ 10.  Pain is experienced differently by everyone.  We do expect some level of discomfort immediately after the procedure.  The pain should start decreasing by the 3rd post-operative day.  Your doctor may write you pain medication.  If a stronger pain medication is used, it may cause nausea/vomiting.  Additionally, it may cause you to become drowsy.  If you have to take a stronger pain medication, refrain from driving, or using heavy machinery. ​ 11. Take medications as prescribed and directed by your doctor.  Remember, medications may have side effects.  These can include upset stomach with antibiotics, or drowsiness with stronger pain medication (in which case you should avoid driving, or the use of machinary).   12.  Immediately after the procedure, start with a liquid diet (water, or Gatorade is recommended).  Later that evening, advance to a pureed diet, and a soft diet as tolerated (the consistency of scrambled eggs, soups, mashed potatoes, Mac n Cheese, yogurt, or ice cream).  As tolerated, over the next few days, you can advance to a normal diet.  If it hurts to eat, go back to a softer diet.  Remember, no straws.  You can eat on the opposite side to the surgical site.   13.  GIVE OUR OFFICE A CALL IF YOU EXPERIENCE ANY OF THE FOLLOWING: Persistent or heavy bleeding not controlled by pressure Swelling increasing after the first week Pain increasing beyond the first week Foul taste, foul smell, any sort of drainage from the area Excruciating pain indicative of a dry socket Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> REFERRING DOCTORS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Click for referral form We know it takes a lot of confidence to trust the care of your patients, friends or family to us!  We want to thank you, and we promise to care for them as we would want to be cared for ourselves! You can click to access our referral from above. ​   Alternatively,YOU CAN FILL OUT INFORMATION ON THE REFERRAL FORM BELOW, AND CLICK SUBMIT TO SEND IT TO US ELECTRONICALLY!   After you complete the form, please make sure to click the Complete and Send button to send it to us!  You will have a chance to drag and drop any patient imaging as well!  Patient privacy is one of our primary concerns and we have taken every precaution to protect it.   Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> OUR SERVICES | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... 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OUR SERVICES Services We Offer: ​   Wisdom Teeth: Commonly referred to as wisdom teeth, 3rd molars are typically the last teeth to erupt, and are located furthest back in your upper and lower jaws.  You typically develop four wisdom teeth, though the number may vary.  These teeth generally erupt into your mouth during the late teenage years, but they may remain impacted due to spacing issues.  Though every case is different, general reasons for removal for wisdom teeth are for prevention of future problems, or to treat problems they are already causing.  Problems these teeth may cause in the future include:  pathology (cyst formation), infections, periodontal issues (bone loss), decay.  Sometimes, they are also removed in cases of dental crowding, or in preparation of orthognathic (jaw repositioning) surgery.  Additionally, sometimes hygiene is difficult and they are removed so that proper oral hygiene may be maintained.  This is a very common procedure to have done!   ​ ​ ​ Dental Implants: ​ Dental implants have now been around for several decades.  They provide excellent esthetics and function.  Generally speaking, success rates are very high.  Reasons for dental implants may include:  loss of teeth due to decay or caries, missing congenital teeth, failure of other previous treatments, or to help anchor dentures that otherwise are unstable.  If your remaining teeth are unhealthy and need to be removed, sometimes we can offer removal of teeth, implants, and restoration during the same day.  Typically you can expect to have the unhealthy tooth removed, and the site bone grafted the same day.  Sometimes, we are able to place the implant at the same time as the extraction.  This is referred to as an immediate implant.  Other times, the area may be grafted with bone and allowed to heal for some time prior to implant placement.  Your surgeon will discuss your specific case with you during your consultation.  Usually, the implant is given several months to heal in your bone before a crown can be placed to allow you to return to function.    There are other benefits to having an implant as well.  As you may expect, if a tooth is removed, over time, the bone in the area starts to decrease in volume, or atrophy.  Did you know that placing an implant can halt the process of bone loss?  If properly cared for, an implant is certainly a long-lasting solution for missing teeth.         ​ Bone Grafting: ​ There may be several reasons we may offer bone grafting, and there are several types of bone grafts in general.  Bone grafting may be used in an initial reconstructive procedure to build bone in different areas prior to or during implant placement, to ensure that the implant has sufficient bone support.  Alternatively, after removal of pathology from the jaws, a bone graft may be used as a filler to allow bone to grow back into the defect.  If you may be considering an implant in the future, a bone graft may be used after the extraction to help maintain the bony contours of the extraction socket for future implant placement.  The different types of bone graft may each have different indications, and based on your individual case, your doctor will make recommendations to you. ​   ​ ​ Pathology:   Many times, you may be referred for evaluation of a lesion, either inside your mouth, or visible on radiographs from your dental office.  A clinical examination will be done during your consultation, and records will be gathered.  Often times, we may be able to provide you a differential diagnosis, or a range of clinical possibilities.  A more definitive diagnosis will be made after the lesion (either a piece of the lesion, or the full lesion) is removed and sent for the pathologist to look at the cell types under microscope.  After review of all information, your doctor will discuss with you if a biopsy should be considered.  If so, your doctor will discuss the steps.  Many times, after removal of the lesion being biopsied, no additional steps are required.  If additional treatment is required, your doctor will discuss this with you. ​ ​   ​ Expose and bond/tooth exposure:   Your orthodontist may have referred you for a procedure to assist with an impacted tooth to erupt into it's proper position in the dental arch.  Your doctor will evaluate you with a clinical examination, and together with the orthontist, come up with a plan.  This may include a simple exposure, or removal of gums and bone to gain access to the impacted tooth.  At other times, a chain may be attached to the impacted tooth, which will then be used by the orthodontist to pull the tooth into it's proper position in the arch.       ​ Dental Extractions: ​ There are different reasons for why a tooth may need to be removed.  These may include infection, bone loss, or if a treatment plan is made that requires the tooth to be removed.  This is generally a routine procedure that can be done with local anesthetic.  If you are generally healhty, and anxious, other options  for removal may be with "laughing gas," or with IV sedation.  During your consultation, your doctor will discuss with you different options to help rebuild the area after the tooth is removed.   ​ ​ ​ Orthognathic Surgery: ​ Your orthodontist may have referred you for orthognathic, or jaw repositioning, surgery.  Sometimes, we are able to correct malocclusion by simply moving teeth around.   However, if the problem lies with your skeletal structure, we may not be able to correct the problem with orthodontic treatment alone.  In this case, we will work closely with your orthodontist to first move the teeth properly.  Once ready, we will gather many records to plan your surgery.  Surgery may involve repositioning either just the upper or lower jaw, or repositioning of both jaws.  A genioplasty, or chin repositioning, may also be recommended depending on your case.  Recovery generally involves a 1-2 day hospital stay, usually to make sure you are comfortable at discharge.  The hospital stay also depends on how much is done during your case.  6 weeks after your surgery, your orthodontist will start putting the finishing touches on your bite.  With this procedure, we are able to get you functioning again and provide a better jaw structure with improved esthetics. ​ ​ ​ ​ Facial Trauma: ​ Sometimes we are caught with unforunte circumstance.  If you suffer from a fracture of bones of the faces, or have a soft tissue injury, surgery can help to place the bones and soft tissue back into proper form and function.  Usually, we these procedures will be performed in the hospital, but may be performed in an outpatient setting depending on several factors.  After surgery, if appropriate, imaging will be done to ensure proper reduction, or orientation of bones.  Sometimes, post operative physical therapy may be needed.  We will work with you to get you back to your daily life! ​ ​ ​ ​ ​ TMJ Surgery: ​ There are many ways your temporomandibular joint may start causing bothersome symptoms.  During your consultation, we will listen to your symptoms, and ask about progression of --> VIDEOS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> SINUS PRECAUTIONS | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... Use tab to navigate through the menu items. Sinus Precautions: ​ If you've had a procedure done around your maxillary sinus, your surgeon may recommend sinus pre-cautions.  Generally, these may be given if there may be a small hole between the sinus and the mouth, to allow the site to heal.  Alternatively, these may be given if you've had a surgery done around your sinus.  Following these instructions will allow the site to heal properly. ​ 1.  Do NOT blow your nose!  If you feel congested, you will be written a nasal spray.  You can use the nasal spray, and wipe your nose with a tissue WITHOUT BLOWING.   2.  Do NOT sneeze.  If you feel the need to sneeze, you may open your mouth.  This is done to dissipate pressure so that it does not build up in the sinus.   ​ 3.  If your surgeon writes you a course of antibiotics, be sure to take these as prescribed. ​ 4.  Your surgeon may write you a nasal spray called Afrin to help with congestion.  DO NOT take Afrin for more than 3 days of continued use. ​ 5.  Your surgeon may write you another saline nasal spray called Ocean.  You can use this spray as frequently as needed for congestion.  Your surgeon may also write you an oral pill to help with congestion. ​ 6.  Gently clean your surgical site.  Brush with a gentle sweep to make sure no food is at the surgical site or around the stitches.  You can use a baby toothbrush to help with this.  Rinse with the mouthrinse your surgeon has prescribed, or you may use salt water.  No forceful spitting.   ​ 7.  No drinking from a straw. ​ 8.  No smoking. ​ 9.  No sucking on the area that was worked on. ​ 10.  Unless otherwise told by your surgeon, your stitches will dissolve on their own. ​ Call our office if you experience any of the following: Continued or increased tenderness over your cheekbone/sinus area after 1 week Foul taste, or smell Discharge that is yellowish or greenish in color Continued or increased swelling beyond 1 week Water or fluids dribbling down your nose when you drink Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page --> POST OP BIOPSY | Mysite top of page Mountain View Oral Surgery   105 South Drive, Ste 130 Mountain View, CA 94040 ​   (650)938-7703 Fax   (650)938-7705 [email protected] HOME THE PRACTICE MEET THE DOCTORS MEET THE STAFF OUR SERVICES INSURANCE INSTRUCTIONS AND VIDEOS VIDEOS PRE OP INSTRUCTIONS POST OP INSTRUCTIONS POST OP INSTRUCTIONS-SPANISH POST OP BIOPSY POST OP IMPLANT SINUS PRECAUTIONS POST OP BONE GRAFTING REFERRING DOCTORS CONTACT US More... 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Post Operative Biopsy Instructions:   Generally, there are 2 types of biopsies:  an excisional biopsy (in which the lesion is entirely removed) or an incisional biopsy (in which only part of a lesion is removed).  Your surgeon will perform what is indicated in your case.  Also, a biopsy may be performed on lesions on your face, from your sinuses, on your facial bones, or on soft tissue in your mouth.   1.  No smoking!   ​ 2.  Refrain from using a straw.  If you need to drink, you can sip from a cup.  You can use a spoon for soups.   3.  You may experience significant swelling.  This is normal!  In fact, swelling is expected to increase for 3 days after your procedure, peak at the 3rd to 4th day, and then start to decrease.  You may use ice packs for the first 24 hours to help with swelling.  You can apply these 20 mins on, 20 mins off over the area that was worked on.  Don't place ice directly on your face, as you may be numb in the area and may not feel how cold it actually gets!  If you have swelling that is increasing beyond the first week, or swelling that is returning to the site, please contact our office to make a post-operative appointment.   4.  Sleep with an old towel over your pillow.  You may continue to have some blood in your saliva.  This may continue for a few days.  Remember, most of this is your saliva with a small amount of blood. ​ 5.  If there is bleeding, place gauze over the biopsy site and keep pressure by biting if the biopsy was in the mouth, or holding the gauze with firm pressure if it was on the skin or on the face.  Make sure if on the face, wipe the blood clean to avoid large clots, as this can lead to scarring.  If bleeding persists, contact our office. ​ 6.  Avoid any strenuous activity.  Usually, you will be able to return to school or work in 3-5 days.  No sports, running, or heavy activity for 2-3 weeks.   7.  Use medications as directed.   8.  If the biopsy was inside the mouth, you can clean the area by gently brushing.  You can purchase a baby tooth brush that has a small head and soft bristles to allow you to clean better.  You need not be aggressive, but gently swipe the area clean.  Continue to use the mouth rinse written by your doctor, or use salt water.  If the biopsy was in the sinuses, follow post-operative sinus pre-cautions.   9.  If stitches were used, in most circumstances, they will dissolve on their own. ​ 10.  Pain is experienced differently by everyone.  We do expect some level of discomfort immediately after the procedure.  The pain should start decreasing by the 3rd post-operative day.  Your doctor may write you pain medication.  If a stronger pain medication is used, it may cause nausea/vomiting.  Additionally, it may cause you to become drowsy.  If you have to take a stronger pain medication, refrain from driving, or using heavy machinery. ​ 11.  In all cases, we make a post-operative appointment with you to discuss your biopsy results.  These usually return to us in 2-3 weeks.   12.  GIVE OUR OFFICE A CALL IF YOU EXPERIENCE ANY OF THE FOLLOWING: Persistent or heavy bleeding not controlled by pressure Swelling increasing after the first week Pain increasing beyond the first week Foul taste, foul smell, any sort of drainage from the area Make an Appointment Mountain View Oral Surgery 105 South Drive, Ste 130 Mountain View, CA 94040   For Life-Threatening Emergencies Call 911 © Mountain View Oral Surgery 2019-2024 bottom of page