Post Op Instructions
LANAP Surgery Post
Day of treatment until the
first post operative appointment at one week.
1 No toothbrushing or flossing in treated area. This
is mandatory for proper healing.
2 Use Chlorhexidine rinse twice daily (pink mouthwash) we will
give you a bottle to take home. Must be alcohol free version. This is mandatory for proper
3 Take Rx of Ibuprophen and Penicillin (or other antibiotic Rx)
as directed until gone
§ Ibuprophen is not necessarily prescribed for pain, but for reduction of
inflammation. This is mandatory for proper
§ Penicillin is to prevent infection of the surgical
site(s). This is mandatory for proper healing.
4 Soft diet, mild temperatures, nothing crunchy or hard (i.e.
uncooked carrots, chips, or hard crusted breads). If you think something that you are eating may traumatize your
gum tissues, or become lodged in your teeth or gums, do not eat it. This is mandatory for proper
Examples of foods
§ Apple sauce
§ Mashed potatoes (let cool before
§ Cottage cheese
§ Fruit or vegetable smoothies (use a spoon not a straw)
add protein powder for meal replacement
§ Soft cheese
§ Tuna fish on very soft bread without seeds, nuts, or
whole grains (remove the crust and cut into small pieces that fit in the mouth without biting into
§ Scrambled eggs (cooled)
§ Oat meal (cooled)
5 No smoking This is mandatory for proper
6 No carbonated drinks (anything that fizzes when opened, i.e.
sodas, and sparkling water) This is mandatory for proper healing.
7 No alcoholic beverages of any kind
8 Do not use a straw to drink with
9 Do wear your NTI bite appliance This is
mandatory for proper healing.
One week post
1 Extra soft toothbrushing in treated area
§ Soft gentle circular motion
§ be careful to avoid the gumline
Continue the use of Chlorhexidine
Continue soft diet and restrictions listed
above This is mandatory for proper healing.
One month post
1 Add daily sulcular flossing (see flossing instructions page)
to treated area, forever
2 Continue use of extra soft toothbrush
§ Start gently brushing the gumline
3 Stop using the Chlorhexidine rise
4 Start using CloSYS toothpaste and
mouthwash twice daily
§ First brush with regular cavity control toothpaste of your
choice or as prescribed by Dr. Dilger and/or your dental hygienist
§ Second, wipe CloSYS II toothpaste along the gumline on all
areas of the mouth with toothbrush, then
Floss the CloSYS toothpaste under the gumline in sulcular method
Gently brush remaining CloSYS toothpaste along the gumline
§ Finish with the CloSYS mouthwash for 30 seconds
5 Continue avoiding hard and crunchy foods, carbonated sodas,
smoking, alcoholic beverages, and use of a drinking straw. This is mandatory for proper
6 Make sure to incorporate high protein foods into
7 Continue to wear your NTI bite appliance This
is mandatory for proper healing.
post operative appointment
1 Continue home care and restrictions listed
§ No smoking
§ No longer any dietary restrictions
2 Add a Sonicare brand electric toothbrush to daily
§ Angle toothbrush toward gumline
§ Clean all tooth surfaces
Six month post
1 Add WaterPik to daily routine
§ Fill water chamber with warm water, and if you would like,
add a small amount of CloSYS mouthwash
§ do not turn WaterPik pressure up past the minimum point (use
the lowest power setting)
§ be careful not to damage your still healing gum
twelve month post operative appointments
2 Continue postoperative instructions given for months one
3 Dr. Dilger and your dental hygienist will make adjustments to
your treatment plan and home care regimen as needed. Some areas of the mouth may need to be retreated again in the
future depending on the healing process. Diligent homecare will make a huge impact on the outcome of your LANAP
surgery, as well as wearing your NTI appliance nightly to prevent clenching and grinding damage to the healing
tissues in the mouth. This is mandatory for proper healing.
4 You will be scheduled to see the hygienist every three to four
months after the first year.
Please call 503-378-0466 or e-mail email@example.com if you have any questions.
December 3, 2009
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