BEFORE SINUS LIFT: Bone is too thin for implants (bone outlined in yellow)
AFTER SINUS LIFT: Enough bone for placement of implants (bone outlined in yellow)
After undergoing a sinus lift bone graft surgery, please follow these Sinus Precautions and Post-Operative Instructions:
Do not blow your nose for 1 week – Blowing your nose creates high pressures that can disrupt healing of the sinuses.
Ocean Nasal Spray - If your nose feels congested, use Ocean Nasal Spray to loosen up mucus and permit passive drainage from your nose. Ocean Nasal Spray is available over-the-counter at the pharmacy.
Sudafed – If your sinuses feel congested, use Sudafed as directed. Sudafed is available over-the-counter at the pharmacy. Do not take Sudafed if you know that you are allergic to Sudafed.
Sneeze through your mouth – If you feel the urge to sneeze, please sneeze through your mouth instead of your nose; this will avoid high pressures that can disrupt healing of the sinuses.
Do not “bear down” – Avoid lifting heavy objects, blowing up balloons, or playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure.
No smoking for at least 1 week – Nicotine decreases blood flow to the healing surgical site, and smoke irritates the surgical site. Smoking can result in delayed healing and sinus infection.
No airplane travel for at least 1 week – Changes in airplane cabin pressure can disrupt healing of the sinuses
No swimming for at least 1 month – Water entering your nose from swimming can lead to a sinus infection.
No SCUBA diving for at least 2 months – pressure exerted by water pressure can disrupt healing of the sinuses.
Firm gauze pressure for 2 full hours – Direct gauze pressure is an effective way to stop bleeding. No talking. Relax in a comfortable chair and watch TV during this time. After 2 hours, remove the gauze and examine your mouth for bleeding. There should be little to no bleeding present. Bite on fresh gauze for another hour if necessary; if bleeding persists after these steps have been taken, or if marked swelling occurs in the first few hours after surgery, please call Dr. Jackson.
Apply cold compresses to your face for the first 24 hours – Ice (in a freezer bag) or a cold pack can be applied to your cheeks for comfort and to help minimize swelling that peaks over the first 3 to 4 days
Avoid spitting for 1 week – Spitting can restart bleeding and lead to pain at the surgical site. If you feel the urge to spit (i.e. after brushing your teeth), take a sip of water and gently rinse your mouth and then let the saliva gently FALL out of your mouth into the sink.
Avoid using a straw for 1 week – Just like spitting, using a straw can restart bleeding and lead to painful at the surgical site. If you want to have a Smoothie or milkshake after surgery, eat it with a spoon or drink it out of a cup, but avoid straws.
Avoid smoking for at least 1 week – Nicotine decreases blood flow to the healing surgical site, and smoke irritates the surgical site. Smoking can result in delayed healing and severe pain.
Diet – Day 1 – Smoothies, milkshakes, protein shakes, or other nutritious cool liquids for the first 24 hours. For the rest of Week 1, have a soft diet (i.e. mashed potatoes, scrambled eggs, macaroni). Avoid spicy or hot foods (i.e. allow a hot soup or hot coffee to cool down to room temperature) to avoid pain and bleeding. NOTE: Patients with diabetes must stay on an ADA diet that is approved by their primary care physician.
Oral Hygiene – Brush your teeth gently with a soft bristle toothbrush. Avoid flossing around the surgical site. Rinse gently with an alcohol-free mouthrinse (i.e. ACT mouthwash) and then let the mouthrinse gently FALL out of your mouth into the sink. Alcohol-free ACT mouthrinse can be found over-the-counter at the pharmacy.
Activity – Frequent rest is important after surgery. Do not exercise for 1 week after surgery, as exercise can cause painful throbbing or bleeding at the surgical site.
NOTE: It is normal for there to be some swelling and pain for the first three to four days after surgery that gradually goes away. However, if you feel worsening pain or swelling, or if you have any other questions, please call Dr. Jackson: 504-455-7161.