Norwood MA Office
1 Walpole Street, Norwood, MA 02062
• Before Anesthesia
• General Post-Operative Care
• After Wisdom Tooth Removal
• After Extractions
• After Multiple Extractions
• After Exposure of an Impacted Tooth
• After Dental Implant Surgery
• After Socket Preservation Grafting
• After Ridge Expansion Bone Grafting
• After Sinus Lift Grafting
• After Incision & Drainage of Infection
• Wired Jaw Instructions
Following these instructions will help you to feel better and recover faster after your jaws have been wired. Please read them carefully and ask questions about anything you do not understand.
Brush your teeth after every meal and at bedtime. Meticulous oral hygiene is extremely important to prevent tooth decay and gum inflammation caused by food build up between the wires and your teeth. These bits of food can also cause bad breath. Thorough tooth brushing is the single, most important part of good oral hygiene, it is best to use a child-sized, soft-bristled toothbrush with tooth paste. The head is smaller and will be more comfortable for you. Brush your teeth and wires by using rotating motions directly on the teeth and wires. Brush until the wires are shiny clean.
Use the Peridex (Chlorhexidine) mouth rinse prescribed by Dr. Turesky twice a day after brushing, Swish in your mouth for one minute then spit out. In addition to the Peridex use a dilute mouth rinse (Scope, Lavoris, etc.) after meals and at least four times a day. The rinse will help to clean the inside surfaces of your teeth which you cannot reach with a toothbrush.
Run your tongue along the inside of your teeth several times a day to help clean them. A Waterpik is helpful to loosen food and debris trapped between the wires and elastics. Use a Waterpik several times each day in addition to brushing and rinsing.
If the wires are rubbing against your lips or cheek and causing pain, irritation or burning, you may find dental wax helpful. Dental wax is available at most drug stores. Pinch off a small piece of wax and apply it directly over the wires that are irritating you. The wax will act as a cushion between the wires and your gum. You should remove dental wax before brushing your teeth; then replace it if necessary.
Elastic fixation is released approximately six weeks after treatment (except in cases of condyle fractures where elastics are usually removed 10-14 days after treatment). Wires are usually removed approximately two weeks later. Approximately four to six weeks after your wires are removed you will need to visit a dental hygienist for a thorough cleaning of your teeth.
A blender or food processor will be required to prepare your meals. Almost any food can be liquefied in a blender. You will need to add enough liquid (juice, milk, water) to liquefy solid foods. You may also need a food strainer if you teeth are very close together with no space between them. The strainer can be metal mesh or cheesecloth. After food has been liquefied in the blender a strainer will remove any small residual pieces of food which could get caught in your wires or elastics.
Most people prefer foods that are neither hot nor cold. Very hot liquid may injure tender or numb mouth tissues. Very cold liquid may be painful to sensitive injured or fractured teeth. It is easiest and most efficient to drink right out of a cup. Drinking from a straw requires puckering and suction which is inefficient and difficult when your jaws are wired. Basic good nutrition is essential to keep you healthy, speed up recovery and assist in healing. Even though you cannot chew, you still need a balance of protein, fruits and vegetables, dairy products and grains. It is easier to get proper nutrition if you eat five to six times a day.
It is difficult to maintain your weight on a liquid fracture jaw diet. You should monitor your weight regularly while your jaws are wired together. Commercial nutritional supplements such as Ensure or Sustical are a convenient way to increase calories and protein. You can find them at most drug stores and many grocery stores. These nutritional supplements should not be used to replace other foods; they should be used in addition to other foods. Drink one can of Ensure three times a day in addition to your meals. An over the counter daily liquid multivitamin supplement is also recommended.
If you feel that you are going to vomit, follow these steps:
Anti-nausea medicine can be prescribed if nausea persists.
If you have so much difficulty breathing that you cannot catch your breath, follow these steps to open your airway as much as possible:
Place a spoon inside your mouth between the teeth and your cheek and stretch the cheek outward to create breathing space.
If you are not breathing well because of nasal stuffiness try an over the counter saline nasal spray. Saline nasal spray can be used as often as necessary with no adverse side effects. If this problem persists, please call our office.