Walk In Family Dental

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Patient Information

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Consent of Extraction

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I
authorize the following procedure(s) and treatment on myself the removal of the following teeth#


INSTRUCTIONS FOLLOWING ORAL SURGERY

1. Bite on gauze for 30 minutes (1/2 hour)
2. Keep fingers and tongue away from the operated area.
3. Do not rinse your mouth until tomorrow, although it is permissible to drink cool or lukewarm liquids.
4. Smoking should be avoided.
5. Starting tomorrow rinse your mouth frequently with a solution of 1/2 teaspoon of salt in a glass of warm water (Continue the rinses for a few days).
6. If you have any discomfort, take whatever you normally take for a headache every few hours. If necessary the doctor will prescribe stronger medication.
7. Diet cold or lukewarm liquids may be taken for the first 4-6 hours after this any soft food is permissible.
8. Bleeding it is normal for the saliva to be streaked with blood for a day if frank Bleeding present fold sterile gauze into a firm wad and place it directly on the bleeding area. Maintain firm pressure by biting for 20 minutes.
9. Swelling and discoloration is to be expected in certain areas, usually reaching its maximum two days after the surgery. It will disappear gradually and is no cause for concern if desired, an ice pad may be applied for the first 4-6 hours only alternating 20 minutes on. 20 minutes off.
10. Sutures (stitches) if required are removed without discomfort in about 5 days.
11. Do not hesitate to call the office if you any question.
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