All patients should be given a return appointment so that the surgeon can check the patient’s progress after the. surgery. In routine, uncomplicated procedures, a follow-up visit at 1 week is usually adequate. If sutures are to be removed, that can be done at the I-week postoperative  appointment. ‘
‘Moreover, patients should be informed that shouldany question or problem arise, they should call the dentist and request an earlier follow-up visit. The most likely reasons for an earlier visit are prolonged and. bothersome bleeding, pain that is not responsive to the prescribed
medication, and infection. If a patient who has had surgery begins to develop .swelling with surface redness and pain’ on the third postoperative
day or later, the patient can be assumed to have developed an infection until this is proven otherwise. The patient should be instructed to call for an appointmentat the dentist’s office as soon as possible. The surgeon must then inspect the patient carefully to confirm or rule out the diagnosis of infection. If an infection is diagnosed, appropriate therapeutic measures should be taken (see-Chapter 15). Postsurgical pain that decreases at first but on the third or fourth day begins to increase, yet is accompanied by
no swelling or other signs of infection, is probably a sign  of “dry socket.” This annoying problem is simple to manage but requires that the patient return to the office several times (see Chapter 11).  It is important that the patient know that the dentist,is available to answer any postoperative questions and· treat any postoperative problems that arise. Even if a
postoperative tallow-up  does not appear to be necessary,  one-should be made  the patient an 01 portunity

Posted by: brianna

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