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There should be no pain immediately after operation due to the local anaesthetic used. This should last for 3-4 hours before sensation returns slowly and care should be taken to avoid biting the lip or tongue during this time.
Pain tends to be worse on the second and thirrd day but gradually improves over a period of 7-10 days.
Give regular pain relief for the 1st 24 hours.
Simple painkillers such as Paracetamol or Ibuprofen should control the pain. (Refer to dosages on the side of the bottle.)
If there is sudden increase in pain after a few days, this may indicate infection and the department should be contacted.
This is common after surgery has been carried out in the jaw.
The swelling reaches its maximum the day after surgery.
Swelling should resolve by 7-10 days after surgery. Bruising of the face occasionally occurs and can take up to 2 weeks to go away.
This should be minimal by the time you leave hospital.
Blood stained saliva is to be expected for 24-48 hours after operation.
Do not rinse the mouth for 24 hours. This may disturb the area and cause bleeding.
If bleeding continues, roll up a piece of gauze and place it over the wound and bite firmly for at least 20 minutes.
After 24 hours use a hot salt water mouth wash. The water should be allowed to cool and a spoonful of salt added. Take a mouthful and hold it still for a couple of minutes before spitting out. Repeat 4 times daily for 5-7 days. This will help healing. If very young child you can use gauze to wipe gently around the mouth.
Keep your teeth clean with gentle tooth brushing if possible.
Corsodyl mouthwash will help reduce plaque while tooth brushing is difficult.
24-48 hours –Regular diet. Do not chew on the site of the wound.
If you have stitches (sutures) in your mouth, these should drop out after a period of 7-10 days.
Antibiotics after the operation may be required in some cases.
If necessary, antibiotics and painkillers will be prescribed or advice given.
Things to Avoid
No sport for 24 hours
Try to avoid touching the area
Be guided by how your child feels. Some children may not feel quite right the following day and may need to stay off school.
If follow up is needed, you are normally seen 2-3 weeks after surgery. An appointment is usually arranged before you leave the hospital.
Contact telephone numbers:
Contact the Maxillofacial Unit on 01908 995308 or 01908 995258.
Between 5pm and 9am or at weekends, phone the Luton and Dunstable Hospital on 01582 49 11 66 and ask for the Maxillofacial Senior House Officer on call.
Paediatric Community Nurses 01908 996521.