The following information has been prepared to help answer the many questions, which you may have regarding the operation. Please read the instructions carefully. Our experience has shown them to be very helpful.

1. Peridex:Rinse with 15mL (1/2 oz.) for 30 seconds every 12 hours (twice a day), until the sutures have
    been removed. (Start 1 day before sinus graft and continue until Dr. Nejat informs you to stop).

2. Motrin take one tablet (600) every 4-6 hours for 3-7 days.

3. A twelve hour antihistamine and decongestant tablet (e.g., Drixoral cold and Allergy Formula, Contact
    Continuous Action Decongestant/Antihistamine capsules)Take one tablet one hour prior to surgery and
    continue to take one tablet every 12 hours (total of two tablets per day) for 10 days.

4. Antibiotics:

A) Not allergic to penicillin: Amoxicillin: take one tablet (500 mg) one day prior to surgery, and continue
    to take one tablet (500 mg) every 8 hours (total of three tablets per day) till done days (with food).

B) Allergic to penicillin but able to take cephalosporin. Keflex: Take one tablet (500 mg) one hour prior to
    surgery, and continue to take one tablet (500 mg) every 8 hours (total of three tablets per day)
    for 3 days.

C) Allergic to penicillin and cephalosporin: Clarithromycin: Biaxin: take one tablet (500 mg) one day prior
     to surgery, and continue to take one tablet (500 mg) every 12 hours (total of two tablets per
     day) till finished.

5. There may be occasional bloodstains in the saliva for the first four to five hours after operation. This is
    not unusual and will correct itself. If there isconsiderable bleeding beyond this, take a piece of
    gauze or moist tea bag and form a “U” and hold it under gentle pressure for 10 minutes. Repeat if
    necessary. Do not remove it during this period to examine it. Under no conditions should rinsing be used
    to try to  stop the bleeding! If the bleeding does not stop, you should page Dr. Nejat 516-276-2650  for
    proper  instructions. In addition, you may, note bloodstains on your pillow for the first few mornings
    after  the surgery. Do not be alarmed, as this is a result of rubbing your tongue over the wound while 
    sleeping  and  the blood mixingwith saliva. Nose bleeding may occur after the procedure. To stop
    bleeding apply pressure  with the gauze to nostril.To avoid bleeding, do not blow your nose for the first
    week.

6. Swelling is to be expected.To help keep the swelling down, place ice on the outside of face, 5 min. on &
    5 min. off for 24-48 hours after the procedure. In addition, keep your head elevated above your heart.
    An extra pillow should be used during the first two nights after the operation, to reduce swelling on
    the operated areas. After 2 days, place a warm compress on the outside of face (5 on 5 off) untill the
    swelling decreases

7. If there are teeth present in other areas of your mouth, clean them with your toothbrush, as you
     usually do; however, avoid    contact with the surgical wound.

8. If you have removable denture appliances, they may not be worn until Dr. Nejat has checked or
    adjusted your appliance. Insertion of dentures too early may jeopardize the healing process.

9. You should be on a regular diet. However, avoid seeded and hard foods until after the sutures have
    been removed. Consumption of alcoholic beverages & smoking is not allowed during time period
    because it will jeopardize the success of the surgery.

If you are in doubt or if any sign whatsoever of a disorder or problem related to

the healing of the surgical area, please page Dr. Nejat at 516-276-2650.