Surgically-Assisted Orthodontics

We will be seeing you for follow-up appointments once a week for the first month, then every two weeks for the following month, and once a month until orthodontic treatment is completed. Normal conditions following surgery include some achiness, tenderness, muscle stiffness, facial bruising, and/or swelling. If you experience anything abnormal or have any questions, please call our office immediately.


Some oozing or bleeding is normal for the first 24 hours after surgery. If there is active bleeding, place a gauze pad over the area and apply firm pressure for about 20 minutes. Repeat if necessary.

Note: If active bleeding continues, please call our office immediately.


For the first 5-10 days after surgery, you will experience moderate to severe facial swelling around the surgical site, cheeks, chin, eyes, mouth, & up to the eyes. For the first 24 hours, apply an ice bag to your face on the side of the surgery for 20 minutes on, then 20 minutes off. After the first 24 hours, apply warm compress (a warm damp towel or heating pad).
Note: Normal swelling and/or bruising may last 5-10 days after surgery.


Sutures will be removed 3 weeks after surgery. Be careful to avoid disturbing the sutures and gums.


Rinse your mouth 3-5 times a day for 7 days, starting the next day with warm salt water (1/2 tsp salt in warm water). Brush the teeth gently with a soft toothbrush to maintain oral hygiene. Be aware that the surgical site will be tender and minor bleeding may occur. You may be given a bottle of antimicrobial mouthrinse called Peridex. You will rinse with this 3 times a day and use a Q-tip dipped in the rinse to gently clean the teeth and gums at the surgical sites.

Note: Be gentle when cleaning surgical sites as to not disturb the gums and sutures.


Drink nourishing liquids and eat soft solid foods such as soup, yogurt, ice cream, jell-o, etc. for 4-6 weeks after surgery. You may slowly progress to a more solid diet after this period, as tolerated.

Note: Do not use straws and no forceful spitting for 1 week after surgery.


All exercise and heavy lifting should be avoided for 7-10 days after surgery. You may gradually begin to increase activity after this period.


Avoid smoking for as long as possible after surgery. Smoking can impact the healing process.

Graft Material

It is normal during the early stages of healing to lose the top layer of graft material. It will look and feel like granules of sand. Do not be alarmed.


Please take the full course of antibiotics as directed until it is all gone. The antibiotics are very important in the prevention of any post-operative infection. If you experience severe side effects or allergic reaction, please contact our office as soon as possible at Orange Office Phone Number 714-771-7677.

Pain Medication

The principle of surgically-assisted orthodontics relies on persistent inflammatory changes in the area of the surgical sites. The nature of these medications will have the effect of decreasing this inflammation and will cause the efficiency of the movement of teeth to be compromised. Should you need pain relief after the prescribed pain medication has been taken, non aspirin-based pain relievers such as Acetominophen or Tylenol may be used.