Pre treatment guidelines for patients scheduled for periodontal or dental implant surgery. The following guidelines are intended to facilitate the surgical process. Please follow these guidelines closely and call our office if you need additional help. Medications: Firstly, advise our office of any changes in your medical history, including any changes in your medication history, on a timely basis. Begin all prescribed medications 1 hour before your scheduled appointment. If we have prescribed a steroid dose pack, take two (usually of 6) prescribed tablets, 1 hour beforehand. Flip the packet over for prescribing guidelines. (This should not be done if you are having an IV sedation). Also, take two extra strength (over the counter) Tylenol. Extra Strength Tylenol is currently difficult to find. Use either Tylenol Geltabs or store brand equivalents. Tylenol substantially boosts the effect of Ibuprofen (Motrin). This protocol will facilitate an uneventful and more comfortable post-treatment outcome). If you take a daily aspirin, or if you are any anti-coagulative medications, these must be stopped 5 days prior to the appointment. Make-up: Please remove all make-up before coming to the office. Make-up will contaminate the surgical site. Shaving: Unless you normally wear a beard or moustache, please shave cleanly (for hygienic reasons), prior to your appointment. Smoking: Try to cut back on the amount of smoking (if possible). This would include taking a lesser number of puffs on each cigarette. Bruising/swelling: Anticipate modest bruising and swelling. This is normal and routine following oral surgery. It will be controlled both by your medications, as well as ice packs on the outside of your face following treatment, and sucking on ice cubes, all at the same time. Clothing: Wear loose fitting clothing to the surgery appointment. Do not wear finest finery, and try not to wear white or other light colored items. Music: If you want to bring your own music, or IPOD, please do so. We will be providing you with a wide range of musical choices and a headset during your procedure. Cell phones: Please turn off your cell phones when you enter our office. PLEASE!!!
Rescheduling: This time has been specifically reserved for you. We need a minimum of 48 working hours notification, if you cannot make the appointment. A fee, for the full amount of the procedure is charged for broken appointments, or appointments cancelled without adequate notification Post treatment guidelines:
Contacting Dr. Richman: (C) 404/784-7272 (Poor cell phone reception at home) (H) 404/252-4052. Personal Email: email@example.com MEDICATIONS: Take and finish ALL medications – No Exceptions. Printed guidelines on each medication container override all verbal instructions from our office. Start all prescribed medications as soon as you get home, with a full glass of room temperature water. What you took earlier today does not count. All medications, including the pain medications must be taken until gone. Analgesics (pain tablets): Motrin /Ibuprofen), Take one 600 mg tablet every six hours. Two Tylenol Geltabs must be taken in between the Motrin (Ibuprofen). Tylenol doubles the efficacy of the Motrin/Ibuprofen. The Motrin and Tylenol will therefore be staggered every 3 hours, so that you end up taking each one every 6th hour. If this combination is not keeping you comfortable, call Dr. Richman at 404/784-7272. Discomfort may be expected during the first few days but the medication should keep you comfortable. Pain medication requiring a prescription, e.g. Tylenol III or Lorcet makes you drowsy. Do not drive a motor car or operate any machinery if you take prescription-type pain medication. This does not apply to Motrin/Ibuprofen. For females, certain medications, particularly antibiotics, (example Penicillin, Tetracycline, Doxycycline and others) are known to inhibit the effects of birth control medications. If you are on any form of birth control medication, please take appropriate precautions. Patients taking Tetracycline (Doxycycline) should not be exposed to the sun or tan with tanning lamps. If you experience severe nausea/ diarrhea/vomiting or dehydration, contact Dr. Richman. Exercise: No exercise that raises blood pressure for a minimum of 4 full days.
Precautions: Observation of surgical area: Do not pull your lips or cheeks back to view the surgical site, especially if you have had any grafting done. This will pull the gum flap away from the area, resulting in a failure. Do not allow your tongue to play with the edges of the gum or the sutures. Rinsing, Brushing and Flossing: Do not brush the surgical area, but brushing the teeth and gently flossing is appropriate starting tomorrow. Periogard, Peridex or Chlorhexidine, gently bathe the area (do not swish) with 15cc’s for 15 seconds, three times per day, start 1 hour before the surgery. Continue until contents of bottle are completed. Eating and Drinking: Do not eat or drink anything hot, until you get your feeling back. This will prevent burning and biting your lip or cheeks. Once you get your feeling back there are no restrictions relative to eating or drinking. Drink large quantities of orange juice (for Vitamin C) during the healing period. It is also important to eat a normal balanced diet. Swelling, bleeding and bruising: are normal post surgical features and will occur, please do not be concerned. Swelling and bruising may be extreme and extensive, do not be alarmed! All swelling should begin to decrease in 5-7 days. Swelling may be extreme – not a problem. Place ice packs over the surgery site for 30-40 minutes, 4 times a day for 4 days. However, if swelling and bruising is substantially worsening, please contact Dr. Richman. Expect some bleeding during the first 12 hours. If bleeding is excessive, this may be controlled by bathing (not rinsing) the area with a strong solution of cold tea and/or by placing a moist tea bag over the area and applying pressure over the tea bag for five minutes at a time. Dressing: Certain surgical procedures require a dressing over the operated area. If you have a dressing, it might be lost within the first 12 hours. This is normal. All the treated teeth (including those covered with a dressing, where applicable) should not be brushed for 1 week. Continue to brush and floss the remainder of your mouth thoroughly.
Zelf een brief posten Koop blanco kaarten, bedenk samen met de kinderen voor wie ze een de kaart gaan maken. Laat de kinderen er iets moois op tekenen, plakken, schilderen. Als ze klaar zijn, loop dan met z’n allen naar de brievenbus. Vergeet niet een krukje mee te nemen, anders kunnen de kinderen de kaarten niet zelf in de brievenbus gooien. En dat is natuurlijk wel zo leuk. Post ontv
The Effect of Adding Plant Sterols or Stanols to StatinTherapy in Hypercholesterolemic Patients: SystematicReview and Meta-AnalysisJennifer M. Scholle, BS, William L. Baker, PharmD, BCPS, Ripple Talati, PharmD, Craig I. Coleman, PharmDUniversity of Connecticut School of Pharmacy, Storrs (J.M.S., R.T., C.I.C.), Department of Drug Information, Hartford Hospital,Hartford (W.L.B., R.T.), Connecticut