POST-OPERATIVE INSTRUCTIONS FOR FRACTURE PATIENTS
You have sustained a significant injury to your jaws. It may have been necessary to treat your
fracture with wires, plates, or by a combination of both.
healing time for jaw fractures is 6-8 weeks.
It is important to follow the below instructions
may be prescribed several medications depending on the nature of your
injury. It is important to follow the
label directions for all of the medicines in which you are prescribed. Depending on the nature of your injury, it
may be necessary to treat your fracture with antibiotics. If antibiotics are prescribed, it is
important to take them exactly as prescribed and to take the antibiotic
until it is all gone.
effort will be made to give all medicines in the liquid form, however, some
medications are not available in the liquid form, so it may be necessary to
crush or dissolve your medicine in juice or water.
you were taking any prescription medicines prior to your injury, please
discuss this with your Doctor.
treatment of your broken jaw will affect the way you eat. When your jaws are wired together you will be
limited to a liquid or blenderized diet.
If you have a blender or food processor, it will be very helpful in the
preparation of your special diet.
due to swelling, the consistency of your food will be watery, but as time goes
by and swelling decreases, the consistency of the food which you drink may be
thicker. Use milk, water or broth to
dilute foods for the blender.
If your case does not require that your teeth be wired
together for the entire 6-8 week period, it is still important that you do not chew foods during this
healing period. The chewing of food
during this time can loosen plates and screws.
There are certain “no chew” food which you can eat such as puddings,
mashed potatoes, and cooked vegetables and pasta mashed with a fork.
You will be given a dietary supplement
(Ensure/Boost/Sustacal) to aid in your healing.
It is important to add this to your diet. It is not uncommon to loose up to 10% of your body weight during
the 6-8 week period of having your teeth wired together.
Oral Hygiene: A clean mouth will aid healing. A soft bristled toothbrush should be used
around braces and wires, as they tend to trap food. If you have an incision in your mouth, your
Doctor may instruct you to be cautious in this area during the first two weeks
Additionally, you may be prescribed a special mouth rinse
to aid in keeping your mouth clean.
may be beneficial to apply ice for the first 48 hours after surgery. The ice can be placed in a plastic bag and
alternated from side-to-side 20 minutes on and 20 minutes off. After 48 hours, heat may be beneficial in
decreasing swelling. A heating pad, hot
water bottle, or wash cloth with hot water can be used. Be careful not to make the water so hot as to
scald the skin.
Swelling typically takes 10-14 days to resolve. After the first 4-7 days, swelling should
begin to decrease. If you notice an
increase in swelling after this time period, it may indicate an infection or
other problem and you should call your Doctor immediately.
Incision Care: Depending on the type of fracture,
it may have been necessary to make an incision on your skin, or to repair
lacerations or wounds associated with your injury. Your care of these wounds is important to
prevent infection and minimize scarring.
Unless otherwise instructed by your Doctor, the bandage covering your
stitches should remain in place until the stitches are removed. If your dressing comes off before the
stitches are removed, care should be taken to avoid getting the stitches wet or
dirty. A topical antibiotic ointment
(Bacitracin, Polysporin) may be applied to the wound and stitches.
After stitches are removed the incision should be gently
cleaned twice a day with soap and water or peroxide to remove crusting. Topical antibiotic ointment can be applied
after each cleaning.
For the first six months, it is advisable to avoid
excessive sun exposure to your scar. If
you will be exposed to sunlight, you can apply sun block to the scar and wear a
wide brimmed hat to decrease the amount of sun exposure.
is important to return to fairly normal lifestyle as soon as possible after
injury. For the first two weeks after
injury we recommend that you avoid heavy lifting. Depending on the severity of your injury,
this time could be longer. Your Doctor
will discuss this with you.
Certain medications you may have received could affect
your reaction time and judgement, therefore, it is critical that you do not drive or operate dangerous
machinery for 24hours after your general anesthesia or last dose of narcotic pain
Alcohol may interact with your narcotic pain medication
and may impair your ability to heal your fracture. Alcohol should be avoided for the duration
of your treatment.
The braces and wires presently in your mouth are necessary
for the immobilization and proper treatment of your fracture. It is normal over a period of time for the
wires that hold your teeth together to become slightly loose. If your Doctor feels the wires are too loose,
he/she can re-tighten them at your follow-up appointment.
It is uncommon for the wires which hold your teeth
together to come completely off or break, however, if this occurs call your
CUTTING OFF THESE WIRES MAY LEAD TO INFECTION AND IMPROPER HEALING WHICH COULD
RESULT IN THE NEED FOR ANOTHER OPERATION IN WHICH PART OF THE JAW MAY BE
REMOVED DUE TO INFECTION.
It is quite common for the wires and braces to irritate
gum and cheek tissue. If your wires
begin to bother you, at your follow-up visit, ask your Doctor for some wax,
which can be placed over wires to provide relief from irritation.
A common question you may have is “What if I get sick and
my jaws are wired together?” The answer
is first and foremost DON’T PANIC! Since your wires will only allow you to
ingest liquid, you will only vomit liquid. Simply bend over and allow the
liquid to run between the spaces around your teeth. If you believe it is an absolute EMERGENCY, you may cut the wires
but you must notify your Doctor immediately.
Occasionally, you may experience other symptoms, which you
may wish to discuss with your Doctor. Examples are:
Temperature > 102°F
In the event of
an emergency, you may contact Dr. Steinbeck at (859) 781-0500.
It is absolutely critical that you attend your regularly
scheduled follow-up appointments. Due to
the severity of jaw injuries and potential for complications, you will need to
be evaluated on a regularly scheduled basis until your Doctor is assured
adequate healing has occurred. Failure
to attend follow-up appointments could result in further complications.
If it is necessary to cancel or reschedule your follow-up
appointments please call the office of Dr. Frederick L. Steinbeck, DDS MD at