Dr. Segelnick and Dr. Mantzikos are always concerned about their patients after treatment. 

They are always available, and can be reached in cases of emergency  at 917-964-3132 or 917-833-0295.

For your convenience we have provided copies of the most common post operative instructions below:

Instructions following periodontal surgery

1.    Do NOT rinse today. AVOID extremely hot and cold foods and liquids.

2.    The dressing over the treated area is for your protection. Leave it in
place. Do not be concerned if small pieces of the dressing come off.
the dressing comes off AND the exposed gum surface is
sensitive then call the office. Return for a follow up exam as
indicated, probably within a week or two to remove the dressing and the

3.    Mild discomfort can be controlled with two Tylenol (or similar tablets) every
3 to 4 hours. Aspirin should NOT be used unless directed. If a
had been prescribed, take only when necessary. If an
ANTIBIOTIC has been prescribed, take ALL the medication to help
prevent infection.


5.    Avoid alcoholic beverages during the postoperative period, especially if you
take medication. You should refrain from smoking.

6.    To minimize swelling which may occur, apply an ICE PACK on your face
next to the treated area. Leave the ice in place for ten minutes and
then remove it for ten minutes. Repeat this routine, ice pack on for 10
minutes, off for 10 minutes, for at least two hours. Do not use the ice
pack (or applications of heat after 24 hours following surgery). If the
swelling is severe, and/or you feel feverish, please call the office.

7.     Avoid excessive exertion (jogging, swimming, tennis, etc.) for the next week.

8.    BRUSH and FLOSS the teeth well, BUT NOT IN THE TREATED AREA.
Avoid excessive rinsing which may dislodge the dressing.

9.    Eat on the OPPOSITE side of the surgery. Good foods include: milk,
yogurt, fish, eggs, soup, cheese, chopped meat, baby foods, cooked
cereal, cooked vegetables, Jell-O, and soft fruits. Avoid foods that are
hard, sharp, have seeds, are spicy or very hot. Please refrain from
eating and drinking until the local anesthetic has worn off. BE

10. If bleeding occurs – DO NOT RINSE! Moisten a gauze pad or fresh tea
bag with warm water. Place it over the area and hold it firmly in place
for 10-20 minutes, without interruption. Repeat if necessary.

Care of the mouth after extraction

1. Do not rinse mouth today. Tomorrow, rinse mouth gently every 3 to 4 hours
(especially after meals) using ¼ teaspoon of salt to a glass of warm
water. Continue rinses for several days.

2. Following extractions, some bleeding is to be expected. If persistent
bleeding occurs, place gauze pads over bleeding areas and bite down
firmly for one half hour. Repeat if necessary.

3. An ice pack or chopped ice wrapped in a towel should be applied to
operated area. Half hour on, half hour off for 4-5 hours.

4. For mild to average pain, use any non aspirin type of medication you

5. A light diet is advisable for the first 24 hours.

6. Small sharp bone fragments may work up through the gums during healing.
These are not roots; if annoying, return to the office for their simple

7. If any unusual symptoms occur, call the office at once.

8. The proper care following oral surgical procedures will hasten recovery
and prevent complications.

Instructions following sinus grafting

Do not blow your nose.

2. If you must sneeze, do so with your mouth open to avoid any
unnecessary pressure.

3. Do not smoke or use smokeless tobacco. Smoking greatly
inhibits the healing, especially in the sinus graft.

4. Do not take liquids in through a straw.

5. Do not lift or pull up on your lip to look at the stitches,
as this may actually create damage and tear the stitches.

6. Do not put pressure on the surgical site from inside or
outside the mouth.

7. Take your antibiotics as directed and until finished.

8. You may have some bleeding from the nose. This is not
uncommon and should pass quickly.

9. You may be aware of small granules in your mouth for the
next few days. This is not unusual, as your graft is mainly made of
particles and some excess particles will be lost.

10. If you feel congested, you may need to use antihistamines or decongestants. If
you do, use over the counter products such as Sudafed, Tavist-D or
Dimetapp. I would also suggest that you avoid nasal sprays, unless they
are saline.

Please call ADVANCED PERIODONTAL SERVICES, PC if you have any

Please click on the link for our:  HIPAA Notice of Privacy Practices