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Dr. Gregory J. Pernoud, DDS

Oral & Maxillofacial Surgeon

What to Expect

We offer our patient's personalized and caring attention with careful consideration of patient anxiety prior to a surgical procedure. Dr. Pernoud has had extensive anesthesia training that enables him to sedate patients when necessary to ensure comfort.  Your comfort is top priority at our office. We are also available for emergency care.  We offer convenience and availability by offering care at two locations in Festus and Rolla, Missouri.

Before you appointment:

When you call and schedule your appointment, our staff will collect some basic information.  We will answer your questions and concerns regarding your surgery, post operation care, financing, and insurance.

At your appointment:

In order to provide you with the highest quality of care, Dr. Pernoud will meet with you for an initial consultation and will explain the surgical procedure to you.  In most cases, we are able to complete the procedure the same day. 

Post Oral Surgery Instructions


Bite on gauze for one hour after surgery.  If bleeding continues, replace gauze and apply pressure by biting down.  Some oozing is common fro 24 hours.  Keep your head elevated about your heart as much as possible to reduce bleeding.


Take Motrin as directed for the first TWO days whether or not you feel you are having pain.

Do not take pain medicines on an empty stomach; this may cause nausea and vomiting.  If you are nauseated, STOP taking your pain medication immediately.  Nausea and vomiting may continue for 24 hours after you stop taking the medication.

If pain occurs after the first post-operative day such as a dull, constant throbbing pain, you may have a dry socket and will need to return to the office packing placement.  Continue taking prescribed medication until an office appointment can be made.  If you have pain over the weekend or when the office is closed, keep the area clean with salt-water rinses and call during business hours for an appointment.

Antibiotics may cause decrease effectiveness of birth control pills and other methods of birth control should be used for this cycles.


Some swelling can be expected, usually increasing for 3 days and then decreasing over the next 3 days.  To help minimize swelling, keep your head elevated above your heart as much as possible and sleep with extra pillows under you head.

FOR THE FIRST DAY ONLY, apply an ice pace over infected area on and off every 15 minutes, or alternate sides of the face.  No heating pads.


Brush teeth gently today.  The day after start salt water rinses.  One teaspoon of table salt in on e glass of warm water.  You may also use Listerine 4x or Crest 3D whitening mouthwash but no alcohol based mouthwashes.

There may be a stitch in your cheek.  Chromic sutures, which are frequently used, will dissolve with regular salt-water rinses or on their own.  Silk sutures will be removed at your next appointment.


  • Use alcohol based mouthwash for 7-10 days
  • Smoke for 24 hours
  • Eat hard foods for 24 hours.  Eating is very important to make you feel better and heal properly.  Eat soft foods today then increase your diet as tolerated.  Drink plenty of fluids.
  • Drink alcoholic beverages for 24 hours, or while pain medication is being used.
  • Drink through a straw
  • Expectorate (spit).  This will promote bleeding.

If you have any questions or problems, please contact our office immediately.