Beginning March 17th, until further notice, services will be provided via telephone, email and mail; Offices will be closed to walk-in clients. Read more here.
Confederated Tribes of Siletz Indians            Coronavirus Updates & Resources
 
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Mission Statement
“Dedicated to the Health and Well-being of the Members of the Confederated Tribes of the Siletz Indians and the local community.”
 
Core
Our Core Standards reflect how we value our Patients, Visitors and Co-workers by:

v  Providing a Safe and Sanitary Environment

v  Proving High Quality Health Care Services

v  Treating Patients with Consideration, Dignity and Respect

v  Promoting Improvement of Professional Competence, Skill and Quality

v  Using Protected Electronic Records System that Allow Prompt Retrieval

Our Siletz Tribal Council assumes full responsibility for the operations and performance of SCHC.
 
Community Health Clinic Services During COVID-19

 
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Until further notice, please call the clinic at 541-444-1030 before planning to come in and with any questions regarding the availability of services, as they are limited at this time.

Click to read about COVID-19 Testing at the Clinic

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Healthcare


Address

200 Gwee-Shut RD
PO Box 320
Siletz, OR 97380-0320 

Telephone
541-444-1030 or 800-648-0449

Hours
Monday—Thursday 7:30AM—5:00PM
Friday 10:00AM—5:00PM

Same-Day Access Visits can be scheduled by calling the clinic. You will be given an appointment time for that day or the next day.

Facebook Page:  https://www.facebook.com/SiletzHealthClinic/

Health Director:                 Marci Muschamp marcim@ctsi.nsn.us
Admin/QI Coordinator:         Ralene Butler         raleneb@ctsi.nsn.us

 

Dental Clinic »

Post Operative Instructions »

Post Operative Instructions

Post-Extraction Take-Home Surgery Instructions

PDF Version

DAY OF SURGERY

FIRST HOUR:

  • Bite down gently but FIRMLY on the gauze packs, making sure they remain over the surgical site.  This is what controls the bleeding.  Only change them if they are soaked with blood.
  • REMAINDER OF THE DAY:
  • The packs may be gently removed after one hour.  If excessive bleeding persists, replace with new gauze that has been moistened with tap water.
  • Do not disturb the surgical area today. No vigorous rinsing, no poking the area, NO SMOKING, spitting, or any other sucking action (these will cause very painful dry socket about 7 days out).
  • Brush your teeth gently that first day.

BLEEDING:

  • Intermittent bleeding or oozing overnight is normal.  To stop, place fresh gauze over area and bite firm but gentle for 30-45 minutes at a time. 
  • If bleeding is excessive reposition the gauze so it is directly on the surgical site and bite firmly on the area for 30 minutes.  As a last resort soak a black tea bag in very hot water, squeeze out water, and wrap in most gauze and bite for 20 minutes.  If none of these work, please call our office.

SWELLING:

  • Swelling is to be expected and can worsen four days out from surgery. 
  • To minimize swelling, use a cold pack wrapped in a towel and apply firmly to the outside of your cheek for 20 minutes at a time. 
  • Medication will help reduce swelling, (ie…Ibuprofen).

PAIN:

  • You have just had a major surgery and will experience discomfort afterwards. 
  • Remedy by taking the prescribed medication well in advance of your anesthetic wearing off.  

MEDICATION & NAUSEA:

  • Take only the amount prescribed.  Laws prevent us from prescribing more pain medication before the first prescription runs out.  If a refill is needed, we are required to see you again to evaluate the cause of your continued discomfort.  Therefore, prescriptions are only refilled during office hours and will not be replaced if they are lost or stolen.
  • Nausea can happen following surgery, usually a side effect of medications and how they are taken.  Take pain medication with a small amount of food and lots of water to stop nausea.

DIET:

  • Make sure to drink plenty of clear liquids during the healing process.
  • You must eat each day to heal quicker, gain strength, and ultimately feel better.  Eat what you can comfortably eat.  We recommend soft or liquid foods the first day.  If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.
  • Avoid hard, sharp, hot, spicy, and acidic foods, (ie…chips, seeds, nuts, popcorn, etc.).  They can irritate the area and cause bleeding.

 

DAY 2 AND BEYOND

MOUTH RINSING:

  • Warm salt water rinses can improve healing and comfort.
  • Don’t spit.  Rather let the liquid dribble out of your mouth into the sink.

BRUSHING:

  • Begin your normal oral hygiene routine as soon as possible after surgery.  Be gentle around the surgical area.

SWELLING:

  • You may press a warm moist towel to the cheek for 20 minutes at a time.  This will also help with any stiffness.

WHAT IT WILL LOOK LIKE:

  • The gums will gradually close up the next few weeks. 
  • The bone however will take 6 months or more to heal.
  • Your gums may appear red and possibly white.  They will be swollen and bumpy.  As the weeks progress, you will notice a cream colored center which is part of the normal healing process.

SHARP EDGES:

  • If you feel something hard or sharp in the surgical area, it is likely to be bone.  This will smooth out over the next few months as your bone fills in.  If the piece is loose, it may be a bone chip from the surgery.  It is common and is only working its way to the surface.  Remove it if you can or call the office and we will remove it for you.

OTHER TIDBITS:

  • Food debris can get into the surgical site and cause irritation and tenderness.  Try to retrieve it with gentle rinsing.  If you can’t, call our office.
  • After 5 days, you can rinse the area using a plastic irrigating syringe if you were given one by us.

 

Post-Implant Take-Home Surgery Instructions

PDF Version

DAY OF SURGERY

BLEEDING

  • Some bleeding or “oozing” for the first 24-36 hours is common.
  • Keep your head well elevated the first 24 hours.
  • Gently bite on gauze for 30 minutes.  Wash hands, remove the gauze and replace with new one every 30 minutes for the first 3 hours, or until bleeding has slowed. 
  • If bleeding is severe, reposition the gauze so it is directly on the surgical site and bite firmly on the area for 30 minutes.  As a last resort soak a black tea bag in very hot water, squeeze out water, and wrap in most gauze and bite for 20 minutes.  If none of these work, please call our office.
  • Do not disturb the surgical area today. No vigorous rinsing, no poking the area, NO SMOKING, spitting, or any other sucking action.

ORAL HYGIENE

  • Do not brush the surgical site/healing cap for 12 hours following surgery.
  • After 12 hours, you may carefully brush your teeth with a manual toothbrush (do not use toothpaste until the 3rd day). 
  • Do not use a Waterpik® or hydrogen peroxide.

SWELLING & BRUISING

  • Swelling and bruising is to be expected and can worsen 7 days out from surgery. 
  • To minimize swelling, use a cold pack wrapped in a towel and apply firmly to the outside of your cheek near surgical site for 10 minutes with 20 minute breaks in-between for 48 hours. 
  • Medication will help reduce swelling, (ie…Ibuprofen).

PAIN

  • You have just had a major surgery and will experience discomfort afterwards. 
  • Remedy by taking the prescribed medication well in advance of your anesthetic wearing off.  

MEDICATION & NAUSEA

  • Take only the amount prescribed.  Laws prevent us from prescribing more pain medication before the first prescription runs out.  If a refill is needed, we are required to see you again to evaluate the cause of your continued discomfort.  Therefore, prescriptions are only refilled during office hours and will not be replaced if they are lost or stolen.
  • Nausea can happen following surgery, usually a side effect of medications and how they are taken.  Take pain medication with a small amount of liquid food and lots of water to stop nausea.

CPAP

  • If you have been advised by your doctor to use a C-PAP machine, use it during your recovery to prevent respiratory complications with prescribed medications.

DIET

  • Make sure to drink plenty of clear liquids during the healing process.
  • You must eat each day to heal quicker, gain strength, and ultimately feel better.  We recommend high protein liquid foods the first day.  If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.
  • If you are wearing an immediate prosthesis (flipper/retainer) during the healing period, you must remove it while eating as to not apply pressure on the implant.

PHYSICAL ACTIVITY

  • Avoid all physical exertion and exercise the day of surgery.  Get plenty of rest.

 

DAY 2 AND BEYOND

MOUTH RINSING

  • Warm salt water rinses can improve healing and comfort.
  • Don’t spit.  Rather let the liquid dribble out of your mouth into the sink.

DIET

  • Eat very soft high protein foods as tolerated.  Boiled eggs, milk, ice cream, malts, boiled chicken, soup cheeses, junior foods, etc.
  • Avoid hard, sharp, hot, spicy, and acidic foods, (ie…chips, seeds, nuts, popcorn, etc.).  They can irritate the area and cause bleeding. DO NOT CHEW ON IMPLANT.

SWELLING

  • You may press a warm moist towel to the cheek for 20 minutes at a time.  This will also help with any stiffness.

WHAT IT WILL LOOK LIKE

  • The gums will gradually close up over the next few weeks. 
  • The bone however will take 6 months or more to heal.
  • Your gums may appear red and possibly white.  They will be swollen and bumpy. 

OTHER TIDBITS

  •  Food debris can get into the surgical site and cause irritation and tenderness.  Try to retrieve it with gentle rinsing.  If you can’t, call our office.
  • If sutures were placed, depending on the type they may dissolve and fall out.  If non-dissolving was used, we will schedule you a follow up appointment to have them removed.
  • If healing abutment becomes loose or comes off, call us to have it replaced.
 
 

Denture & Partial Instructions

PDF Version

Congratulations on your new smile!  We are sure you will want to do everything you can to protect it.  Here are some helpful hints:

Dentures and partials are life changing in many ways and require time to adjust.  In the meantime, expect a change in eating, biting, speech, taste, temperature, and esthetics.  However, before long, you will learn to overcome each of these.

DO’S & DON’T:
  • DON’T wear your denture/partials during the night.  This will prevent fungal growth in your mouth and on your denture.
  • DON’T use bleach to clean your metal-based partial.  It will tarnish the metal structure and lead to rusting.
  • However, you can bleach your full acrylic denture for less than 10 minutes at a time.  Any longer than 10 minutes will damage the denture.  Use a ratio of 1(bleach):10(water) when you do.  This should only be done periodically.
  • DON’T boil your denture/partial.
  • If your denture is loose, collects food debris, or is causing sore spots, DO try to use a small amount (3 pea size drops) of Fixodent to hold in place, seal out food, or to act as a cushion.  Make sure to remove this material from your mouth and denture daily.
  • If you develop a sore area, DO keep the appliance out of your mouth as much as possible and use Oragel or Anbesol to numb the area until you can get an appointment with us to have the area adjusted on your partial.  
  • If you have had teeth removed recently, DO expect the partial to require adjustment and relining in the future.  This is because your bone and gums will change shape over the next six months as they heal, thus creating gaps between your appliance and gums.

CLEANING GUIDE:
  • Dentures/partials need to be cleaned daily by soaking and brushing them in an effective over-the-counter non-abrasive cleaner outside of the mouth.    
Brushing your denture can scratch the acrylic/plastic surface of your denture/partials.  Brush gently and with a soft bristle brush.
  • Rinse off the cleaner before inserting into your mouth or before storing in water overnight.  They can warp if they aren’t stored in your mouth or in water.
  • Have your appliance professionally cleaned once a year by your dentist.
Enjoy your new smile and give us a call if you have any questions!