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      <image:caption>SANDRA | Practice Manager</image:caption>
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    <lastmod>2020-02-26</lastmod>
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    <lastmod>2019-10-06</lastmod>
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    <loc>https://www.dryarmand.com/pre-op-instructions</loc>
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    <lastmod>2019-10-16</lastmod>
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      <image:title>Pre-Op Instructions</image:title>
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    <loc>https://www.dryarmand.com/post-op-instructions</loc>
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    <lastmod>2020-02-26</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569276043882-OIYUMTN4NSK3ZFS9LT82/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Medications.jpg</image:loc>
      <image:title>Post-Op Instructions - medications</image:title>
      <image:caption>Pain – for simple types of surgery, two regular strength Advil or Tylenol tablets may be used as necessary to relieve the pain. If the pain is more severe, a prescription will be given that is to be taken as directed. The first tablet should be taken before the anesthetic wears off. Narcotic pain medicine may cause some dizziness; do not drive. Ibuprofen can be taken together with narcotics, although this can cause increased upset stomach. Antibiotics and other medications should be taken until the prescription is finished. For nausea or upset stomach, Gravol can be taken with your medication. If a rash, severe stomach cramps or diarrhea occurs, stop taking your medication and call our office.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569275608918-MIP9YHX0C3SVWKZLME8K/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Stitches.jpg</image:loc>
      <image:title>Post-Op Instructions - stitches</image:title>
      <image:caption>Dissolving stitches are used to control bleeding in the area of the surgery. These stitches gradually dissolve and come out on their own (2-10 days).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569276218637-RY54DX8CAOKCEQ6PZR2F/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Constipation.jpg</image:loc>
      <image:title>Post-Op Instructions - constipation</image:title>
      <image:caption>Codeine in pain medicine is constipating. If this occurs, a mild laxative such as Milk of Magnesia may be taken. It is also recommended that you Increase your fluids</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569274857053-VQ6FN9L4POYR1XSNDT79/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Nauseau.jpg</image:loc>
      <image:title>Post-Op Instructions - nausea</image:title>
      <image:caption>Nausea is quite common and may occur after an anesthetic or from some medications especially narcotic pain medications. Gravol, flat carbonated drinks, such as cola or ginger ale will aid to relieve nausea.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Post-Op Instructions - oral hygiene</image:title>
      <image:caption>DO NOT rinse your mouth on the day of surgery as this can disturb the healing process. Gently rinse on the day following surgery. Rinse every few hours and especially right after eating. Rinse with ½ tsp of salt in a glass of warm water or any diluted mouth rinse. These directions do not apply to Peridex which you should use only as directed. Begin brushing your teeth when comfortable. SMOKING IS BEST AVOIDED FOR AT LEAST 3 DAYS.</image:caption>
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      <image:title>Post-Op Instructions - limited mouth movement</image:title>
      <image:caption>This is a normal protective mechanism and is due to fluid in the jaw muscles. It will gradually disappear after a few weeks. Massage the area and apply heat. Mouth opening exercises can also help.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Post-Op Instructions - diet</image:title>
      <image:caption>Avoid hot drinks until the local anesthetic has worn off. Your jaw may be stiff or your throat sore. You will be able to drink and may be able to eat soft foods. Drinking should begin immediately upon arriving home from surgery. Drink water, soups, fruit and vegetable juices. Resume a regular diet as soon as you are able to.</image:caption>
    </image:image>
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      <image:title>Post-Op Instructions - bleeding</image:title>
      <image:caption>It is normal for the saliva to be streaked with blood for one or two days. If frank bleeding is present, fold gauze into a firm, thick wad and place directly onto the socket or against the operative site and maintain steady pressure for twenty minutes or longer. The less frequently the gauze is changed the better. Do not spit. Do not chew gauze. A tea bag moistened in lukewarm water may be substituted for the gauze pad.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569275463302-Y13HQDLCGJRP64KLVC00/image-asset.jpeg</image:loc>
      <image:title>Post-Op Instructions - temperature elevation</image:title>
      <image:caption>A temperature increase of up to about 102 F or 39 C is common for up to 48 hours following surgery. If your temperature exceeds this, please call our office.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569274383458-T61ICQF4COXOLHQA4ZPM/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Bleeding.jpg</image:loc>
      <image:title>Post-Op Instructions - swelling, bruising &amp; discomfort</image:title>
      <image:caption>Swelling, bruising and discomfort may occur after surgery which is completely normal. Swelling of the face and neck may result from the surgical removal of teeth. Swelling peaks after 48 hours, and then gradually subsides. It is normal for bruising to appear on the jaw and upper neck. Most of the discomfort will subside within a week. Although ice has little effect on swelling, an ice bag may be applied outside the face next to the site of surgery, twenty minutes on and twenty minutes off for the first twenty four hours.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1569273521448-Y89O86ZOWA6R6O17Q6GT/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Post-Op-Instructions.png</image:loc>
      <image:title>Post-Op Instructions</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.dryarmand.com/contact-us</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-10-16</lastmod>
  </url>
  <url>
    <loc>https://www.dryarmand.com/procedures</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-10-16</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1571245539448-3Q4VXJ55616LYWE6HELL/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Dental+Implants-Procedures.jpg</image:loc>
      <image:title>Procedures - dental implants</image:title>
      <image:caption>Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function just like natural teeth. The person who has lost teeth regains the ability to eat virtually anything, knowing that teeth appear natural and that facial contours will be preserved. Patients with dental implants can smile with confidence. Click here for some frequently asked questions.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1571245546740-0QT3NE70L5IF30XDVMU4/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Bone-Grafting-Procedures.jpg</image:loc>
      <image:title>Procedures - bone grafting</image:title>
      <image:caption>Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants. Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance. Click here for more information about bone grafting.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1570735061287-YH70O82WJBXQ6O9W9JMV/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Wisdom+Teeth+Removal-Procedures.jpg</image:loc>
      <image:title>Procedures - wisdom teeth removal</image:title>
      <image:caption>The educational material provided in this section gives you important information about your Wisdom Teeth (also known as Third Molars), reasons for their removal, possible problems associated with their removal and expectations about the post-operative experience. Click here for some frequently asked questions.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1570399803550-ZFPA21FT3V2K8STV0TLI/Dr.+Yarmand+-+North+York+Oral+%26+Maxillofacial+Surgery+Centre+-+Heres+What+We+Do.png</image:loc>
      <image:title>Procedures</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.dryarmand.com/wisdom-teeth-removal</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-02-26</lastmod>
  </url>
  <url>
    <loc>https://www.dryarmand.com/dental-implants</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-10-06</lastmod>
  </url>
  <url>
    <loc>https://www.dryarmand.com/bone-grafting</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-02-26</lastmod>
  </url>
  <url>
    <loc>https://www.dryarmand.com/referral-forms</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-03-16</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1574773461544-46P698951GBPQYGWYQ5R/referreal+form.png</image:loc>
      <image:title>Referral Forms</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1571249012898-NY1NPR5EAWUHJTMQK3YK/Dr+Yarmand+-+North-York-Oral-Surgery-and-Implant-Centre-Referral+Forms.jpg</image:loc>
      <image:title>Referral Forms</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.dryarmand.com/new-page-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-03-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1616173965373-DAMOI5NOG43PSAG8AQM9/Jake+2-ext+copy.jpg</image:loc>
      <image:title>Dr. Rifkind</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.dryarmand.com/dr-tocchio</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-02-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5d7bcfb47606e352c9d7fdfe/1666990236256-GNUWDYD3ASZ069TVE5NY/Tocchio-Resized+copy.jpg</image:loc>
      <image:title>Dr. Tocchio</image:title>
    </image:image>
  </url>
</urlset>

