Surgical Instructions

General Information

You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment.

No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.

A responsible adult must accompany you and drive you home. Your driver must come into the office and be present during the consultation/surgery.

The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.

Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.

Dentures must be removed at the time of surgery.

Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.

If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.

If you take routine oral medications, please check with our office prior to your surgical date for instructions.

General Information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and one day after.

Patients that have been prescribed narcotic pain medications and /or have had IV anesthesia or general anesthesia should not drive, operate machinery, or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

It is in your best interest not to smoke following surgery. Smoking can delay wound healing and increase the likelihood of “dry socket”.

If you have a denture, you need to wear it as little as possible. You can wear it to eat or when in public, it is best to remove it as much as possible to promote the healing process.

Bleeding

You may have oozing of blood for 24-48 hours after surgery but no heavy bleeding should occur. If heavy bleeding occurs return to the office or call for instructions. Moist gauze should be placed over the surgical site(s) for approximately one hour following surgery and repeated as needed. Avoid spitting, sucking, and the use of straws during the first few days following surgery.

Swelling

Swelling is a normal body reaction to surgery and may develop over 48 hours following surgery. Bruising may also develop which is also normal. Ice should be applied to the outside of your face in the area of the surgical site during the initial 48 hours following surgery. The swelling should begin to subside on the third or fourth day following surgery but may not be completely resolved until 7-10 days after surgery.

Pain

Post-operative pain is very common during the first 2-3 days following surgery. Please take the prescribed medication as directed. If this is unsuccessful, please call our office.

Stitches

If you have stitches they will generally resolve on their own in 3-10 days. You will be notified if you need to have them removed.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Infection

The best way to help prevent infection is to take your antibiotics (if prescribed) and keep your mouth as clean as possible. You may start brushing and rinsing the day after surgery. Please rinse with warm salt water (1/4” to1/2” teaspoon per cup of water) approximately 3-5 times a day for seven days following surgery.

Diet

Eat normal regular meals as soon as you are able after surgery. Cold, soft foods such as ice cream or yogurt may be the most comfortable for the first day. Foods which contain seeds, nuts, or kernels such as popcorn and peanuts or are hard and crunchy should be avoided for several days following surgery.

Nausea and/or Vomiting

Occasionally nausea and vomiting may be a post-operative problem. The most common causes are the pain medication, anesthesia, or swallowing of blood. If you are having problems with nausea and/or vomiting, maintain a clear liquid diet and use Extra Strength Tylenol for pain. If the problem persists, please call our office.

Follow up appointments

Dr. Baker will want to see you at 2-3 weeks, also at 6-8 weeks. You will then be able to make an appointment with your restorative dentist for your final restoration.

General Information

The following information applies when grafting material has been placed into extraction sites to help preserve your jawbone in preparation for possible implant replacement of the extracted tooth.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. It’s normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:

• Do not disturb or touch the wound.
• Avoid rinsing or spitting for 2 days to allow blood clot and graft material stabilization.
• Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
• Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
• Do not smoke.

Following the second day, gentle rinsing would be allowed but not too vigorously as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you may have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.

It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office. Please try to call during office hours; however a 24-hour answering service is available for after hours contact with a doctor. The after hours telephone number is (402) 463-3088.

After Sinus Lift

The following information applies when upper jaw bone height or width have been lost. The graft is placed to help restore your jawbone in preparation for possible implant replacement of the missing tooth or teeth.

You have had a Sinus Lift Augmentation procedure in your upper jaw. This procedure regains lost bone height in the area of your first and second molar and occasionally second premolar. It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.

The bone that has been grafted is most commonly a combination freeze-dried bone, artificial synthetic bone and your own bone. Because of this you may have two post-surgical wounds: the donor site and the recipient site.

DO NOT UNDER ANY CIRCUMSTANCES. BLOW YOUR NOSE FOR THE NEXT FOUR (4) WEEKS. This may be longer if indicated. You may sniff all you like but NO BLOWING.

Do not blow your nose or sneeze holding your nose. Sneeze with your mouth open. Do not drink with straws and do not spit. Scuba diving and flying in pressurized aircraft may also increase sinus pressure and should be avoided. Decongestants such as Drixoral, Dimetapp, or Sudafed will help reduce pressure in the sinuses. You may also be given a prescription for antibiotics. Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided. Avoid “bearing down”—as when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure. Smoking must be stopped. If necessary Dr. Baker can prescribe Nicoderm patches.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection

Oral Hygiene

Do not rinse or spit on the day of your surgery. This tends to disturb the blood clot, open the wound and can prolong bleeding and slow healing. You should not have a significant amount of blood in your mouth. Saliva can be swallowed, even if slightly blood tinged.

Keeping your mouth clean after surgery is essential to reduce the risk of infection. Start salt water rinses the day following your procedure. Use one-half teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least four to five times daily and always after eating for the next five days.

Do not brush the teeth in the area of surgery for 48 hours. When brushing, be very gentle. When expectorating, also be gentle.

Do not smoke for at least two weeks after surgery, if at all. As discussed at your consultation, smoking dramatically increases the risk of bone graft and sinus augmentation failure. Dr. Baker can prescribe a Nicoderm patch if you feel you need it.

Wearing your Prosthesis or Nightguards

Partial dentures, flippers, or full dentures should not be used immediately after surgery until your post-operative appointment unless specifically instructed otherwise. Please contact the office if there is any question. If you have a temporary “flipper” to wear do not place it until the numbness in the area is gone. When it is placed it should not touch the gums in the area of the surgery. If it does, this can cause ulceration of the wound edges and breakdown of the suture margins. This can lead to loss of the graft. If you have questions about the fit of your flipper, partial or complete denture, do not wear it until your general dentist or our office can see you.

Post-Operative Problems or Complications

As with any procedure, unexpected post-operative healing can occur. If you notice the unexpected flow of air or liquids between your mouth and nose, please let us know immediately.

If you are aware of several small particles of graft material being discharged from your nose, let us know as well.

If you experience sinus or nasal congestion on the side your surgery was performed, let us know.

If there is an increase in swelling in your mouth, cheek or under your eye after 3 days, let us know.

It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office. Please try to call during office hours; however a 24-hour answering service is available for after hours contact with a doctor. The after hours telephone number is (402) 463-3088.

General Information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and one day after. Usually contact sports should not be resumed for approximately 1 week postoperatively. Musical wind instruments should not be played for at least 1 week to 10 days after most oral surgery.

Patients that have been prescribed narcotic pain medications and /or have had IV anesthesia or general anesthesia should not drive, operate machinery, or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

It is in your best interest not to smoke following surgery. Smoking can delay wound healing and increase the likelihood of “dry socket”.

Bleeding

You may have oozing of blood for 24-48 hours after surgery but no heavy bleeding should occur. If heavy bleeding occurs return to the office or call for instructions. Moist gauze should be placed over the surgical site(s) for approximately one hour following surgery and repeated as needed. Avoid spitting, sucking, and the use of straws during the first few days following surgery.

Swelling

Swelling is a normal body reaction to surgery and will develop over 48 hours following surgery. Bruising may also develop which is also normal. Ice should be applied to the outside of your face in the area of the surgical site during the initial 48 hours following surgery. The swelling should begin to subside on the third or fourth day following surgery but may not be completely resolved until 7-10 days after surgery.

Pain

Post-operative pain is very common during the first 2-3 days following surgery. Please take the prescribed medication as directed. Persistent pain after three days may indicate a “dry socket”. In most cases, pain associated with “dry socket” can be controlled with prescribed pain medications. If this is unsuccessful, please call our office.

Sutures

If you have sutures they will generally resolve on their own in 3-10 days. You will be notified if you need to have them removed.

Infection

The best way to help prevent infection is to take your antibiotics (if prescribed) and keep your mouth as clean as possible. You may start brushing and rinsing the day after surgery. Please rinse with warm salt water (1/4” to1/2” teaspoon per cup of water) approximately 3-5 times a day for seven days following surgery.

Diet

Eat normal regular meals as soon as you are able after surgery. Cold, soft foods such as ice cream or yogurt may be the most comfortable for the first day. Foods which contain seeds, nuts, or kernels such as popcorn and peanuts or are hard and crunchy should be avoided for several days following surgery.

Nausea and/or Vomiting

Occasionally nausea and vomiting may be a post-operative problem. The most common causes are the pain medication, anesthesia, or swallowing of blood. If you are having problems with nausea and/or vomiting, maintain a clear liquid diet and use Extra Strength Tylenol for pain. If the problem persists, please call our office.

Numbness

If you experience numbness of the lip, chin or tongue that does not resolve within 10 days following surgery please call our office (402) 463-3088.

Other Complications

Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Dr. Baker.

Immediate dentures involve

Taking an impression of your mouth while your teeth are still present. The denture is than made based on impressions, records, and patient desires. This process is done with your general dentist.

The denture will be sent to Dr. Baker and be available the day of surgery. Immediately after the extractions the denture is placed which may help minimize swelling. If the denture is not placed in a timely fashion, swelling may prevent you from being able to wear your denture immediately following surgery.

You need to make an appointment with your dentist for the day after surgery. He/She will remove your denture for the first time. After this, you will remove your denture 3-5 times a day to do warm salt-water rinses (¼” to ½” teaspoon per cup of water).

Night

The first night should be the only night you wear your denture to bed. The gum tissue needs to rest and to allow normal stimulation and cleansing by the tongue and saliva in order to promote long-term health of your gums.

As the swelling resolves you will need to see your dentist to have adjustments made to your denture. Your dentist will give you instructions on how to take care of your denture.

Diet

Eat normal regular meals as soon as you are able after surgery. You may need to maintain a soft or liquid diet for 3-5 days following placement of the denture. Cold, soft foods such as ice cream or yogurt may be the most comfortable for the first day. Foods that contain seeds, nuts, or kernels such as popcorn and peanuts or are hard and crunchy should be avoided for several days following surgery.

General information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and one day after. Usually contact sports should not be resumed for approximately 1 week postoperatively. Musical wind instruments should not be played for at least 1 week to 10 days after most oral surgery.

Patients that have been prescribed narcotic pain medications and /or have had IV anesthesia or general anesthesia should not drive, operate machinery, or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

It is in your best interest not to smoke following surgery. Smoking can delay wound healing

Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food while you are numb. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

Post-operative pain is very common during the first 2-3 days following surgery. Please take the prescribed medication as directed. Persistent pain after three days may indicate a “dry socket”. In most cases, pain associated with “dry socket” can be controlled with prescribed pain medications. If this is unsuccessful, please call our office.

Infection

The best way to help prevent infection is to take your antibiotics (if prescribed) and keep your mouth as clean as possible. You may start brushing and rinsing the day after surgery. Please rinse with warm salt water (1/4” to1/2” teaspoon per cup of water) approximately 3-5 times a day for seven days following surgery. Continue this procedure until healing is complete.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

General information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and at least one day after surgery.

Patients that have been prescribed narcotic pain medications and/or have had IV anesthesia or general anesthesia should not drive, operate machinery or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

It is in your best in not to smoke following surgery. Smoking can delay wound healing and increase the likelihood of wound healing complications.

Biopsy

The specimen(s) removed today will be processed and placed on a slide for a board certified pathologist to examine. You will receive a bill for both the processing of the specimen and for the pathologist to examine the specimen. You will be notified of the biopsy result at your follow-up visit.

Bleeding

You may have oozing of blood for 24-48 hours after surgery but no heavy bleeding should occur. Incisions inside the mouth have a tendency to ooze longer which may last a few days. If heavy bleeding occurs call for instructions or return to the office.

Swelling

Swelling is a normal body reaction to surgery and may develop over 48 hours following surgery. Bruising may also develop which is also normal. Ice should be applied to the outside of your face in the area of the surgical site during the initial 48 hours following surgery. The swelling should begin to subside on the third or fourth day following surgery but may not be completely resolved for several days after surgery.

Pain

Post-operative pain is very common during the first few days following surgery. Please take the prescribed medication as directed. In most cases, post-operative discomfort can be controlled with prescribed pain medication.

Home care

Oral biopsy: Oral hygiene is very important as a clean mouth will aid in the healing and patient comfort. If you have an incision in the mouth, you should be cautious in this area after surgery. The day after surgery please rinse with warm salt water (¼” to ½” teaspoon per cup of water) approximately 3-5 times a day for seven days.

Skin biopsy: Your care of the surgical site is important to prevent infections and minimize scarring. The wound should be gently cleaned twice per day with soap and water or hydrogen peroxide solution to remove crusting. A topical antibiotic should be applied to the wound and stitches approximately twice a day.

For the first year, it is advisable to avoid excessive sun exposure to you prevent discoloration of the surgical site. If you will be exposed to sunlight, you should apply sun block to the surgical site and wear a brimmed hat to decrease the amount of sun exposure.

Stitches

Oral Biopsy: stitches will generally resolve on their own in 3-10 days. You will be notified if you need to have them removed.

Skin Biopsy: Stitches will need to be removed usually within 5-10 days depending on the site of the biopsy. You will need a follow-up appointment.

Diet

Oral Biopsy: Eat normal regular meals as soon as you are able after surgery. Cold, soft foods such as ice cream or yogurt may be the most comfortable for the first day. Foods which contain seeds, nuts, or kernels such as popcorn and peanuts or are hard and crunchy should be avoided for several days following surgery.

General Information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and one day after.

Patients that have been prescribed narcotic pain medications and /or have had IV anesthesia or general anesthesia should not drive, operate machinery, or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

Bleeding

You should not experience bleeding from the surgical site. You will leave with a bulky dressing that can be removed the day after surgery.

Swelling

Swelling is a normal body reaction to surgery and will develop over 48 hours following surgery. Bruising may also develop which is also normal. Ice should be applied to the outside of your face in the area of the surgical site during the initial 48 hours following surgery. You will be discharged with a reusable ice pack, which may be used beyond 48 hours after surgery if it makes you more comfortable. The swelling should begin to subside on the third or fourth day following surgery but may not be completely resolved for several days after surgery.

Pain

To relieve pain and swelling, use non-steroidal anti-inflammatory drugs such as ibuprofen (Advil, Motrin, Aleve).

Home care

Keep yawning and chewing to a minimum and avoid extreme jaw movements such as yelling or singing.

Diet

Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans and grains. In addition, cut foods into small pieces to decrease the amount of chewing required. Avoid hard and crunchy foods (such as hard rolls, pretzels, and raw carrots), chewy foods (such as caramels and taffy) and thick and large foods that require your mouth to open wide to fit.

General information

Patients having surgery involving IV anesthesia or general anesthesia should plan to rest at home the day of surgery and at least one day after surgery.

Patients that have been prescribed narcotic pain medications and/or have had IV anesthesia or general anesthesia should not drive, operate machinery or sign legal documents for 24 hours after the last medication.

If antibiotics are prescribed, be sure to take all that have been prescribed as directed. For female patients, please note that certain antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.

It is in your best interest not to smoke following surgery. Smoking can delay wound healing and increase the likelihood of wound healing complications.

Bleeding

You may have oozing of blood for 24-48 hours after surgery but no heavy bleeding should occur. Incisions inside the mouth have a tendency to ooze longer which may last a few days. If heavy bleeding occurs call for instructions or return to the office.

Swelling

Swelling is a normal body reaction to surgery and may develop over 48 hours following surgery. Bruising may also develop which is also normal. Ice should be applied to the outside of your face in the area of the surgical site during the initial 48 hours following surgery. You will be discharged with a reusable ice pack which may be used beyond 48 hours after surgery if it makes you more comfortable. The swelling should begin to subside on the third or fourth day following surgery but may not be completely resolved for several days after surgery.

Pain

Post-operative pain is very common during the first few days following surgery. If your treatment included placing bracket and wires around your teeth, you may experience persistent swelling and discomfort in your gums and other oral tissues. Please take the prescribed medication as directed. In most cases, post-operative discomfort can be controlled with prescribed pain medications. Orthodontic wax (available in the pharmacy area-over the counter) may also be placed over brackets and wires that may be irritating the oral tissues. If this is unsuccessful, please call our office.

Home care

Oral hygiene is very important as a clean mouth will aid in the healing and patient comfort. A soft bristled toothbrush should be used around brackets and wires as they tend to trap food. If you have brackets and wires around your teeth, these rinses should continue until the bracket and wires are removed (usually at approximately six weeks following surgery). If you have an incision in the mouth, you should be cautious in this area after surgery. Please rinse with warm salt water (¼” to ½” teaspoon per cup of water) approximately 3-5 times a day for seven days following surgery.

Depending on the type of fracture, it may be 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 infections and minimize scarring. The wound should be gently cleaned twice per day with soap and water or hydrogen peroxide solution to remove crusting. Topical antibiotic (available over the counter) should be applied after each cleaning.

For the first six months, it is advisable to avoid excessive sun exposure to your incision site. If you will be exposed to sunlight, you can apply sun block to the incision site and wear a brimmed hat to decrease the amount of sun exposure.

Diet

If you are being treated for a broken jaw, the way that you eat will be affected. When your jaws are banded or wired shut 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.

Initially, due to swelling, the consistency of your food will be watery, but as times goes on and swelling decreases, the consistency of the food which you consume may be thicker. Use milk, water or broth to dilute foods for the blender.

Prior to discharge from the hospital, a Registered Dietician (if available) will give you recommendations and instructions with regards to your special diet. You will also be sent home with a pamphlet including ideas on liquid and blenderized meals.

Emergencies

A common question you may have is “What if I get sick and my jaws are wired or banded together?” The answer is first and foremost DON’T PANIC since your wires or bands will only allow you to ingest liquid or blenderized foods you will only vomit what you consume. Simply bend over and allow the contents to run between the spaces around your teeth. If you believe it is an absolute EMERGENCY, you may cut the wires or bands but please notify your doctor immediately!

Nutrition

Intermaxillary fixation (IMF) requires a change in diet that can be difficult at first. Modification of a simple and pleasurable routine, such as eating, can almost overwhelm the person who is not prepared. It is essential that you try to maintain your weight – this is not the time to diet. Men normally require approximately 2600 calories daily and women require approximately 2000. For proper healing, you may need more calories, protein and vitamins than normally. To help meet these requirements eat more frequently (6-8 times a day).

The following suggestions will assist you to a healthy and successful recovery.

• All food must be blended and strained to remove food particles prior to drinking.
• Try nutritional supplements such as Ensure, Nutriment or instant breakfast drinks (all are available in supermarkets and drug stores)
• Health food stores carry ready made milkshakes such as Rice Dreams, VitaSoy or AmZake. Also available are protein powders such as Weight Gainer 1850 which are easy to add to milkshakes or juices.
• Other suggestions for on-the-go meals include canned juices (V-8), fast food restraint milkshakes, baby food and fruit in a jar, as well as yogurt.
• Try to make double batches and freeze in small containers for later use.
• If you were taking vitamins before, continue to do so. Whole vitamins can be smashed in a cloth, with a hammer and then dissolved in juice.
• Clean your mouth properly after each meal.
• If you have lactose intolerance use a milk substitute such as Mocha Mix, Dairy Rich or nut milk.
• If diarrhea develops try decreasing milk and milk products. Call your surgeon if diarrhea persists.
• DO NOT USE A STRAW as this could damage the incision or break a wire. Most people prefer to drink liquids from a cup with a lid such as a commuter cup or a tippy cup

RECIPES

Basic Milk Shake (high protein, low fat)
1 cup nonfat dry milk power
1 quart skim milk
Combine ingredients and mix until smooth

Add any of the following
1) 1 jar strained pureed baby food fruit
2) 1 cup ice cream or frozen yogurt
3) 1-2 tbsp. chocolate, strawberry syrup or smooth peanut butter
4) Substitute 1 cup sherbet instead of using dry powder

High Protein Smoothies: (smoothies are like milkshakes, thin or thick, depending on the temperature)
1 cup cottage cheese
1 cup yogurt
Add one of the following:
1) 1 frozen banana + some strawberries + 1 tsp. vanilla + honey to taste
2) 1 peach + some strawberries + 1 tsp. vanilla + honey to taste
3) 1 frozen banana + 2 tbsp. peanut butter + 1 tbsp. sweet hot chocolate mix (powder) + 1 tsp. vanilla + honey to taste

Orange Juice Shake:
Blend until smooth
1 cup orange juice
1 tsp. lemon juice
1 cup orange sherbet
Strain

Orange Sherbet Punch:
Blend until smooth
1 pint orange sherbet
¾ cup ginger ale
½ cup pineapple juice
¼ cup grapefruit juice
Strain

Orange Julie: (good source of protein, vitamin C, iron)
Blend until smooth
2 cups orange juice
½ cup crushed ice
1 raw egg
2 tbsp. honey
¼ tsp. vanilla extract
Strain

Cranberry Fruit Punch: (good source of Vitamin C)
Blend until smooth
1 ½ cups orange sherbet
1 ½ cups cranberry juice cocktail
1 ½ cups crushed pineapple
½ cup water
1 tsp. sugar
Strain

Hawaiian Lemonade
Blend until smooth
½ 6-oz. can frozen lemonade concentrate
½ can water
1 6-oz. apricot nectar
1 small bottle ginger ale
Strain

Combine juices and water; chill. Divide fruit juice mixture among three ice filled glasses. Fill remainder of glass with ginger ale

Pear Icy: (good source of potassium)
Blend until smooth
4 canned pear halves, drained
1 cup crushed ice
¼ cup sugar
1 tbsp. lemon juice

Strain

Fruit Punch (good source of vitamin C, potassium)
Blend until smooth
1 cup ginger ale
½ cup applesauce, unsweetened
½ cup orange juice
½ cup tea
1/3 cup sugar
½ cup lemon juice
Strain

Tomato Juice Cocktail (good source of vitamin C, iron)
2 cups tomatoes juice
1 cup crushed ice
1 cucumber, peeled, seeded and chopped
1 8” stalk celery finely chopped
1 tsp. lemon juice
½ tsp. salt
¼ tsp. Worcestershire sauce
Put all ingredients in blender. Blend until smooth and strain

Baked Potato Soup (good source of protein, calcium, vitamin C)
1 cup milk
½ cup mashed potatoes
¼ cup shredded shard cheddar cheese
1 drop onion juice
salt, pepper to taste
Heat all ingredients in saucepan. Pour in blender. Blend until smooth. Strain

Cheddar Cheese Soup (good source of all nutrients due to Ensure)
1 11 oz. can cheddar cheese soup
½ cup Vanilla Ensure
½ cup water
1 tsp. Worcestershire sauce
salt, pepper to taste
Heat all ingredients in saucepan. Pour in blender. Blend until smooth. Strain

Gazpacho (good source of vitamin C and A)
2 cups chicken bouillon
1 large tomato, peeled, seeded and chopped
½ cucumber, peeled, seeded and chopped
1 tsp. vinegar
½ tsp. garlic juice
½ tsp. sugar
¼ tsp. salt
1 drop hot pepper sauce
dash of pepper
Put all ingredients in blender. Blend until smooth and strain. May be served hot or cold

BBQ Soup (good source of protein, calcium)
1 cup beef bouillon
¾ cup cooked rice
½ cup milk
1 tbsp. liquid vegetable oil
½ tsp. onion juice
½ tsp. BBQ sauce
½ tsp. chili sauce
¼ tsp. prepared mustard
dash each of salt, pepper and Tabasco sauce
Heat all ingredients in saucepan. Pour in blender. Blend until smooth. Strain

Bean Soup (good source of protein, vitamin C and A)
¾ cup chicken bouillon
½ canned pinto beans, drained
½ cup canned carrots, chopped
1 8” stalk celery finely chopped
1tbsp. deviled ham
½ tsp. onion juice
dash garlic powder
salt, pepper to taste
Heat all ingredients in saucepan. Pour in blender. Blend until smooth. Strain

Beef Stroganoff
¼ cup onion finely chopped
margarine
1 jar strained beef baby food
1/8 tsp. paprika
½ can cream mushroom soup
3 tbsp. sour cream
Sauté onion in margarine then combine with meat, paprika, soup and warm over low heat. Place ½ cup stroganoff into blender with sour cream. Blend until smooth and then strain. Serve with vegetables such as instant mashed potatoes.

Tomato Rice Soup (good source of protein, calcium, and vitamin A)
1 10 ½ oz. can tomato soup
½ cup milk
½ cup chicken bouillon
1/3 cup cooked rice
1 tbsp. sautéed onion
1/8 tsp. salt
dash of pepper

Heat all ingredients into a saucepan and pour into a blender. Blend until smooth and strain.

Vegetable Medley

1 can mixed vegetables
1 can cream mushroom soup
1 tsp. onion flakes
2 bouillon cubes dissolved in 12 oz. water
1 tsp. Worcestershire sauce
½ tsp. A1 sauce
¼ tsp. pepper
*1 cup rice, cooked (optional)
Blend bouillon with mushroom soup. Add seasonings and vegetables, sire in rice over low heat. Pour in blender and blend until smooth then strain. Rice may not blend and strain fine enough for some. If so, this dish is just as tasty without the rice.

Sweet Potato Soufflé
3 cups cooked mashed sweet potatoes
¼ tsp. salt
2 eggs
1 tsp. vanilla
3-4 tbsp. margarine
1 cup milk
1 cup sugar
Mash and combine all ingredients except milk and sugar. In a saucepan melt sugar in milk over low heat. Add ½ cup potatoes to blender followed by ¼ cup milk and sugar mixture. Blend until smooth.
Spaghetti Sauce and…
1 can whole tomatoes
1 8 oz. can tomato sauce
1 3 ½ oz. can tomato paste
1 tsp. onion salt
1 ½ tsp. oregano
1 bay leaf
Spaghetti or instant mashed potatoes

Put tomatoes into blender until smooth. Add to other ingredients and simmer 45 minutes. Remove bay leaf. Place ½ cup cooked spaghetti or instant mashed potatoes followed by one cup sauce. Blend until smooth and strain.

Barbeque Sauce
1 stick butter
1 cup sugar
2 large onions, diced
1 oz. bottle catsup
2 tsp. lemon juice
1 tbsp. sage and pepper
½ cup water
1 cup mustard
1 tbsp. red pepper

Mix all ingredients and simmer for one hour. Blend until smooth then strain. Excellent over boiled chicken, beef or mixed with warmed meaty baby food.

Stuffed Potato liquid style
1 medium baked potato, cooked
¼ cup milk
¼ cup cream of chicken soup
¼ cup sour cream
3 tbsp. grated cheddar cheese
1 tbsp. margarine
¼ tsp. onion salt
1/8 tsp. pepper

In saucepan blend milk with soup and sour cream over medium heat until smooth. Add grated cheese and margarine and stir until both are melted. Then add onion salt or table salt and pepper. Place well mashed hot potato in blender. Add very hot mixture from saucepan and blend for 15 seconds, blend until smooth. Strain. If necessary, add additional hot milk to dilute to desired consistency. Make certain milk is hot so potatoes do not lump. When diluting, it may become necessary add more seasoning.

Tasty Turkey Supreme
1 large jar turkey baby food
1 chicken bouillon cube dissolved I 1 cup hot water
3 tbsp. margarine
¼ cup flour
¼ tsp. salt
¾ cup milk

In saucepan melt butter and blend in flour and salt. Add chicken bouillon and milk all at once. Cook over medium heat and stir until thickened and bubbly. Pour sauce over jar of meat that has been warmed. Place in blender and blend until smooth. Strain

Apple Pie a la Mode (good source of protein and calcium)
1 cup apple pie filling
1 cup vanilla ice cream
½ cup milk
dash cinnamon

Put all ingredients in blender and blend until smooth. Strain