After Exposure of an Impacted Tooth

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. 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

Unfortunately, most oral surgery is accompanied by some degree of discomfort. The local anesthetic administered with the general anesthetic during the surgery normally has a duration of several hours. We, therefore, advise you to take the pain medication as soon as possible after your surgery. It may be difficult to control the pain once the local anesthetic has worn off. Taking the pain medication with a sugared drink (Powerade, Gatorade) or soft food (applesauce)will lessen any side effects of nausea or stomach upset.

Take your prescribed medication as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not work, drive or operate any type of machinery while taking the pain medication. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.
If you experience pain in between pain medication times you may take Tylenol or Ibuprofen, (Motrin or Advil) as directed on the label unless otherwise contraindicated.

Oral Hygiene

Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

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.