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

After surgery we recommend that you take a pain pill as soon as possible. Be sure that you eat something before taking the pain medication to help your stomach. After the initial dose take the pain medication on a schedule for the first 24 hours.
For moderate pain take Ibuprofen (Advil, Motrin, Nuprin). Ibuprofen works very well for discomfort following oral surgery. Ibuprofen is most effective if you take it on a schedule. You should take 600 mg of Ibuprofen (3 of the 200 mg tablets) every 6 hours with food for the first 3 days following surgery. You may find that this is the only pain medicine that you need; however, you may take your prescription pain medication as directed for “breakthrough” pain.
The prescribed pain medicine may make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery while taking it. Also, avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists (throbbing, aching, keeping you up at night pain), it may require attention and you should call the office.

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.