After Exposure of an Impacted Tooth
Do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not get alarmed but please contact our office for instructions.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth 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 is a normal occurrence after surgery. To minimize swelling apply an ice bag or a plastic bag filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 36 hours.
Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
Some discomfort is the rule following oral surgery. there can be some stiffness to the jaw and sensitivity to the adjacent teeth. For minor procedures, if you have no history of stomach ulcer or allergy, Ibuprofen (Advil or Motrin) 600 mg (3 over the counter 200 mg pills), taken every six hours with some protective food (milk, yogurt, etc.) will suffice. The maximum is not to exceed 2400 mg in a 24-hour period. Acetaminophen (Tylenol) 500 mg may be given 3 hours after each ibuprofen dose. Do not exceed 3000 mg per 24 hours. Children’s doses should follow instructions as indicated on packaging. If necessary, your surgeon will provide you with a prescription medication for more severe pain. As a general rule, the prescribed narcotic can be taken in addition to Ibuprofen, but should not be given until 4 hours after Acetaminophen.
Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1 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.
Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. If you get light headed, stop exercising.