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.
For moderate pain, one or two tablets of Tylenol (acetaminophen) may be taken every 3-4 hours. Tylenol SHOULD NOT be taken with prescription pain medication as this typically has Tylenol in it and can result in overdose.
Ibuprofen (Advil or Motrin) may be taken between doses of the prescription medication. Ibuprofen bought over the counter comes in 200 mg tablets: 3-4 tablets may be taken four times daily (every 6 hours), not to exceed 3200 mg daily for an adult. Consult our practice for individuals under 18.
For severe pain, the prescribed medication should be taken as directed. Many patients find it helpful to alternate the prescription medication and ibuprofen. We recommend alternating every 3 hours (i.e. take prescription at 12:00, take ibuprofen at 3:00, take prescription again at 6:00, take ibuprofen again at 9:00). When the pain has decreased (2nd or 3rd day) discontinue the prescription medication and substitute two extra strength Tylenol when you would have taken the prescription.
Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. 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.
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) three 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. Exercise may weaken you. If you get light headed, stop exercising.