Surgical Instructions

• Before Anesthesia
• Dental Implant Surgery
• Wisdom Tooth Removal
• Exposure of an Impacted Tooth
• Extractions
• Multiple Extractions

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 us for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice pack or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice off and on every 20 minutes continuously, as much as possible, until you go to bed.

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, with the exception of hard or crunchy food, as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For mild-moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol (acetaminophen) may be taken every 4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.

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. Increased activity may cause throbbing, swelling,  or bleeding.  We recommend no vigorous exercise for 1 week following surgery.