After Exposure of an Impacted Tooth

Bleeding

Some bleeding or oozing is normal for 24 hours. Excessive bleeding can frequently be controlled by use of the gauze. The gauze should be moistened and placed directly over the surgical wound. The patient should bite on the gauze and keep steady pressure on the wound for 20 minutes. If bleeding continues, please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. The third day is the maximum day of swelling. To minimize swelling, apply the ice packs provided on your cheek near the area of surgery. Apply the ice as much as possible for the first 48 hours, then heat after that.

Diet

Drink plenty of fluids. Avoid hot liquids and hard food. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

The baseline pain medication will consist of Motrin and/or Tylenol. These should be taken three times a day with food for 5 days minimum. They may be needed for up to two weeks. 

You should begin taking pain medication before the local anesthetic wears off. For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken four times daily, not to exceed 3200mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.

For severe pain, the prescribed narcotic should be taken as directed on a needed basis. 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. If pain persists, it may require attention and you should call the office.

Oral Hygiene

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.

Activity

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.