After Wisdom Tooth Removal

For twenty-four (24) hours following surgery, DO NOT spit, rinse or use a straw

Bleeding

Bite down firmly on the gauze provided for one hour and then remove.  Slight oozing from the sockets may last one to two days.  The blood clots will also tinge the saliva causing it to be reddish in color, especially the first 24 hours.  If excessive bleeding occurs, place a moistened gauze pad directly on the bleeding area and close mouth firmly so that pressure is applied.  Remove the gauze after approximately 40 minutes.  If there is still excessive bleeding contact the office at which the surgery was performed for further instructions.

Pain

Pain from surgical procedures in the mouth can be controlled by taking the medications as directed.  Unless otherwise instructed begin the first dose immediately so that the pain medication can be in full effect before the local anesthetic wears off.  Eat something with substance, wait 10 to 15 minutes and then take the pain medicine.  If you notice symptoms of a dry socket (sudden throbbing pain three days after surgery) please call our office.  Some patients are able to use Ibuprofen based products, such as Motrin and Advil, for pain relief instead of the prescribed medication or switch to these products as they heal and their pain levels are decreased.  

Do not drive for one day after the surgery (if sedated) or as long as you are taking pain medication. 

Ice Packs

Upon reaching home apply ice packs to the outsie of the face 20 minutes on and 20 minutes off and continue for the next 24 hours.  The height of swelling can be expected on the 2nd or 3rd day after surgery. 

Oral Hygiene

Good oral hygiene is essential to good healing.  You should brush your teeth on the day after surgery, being very careful not to brush the area of the extraction, with a soft toothbrush.  Gently rinse with warm salt water (1/4 teaspoon of salt in 4oz glass of warm water) several times a day for at least a week starting the day after surgery. 

Diet

Soft foods that can be chewed and swallowed easily may be indicated for the first 24 hours.  Nourishment should be taken regularly.  Try not to miss a single meal, beginning with soups and soft foods, gradually progressing to solid food.  A nutritionally balanced diet is essential for well-being, gaining strength, feeling less pain and more rapid healing.  Most importantly, stay hydrated by drinking lots of water.

Smoking

Do not smoke for four days after surgery.  Smoking greatly delays healing and promotes a dry socket and infection.

General

If antibiotics are prescribed, finish the entire prescription even if all symptoms of an infection are gone.  The day of surgery, try to keep your head elevated above your feet while resting.  Although uncommon, vomiting may occur for a variety of reasons.  If vomiting does occur, discontinue any pain medication and/or antibiotics prescribed by us and contact our office.  Sutures are often used in most procedures and they dissolve on their own, this occurs from the day after surgery or several days after surgery.

POSTOPERATIVE INSTRUCTIONS SPECIFIC TO YOUR TREATMENT WILL BE PROVIDED TO YOU BY OUR STAFF AT THE END OF YOUR SURGERY APPOINTMENT.