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 1 hour. Be cautious when removing the gauze so that the fibers do not catch on the brackets. 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.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, take the prescribed Ibuprofen 600mg. Ibuprofen can also be bought over the counter in 200 mg tablets. 2-3 tablets may be taken four times daily, not to exceed 3200mg daily for an adult.
For severe pain, the prescribed narcotic medication should be taken as directed. 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.
Good oral hygiene is essential to good healing. If you were prescribed Peridex Oral Rinse, begin using it the day after surgery, twice a day. Be sure to rinse for at least 30 seconds then gently spit it out. If you were not prescribed Peridex, rinse at least 5-6 times a day, especially after eating, with a teaspoon of salt mixed into one cup of warm water. Be gentle initially while brushing the surgical areas.
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.