After Exposure of an Impacted Tooth
Be careful not to 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. If a bracket and chain device was placed, try not to disturb the site where the chain emerges.
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 our office The Pacific Coast Center for Oral, Facial and Cosmetic Surgery, Pasadena office Phone Number 626-440-0099 for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag covered with a light towel filled with ice cubes on the cheek in the area of surgery. Apply the ice 20 minutes on / 20 minutes off continuously for at least the first 12 hours. Ice has little affect on swelling after 36 hours.
Drink plenty of fluids. Avoid extremely hot liquids or food. Soft food and liquids should be eaten 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, 1 or 2 Tylenol or Extra Strength. Tylenol may be taken every 3-4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2 – 4 tablets (400 – 800 mgs) may be taken every 6 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.
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 saltwater (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.
Keep physical activities to a minimum immediately following surgery and into the second day post surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue or reduce your activity. Be aware that your normal nourishment intake is reduced. Exercise may weaken you a bit. If you get light headed, stop exercising.