Tooth removal

Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully. If you have had any form of sedation, please refrain from driving for at least 24 hours.

 

Day  of extraction:

  • Bite firmly on gauze for 15-20 min. Limit any talking to keep pressure. When you get home you can take the gauze out & check the bleeding. If the gauze has light spotting/light bleeding, it is okay to leave the gauze out, as long as the bleeding has slowed down.  

  • If blood is saturating the gauze or collecting in your mouth, you can repeat the process with new gauze. You may need to do this several times throughout the day/evening. Make sure you are placing the gauze directly over the extraction site.

  • If bleeding is uncontrolled by evening, you may try biting on a moisten black tea bag, wrapped in moist gauze keeping pressure for 15-20. Intermittent bleeding overnight is normal.

  • You can apply ice packs on the outside of face where the jaw makes the bend. Keep ice packs on the area for 20-30 min. each hour for the first 48 hours. (Swelling may peak at days 3-4 after surgery, and then subside.)

  • Avoid strenuous activities for the next 48 hours. Activities that increase your heart rate may cause additional bleeding. 

  • Smoking is NOT advised. Smoking creates pressure change within your mouth and can lead to dry socket, it is also quite detrimental to healing. Refrain from smoking until extraction sites have completely closed over.

Diet:

  • Drink plenty of fluids and eat soft foods for a few days after surgery. (Pudding, yogurt, applesauce, milk shakes, protein shakes, mash potatoes, over cooked noodles).

  • AVOID foods that can get stuck in extraction site. (Chips, nuts, seeds, popcorn, rice). 

  • NO STRAWS FOR THE FIRST 2 WEEKS AFTER SURGERY, to help prevent dry socket.

Hygiene:

  • You can resume brushing your teeth 24 hours after surgery.  You may gently rinse with warm salt water; 1 tsp of salt in 8oz of warm water. This will help heal & sooth the area. NO vigorous swishing/rinsing.

  • DO NOT probe extraction site.

PAIN CONTROL:

  • Long-acting numbing medicine is given for wisdom teeth surgery; you should be numb into this evening. It is important start pain medication before numbness has worn off.

  • The main medication used in our office for post-operative pain is a high strength Ibuprofen. You can take prescribed 600mg of Ibuprofen every 6 hours.

  • For additional pain control; it is safe to take 2 Extra Strength Tylenol, (Two 500mg tablets to equal 1000mg) in the middle of the ibuprofen (3hrs into the 6hrs). Alternating between the two medications every 3 hours. That equals 1000mg of Tylenol every 6 hours. (DO NOT exceed 4000mg of Tylenol in 24 hrs). 

  • If you do not have a prescription for Ibuprofen 600mg. Over the counter Advil/Motrin is ibuprofen and is usually supplied in 200mg. Therefore you can take three 200mg tabs to equal 600mg, every 6 hours. )

  • If a medical issue prevents you from taking ibuprofen, Tylenol is the only alternative.

If you have any questions, or if you’re still experiencing pain, do not hesitate to call the office.