After Exposure of an impacted tooth
Do not disturb the wound. If surgical packing was placed, leave it alone. This helps to keep the tooth exposed. If it gets dislodged or falls out don’t be alarmed.
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 for further instructions.
Swelling is normal after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice 10 minutes on/10 minutes off for the first 24 hours only.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as you feel comfortable unless otherwise directed.
Unfortunately, most oral surgery is accompanied by some degree of discomfort. We recommend you take a combination of Acetaminophen and Ibuprofen. Recent studies on pain control are indicating that taking a non-steroidal anti-inflammatory drug such as ibuprofen (Advil®, Motrin®) together with acetaminophen (Tylenol®) has more significant post-operative pain relief than taking either drug alone. Also, the ibuprofen and acetaminophen combination has significantly more pain relief than narcotic medications such as codeine, hydrocodone (Vicodin®, Norco®, Lortab®), and oxycodone (Percocet®, Percodan®).
We suggested you take 600mg of ibuprofen and 1000mg of acetaminophen at the same time. If this does not give you adequate pain relief you can alternate the 600mg of Ibuprofen with the prescribed pain medication, eliminating the acetaminophen. All medication should not exceed the recommended dosage. Discomfort should subside daily.
Mouth cleanliness is essential to quick and complete healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (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. If you are considering exercise, throbbing or bleeding may occur. If this happens, you should discontinue exercising. Be aware that your regular nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.